Hospital Costs > In North Carolina > Maria Parham Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 96 | 420 / 54 | $29.468,80 | 757 / 35 | $11.310,70 | 643 / 40 | $9.725,76 | 642 / 34 |
Kidney & Urinary Tract Infections W/O Mcc | 95 | 138 / 15 | $14.081,00 | 807 / 32 | $5.212,79 | 1127 / 44 | $4.039,51 | 1119 / 46 |
Heart Failure & Shock W Mcc | 82 | 202 / 37 | $23.209,30 | 611 / 37 | $9.225,08 | 1025 / 44 | $8.325,83 | 1023 / 54 |
Heart Failure & Shock W Cc | 73 | 205 / 30 | $14.338,20 | 503 / 23 | $6.371,51 | 992 / 43 | $5.289,84 | 991 / 43 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 54 | 66 / 5 | $13.203,70 | 574 / 29 | $4.956,50 | 931 / 34 | $3.676,98 | 922 / 38 |
Renal Failure W Cc | 53 | 168 / 38 | $14.432,30 | 413 / 26 | $6.492,06 | 975 / 51 | $5.159,47 | 967 / 51 |
G.I. Hemorrhage W Cc | 51 | 167 / 36 | $17.749,30 | 547 / 28 | $6.513,02 | 1120 / 42 | $5.492,88 | 1118 / 56 |
Chronic Obstructive Pulmonary Disease W Cc | 50 | 129 / 26 | $15.306,40 | 540 / 26 | $6.052,28 | 860 / 34 | $4.847,28 | 857 / 42 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 35 | $18.337,30 | 623 / 31 | $6.833,51 | 965 / 38 | $5.631,69 | 962 / 52 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 21 | $12.476,70 | 607 / 24 | $4.846,73 | 1389 / 41 | $3.962,41 | 1384 / 59 |
Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 40 | $22.680,40 | 946 / 51 | $7.266,74 | 935 / 36 | $6.186,83 | 930 / 48 |
Simple Pneumonia & Pleurisy W Mcc | 41 | 164 / 46 | $29.450,00 | 1000 / 54 | $8.740,85 | 519 / 27 | $7.345,29 | 519 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 40 | $13.803,00 | 602 / 20 | $5.012,77 | 1126 / 38 | $3.842,75 | 1118 / 49 |
Heart Failure & Shock W/O Cc/Mcc | 38 | 72 / 14 | $9.979,03 | 260 / 11 | $4.673,16 | 921 / 32 | $3.661,39 | 914 / 40 |
Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 39 | $24.395,20 | 1576 / 65 | $6.587,00 | 1130 / 50 | $5.179,71 | 1126 / 50 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 17 | $16.560,00 | 226 / 14 | $6.920,53 | 508 / 21 | $6.027,78 | 505 / 24 |
Cellulitis W/O Mcc | 34 | 155 / 35 | $16.607,40 | 1066 / 46 | $5.593,94 | 1326 / 37 | $4.557,85 | 1320 / 52 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 37 | $20.233,70 | 495 / 32 | $6.802,07 | 909 / 35 | $5.695,62 | 906 / 50 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 18 | $17.998,00 | 434 / 27 | $5.107,24 | 683 / 23 | $3.838,72 | 679 / 36 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 36 | $14.975,50 | 514 / 29 | $5.295,78 | 1008 / 37 | $4.302,74 | 1004 / 50 |
Chest Pain | 26 | 125 / 21 | $12.328,20 | 263 / 10 | $4.243,50 | 489 / 19 | $2.910,58 | 486 / 20 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 13 | $12.506,80 | 459 / 17 | $4.906,64 | 846 / 31 | $3.547,24 | 842 / 34 |
Seizures W/O Mcc | 23 | 85 / 14 | $15.696,40 | 292 / 10 | $5.155,74 | 366 / 10 | $3.865,70 | 364 / 12 |
G.I. Hemorrhage W Mcc | 22 | 99 / 22 | $26.175,00 | 203 / 12 | $10.682,60 | 568 / 23 | $9.834,23 | 569 / 30 |
Transient Ischemia | 20 | 105 / 21 | $13.471,50 | 210 / 8 | $4.690,55 | 484 / 22 | $3.359,65 | 483 / 18 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 67 | $53.902,90 | 1460 / 50 | $12.635,50 | 1047 / 20 | $11.145,00 | 1024 / 46 |
