Hospital Costs > In North Carolina > Novant Health Huntersville Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 172 | 392 / 29 | $60.545,90 | 1713 / 65 | $13.139,30 | 427 / 37 | $10.220,90 | 425 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 162 | 354 / 38 | $30.309,60 | 796 / 36 | $10.615,60 | 273 / 19 | $9.098,15 | 273 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 62 | 145 / 25 | $20.591,50 | 836 / 43 | $6.689,10 | 546 / 33 | $5.253,34 | 544 / 26 |
| Pulmonary Edema & Respiratory Failure | 53 | 150 / 34 | $24.560,10 | 698 / 40 | $7.290,13 | 404 / 13 | $6.229,43 | 404 / 23 |
| G.I. Hemorrhage W Cc | 51 | 167 / 36 | $18.743,70 | 638 / 37 | $6.032,18 | 536 / 13 | $4.942,27 | 535 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 49 | 226 / 35 | $19.249,60 | 1307 / 56 | $4.667,04 | 635 / 15 | $3.518,14 | 631 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 37 | $21.760,40 | 883 / 49 | $7.252,13 | 374 / 34 | $5.641,74 | 373 / 18 |
| Cellulitis W/O Mcc | 42 | 147 / 30 | $16.765,90 | 1092 / 48 | $5.249,33 | 506 / 19 | $3.888,57 | 503 / 16 |
| Heart Failure & Shock W Cc | 41 | 237 / 47 | $15.465,40 | 624 / 32 | $6.070,32 | 648 / 23 | $5.024,39 | 647 / 27 |
| Kidney & Urinary Tract Infections W Mcc | 39 | 105 / 24 | $17.739,20 | 410 / 34 | $6.556,36 | 400 / 13 | $5.571,62 | 399 / 20 |
| Heart Failure & Shock W Mcc | 39 | 245 / 54 | $22.194,60 | 546 / 34 | $8.216,95 | 196 / 7 | $7.231,49 | 196 / 8 |
| Renal Failure W Cc | 36 | 185 / 48 | $16.714,60 | 638 / 37 | $5.980,17 | 460 / 24 | $4.707,75 | 456 / 19 |
| Red Blood Cell Disorders W/O Mcc | 35 | 108 / 21 | $20.567,70 | 951 / 47 | $5.371,11 | 163 / 29 | $3.550,69 | 163 / 5 |
| Renal Failure W Mcc | 31 | 164 / 35 | $24.302,90 | 423 / 32 | $8.520,42 | 216 / 10 | $7.571,97 | 216 / 13 |
| Respiratory Infections & Inflammations W Mcc | 30 | 106 / 32 | $31.030,70 | 418 / 33 | $10.776,30 | 324 / 10 | $10.076,70 | 324 / 21 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 52 | $25.340,20 | 728 / 37 | $8.032,55 | 161 / 7 | $6.741,10 | 161 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 38 | $18.868,50 | 406 / 26 | $5.983,68 | 272 / 4 | $4.933,71 | 272 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 36 | $13.549,30 | 376 / 21 | $4.709,74 | 365 / 6 | $3.691,26 | 365 / 13 |
| Syncope & Collapse | 27 | 142 / 25 | $17.209,20 | 589 / 27 | $4.684,78 | 289 / 16 | $3.319,63 | 287 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 45 | $15.024,80 | 941 / 42 | $4.692,11 | 409 / 11 | $3.550,89 | 409 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 26 | $12.062,00 | 479 / 24 | $4.581,77 | 153 / 28 | $2.906,82 | 151 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 50 | $16.458,70 | 735 / 30 | $5.639,05 | 328 / 8 | $4.484,52 | 326 / 8 |
| Transient Ischemia | 21 | 104 / 20 | $18.369,40 | 541 / 30 | $4.387,62 | 210 / 11 | $3.036,62 | 210 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 40 | $12.541,00 | 616 / 25 | $4.367,70 | 225 / 13 | $3.046,60 | 225 / 5 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 20 | 44 / 10 | $47.840,80 | 434 / 18 | $9.556,50 | 253 / 2 | $8.348,00 | 253 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 36 | $10.723,60 | 419 / 20 | $3.540,89 | 596 / 9 | $2.516,58 | 592 / 24 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 45 | $20.700,80 | 1076 / 55 | $5.631,74 | 678 / 13 | $4.707,84 | 676 / 32 |
