Hospital Costs > In North Carolina > Randolph 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 | 175 | 341 / 35 | $24.963,90 | 528 / 23 | $10.330,80 | 217 / 9 | $8.973,03 | 217 / 10 |
Simple Pneumonia & Pleurisy W Mcc | 107 | 98 / 14 | $17.691,20 | 250 / 14 | $8.269,85 | 323 / 13 | $7.067,79 | 323 / 15 |
Pulmonary Edema & Respiratory Failure | 107 | 96 / 15 | $18.362,10 | 315 / 22 | $7.387,22 | 163 / 17 | $5.826,24 | 163 / 6 |
Heart Failure & Shock W Mcc | 80 | 204 / 38 | $17.504,90 | 276 / 14 | $8.286,84 | 256 / 9 | $7.343,49 | 256 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 72 | 492 / 49 | $29.081,40 | 191 / 5 | $12.375,00 | 209 / 11 | $9.754,78 | 209 / 4 |
Respiratory Infections & Inflammations W Mcc | 68 | 68 / 13 | $19.996,30 | 103 / 9 | $10.539,70 | 124 / 8 | $9.477,18 | 124 / 9 |
Renal Failure W Mcc | 51 | 144 / 27 | $16.974,70 | 129 / 11 | $8.572,29 | 247 / 12 | $7.622,33 | 247 / 16 |
Renal Failure W Cc | 33 | 188 / 50 | $11.352,30 | 169 / 9 | $5.741,27 | 527 / 12 | $4.783,64 | 523 / 20 |
G.I. Hemorrhage W Cc | 32 | 186 / 47 | $16.807,10 | 472 / 25 | $6.035,16 | 534 / 14 | $4.941,12 | 533 / 26 |
Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 30 | $30.280,90 | 232 / 6 | $10.849,90 | 276 / 6 | $9.685,56 | 275 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 50 | $17.501,80 | 564 / 28 | $6.514,25 | 351 / 24 | $5.043,04 | 350 / 14 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 38 | $12.498,00 | 129 / 8 | $6.456,52 | 282 / 9 | $5.396,09 | 281 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 53 | $13.120,00 | 522 / 15 | $4.710,62 | 891 / 18 | $3.685,67 | 886 / 37 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 49 | $13.753,90 | 762 / 29 | $4.893,80 | 1118 / 21 | $4.032,60 | 1110 / 45 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 15 | $17.789,60 | 109 / 6 | $7.374,72 | 191 / 3 | $6.516,56 | 191 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 33 | $19.709,40 | 88 / 7 | $8.646,78 | 27 / 1 | $7.637,44 | 27 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 30 | $15.398,90 | 166 / 9 | $6.623,24 | 336 / 8 | $5.766,47 | 333 / 15 |
Cellulitis W/O Mcc | 16 | 173 / 48 | $12.294,40 | 510 / 15 | $5.210,56 | 796 / 18 | $4.123,56 | 791 / 32 |
Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 19 | $20.288,00 | 119 / 12 | $7.961,73 | 48 / 3 | $6.508,93 | 48 / 2 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 28 | $36.933,40 | 131 / 4 | $14.288,10 | 118 / 5 | $12.023,70 | 118 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 46 | $9.162,00 | 229 / 4 | $4.484,86 | 452 / 20 | $3.278,86 | 452 / 20 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 40 | $8.489,29 | 192 / 7 | $3.851,93 | 404 / 27 | $2.358,93 | 401 / 11 |
Chest Pain | 14 | 137 / 29 | $11.332,50 | 208 / 8 | $3.926,14 | 415 / 11 | $2.847,21 | 413 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 48 | $16.790,70 | 263 / 16 | $6.418,38 | 650 / 22 | $5.380,15 | 649 / 37 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 49 | $13.446,70 | 364 / 20 | $5.192,38 | 335 / 31 | $3.652,38 | 335 / 11 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 32 | $19.016,40 | 132 / 7 | $9.614,54 | 151 / 10 | $8.139,15 | 151 / 7 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 23 | $63.813,10 | 88 / 1 | $25.771,50 | 18 / 2 | $22.029,60 | 18 / 2 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 60 | $17.353,60 | 510 / 23 | $7.166,50 | 58 / 26 | $5.018,58 | 58 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 30 | $13.673,70 | 160 / 8 | $4.942,83 | 298 / 21 | $3.370,75 | 295 / 14 |
Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 31 | $57.457,80 | 179 / 3 | $21.664,00 | 21 / 2 | $17.266,60 | 21 / 1 |
Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 58 | $12.755,90 | 330 / 10 | $5.852,64 | 382 / 13 | $4.550,00 | 379 / 10 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 36 | $40.689,80 | 348 / 23 | $12.408,90 | 105 / 9 | $11.197,90 | 105 / 7 | Total 32 procedures | 1.089 | 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.