Hospital Costs > In North Carolina > Nash General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 253 | 83 / 1 | $12.987,40 | 133 / 6 | $7.023,64 | 194 / 9 | $5.501,42 | 194 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 245 | 271 / 22 | $36.126,10 | 1102 / 56 | $12.269,70 | 1273 / 60 | $10.584,80 | 1252 / 61 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 217 | 347 / 19 | $36.566,40 | 557 / 14 | $13.161,30 | 1115 / 38 | $11.241,00 | 1090 / 50 |
| Heart Failure & Shock W Mcc | 173 | 111 / 15 | $25.770,30 | 805 / 48 | $9.367,01 | 914 / 52 | $8.170,98 | 913 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 127 | 78 / 8 | $28.251,10 | 923 / 51 | $9.616,92 | 1185 / 55 | $8.117,17 | 1185 / 59 |
| Heart Failure & Shock W Cc | 119 | 159 / 19 | $19.477,90 | 1113 / 49 | $6.673,75 | 1208 / 55 | $5.458,45 | 1205 / 52 |
| Kidney & Urinary Tract Infections W/O Mcc | 119 | 114 / 9 | $18.788,80 | 1433 / 62 | $5.479,50 | 1351 / 60 | $4.203,13 | 1342 / 58 |
| Chronic Obstructive Pulmonary Disease W Mcc | 111 | 91 / 11 | $20.435,70 | 759 / 37 | $7.729,29 | 1152 / 55 | $6.400,12 | 1146 / 59 |
| Pulmonary Edema & Respiratory Failure | 106 | 97 / 16 | $25.547,40 | 766 / 46 | $8.412,58 | 998 / 50 | $6.946,42 | 997 / 54 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 103 | 172 / 19 | $18.559,30 | 1222 / 55 | $5.219,23 | 1355 / 51 | $4.014,37 | 1344 / 61 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 101 | 87 / 12 | $31.732,20 | 598 / 24 | $7.155,96 | 647 / 18 | $5.660,76 | 645 / 18 |
| Renal Failure W Mcc | 98 | 97 / 12 | $27.869,90 | 639 / 47 | $10.325,70 | 819 / 54 | $8.576,44 | 819 / 52 |
| Renal Failure W Cc | 96 | 125 / 22 | $20.602,30 | 1038 / 58 | $6.782,29 | 1116 / 59 | $5.307,38 | 1108 / 56 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 87 | 95 / 14 | $23.635,00 | 697 / 47 | $7.079,78 | 917 / 45 | $5.713,44 | 914 / 51 |
| Simple Pneumonia & Pleurisy W Cc | 85 | 118 / 11 | $18.063,50 | 920 / 42 | $6.589,60 | 1438 / 51 | $5.452,62 | 1432 / 62 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 80 | 86 / 10 | $18.058,50 | 1332 / 62 | $5.225,74 | 1291 / 60 | $3.880,81 | 1287 / 55 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 77 | 48 / 6 | $36.444,70 | 677 / 37 | $10.749,90 | 635 / 31 | $9.286,18 | 634 / 29 |
| G.I. Hemorrhage W Cc | 76 | 142 / 24 | $18.592,50 | 625 / 36 | $6.717,14 | 1194 / 52 | $5.569,49 | 1192 / 62 |
| Cellulitis W/O Mcc | 65 | 124 / 16 | $18.259,70 | 1273 / 54 | $5.901,71 | 1420 / 53 | $4.642,34 | 1413 / 55 |
| Diabetes W Cc | 64 | 28 / 6 | $17.904,70 | 549 / 38 | $5.816,03 | 689 / 44 | $4.520,38 | 687 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 27 | $24.575,60 | 1216 / 60 | $7.210,88 | 1207 / 53 | $5.883,85 | 1202 / 58 |
| Respiratory Infections & Inflammations W Mcc | 53 | 83 / 17 | $34.026,50 | 555 / 38 | $13.506,20 | 576 / 53 | $10.625,80 | 568 / 37 |
| Kidney & Urinary Tract Infections W Mcc | 51 | 93 / 15 | $28.880,40 | 1129 / 66 | $8.278,63 | 1264 / 64 | $6.920,31 | 1260 / 62 |
| Red Blood Cell Disorders W/O Mcc | 49 | 94 / 17 | $15.785,90 | 522 / 23 | $5.570,90 | 814 / 39 | $4.309,98 | 809 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 24 | $18.091,90 | 863 / 45 | $5.412,02 | 1056 / 42 | $4.355,78 | 1052 / 52 |
| Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 30 | $19.476,50 | 950 / 46 | $6.370,64 | 1182 / 52 | $5.136,16 | 1178 / 52 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 45 | 57 / 12 | $17.324,70 | 387 / 23 | $5.263,80 | 852 / 29 | $4.065,84 | 848 / 42 |
| G.I. Hemorrhage W Mcc | 44 | 77 / 13 | $28.729,20 | 286 / 18 | $11.072,10 | 637 / 28 | $10.034,50 | 638 / 33 |
| Heart Failure & Shock W/O Cc/Mcc | 44 | 66 / 12 | $12.181,80 | 493 / 26 | $4.778,50 | 1166 / 39 | $3.914,61 | 1156 / 49 |
| G.I. Obstruction W Cc | 44 | 48 / 9 | $21.765,20 | 778 / 39 | $6.197,61 | 830 / 32 | $4.858,45 | 828 / 30 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 42 | 84 / 14 | $20.944,00 | 454 / 31 | $7.364,81 | 758 / 31 | $6.509,93 | 755 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 41 | 82 / 21 | $25.055,00 | 658 / 38 | $8.486,27 | 1131 / 47 | $7.442,02 | 1128 / 52 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 41 | 60 / 13 | $32.005,80 | 445 / 31 | $10.288,40 | 397 / 26 | $8.731,05 | 396 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 40 | 128 / 20 | $33.559,70 | 468 / 37 | $11.569,90 | 423 / 40 | $9.160,72 | 422 / 33 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 40 | 13 / 3 | $19.761,70 | 288 / 19 | $5.794,88 | 328 / 26 | $3.840,85 | 325 / 12 |
| G.I. Hemorrhage W/O Cc/Mcc | 39 | 29 / 1 | $15.700,20 | 370 / 20 | $4.914,82 | 483 / 14 | $3.736,10 | 479 / 20 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 39 | 92 / 17 | $44.007,90 | 441 / 33 | $14.789,10 | 884 / 40 | $13.667,60 | 876 / 46 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 14 | $14.744,00 | 750 / 39 | $5.017,58 | 1160 / 41 | $3.904,39 | 1151 / 52 |
| Other Circulatory System Diagnoses W Mcc | 36 | 80 / 12 | $25.901,10 | 131 / 7 | $11.677,80 | 59 / 13 | $8.849,22 | 59 / 1 |
| Syncope & Collapse | 36 | 133 / 20 | $18.804,70 | 751 / 37 | $5.287,47 | 752 / 37 | $3.802,08 | 749 / 28 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 35 | 56 / 12 | $25.567,40 | 550 / 26 | $6.550,83 | 517 / 13 | $5.491,29 | 516 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 7 | $15.720,90 | 805 / 37 | $5.000,41 | 1173 / 36 | $3.872,32 | 1167 / 46 |
| Transient Ischemia | 34 | 91 / 14 | $18.244,00 | 525 / 29 | $5.109,03 | 649 / 37 | $3.527,50 | 645 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 33 | 63 / 15 | $32.199,60 | 718 / 41 | $12.255,70 | 373 / 43 | $6.386,85 | 371 / 18 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 33 | 91 / 9 | $14.489,50 | 318 / 10 | $5.149,67 | 283 / 15 | $3.733,97 | 283 / 14 |
| Chest Pain | 31 | 120 / 19 | $18.514,90 | 807 / 36 | $4.370,87 | 963 / 26 | $3.492,94 | 957 / 37 |
| Spinal Fusion Except Cervical W/O Mcc | 31 | 163 / 22 | $78.276,80 | 502 / 9 | $23.285,00 | 517 / 12 | $21.925,40 | 514 / 20 |
| Pulmonary Embolism W/O Mcc | 30 | 44 / 12 | $18.369,70 | 309 / 23 | $6.501,47 | 661 / 22 | $5.482,80 | 658 / 33 |
| Other Digestive System Diagnoses W Cc | 30 | 67 / 16 | $29.339,60 | 842 / 36 | $6.847,93 | 654 / 22 | $5.487,87 | 650 / 23 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 30 | 63 / 14 | $38.403,10 | 134 / 7 | $12.765,20 | 301 / 2 | $11.549,50 | 296 / 7 |
| Seizures W/O Mcc | 29 | 79 / 12 | $15.960,30 | 299 / 12 | $5.200,41 | 508 / 13 | $4.070,86 | 505 / 17 |
