Hospital Costs > In North Carolina > Onslow Memorial Hospital, 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 | 216 | 300 / 26 | $37.566,50 | 1187 / 58 | $12.360,10 | 1472 / 62 | $10.978,10 | 1443 / 66 |
Chronic Obstructive Pulmonary Disease W Mcc | 93 | 109 / 16 | $21.397,90 | 847 / 47 | $7.748,29 | 1029 / 58 | $6.273,44 | 1024 / 53 |
Simple Pneumonia & Pleurisy W Mcc | 86 | 119 / 21 | $27.816,90 | 894 / 50 | $9.710,69 | 1375 / 58 | $8.454,19 | 1375 / 61 |
Heart Failure & Shock W Mcc | 85 | 199 / 36 | $23.022,70 | 602 / 35 | $9.613,29 | 1176 / 58 | $8.551,93 | 1173 / 60 |
Heart Failure & Shock W Cc | 81 | 197 / 29 | $17.450,20 | 868 / 41 | $6.650,69 | 1542 / 53 | $5.817,81 | 1537 / 62 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 67 | 140 / 23 | $21.502,20 | 920 / 48 | $7.197,12 | 1411 / 52 | $6.125,91 | 1406 / 64 |
G.I. Hemorrhage W Cc | 55 | 163 / 32 | $16.889,90 | 475 / 26 | $6.748,75 | 1115 / 57 | $5.487,11 | 1113 / 54 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 51 | 513 / 58 | $42.548,00 | 899 / 31 | $14.213,10 | 1362 / 60 | $11.715,70 | 1330 / 61 |
Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 30 | $19.945,00 | 1130 / 54 | $6.636,98 | 1387 / 53 | $5.403,53 | 1381 / 60 |
Renal Failure W Cc | 48 | 173 / 41 | $13.908,70 | 376 / 21 | $6.431,79 | 1335 / 49 | $5.541,71 | 1327 / 61 |
Cellulitis W/O Mcc | 47 | 142 / 26 | $14.909,30 | 848 / 34 | $5.823,11 | 1567 / 48 | $4.800,06 | 1560 / 62 |
Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 34 | $16.505,50 | 1142 / 50 | $5.439,57 | 1410 / 58 | $4.258,16 | 1401 / 61 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 39 | $15.794,20 | 852 / 33 | $5.270,43 | 1469 / 56 | $4.105,50 | 1458 / 63 |
Renal Failure W Mcc | 41 | 154 / 32 | $25.698,00 | 495 / 40 | $10.887,90 | 775 / 63 | $8.501,32 | 775 / 51 |
Pulmonary Edema & Respiratory Failure | 38 | 165 / 45 | $25.099,10 | 738 / 44 | $8.042,92 | 1142 / 44 | $7.160,92 | 1140 / 59 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 31 | $26.173,90 | 871 / 52 | $7.307,37 | 881 / 52 | $5.667,03 | 879 / 48 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 27 | $14.092,60 | 846 / 37 | $5.027,27 | 1458 / 50 | $4.023,43 | 1453 / 64 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 36 | $16.744,50 | 683 / 34 | $6.295,38 | 1284 / 46 | $5.256,97 | 1279 / 57 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 35 | $17.017,90 | 746 / 41 | $5.495,39 | 1058 / 44 | $4.357,32 | 1054 / 53 |
Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 33 | $16.893,10 | 359 / 29 | $7.392,82 | 954 / 49 | $6.314,00 | 951 / 52 |
Diabetes W Cc | 27 | 65 / 19 | $17.531,60 | 518 / 36 | $5.717,74 | 763 / 38 | $4.644,07 | 761 / 42 |
Transient Ischemia | 27 | 98 / 17 | $17.693,00 | 464 / 22 | $5.008,15 | 905 / 33 | $3.881,00 | 900 / 41 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 26 | $30.469,90 | 359 / 32 | $12.752,20 | 531 / 51 | $9.417,78 | 530 / 38 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 30 | $11.168,10 | 481 / 25 | $4.175,04 | 1396 / 46 | $3.281,78 | 1390 / 56 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 34 | $38.020,20 | 698 / 49 | $12.789,20 | 957 / 49 | $11.576,50 | 947 / 51 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 24 | $11.818,60 | 444 / 21 | $5.105,56 | 1045 / 50 | $3.779,20 | 1037 / 45 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 28 | $16.580,40 | 590 / 29 | $5.556,83 | 1040 / 38 | $4.563,17 | 1033 / 47 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 32 | $29.243,70 | 917 / 54 | $9.303,61 | 1383 / 58 | $8.244,09 | 1380 / 60 |
