Hospital Costs > In North Carolina > Person 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 | 58 | 458 / 66 | $24.214,20 | 492 / 22 | $10.874,90 | 661 / 25 | $9.744,09 | 660 / 35 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 43 | $11.926,20 | 382 / 10 | $4.807,67 | 1251 / 24 | $3.930,09 | 1240 / 53 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 31 | 533 / 62 | $60.408,10 | 1709 / 63 | $15.884,70 | 2149 / 70 | $14.317,80 | 2106 / 77 |
Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 54 | $23.233,90 | 582 / 30 | $8.957,78 | 1154 / 34 | $8.061,78 | 1154 / 58 |
Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 49 | $22.057,30 | 905 / 50 | $7.214,35 | 1171 / 33 | $6.421,73 | 1165 / 60 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 48 | $17.525,20 | 852 / 36 | $6.297,09 | 1081 / 33 | $5.145,09 | 1078 / 47 |
Heart Failure & Shock W Mcc | 21 | 263 / 64 | $18.814,50 | 359 / 19 | $9.362,43 | 1269 / 51 | $8.673,67 | 1266 / 62 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 45 | $16.501,60 | 336 / 27 | $7.242,19 | 811 / 42 | $6.110,12 | 810 / 46 |
G.I. Hemorrhage W Cc | 15 | 203 / 59 | $20.521,90 | 794 / 49 | $6.677,47 | 1180 / 48 | $5.553,20 | 1178 / 60 |
Heart Failure & Shock W Cc | 14 | 264 / 63 | $12.736,10 | 344 / 15 | $6.222,14 | 1284 / 34 | $5.536,43 | 1280 / 55 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 35 | $11.144,40 | 362 / 18 | $4.683,67 | 809 / 23 | $3.582,33 | 805 / 30 |
Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 56 | $15.823,50 | 1048 / 47 | $5.005,58 | 916 / 30 | $3.896,25 | 909 / 39 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 26 | $14.520,40 | 675 / 30 | $4.604,00 | 923 / 17 | $3.612,00 | 918 / 36 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 42 | $11.081,30 | 467 / 23 | $3.712,27 | 591 / 16 | $2.510,82 | 587 / 22 | Total 14 procedures | 310 | 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.