| Red Blood Cell Disorders W Mcc | 19 | 52 / 14 | $48.604,60 | 810 / 34 | $10.268,90 | 679 / 31 | $8.244,95 | 675 / 31 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 18 | $11.901,80 | 71 / 1 | $5.696,63 | 318 / 3 | $4.848,11 | 318 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 38 | $40.827,40 | 674 / 33 | $11.166,60 | 327 / 13 | $9.789,16 | 326 / 15 |
| G.I. Obstruction W Cc | 17 | 75 / 25 | $21.231,80 | 737 / 36 | $5.454,94 | 587 / 8 | $4.570,41 | 586 / 20 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 12 | $27.070,10 | 539 / 26 | $6.039,35 | 92 / 9 | $4.118,76 | 92 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 37 | $21.949,60 | 457 / 28 | $7.199,00 | 362 / 12 | $6.153,53 | 361 / 18 |
| Other Disorders Of Nervous System W Cc | 16 | 40 / 13 | $19.781,60 | 172 / 13 | $5.333,56 | 113 / 3 | $4.418,50 | 113 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 36 | $23.218,20 | 156 / 10 | $9.001,60 | 75 / 2 | $8.001,67 | 75 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 13 | $80.089,80 | 489 / 26 | $21.710,10 | 182 / 22 | $16.647,50 | 182 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 27 | $26.315,50 | 280 / 18 | $8.830,20 | 171 / 8 | $7.884,13 | 171 / 10 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 28 | $44.266,50 | 843 / 47 | $11.492,00 | 816 / 34 | $10.577,90 | 813 / 37 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 28 | $73.537,90 | 908 / 44 | $18.038,70 | 482 / 36 | $13.566,50 | 478 / 21 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 24 | $17.794,50 | 273 / 11 | $6.286,86 | 113 / 12 | $4.447,71 | 112 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 31 | $64.936,40 | 145 / 12 | $25.595,20 | 48 / 2 | $24.352,00 | 48 / 4 |
| Cellulitis W Mcc | 13 | 45 / 17 | $20.722,20 | 144 / 10 | $8.216,23 | 141 / 4 | $7.202,54 | 141 / 3 |
| Atherosclerosis W/O Mcc | 13 | 45 / 13 | $7.855,62 | 17 / 1 | $3.815,85 | / 2 | $3.012,85 | / |
| Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 23 | $20.994,80 | 425 / 29 | $5.378,38 | 228 / 6 | $4.171,54 | 225 / 8 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 27 | $14.815,20 | 97 / 4 | $6.867,08 | 10 / 1 | $5.825,42 | 10 / 2 |
| Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 10 | $42.417,20 | 143 / 9 | $13.710,10 | 4 / 8 | $7.711,75 | 4 / 2 |
| Chest Pain | 12 | 139 / 31 | $14.259,10 | 433 / 20 | $3.803,25 | 579 / 5 | $3.003,75 | 575 / 24 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 19 | $53.126,50 | 214 / 14 | $15.440,10 | 28 / 1 | $14.225,40 | 28 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 31 | $20.104,60 | 578 / 34 | $4.613,64 | 337 / 6 | $3.420,18 | 334 / 15 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 20 | $14.409,50 | 491 / 21 | $3.871,27 | 276 / 6 | $2.665,09 | 276 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 29 | $21.209,40 | 257 / 12 | $7.120,55 | 55 / 7 | $5.516,36 | 55 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 23 | $23.758,50 | 430 / 25 | $6.933,82 | 239 / 7 | $5.983,45 | 238 / 8 |
| Pulmonary Embolism W Mcc | 11 | 32 / 17 | $27.825,50 | 132 / 12 | $9.074,18 | 20 / 2 | $6.869,36 | 20 / 1 |
| Hypertension W/O Mcc | 11 | 54 / 15 | $12.436,50 | 121 / 5 | $3.909,45 | 222 / 4 | $2.952,00 | 220 / 6 | Total 54 procedures | 1.546 | 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.