Other Digestive System Diagnoses W Cc | 22 | 75 / 20 | $15.751,50 | 175 / 6 | $6.489,50 | 398 / 14 | $5.044,59 | 395 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 22 | $18.728,30 | 490 / 31 | $5.262,19 | 865 / 28 | $4.088,14 | 861 / 45 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 28 | $17.176,40 | 1030 / 56 | $5.356,05 | 1017 / 53 | $3.751,10 | 1008 / 46 |
G.I. Obstruction W Cc | 19 | 73 / 23 | $21.071,10 | 731 / 34 | $6.056,89 | 897 / 26 | $4.950,47 | 895 / 38 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 29 | $21.005,10 | 459 / 32 | $7.340,44 | 687 / 30 | $6.357,83 | 684 / 38 |
G.I. Hemorrhage W Mcc | 17 | 104 / 26 | $31.011,40 | 354 / 20 | $11.927,50 | 917 / 39 | $10.933,80 | 912 / 41 |
Chest Pain | 17 | 134 / 28 | $11.160,40 | 201 / 7 | $4.439,35 | 926 / 29 | $3.431,12 | 921 / 35 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 39 | $45.319,00 | 855 / 38 | $12.568,70 | 1070 / 50 | $11.216,90 | 1056 / 54 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 22 | $26.917,20 | 558 / 40 | $9.023,18 | 796 / 35 | $7.978,18 | 791 / 38 |
Syncope & Collapse | 16 | 153 / 33 | $16.833,10 | 561 / 25 | $5.143,38 | 980 / 34 | $4.038,69 | 974 / 37 |
Seizures W/O Mcc | 16 | 92 / 19 | $13.712,90 | 196 / 5 | $5.261,12 | 564 / 15 | $4.191,25 | 561 / 20 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 21 | $20.772,60 | 58 / 3 | $11.831,90 | 529 / 15 | $10.858,70 | 527 / 19 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 30 | $23.593,30 | 249 / 13 | $10.923,20 | 919 / 33 | $10.066,70 | 918 / 37 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 30 | $90.451,60 | 373 / 26 | $37.738,40 | 1029 / 36 | $35.825,10 | 1023 / 39 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 26 | $26.448,90 | 502 / 29 | $7.774,93 | 565 / 21 | $6.768,21 | 560 / 26 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 14 | $12.710,60 | 200 / 11 | $5.310,29 | 504 / 22 | $3.782,36 | 500 / 22 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 21 | $23.310,20 | 178 / 18 | $8.949,92 | 438 / 18 | $8.304,69 | 437 / 24 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 16 | $15.965,50 | 413 / 24 | $4.566,00 | 465 / 13 | $3.488,46 | 464 / 17 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 20 | $104.139,00 | 277 / 19 | $33.548,50 | 489 / 17 | $32.307,60 | 488 / 22 |
Hypertension W/O Mcc | 13 | 52 / 13 | $18.138,50 | 344 / 19 | $4.809,62 | 404 / 16 | $3.454,08 | 402 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 16 | $68.340,80 | 352 / 18 | $21.839,00 | 580 / 23 | $20.373,40 | 577 / 24 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 25 | $18.421,80 | 1067 / 47 | $5.083,42 | 1026 / 38 | $3.700,42 | 1021 / 42 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 18 | $11.048,70 | 62 / 3 | $5.123,75 | 518 / 14 | $4.354,42 | 514 / 26 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 20 | $20.246,40 | 164 / 11 | $8.044,67 | 382 / 11 | $7.059,83 | 380 / 16 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 30 | $50.897,20 | 440 / 20 | $19.145,20 | 204 / 40 | $12.508,20 | 202 / 11 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 17 | $23.669,50 | 68 / 5 | $11.914,80 | 272 / 12 | $11.095,00 | 271 / 16 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 36 | $26.499,90 | 80 / 2 | $14.235,20 | 392 / 38 | $12.131,20 | 388 / 25 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 14 | $19.178,50 | 169 / 12 | $6.260,27 | 244 / 6 | $5.636,00 | 244 / 14 |
Diabetes W Mcc | 11 | 46 / 21 | $24.433,00 | 162 / 14 | $8.855,18 | 276 / 13 | $7.978,91 | 276 / 17 | Total 57 procedures | 1.840 | 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.