Hospital Costs > In North Carolina > Murphy Medical Center Inc, 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 | $20.936,80 | 305 / 12 | $11.012,00 | 717 / 33 | $9.814,20 | 716 / 39 |
Pulmonary Edema & Respiratory Failure | 82 | 121 / 22 | $15.143,00 | 153 / 10 | $7.497,30 | 588 / 25 | $6.437,13 | 588 / 38 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 75 | 489 / 47 | $39.431,00 | 725 / 20 | $12.903,70 | 1073 / 30 | $11.178,70 | 1050 / 47 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 46 | $15.467,40 | 389 / 15 | $6.691,90 | 727 / 34 | $5.412,59 | 725 / 35 |
Respiratory Infections & Inflammations W Mcc | 28 | 108 / 33 | $16.678,40 | 42 / 2 | $11.751,20 | 642 / 28 | $10.786,30 | 634 / 42 |
Heart Failure & Shock W Mcc | 28 | 256 / 60 | $18.455,60 | 338 / 18 | $9.066,89 | 525 / 36 | $7.713,89 | 525 / 21 |
Renal Failure W Cc | 26 | 195 / 54 | $13.143,80 | 295 / 16 | $6.061,65 | 805 / 32 | $5.004,96 | 798 / 40 |
Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 55 | $15.762,30 | 155 / 6 | $8.716,35 | 766 / 25 | $7.616,88 | 766 / 39 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 41 | $13.492,20 | 370 / 17 | $5.958,80 | 934 / 30 | $4.904,32 | 931 / 43 |
Cellulitis W/O Mcc | 24 | 165 / 43 | $10.738,00 | 331 / 8 | $5.335,17 | 895 / 21 | $4.193,67 | 889 / 39 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 50 | $10.514,20 | 249 / 4 | $4.800,96 | 571 / 23 | $3.458,46 | 569 / 18 |
Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 48 | $11.487,50 | 455 / 9 | $5.048,23 | 717 / 35 | $3.765,59 | 713 / 32 |
Heart Failure & Shock W Cc | 21 | 257 / 58 | $12.825,30 | 351 / 16 | $6.183,57 | 1015 / 31 | $5.302,71 | 1013 / 44 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 41 | $10.065,80 | 319 / 8 | $4.577,16 | 827 / 26 | $3.532,63 | 824 / 34 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 39 | $39.445,90 | 612 / 30 | $11.696,70 | 552 / 30 | $10.150,90 | 550 / 32 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 23 | $19.315,40 | 238 / 17 | $8.815,06 | 650 / 30 | $7.665,31 | 647 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 46 | $11.648,40 | 210 / 8 | $4.993,38 | 896 / 20 | $4.197,38 | 893 / 42 |
G.I. Hemorrhage W Cc | 13 | 205 / 60 | $16.439,00 | 432 / 22 | $6.694,15 | 223 / 50 | $4.599,54 | 223 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 41 | $9.713,08 | 322 / 15 | $3.770,50 | 561 / 20 | $2.490,58 | 557 / 21 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 35 | $26.786,80 | 83 / 3 | $13.357,40 | 487 / 21 | $12.403,20 | 480 / 30 |
Renal Failure W Mcc | 11 | 184 / 50 | $15.778,40 | 87 / 7 | $9.284,00 | 593 / 30 | $8.194,73 | 593 / 36 | Total 21 procedures | 622 | 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.