Hospital Costs > In North Carolina > Novant Health Rowan 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 | 174 | 390 / 28 | $53.939,20 | 1461 / 51 | $12.961,60 | 811 / 32 | $10.775,10 | 797 / 34 |
| Psychoses | 161 | 145 / 10 | $12.134,20 | 118 / 4 | $6.388,60 | 108 / 7 | $5.182,30 | 108 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 139 | 377 / 46 | $43.093,50 | 1485 / 67 | $11.323,20 | 1042 / 43 | $10.249,20 | 1030 / 56 |
| Simple Pneumonia & Pleurisy W Cc | 96 | 107 / 9 | $21.918,20 | 1342 / 57 | $6.215,23 | 654 / 31 | $4.779,53 | 651 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 86 | 147 / 18 | $16.210,30 | 1107 / 49 | $5.032,37 | 667 / 31 | $3.733,07 | 663 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 68 | 207 / 29 | $17.083,90 | 1010 / 42 | $4.798,62 | 887 / 22 | $3.685,15 | 882 / 36 |
| Simple Pneumonia & Pleurisy W Mcc | 67 | 138 / 30 | $33.489,50 | 1252 / 60 | $9.065,07 | 1033 / 42 | $7.908,94 | 1033 / 53 |
| Heart Failure & Shock W Cc | 67 | 211 / 34 | $15.976,90 | 687 / 34 | $6.120,60 | 678 / 26 | $5.044,87 | 677 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 64 | 118 / 19 | $17.974,50 | 347 / 21 | $6.751,80 | 568 / 32 | $5.295,48 | 567 / 25 |
| Heart Failure & Shock W Mcc | 63 | 221 / 42 | $24.236,20 | 680 / 41 | $8.933,35 | 789 / 28 | $8.035,86 | 789 / 41 |
| Chronic Obstructive Pulmonary Disease W Cc | 52 | 127 / 25 | $20.134,30 | 1015 / 47 | $6.121,67 | 689 / 39 | $4.715,52 | 687 / 33 |
| G.I. Hemorrhage W Cc | 52 | 166 / 35 | $20.503,50 | 789 / 48 | $6.260,25 | 501 / 30 | $4.908,75 | 500 / 22 |
| Syncope & Collapse | 51 | 118 / 14 | $16.748,90 | 552 / 23 | $4.701,25 | 402 / 17 | $3.452,98 | 400 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 36 | $25.206,40 | 1143 / 60 | $7.185,60 | 763 / 28 | $6.019,33 | 758 / 35 |
| Cervical Spinal Fusion W/O Cc/Mcc | 47 | 57 / 8 | $46.148,70 | 287 / 9 | $12.861,30 | 308 / 6 | $11.655,80 | 307 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 35 | $23.061,30 | 1077 / 55 | $6.463,16 | 431 / 17 | $5.127,78 | 429 / 20 |
| Cellulitis W/O Mcc | 45 | 144 / 28 | $18.491,70 | 1298 / 57 | $5.343,02 | 535 / 22 | $3.916,47 | 532 / 19 |
| Hip & Femur Procedures Except Major Joint W Cc | 42 | 101 / 22 | $39.261,70 | 598 / 29 | $11.356,60 | 526 / 22 | $10.109,50 | 525 / 30 |
| Chest Pain | 41 | 110 / 16 | $14.218,50 | 427 / 19 | $3.937,49 | 442 / 12 | $2.872,34 | 440 / 17 |
| Transient Ischemia | 39 | 86 / 13 | $15.339,50 | 317 / 17 | $4.461,56 | 557 / 15 | $3.429,79 | 554 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 26 | $15.342,50 | 997 / 44 | $4.536,84 | 668 / 24 | $3.429,21 | 666 / 28 |
| Renal Failure W Cc | 38 | 183 / 46 | $19.856,10 | 973 / 53 | $6.024,89 | 571 / 30 | $4.820,29 | 567 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 37 | 65 / 15 | $16.570,20 | 339 / 18 | $4.768,97 | 511 / 14 | $3.645,49 | 507 / 23 |
| Renal Failure W Mcc | 36 | 159 / 33 | $25.094,40 | 466 / 37 | $9.127,42 | 630 / 26 | $8.252,14 | 630 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 24 | $13.969,00 | 866 / 44 | $3.747,36 | 555 / 19 | $2.485,58 | 551 / 20 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 19 | $37.000,10 | 701 / 39 | $10.446,00 | 658 / 26 | $9.325,53 | 657 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 30 | $16.462,10 | 683 / 37 | $5.250,09 | 646 / 35 | $3.958,54 | 643 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 24 | $32.799,80 | 1084 / 58 | $9.675,29 | 1023 / 59 | $7.189,03 | 1020 / 47 |
| Respiratory Infections & Inflammations W Mcc | 33 | 103 / 29 | $42.005,60 | 854 / 59 | $12.139,70 | 578 / 41 | $10.628,60 | 570 / 38 |
| Kidney & Urinary Tract Infections W Mcc | 33 | 111 / 30 | $25.522,40 | 953 / 61 | $7.024,94 | 688 / 35 | $5.931,09 | 687 / 40 |
| Red Blood Cell Disorders W/O Mcc | 31 | 112 / 23 | $14.671,40 | 423 / 18 | $5.059,58 | 545 / 16 | $4.031,00 | 543 / 19 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 29 | 62 / 17 | $21.068,10 | 331 / 13 | $7.478,62 | 236 / 27 | $5.022,66 | 236 / 7 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 22 | $14.061,20 | 669 / 36 | $4.739,82 | 577 / 24 | $3.389,50 | 576 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 27 | $27.498,50 | 270 / 24 | $9.718,92 | 143 / 8 | $8.275,69 | 142 / 12 |
