Hospital Costs > In North Carolina > Sandhills Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 137 | 162 / 11 | $13.547,80 | 152 / 8 | $5.866,83 | 67 / 2 | $4.921,08 | 67 / 4 |
Heart Failure & Shock W Cc | 38 | 240 / 50 | $30.855,70 | 2001 / 78 | $5.712,66 | 592 / 5 | $4.982,55 | 592 / 23 |
Heart Failure & Shock W Mcc | 38 | 246 / 55 | $36.257,00 | 1466 / 72 | $8.440,45 | 521 / 13 | $7.711,18 | 521 / 20 |
Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 42 | $26.898,70 | 2072 / 78 | $4.691,55 | 395 / 10 | $3.538,84 | 395 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 48 | $24.887,20 | 1879 / 79 | $4.443,48 | 413 / 5 | $3.335,37 | 411 / 10 |
Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 51 | $32.585,50 | 1624 / 76 | $6.747,12 | 947 / 10 | $6.196,46 | 942 / 50 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 29 | $18.711,90 | 778 / 36 | $4.805,14 | 551 / 6 | $4.035,68 | 549 / 21 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 20 | $26.572,90 | 1519 / 55 | $4.426,17 | 374 / 9 | $3.117,78 | 372 / 13 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 54 | $35.102,30 | 1301 / 71 | $6.988,67 | 542 / 4 | $6.386,00 | 542 / 32 |
Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 53 | $33.532,10 | 2125 / 78 | $5.731,18 | 848 / 10 | $4.950,00 | 845 / 36 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 31 | $23.331,30 | 1468 / 65 | $4.241,71 | 493 / 4 | $3.321,24 | 492 / 16 |
Renal Failure W Mcc | 16 | 179 / 45 | $47.724,80 | 1523 / 73 | $8.677,44 | 323 / 16 | $7.775,44 | 323 / 21 |
Renal Failure W Cc | 16 | 205 / 59 | $39.797,80 | 2041 / 78 | $5.677,56 | 606 / 7 | $4.845,56 | 600 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 47 | $26.934,70 | 1568 / 71 | $5.483,88 | 809 / 7 | $4.803,88 | 806 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 15 | 501 / 74 | $70.119,60 | 2283 / 82 | $10.909,50 | 1112 / 28 | $10.341,90 | 1097 / 59 |
Cellulitis W/O Mcc | 15 | 174 / 49 | $32.339,20 | 2211 / 75 | $5.018,80 | 807 / 5 | $4.131,33 | 802 / 33 |
Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 60 | $54.782,10 | 2011 / 76 | $7.983,93 | 478 / 5 | $7.293,64 | 478 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 33 | $32.945,10 | 1093 / 52 | $6.425,64 | 326 / 4 | $5.754,79 | 323 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 47 | $27.754,60 | 2035 / 76 | $4.282,77 | 692 / 9 | $3.445,85 | 690 / 30 |
Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 23 | $103.257,00 | 781 / 28 | $12.355,90 | 213 / 3 | $11.149,80 | 213 / 6 |
Transient Ischemia | 13 | 112 / 28 | $28.579,50 | 1137 / 51 | $4.263,92 | 560 / 6 | $3.431,92 | 557 / 23 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 23 | $44.230,80 | 609 / 30 | $10.114,40 | 123 / 2 | $9.255,92 | 123 / 5 |
Chest Pain | 13 | 138 / 30 | $24.568,00 | 1187 / 45 | $3.725,85 | 220 / 4 | $2.575,62 | 219 / 6 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 34 | $28.469,10 | 1670 / 62 | $4.157,08 | 325 / 8 | $3.133,08 | 323 / 13 |
Diabetes W Cc | 11 | 81 / 34 | $22.288,30 | 836 / 52 | $4.842,18 | 164 / 6 | $3.745,45 | 164 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 29 | $28.814,20 | 590 / 34 | $6.839,91 | 328 / 3 | $6.293,00 | 326 / 16 |
G.I. Hemorrhage W Mcc | 11 | 110 / 32 | $43.017,80 | 806 / 44 | $9.681,36 | 332 / 7 | $9.239,18 | 332 / 18 | Total 27 procedures | 604 | 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.