Hospital Costs > In North Carolina > Morehead Memorial Hospital, 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 | 84 | 432 / 58 | $23.730,90 | 461 / 21 | $9.881,42 | 129 / 3 | $8.729,13 | 129 / 4 |
Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 24 | $13.981,40 | 441 / 17 | $5.685,18 | 308 / 9 | $4.472,55 | 306 / 7 |
Heart Failure & Shock W Cc | 58 | 220 / 39 | $12.605,90 | 330 / 12 | $5.540,71 | 142 / 3 | $4.435,14 | 142 / 2 |
Heart Failure & Shock W Mcc | 52 | 232 / 44 | $17.505,30 | 277 / 15 | $8.174,10 | 127 / 5 | $7.059,25 | 127 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 40 | $14.434,50 | 677 / 23 | $4.495,10 | 451 / 6 | $3.361,18 | 449 / 13 |
Pulmonary Edema & Respiratory Failure | 35 | 168 / 47 | $16.479,80 | 211 / 16 | $7.046,20 | 275 / 7 | $6.045,14 | 275 / 14 |
Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 40 | $12.666,70 | 607 / 23 | $4.722,00 | 437 / 14 | $3.571,06 | 437 / 13 |
Renal Failure W Cc | 33 | 188 / 50 | $13.979,30 | 383 / 22 | $5.692,21 | 328 / 8 | $4.568,12 | 326 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 43 | $15.620,60 | 403 / 16 | $6.161,06 | 338 / 7 | $5.030,61 | 337 / 10 |
Cellulitis W/O Mcc | 30 | 159 / 39 | $11.774,20 | 439 / 13 | $5.043,83 | 273 / 9 | $3.654,27 | 271 / 5 |
Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 53 | $20.725,20 | 435 / 21 | $7.942,50 | 110 / 4 | $6.616,71 | 110 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 41 | $13.609,60 | 381 / 18 | $5.397,60 | 247 / 4 | $4.253,84 | 247 / 5 |
Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 26 | $82.631,10 | 563 / 14 | $20.787,00 | 141 / 1 | $19.382,40 | 140 / 3 |
G.I. Hemorrhage W Cc | 24 | 194 / 54 | $13.919,70 | 218 / 10 | $5.852,67 | 425 / 4 | $4.836,96 | 424 / 15 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 26 | $10.571,50 | 300 / 11 | $4.487,73 | 98 / 13 | $2.818,86 | 98 / 4 |
Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 54 | $12.531,20 | 149 / 9 | $6.611,40 | 242 / 8 | $5.489,00 | 241 / 12 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 28 | $13.952,30 | 39 / 2 | $7.328,58 | 7 / 2 | $6.610,16 | 7 / 2 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 29 | $9.855,32 | 250 / 10 | $4.198,26 | 197 / 11 | $2.963,26 | 195 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 19 | $9.044,42 | 144 / 4 | $4.515,89 | 253 / 11 | $3.000,05 | 251 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 43 | $11.005,20 | 428 / 15 | $4.333,76 | 691 / 10 | $3.445,24 | 689 / 29 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 38 | $19.858,20 | 334 / 17 | $7.059,94 | 254 / 9 | $5.964,81 | 254 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 16 | 548 / 68 | $42.367,00 | 885 / 30 | $12.821,60 | 222 / 27 | $9.777,81 | 222 / 6 |
Renal Failure W Mcc | 15 | 180 / 46 | $15.916,70 | 94 / 8 | $8.063,40 | 57 / 2 | $7.040,47 | 57 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 32 | $12.695,50 | 79 / 4 | $6.382,80 | 311 / 3 | $5.726,07 | 308 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 47 | $11.963,20 | 56 / 2 | $6.241,29 | 345 / 9 | $5.031,21 | 344 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 48 | $13.040,20 | 323 / 15 | $4.729,64 | 166 / 7 | $3.428,29 | 166 / 2 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 46 | $18.580,40 | 68 / 4 | $8.307,38 | 1 / 1 | $7.166,69 | 1 / 1 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 15 | $12.115,70 | 175 / 9 | $4.067,92 | 48 / 3 | $2.683,92 | 48 / 2 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 30 | $16.748,80 | 66 / 3 | $7.977,08 | 41 / 1 | $7.170,92 | 41 / 2 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 31 | $45.081,90 | 294 / 11 | $13.881,60 | 76 / 1 | $11.760,50 | 76 / 5 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 49 | $11.925,50 | 102 / 5 | $6.538,91 | 240 / 12 | $5.333,09 | 240 / 10 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 36 | $37.070,50 | 256 / 18 | $11.735,60 | 71 / 4 | $10.951,50 | 71 / 4 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 25 | $13.031,50 | 95 / 2 | $5.634,55 | 202 / 2 | $4.603,45 | 202 / 7 | Total 33 procedures | 849 | 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.