| Respiratory Infections & Inflammations W Cc | 26 | 62 / 14 | $26.980,90 | 566 / 41 | $8.856,42 | 691 / 32 | $7.738,12 | 686 / 35 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 31 | $36.696,00 | 479 / 20 | $12.158,00 | 882 / 42 | $10.766,80 | 869 / 49 |
| Diabetes W Mcc | 25 | 32 / 10 | $20.523,60 | 91 / 5 | $8.771,60 | 194 / 12 | $7.527,72 | 194 / 12 |
| Signs & Symptoms W/O Mcc | 25 | 66 / 10 | $17.024,00 | 475 / 17 | $4.912,40 | 625 / 18 | $3.904,92 | 624 / 23 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 25 | 46 / 12 | $101.105,00 | 261 / 18 | $32.481,80 | 378 / 15 | $30.315,60 | 378 / 18 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 19 | $59.562,30 | 626 / 29 | $16.224,00 | 438 / 21 | $13.379,20 | 435 / 19 |
| Diabetes W/O Cc/Mcc | 22 | 16 / 1 | $9.844,91 | 39 / 3 | $4.209,73 | 113 / 5 | $3.147,41 | 113 / 9 |
| Respiratory Neoplasms W Mcc | 22 | 30 / 9 | $43.968,90 | 304 / 20 | $12.462,50 | 399 / 18 | $11.190,00 | 398 / 20 |
| Red Blood Cell Disorders W Mcc | 22 | 49 / 11 | $19.839,20 | 154 / 10 | $8.106,41 | 363 / 13 | $7.010,27 | 361 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 33 | $15.508,70 | 1056 / 55 | $4.102,32 | 944 / 40 | $2.780,95 | 939 / 41 |
| Pulmonary Embolism W Mcc | 22 | 21 / 9 | $25.392,00 | 102 / 6 | $9.557,05 | 211 / 6 | $8.343,23 | 211 / 11 |
| Other Resp System O.R. Procedures W Mcc | 22 | 41 / 9 | $50.207,30 | 62 / 2 | $21.748,10 | 187 / 6 | $20.418,00 | 187 / 5 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 22 | 50 / 13 | $31.102,20 | 375 / 30 | $9.735,59 | 366 / 26 | $7.964,59 | 365 / 20 |
| Signs & Symptoms W Mcc | 21 | 20 / 1 | $24.918,70 | 103 / 6 | $8.586,19 | 132 / 7 | $7.215,29 | 132 / 6 |
| Atherosclerosis W/O Mcc | 21 | 37 / 7 | $14.743,50 | 163 / 12 | $4.332,00 | / 10 | $3.469,43 | / |
| Renal Failure W/O Cc/Mcc | 21 | 35 / 9 | $11.614,60 | 191 / 11 | $4.491,90 | 430 / 11 | $3.397,62 | 429 / 14 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 24 | $78.227,80 | 239 / 16 | $32.605,30 | 627 / 24 | $30.724,50 | 621 / 26 |
| Degenerative Nervous System Disorders W/O Mcc | 20 | 58 / 12 | $18.884,30 | 190 / 3 | $6.467,55 | 354 / 6 | $5.459,70 | 354 / 10 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 18 | 25 / 4 | $17.063,20 | 113 / 7 | $4.877,78 | 104 / 5 | $3.305,72 | 104 / 5 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 12 | $32.492,40 | 202 / 13 | $11.327,30 | 209 / 10 | $9.505,28 | 209 / 8 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 17 | 53 / 9 | $15.607,80 | 97 / 5 | $9.555,24 | 189 / 18 | $5.295,53 | 189 / 8 |
| Seizures W Mcc | 17 | 49 / 13 | $32.381,90 | 216 / 8 | $10.522,40 | 383 / 12 | $9.454,35 | 383 / 12 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 17 | 59 / 13 | $30.155,10 | 97 / 6 | $12.072,60 | 174 / 7 | $10.795,40 | 174 / 9 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 10 | $29.162,30 | 172 / 8 | $10.312,20 | 424 / 16 | $8.885,31 | 422 / 17 |
| Hypertension W/O Mcc | 16 | 49 / 10 | $15.178,90 | 230 / 14 | $4.498,88 | 389 / 11 | $3.396,50 | 387 / 14 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 20 | $84.592,30 | 238 / 12 | $31.978,60 | 547 / 17 | $30.102,90 | 545 / 21 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 14 | $24.957,50 | 475 / 23 | $6.398,07 | 437 / 16 | $5.103,07 | 436 / 20 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 16 | $14.830,40 | 173 / 6 | $6.344,07 | 428 / 13 | $5.150,67 | 426 / 10 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 21 | $18.546,80 | 329 / 21 | $6.035,80 | 323 / 18 | $4.375,87 | 319 / 13 |
| Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 21 | $76.754,80 | 650 / 25 | $14.743,90 | 585 / 17 | $13.491,70 | 582 / 22 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 15 | $51.050,60 | 186 / 11 | $18.754,60 | 371 / 14 | $17.083,70 | 368 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 13 | $52.345,70 | 146 / 5 | $19.220,50 | 306 / 8 | $17.638,70 | 304 / 13 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 16 | $20.381,70 | 833 / 37 | $4.544,87 | 746 / 26 | $3.342,13 | 743 / 31 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 14 | 15 / 3 | $18.756,90 | 41 / 5 | $6.600,14 | 60 / 1 | $5.441,21 | 60 / 4 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 19 | $119.826,00 | 313 / 20 | $37.358,20 | 360 / 16 | $34.184,90 | 359 / 20 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 14 | $15.665,30 | 326 / 20 | $4.705,50 | 453 / 21 | $3.725,43 | 452 / 22 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 14 | $33.126,60 | 185 / 20 | $11.996,70 | 218 / 14 | $10.733,90 | 218 / 13 |
| Cellulitis W Mcc | 14 | 44 / 16 | $38.672,40 | 566 / 27 | $13.313,40 | 740 / 27 | $10.332,10 | 738 / 27 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 13 | 29 / 6 | $31.004,50 | 66 / 11 | $13.015,30 | 13 / 11 | $8.374,38 | 13 / 1 |
| Other Circulatory System O.R. Procedures | 13 | 42 / 9 | $39.344,70 | 51 / 3 | $16.581,80 | 97 / 2 | $15.102,20 | 97 / 2 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 16 | $16.538,80 | 129 / 7 | $6.017,62 | 224 / 8 | $4.743,77 | 224 / 10 |
| Organic Disturbances & Mental Retardation | 13 | 46 / 8 | $33.654,50 | 390 / 16 | $7.913,38 | 161 / 13 | $5.442,08 | 161 / 8 |
| Disorders Of The Biliary Tract W Mcc | 13 | 26 / 8 | $26.376,50 | 30 / 1 | $10.192,40 | 50 / 1 | $8.994,54 | 50 / 2 |
| Acute Myocardial Infarction, Expired W Mcc | 13 | 17 / 7 | $34.189,70 | 53 / 5 | $10.998,40 | 41 / 4 | $9.304,54 | 41 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 8 | $42.637,70 | 70 / 4 | $14.741,20 | 108 / 4 | $13.379,90 | 108 / 4 |
| Medical Back Problems W/O Mcc | 12 | 109 / 26 | $19.224,60 | 465 / 15 | $5.946,25 | 713 / 17 | $4.581,33 | 710 / 20 |
| Respiratory Signs & Symptoms | 12 | 34 / 8 | $18.135,60 | 93 / 8 | $4.841,17 | 109 / 4 | $3.713,33 | 109 / 5 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 13 | $140.236,00 | 45 / 2 | $57.917,20 | 135 / 3 | $54.732,10 | 135 / 4 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 11 | $17.422,20 | 278 / 12 | $5.513,67 | 264 / 10 | $3.794,00 | 264 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $26.673,00 | 549 / 30 | $7.547,42 | 439 / 16 | $6.502,42 | 438 / 22 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 22 | $52.240,70 | 239 / 9 | $16.151,30 | 396 / 11 | $15.144,90 | 395 / 12 |
| Depressive Neuroses | 11 | 39 / 5 | $10.687,20 | 61 / 2 | $4.914,27 | 44 / 3 | $3.466,55 | 44 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 16 | $51.087,30 | 591 / 17 | $7.850,55 | 504 / 12 | $6.568,64 | 503 / 14 |
| Interstitial Lung Disease W Mcc | 11 | 14 / 5 | $25.897,00 | 13 / 2 | $10.459,90 | 29 / 2 | $9.570,91 | 29 / 3 | Total 105 procedures | 4.535 | 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.