Hospital Costs > In North Carolina > Novant Health Franklin Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Cc | 33 | 245 / 53 | $22.645,80 | 1454 / 62 | $6.358,73 | 1298 / 41 | $5.549,52 | 1294 / 56 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 49 | $24.344,70 | 1071 / 58 | $7.635,12 | 1476 / 48 | $6.803,12 | 1470 / 65 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 24 | $21.037,70 | 1333 / 62 | $4.782,16 | 1164 / 25 | $3.910,48 | 1155 / 54 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 48 | $20.653,30 | 1198 / 55 | $6.144,83 | 1296 / 25 | $5.301,70 | 1292 / 56 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 22 | 494 / 72 | $37.764,30 | 1197 / 59 | $11.454,00 | 1325 / 48 | $10.687,50 | 1302 / 64 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 67 | $67.758,80 | 1939 / 74 | $14.226,80 | 1850 / 61 | $13.017,20 | 1809 / 69 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 55 | $20.347,40 | 1428 / 58 | $4.876,16 | 1477 / 29 | $4.113,21 | 1466 / 64 |
| Cellulitis W/O Mcc | 17 | 172 / 47 | $16.039,20 | 1003 / 40 | $5.531,18 | 1457 / 32 | $4.676,59 | 1450 / 58 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 48 | $22.833,80 | 1283 / 63 | $6.206,93 | 1205 / 41 | $5.157,80 | 1200 / 53 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 55 | $26.899,20 | 1416 / 68 | $6.654,73 | 1021 / 32 | $5.686,20 | 1018 / 54 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 40 | $15.465,10 | 1048 / 54 | $3.778,43 | 1009 / 21 | $2.834,43 | 1004 / 47 |
| Heart Failure & Shock W Mcc | 14 | 270 / 67 | $27.438,50 | 938 / 57 | $9.167,86 | 1135 / 42 | $8.475,29 | 1132 / 58 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 47 | $15.943,20 | 1078 / 47 | $4.607,77 | 976 / 29 | $3.637,92 | 973 / 40 |
| Renal Failure W Cc | 12 | 209 / 61 | $21.430,60 | 1113 / 60 | $6.178,67 | 990 / 35 | $5.173,33 | 982 / 53 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 48 | $33.962,80 | 1330 / 70 | $7.560,25 | 1090 / 51 | $6.552,17 | 1086 / 56 |
| G.I. Hemorrhage W Cc | 11 | 207 / 61 | $25.678,30 | 1263 / 63 | $6.340,64 | 1097 / 36 | $5.462,09 | 1095 / 53 | Total 16 procedures | 291 | 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.