| Red Blood Cell Disorders W Mcc | 25 | 46 / 9 | $22.672,80 | 227 / 14 | $7.441,84 | 272 / 5 | $6.762,08 | 272 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 13 | $16.741,30 | 903 / 41 | $4.541,32 | 653 / 12 | $3.375,60 | 650 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 20 | $26.181,10 | 487 / 25 | $7.314,96 | 214 / 12 | $6.026,88 | 213 / 9 |
| Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 26 | $80.396,50 | 531 / 11 | $27.556,10 | 995 / 25 | $26.383,20 | 990 / 31 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 16 | $33.082,00 | 794 / 49 | $8.499,17 | 581 / 22 | $7.515,54 | 578 / 31 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 52 | $26.635,20 | 834 / 50 | $7.463,42 | 492 / 23 | $6.330,25 | 492 / 28 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 25 | $52.663,70 | 697 / 42 | $13.761,40 | 241 / 26 | $11.697,30 | 239 / 14 |
| G.I. Obstruction W Cc | 21 | 71 / 22 | $25.138,40 | 997 / 46 | $6.004,29 | 431 / 24 | $4.389,90 | 430 / 13 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 23 | $57.550,90 | 579 / 27 | $16.461,00 | 656 / 26 | $14.178,50 | 650 / 30 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 26 | $93.148,60 | 414 / 29 | $32.525,60 | 639 / 23 | $30.856,80 | 633 / 27 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 33 | $27.233,50 | 387 / 18 | $6.964,39 | 265 / 12 | $5.087,83 | 265 / 6 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 15 | $16.793,90 | 458 / 15 | $4.488,11 | 430 / 10 | $3.562,22 | 429 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 31 | $12.853,50 | 580 / 32 | $4.382,18 | 598 / 18 | $3.387,35 | 596 / 28 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 12 | $73.051,40 | 409 / 21 | $20.256,80 | 453 / 18 | $18.848,90 | 451 / 23 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 17 | 179 / 23 | $54.174,60 | 314 / 9 | $11.812,60 | 491 / 2 | $10.630,80 | 489 / 11 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 11 | $11.176,80 | 145 / 4 | $4.126,00 | 281 / 4 | $3.304,59 | 280 / 16 |
| Other Circulatory System Diagnoses W Cc | 17 | 49 / 13 | $23.179,00 | 264 / 16 | $6.367,53 | 103 / 7 | $4.723,12 | 103 / 4 |
| Seizures W/O Mcc | 16 | 92 / 19 | $18.096,40 | 434 / 19 | $4.762,31 | 176 / 5 | $3.501,06 | 175 / 4 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 17 | $88.845,00 | 170 / 8 | $29.424,30 | 196 / 5 | $27.874,00 | 196 / 10 |
| Medical Back Problems W/O Mcc | 16 | 105 / 23 | $22.733,60 | 716 / 24 | $5.589,00 | 461 / 12 | $4.183,06 | 461 / 12 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 11 | $20.381,90 | 529 / 26 | $4.637,06 | 193 / 9 | $3.235,25 | 194 / 9 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 15 | $54.135,60 | 229 / 17 | $16.693,90 | 136 / 5 | $15.400,30 | 136 / 5 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 21 | $39.487,50 | 470 / 27 | $10.696,70 | 217 / 6 | $9.633,07 | 217 / 7 |
| Diabetes W Cc | 15 | 77 / 30 | $15.969,00 | 398 / 28 | $5.249,13 | 561 / 19 | $4.346,93 | 561 / 26 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 17 | $12.781,20 | 234 / 6 | $4.519,14 | 126 / 7 | $3.304,00 | 126 / 8 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 13 | $39.610,80 | 400 / 18 | $9.710,54 | 257 / 8 | $8.347,31 | 256 / 10 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 17 | $16.004,20 | 166 / 13 | $4.771,85 | 289 / 9 | $3.747,62 | 287 / 11 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 15 | $12.398,80 | 189 / 10 | $4.425,50 | 210 / 6 | $3.198,58 | 208 / 6 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 9 | $16.633,40 | 120 / 4 | $6.335,50 | 96 / 3 | $5.053,75 | 96 / 3 |
| Cellulitis W Mcc | 12 | 46 / 18 | $20.277,30 | 129 / 8 | $8.328,00 | 244 / 5 | $7.619,42 | 243 / 8 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 23 | $113.068,00 | 503 / 26 | $31.997,80 | 563 / 18 | $30.232,90 | 561 / 22 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 22 | $134.946,00 | 423 / 25 | $38.126,90 | 199 / 20 | $31.766,10 | 199 / 9 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 19 | $61.622,90 | 283 / 15 | $10.662,50 | 175 / 3 | $9.524,45 | 175 / 6 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 17 | $15.390,30 | 94 / 5 | $5.433,82 | 64 / 4 | $4.176,09 | 64 / 2 | Total 68 procedures | 2.496 | 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.