Hospital Costs > In South Carolina > Novant Health Gaffney Medical Center, 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 | 44 | 472 / 36 | $50.096,50 | 1788 / 33 | $11.207,80 | 1128 / 23 | $10.359,60 | 1112 / 31 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 23 | $30.665,10 | 1075 / 24 | $7.150,92 | 299 / 11 | $6.087,70 | 299 / 10 |
| Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 27 | $38.242,80 | 1497 / 26 | $8.291,88 | 610 / 10 | $7.449,21 | 610 / 15 |
| Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 30 | $24.457,60 | 1948 / 40 | $4.842,15 | 630 / 17 | $3.710,81 | 628 / 13 |
| Heart Failure & Shock W Mcc | 27 | 257 / 34 | $34.373,00 | 1359 / 24 | $8.564,67 | 592 / 12 | $7.806,15 | 592 / 17 |
| Heart Failure & Shock W Cc | 23 | 255 / 32 | $27.683,90 | 1838 / 36 | $5.925,83 | 871 / 16 | $5.188,43 | 870 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 33 | $26.847,60 | 1410 / 24 | $6.087,52 | 714 / 8 | $5.400,29 | 712 / 19 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 34 | $31.861,40 | 1584 / 24 | $6.744,50 | 633 / 9 | $5.899,70 | 630 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 38 | $58.816,90 | 1648 / 20 | $12.317,50 | 532 / 11 | $10.367,30 | 528 / 13 |
| Renal Failure W Mcc | 19 | 176 / 31 | $32.008,60 | 886 / 13 | $8.579,47 | 313 / 4 | $7.755,89 | 313 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 37 | $31.273,50 | 2023 / 38 | $5.765,89 | 688 / 12 | $4.807,58 | 685 / 17 |
| Renal Failure W Cc | 19 | 202 / 34 | $26.570,50 | 1526 / 33 | $5.956,58 | 1149 / 16 | $5.325,00 | 1141 / 31 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 27 | $32.567,80 | 1269 / 22 | $6.906,41 | 615 / 14 | $5.839,12 | 614 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 29 | $23.123,30 | 1788 / 34 | $4.243,69 | 343 / 9 | $3.181,69 | 343 / 9 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 20 | $15.754,90 | 929 / 14 | $4.230,00 | 571 / 6 | $3.363,71 | 569 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 26 | $27.381,10 | 1513 / 30 | $4.831,29 | 473 / 10 | $3.798,14 | 472 / 14 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 36 | $29.080,00 | 1676 / 30 | $5.422,83 | 579 / 6 | $4.620,17 | 577 / 13 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 24 | $50.909,90 | 646 / 9 | $12.058,50 | 113 / 3 | $11.253,20 | 113 / 4 |
| Chest Pain | 12 | 139 / 19 | $16.835,60 | 673 / 10 | $3.851,08 | 426 / 7 | $2.853,75 | 424 / 10 |
| Syncope & Collapse | 12 | 157 / 28 | $20.288,80 | 878 / 15 | $4.492,17 | 640 / 7 | $3.686,83 | 637 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 40 | $18.833,80 | 1254 / 14 | $4.969,36 | 255 / 22 | $3.182,09 | 255 / 10 |
| G.I. Hemorrhage W Cc | 11 | 207 / 38 | $37.161,20 | 1860 / 38 | $5.539,36 | 192 / 5 | $4.550,27 | 192 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 29 | $51.545,50 | 1101 / 18 | $11.020,60 | 344 / 10 | $9.816,27 | 343 / 8 | Total 23 procedures | 454 | 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.