Hospital Costs > In North Carolina > Park Ridge Health, 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 | 178 | 386 / 27 | $37.992,30 | 642 / 16 | $12.692,90 | 886 / 22 | $10.876,90 | 867 / 39 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 154 | 362 / 42 | $19.544,30 | 244 / 8 | $10.550,90 | 584 / 16 | $9.641,69 | 583 / 28 |
| Psychoses | 104 | 188 / 12 | $12.150,10 | 119 / 5 | $6.242,44 | 119 / 4 | $5.222,44 | 119 / 6 |
| Heart Failure & Shock W Mcc | 42 | 242 / 52 | $16.551,90 | 222 / 8 | $8.727,79 | 737 / 20 | $7.980,36 | 737 / 38 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 39 | 30 / 3 | $48.183,10 | 116 / 5 | $15.208,00 | 178 / 5 | $13.998,60 | 178 / 8 |
| Revision Of Hip Or Knee Replacement W Cc | 33 | 53 / 7 | $57.476,50 | 124 / 3 | $19.125,80 | 214 / 3 | $18.174,50 | 214 / 7 |
| Respiratory Infections & Inflammations W Mcc | 33 | 103 / 29 | $17.113,80 | 46 / 3 | $10.815,80 | 118 / 11 | $9.455,24 | 118 / 8 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 48 | $12.382,70 | 49 / 4 | $7.335,81 | 612 / 14 | $6.464,81 | 612 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 48 | $14.560,90 | 314 / 11 | $6.483,67 | 823 / 20 | $5.494,04 | 821 / 41 |
| Renal Failure W Cc | 25 | 196 / 55 | $10.943,90 | 145 / 7 | $5.925,56 | 864 / 18 | $5.053,88 | 857 / 44 |
| Renal Failure W Mcc | 20 | 175 / 42 | $17.165,50 | 132 / 12 | $8.406,20 | 179 / 7 | $7.500,60 | 179 / 7 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 38 | $34.851,30 | 403 / 13 | $11.339,10 | 612 / 21 | $10.266,20 | 609 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 43 | $17.887,20 | 340 / 20 | $6.399,68 | 587 / 19 | $5.320,11 | 586 / 30 |
| Heart Failure & Shock W Cc | 19 | 259 / 60 | $12.691,10 | 341 / 14 | $6.015,47 | 779 / 21 | $5.127,89 | 778 / 37 |
| G.I. Hemorrhage W Cc | 18 | 200 / 57 | $13.898,10 | 217 / 9 | $6.105,89 | 717 / 19 | $5.105,00 | 716 / 38 |
| Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 59 | $14.969,50 | 121 / 4 | $8.539,88 | 783 / 19 | $7.633,88 | 783 / 42 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 59 | $13.330,70 | 549 / 17 | $5.177,33 | 874 / 48 | $3.676,13 | 869 / 34 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 31 | $15.855,20 | 67 / 4 | $9.832,57 | 415 / 13 | $8.799,43 | 415 / 21 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 25 | $12.412,10 | 38 / 1 | $7.472,93 | 211 / 5 | $6.784,93 | 210 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 59 | $10.262,80 | 45 / 2 | $7.642,62 | 63 / 49 | $5.037,08 | 63 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 56 | $11.040,00 | 181 / 3 | $6.865,46 | 676 / 59 | $4.799,08 | 673 / 26 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 18 | $39.288,30 | 53 / 3 | $16.160,00 | 84 / 3 | $15.058,70 | 84 / 4 | Total 22 procedures | 859 | 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.