Syncope & Collapse | 20 | 149 / 30 | $14.181,80 | 337 / 9 | $4.939,50 | 608 / 23 | $3.658,65 | 605 / 22 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 35 | $11.554,80 | 534 / 29 | $4.174,90 | 924 / 45 | $2.763,35 | 919 / 39 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 53 | $17.833,00 | 275 / 21 | $7.581,15 | 877 / 29 | $6.787,40 | 877 / 51 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 35 | $14.898,70 | 118 / 1 | $7.520,37 | 507 / 23 | $6.386,11 | 504 / 27 |
G.I. Obstruction W Cc | 19 | 73 / 23 | $18.902,70 | 577 / 24 | $5.885,32 | 796 / 18 | $4.808,84 | 794 / 27 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 42 | $22.327,60 | 729 / 49 | $7.261,26 | 848 / 44 | $6.155,84 | 846 / 49 |
Diabetes W Cc | 19 | 73 / 26 | $15.705,50 | 376 / 26 | $5.521,11 | 730 / 31 | $4.575,16 | 728 / 39 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 31 | $13.622,30 | 322 / 8 | $5.384,26 | 816 / 30 | $4.310,68 | 811 / 38 |
Diabetes W/O Cc/Mcc | 18 | 20 / 5 | $10.738,80 | 51 / 5 | $4.159,89 | 70 / 3 | $2.847,78 | 70 / 6 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 22 | $21.514,60 | 325 / 26 | $8.368,88 | 430 / 18 | $7.210,29 | 427 / 25 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 20 | $16.779,80 | 222 / 14 | $6.405,06 | 600 / 18 | $5.365,00 | 597 / 28 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 13 | $12.377,00 | 239 / 15 | $4.379,31 | 330 / 5 | $3.194,12 | 329 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 36 | $26.530,20 | 246 / 16 | $9.986,80 | 349 / 15 | $8.950,53 | 348 / 25 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 19 | $102.149,00 | 192 / 10 | $30.617,20 | 63 / 3 | $28.994,50 | 63 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 30 | $61.142,10 | 108 / 9 | $27.674,60 | 171 / 6 | $26.530,40 | 171 / 13 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 31 | $18.504,50 | 116 / 5 | $9.935,57 | 262 / 15 | $8.453,14 | 262 / 9 |
Renal Failure W Mcc | 14 | 181 / 47 | $29.923,50 | 760 / 52 | $9.849,57 | 717 / 47 | $8.395,93 | 717 / 47 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 15 | $22.309,60 | 56 / 2 | $10.948,70 | 130 / 5 | $10.061,20 | 130 / 7 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 25 | $16.011,70 | 190 / 7 | $6.257,85 | 673 / 10 | $5.508,69 | 669 / 25 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 12 | $20.632,20 | 196 / 14 | $7.825,00 | 46 / 17 | $4.391,00 | 46 / 2 |
Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 3 | $15.709,30 | 78 / 4 | $5.657,08 | 90 / 5 | $4.184,00 | 90 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 41 | $45.483,90 | 863 / 40 | $11.805,00 | 799 / 34 | $10.617,10 | 790 / 48 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 35 | $31.034,80 | 141 / 9 | $12.751,80 | 213 / 13 | $11.594,90 | 211 / 11 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 19 | $13.483,70 | 103 / 9 | $5.513,64 | 271 / 22 | $3.716,91 | 269 / 9 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 20 | $11.700,60 | 260 / 11 | $4.371,82 | 467 / 18 | $2.924,27 | 466 / 18 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 22 | $82.433,90 | 127 / 7 | $29.916,20 | 156 / 6 | $27.278,60 | 156 / 7 | Total 52 procedures | 1.536 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.