Hospital Costs > In North Carolina > Presbyterian Hospital Matthews, 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 | 301 | 217 / 16 | $32.872,80 | 930 / 46 | $10.779,90 | 543 / 23 | $9.584,23 | 542 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 156 | 408 / 32 | $57.165,70 | 1588 / 54 | $13.540,20 | 367 / 49 | $10.102,00 | 366 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 104 | 103 / 11 | $22.113,90 | 984 / 51 | $6.467,48 | 545 / 18 | $5.252,04 | 543 / 25 |
| G.I. Hemorrhage W Cc | 83 | 135 / 19 | $20.051,10 | 753 / 45 | $6.119,86 | 533 / 20 | $4.938,18 | 532 / 25 |
| Heart Failure & Shock W Mcc | 80 | 204 / 38 | $26.848,20 | 886 / 52 | $8.838,25 | 548 / 24 | $7.748,69 | 548 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 69 | 206 / 28 | $21.430,40 | 1549 / 63 | $6.235,71 | 216 / 75 | $3.128,55 | 216 / 4 |
| Heart Failure & Shock W Cc | 69 | 209 / 32 | $15.801,40 | 662 / 33 | $6.001,29 | 546 / 19 | $4.939,68 | 546 / 19 |
| Pulmonary Edema & Respiratory Failure | 68 | 135 / 26 | $27.844,80 | 903 / 56 | $7.263,96 | 425 / 10 | $6.258,35 | 425 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 62 | 120 / 21 | $22.445,20 | 635 / 42 | $6.379,63 | 433 / 18 | $5.141,06 | 432 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 33 | $23.695,00 | 1035 / 57 | $6.994,90 | 213 / 15 | $5.438,90 | 212 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 30 | $15.807,00 | 1046 / 46 | $4.804,45 | 561 / 17 | $3.667,73 | 560 / 18 |
| Hip & Femur Procedures Except Major Joint W Cc | 50 | 93 / 16 | $45.597,70 | 869 / 41 | $11.358,80 | 484 / 23 | $10.049,90 | 483 / 27 |
| Renal Failure W Cc | 48 | 173 / 41 | $17.762,80 | 757 / 44 | $5.792,85 | 453 / 15 | $4.702,31 | 450 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 22 | $15.737,30 | 596 / 30 | $4.865,23 | 466 / 15 | $3.787,83 | 466 / 20 |
| Cellulitis W/O Mcc | 46 | 143 / 27 | $15.547,90 | 924 / 36 | $5.576,72 | 383 / 35 | $3.781,37 | 380 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 44 | $27.338,70 | 856 / 47 | $8.705,25 | 325 / 24 | $7.068,80 | 325 / 16 |
| Red Blood Cell Disorders W/O Mcc | 43 | 100 / 19 | $18.138,70 | 729 / 33 | $5.282,70 | 278 / 24 | $3.730,16 | 278 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 42 | 102 / 22 | $20.986,60 | 633 / 45 | $6.802,95 | 498 / 21 | $5.703,02 | 497 / 26 |
| Respiratory Infections & Inflammations W Mcc | 40 | 96 / 25 | $29.987,90 | 384 / 31 | $11.052,00 | 376 / 14 | $10.202,40 | 375 / 25 |
| Transient Ischemia | 39 | 86 / 13 | $17.813,70 | 481 / 24 | $4.348,69 | 354 / 9 | $3.213,74 | 353 / 11 |
| Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 34 | $20.294,70 | 1031 / 49 | $5.662,06 | 453 / 15 | $4.489,71 | 452 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 41 | $18.903,40 | 1016 / 46 | $6.300,32 | 306 / 34 | $4.469,41 | 304 / 6 |
| Syncope & Collapse | 33 | 136 / 22 | $16.936,70 | 568 / 26 | $4.518,09 | 591 / 8 | $3.644,82 | 588 / 19 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 30 | $15.548,30 | 1024 / 46 | $4.395,69 | 392 / 15 | $3.233,81 | 392 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 31 | 157 / 25 | $29.619,50 | 497 / 22 | $7.195,19 | 275 / 19 | $5.104,68 | 275 / 7 |
| Bronchitis & Asthma W Cc/Mcc | 31 | 45 / 8 | $16.534,90 | 255 / 14 | $5.328,94 | 270 / 5 | $4.275,65 | 267 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 30 | $12.804,40 | 690 / 38 | $3.664,26 | 273 / 14 | $2.226,70 | 271 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 27 | $28.100,70 | 288 / 25 | $9.499,85 | 129 / 7 | $8.208,92 | 128 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 21 | $52.422,20 | 270 / 7 | $12.017,80 | 291 / 3 | $10.111,80 | 291 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 31 | $25.839,00 | 713 / 43 | $7.244,46 | 190 / 14 | $5.833,92 | 190 / 9 |
