Hospital Costs > In North Carolina > Novant Health Charlotte Orthopedic Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 9 | $52.929,40 | 293 / 10 | $9.850,94 | 32 / 1 | $8.662,71 | 32 / 1 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 18 | 71 / 12 | $34.700,50 | 378 / 14 | $6.000,56 | 89 / 1 | $4.722,89 | 89 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 22 | $54.445,40 | 395 / 12 | $14.130,60 | 71 / 15 | $10.196,20 | 71 / 1 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 12 | 34 / 5 | $188.236,00 | 48 / 3 | $46.871,30 | 36 / 2 | $45.507,20 | 36 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 27 | $45.151,90 | 844 / 37 | $10.630,80 | 173 / 2 | $9.417,16 | 172 / 5 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 37 | 59 / 9 | $70.352,00 | 593 / 25 | $12.160,00 | 170 / 1 | $10.910,60 | 168 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 306 | 264 / 15 | $59.313,10 | 1668 / 59 | $12.503,80 | 350 / 16 | $10.065,30 | 349 / 9 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 14 | $72.619,50 | 294 / 14 | $16.692,70 | 30 / 10 | $11.948,00 | 30 / 2 |
| Revision Of Hip Or Knee Replacement W Cc | 32 | 54 / 8 | $93.424,20 | 407 / 16 | $20.384,10 | 54 / 6 | $16.218,70 | 54 / 2 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 18 | 51 / 9 | $90.083,40 | 382 / 20 | $15.463,90 | 47 / 2 | $12.996,90 | 47 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 76 | 118 / 14 | $85.870,70 | 589 / 19 | $22.531,50 | 256 / 8 | $20.210,60 | 255 / 6 | Total 11 procedures | 573 | 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.