Hospital Costs > In North Carolina > Martin General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 51 | $32.311,30 | 1714 / 70 | $4.927,91 | 520 / 18 | $3.834,09 | 518 / 22 |
| Cellulitis W/O Mcc | 16 | 173 / 48 | $25.534,60 | 1903 / 70 | $5.113,75 | 705 / 11 | $4.049,75 | 701 / 25 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 46 | $28.715,90 | 1659 / 73 | $5.686,88 | 756 / 17 | $4.762,65 | 754 / 38 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 54 | $34.281,90 | 1703 / 77 | $7.062,60 | 915 / 20 | $6.169,00 | 910 / 47 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 25 | $20.937,70 | 1324 / 61 | $4.489,09 | 770 / 14 | $3.547,17 | 767 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 47 | $22.355,70 | 1664 / 70 | $4.649,54 | 841 / 12 | $3.657,54 | 836 / 33 |
| G.I. Hemorrhage W Cc | 15 | 203 / 59 | $27.044,10 | 1372 / 71 | $6.144,73 | 709 / 22 | $5.097,27 | 708 / 37 |
| Heart Failure & Shock W Cc | 17 | 261 / 61 | $26.493,60 | 1778 / 74 | $5.891,24 | 492 / 12 | $4.891,71 | 492 / 14 |
| Heart Failure & Shock W Mcc | 23 | 261 / 63 | $33.826,30 | 1333 / 69 | $8.942,09 | 669 / 29 | $7.887,70 | 669 / 34 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 27 | $21.684,50 | 1393 / 61 | $4.308,19 | 532 / 14 | $3.329,90 | 530 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 49 | $27.914,60 | 995 / 59 | $6.454,27 | 624 / 24 | $5.354,64 | 623 / 34 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 45 | $23.250,70 | 804 / 55 | $6.670,31 | 612 / 17 | $5.838,31 | 611 / 34 |
| Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 33 | $21.717,50 | 1741 / 71 | $4.750,70 | 890 / 16 | $3.882,52 | 883 / 37 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 31 | 533 / 62 | $74.068,50 | 2096 / 77 | $13.058,50 | 979 / 34 | $11.019,90 | 960 / 42 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 36 | $35.373,20 | 1674 / 60 | $4.942,62 | 613 / 10 | $4.100,77 | 609 / 25 |
| Renal Failure W Cc | 25 | 196 / 55 | $23.072,20 | 1278 / 68 | $5.879,72 | 927 / 17 | $5.106,60 | 919 / 48 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 35 | $42.692,40 | 401 / 29 | $12.197,00 | 209 / 6 | $11.591,70 | 207 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 63 | 453 / 64 | $47.620,60 | 1690 / 72 | $10.698,20 | 722 / 21 | $9.816,81 | 721 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 43 | $29.878,20 | 1613 / 74 | $6.218,76 | 810 / 10 | $5.485,67 | 808 / 40 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 21 | $23.861,40 | 1400 / 54 | $4.403,31 | 624 / 6 | $3.341,31 | 621 / 24 |
| Transient Ischemia | 12 | 113 / 29 | $17.161,80 | 425 / 20 | $4.430,08 | 643 / 14 | $3.520,75 | 639 / 28 | Total 21 procedures | 469 | 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.