| Renal Failure W Mcc | 23 | 172 / 40 | $24.345,70 | 425 / 33 | $8.562,48 | 304 / 11 | $7.739,87 | 304 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 25 | $12.320,80 | 507 / 30 | $4.217,35 | 308 / 12 | $3.108,57 | 306 / 11 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 21 | $24.608,00 | 236 / 17 | $8.942,18 | 212 / 10 | $8.054,27 | 212 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 27 | $32.569,20 | 534 / 26 | $9.886,30 | 389 / 14 | $8.735,35 | 389 / 19 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 21 | $24.646,40 | 660 / 29 | $5.925,70 | 262 / 5 | $4.782,30 | 259 / 8 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 17 | $18.142,70 | 300 / 21 | $6.031,10 | 358 / 8 | $4.904,55 | 358 / 13 |
| G.I. Hemorrhage W Mcc | 20 | 101 / 24 | $32.898,50 | 426 / 28 | $10.532,00 | 514 / 19 | $9.696,90 | 515 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 23 | $17.635,40 | 404 / 25 | $5.250,90 | 119 / 26 | $3.035,85 | 117 / 3 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 22 | $61.044,80 | 661 / 31 | $15.093,70 | 579 / 11 | $13.902,40 | 573 / 24 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 13 | $16.655,30 | 639 / 28 | $3.934,28 | 211 / 8 | $2.553,44 | 211 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 18 | $23.846,70 | 434 / 26 | $6.856,00 | 331 / 6 | $6.218,88 | 330 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 29 | $23.944,10 | 469 / 23 | $7.467,73 | 33 / 26 | $4.384,87 | 33 / 1 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 16 | $14.739,90 | 170 / 5 | $5.623,87 | 312 / 2 | $4.885,47 | 310 / 7 |
| G.I. Obstruction W Cc | 15 | 77 / 27 | $18.547,20 | 552 / 21 | $5.438,80 | 455 / 7 | $4.410,80 | 454 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 14 | $69.105,90 | 367 / 19 | $19.274,60 | 352 / 9 | $18.017,10 | 350 / 16 |
| Diabetes W Cc | 14 | 78 / 31 | $18.759,40 | 603 / 44 | $5.097,79 | 577 / 14 | $4.363,07 | 577 / 29 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 16 | $34.199,50 | 530 / 27 | $6.139,85 | 371 / 12 | $5.303,08 | 371 / 18 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 26 | $22.277,80 | 364 / 29 | $8.095,69 | 362 / 13 | $7.102,38 | 359 / 21 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 34 | $15.211,50 | 803 / 42 | $4.494,77 | 310 / 16 | $3.149,85 | 310 / 9 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 20 | $17.560,90 | 105 / 5 | $7.422,75 | 134 / 4 | $6.284,50 | 134 / 4 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 22 | $23.048,80 | 175 / 17 | $7.866,42 | 140 / 2 | $6.997,67 | 140 / 5 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 23 | $108.228,00 | 464 / 23 | $27.387,40 | 193 / 4 | $26.267,70 | 192 / 7 |
| Medical Back Problems W/O Mcc | 12 | 109 / 26 | $21.112,90 | 613 / 21 | $5.088,25 | 337 / 4 | $4.015,50 | 337 / 9 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 15 | $11.024,10 | 115 / 5 | $4.115,08 | 151 / 3 | $3.104,92 | 152 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 15 | $10.977,10 | 131 / 6 | $4.329,08 | 191 / 4 | $3.163,42 | 190 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 28 | $26.092,60 | 477 / 23 | $6.877,00 | 122 / 4 | $5.751,83 | 122 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 36 | $51.390,30 | 659 / 40 | $11.622,00 | 30 / 3 | $10.450,70 | 30 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 23 | $66.149,40 | 548 / 20 | $12.721,40 | 275 / 5 | $11.455,40 | 272 / 12 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 15 | $32.933,30 | 114 / 7 | $8.351,36 | 28 / 4 | $5.179,91 | 28 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 36 | $20.332,00 | 433 / 29 | $6.698,73 | 277 / 12 | $5.656,09 | 274 / 9 |
| Chest Pain | 11 | 140 / 32 | $13.742,80 | 379 / 15 | $4.373,82 | 262 / 27 | $2.635,27 | 261 / 8 | Total 61 procedures | 2.264 | 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.