Hospital Costs > In North Carolina > Novant Health Thomasville Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 41 | $23.594,40 | 559 / 34 | $7.975,46 | 714 / 34 | $6.683,77 | 711 / 36 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 50 | $21.632,40 | 869 / 48 | $7.489,28 | 888 / 44 | $6.141,08 | 883 / 46 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 56 | $16.171,90 | 893 / 35 | $5.395,00 | 1338 / 63 | $4.002,78 | 1327 / 58 |
| G.I. Hemorrhage W Cc | 17 | 201 / 58 | $19.083,50 | 668 / 39 | $6.702,65 | 893 / 51 | $5.265,12 | 891 / 43 |
| Heart Failure & Shock W Cc | 17 | 261 / 61 | $16.576,80 | 753 / 38 | $6.750,06 | 1420 / 57 | $5.674,24 | 1415 / 60 |
| Heart Failure & Shock W Mcc | 18 | 266 / 65 | $19.271,70 | 384 / 24 | $8.963,50 | 574 / 32 | $7.782,72 | 574 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 49 | $17.128,00 | 296 / 17 | $7.015,64 | 739 / 44 | $5.471,82 | 738 / 40 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 24 | 540 / 65 | $41.769,10 | 860 / 28 | $13.567,70 | 832 / 51 | $10.807,50 | 818 / 36 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 44 | $10.785,60 | 405 / 12 | $5.156,50 | 1196 / 59 | $3.809,00 | 1192 / 48 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 34 | $41.127,90 | 355 / 24 | $13.217,40 | 355 / 18 | $12.038,60 | 351 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 45 | 471 / 70 | $25.435,10 | 561 / 26 | $11.105,40 | 109 / 36 | $8.671,07 | 109 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 55 | $18.578,90 | 642 / 32 | $7.019,13 | 1014 / 45 | $5.676,13 | 1011 / 53 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 56 | $12.906,80 | 350 / 12 | $6.505,00 | 1186 / 45 | $5.220,08 | 1182 / 51 |
| Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 55 | $25.639,20 | 745 / 38 | $9.207,62 | 796 / 46 | $7.650,19 | 796 / 44 | Total 14 procedures | 271 | 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.