Hospital Costs > In North Carolina > Scotland 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 | 111 | 405 / 51 | $33.783,60 | 989 / 53 | $10.874,90 | 596 / 25 | $9.667,09 | 595 / 30 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 100 | 464 / 40 | $46.263,60 | 1102 / 39 | $12.394,10 | 351 / 13 | $10.068,20 | 350 / 10 |
Heart Failure & Shock W Mcc | 99 | 185 / 29 | $28.591,50 | 1002 / 59 | $8.946,41 | 461 / 30 | $7.628,45 | 461 / 18 |
Heart Failure & Shock W Cc | 98 | 180 / 24 | $20.329,70 | 1221 / 54 | $6.346,32 | 565 / 40 | $4.954,81 | 565 / 21 |
Renal Failure W Cc | 68 | 153 / 30 | $18.587,80 | 834 / 49 | $6.003,99 | 575 / 27 | $4.825,88 | 571 / 26 |
Renal Failure W Mcc | 52 | 143 / 26 | $23.875,10 | 403 / 29 | $9.041,00 | 229 / 23 | $7.592,08 | 229 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 45 | $26.716,30 | 819 / 44 | $8.475,77 | 481 / 17 | $7.296,21 | 481 / 23 |
Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 41 | $26.020,60 | 1200 / 63 | $7.264,35 | 811 / 35 | $6.054,45 | 806 / 39 |
Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 38 | $22.216,30 | 1376 / 58 | $6.446,90 | 598 / 41 | $4.743,55 | 595 / 23 |
Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 33 | $19.090,90 | 912 / 43 | $5.808,59 | 483 / 24 | $4.522,76 | 482 / 17 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 34 | 91 / 20 | $36.113,20 | 661 / 34 | $10.048,70 | 369 / 17 | $8.701,41 | 369 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 42 | $21.639,90 | 930 / 49 | $6.505,44 | 417 / 23 | $5.115,44 | 415 / 19 |
Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 29 | $20.099,20 | 580 / 43 | $6.868,00 | 530 / 24 | $5.747,71 | 529 / 31 |
Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 40 | $17.043,90 | 1229 / 53 | $5.109,18 | 606 / 40 | $3.694,00 | 604 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 44 | $21.547,40 | 1564 / 64 | $4.908,12 | 906 / 32 | $3.699,50 | 901 / 38 |
Pulmonary Edema & Respiratory Failure | 32 | 171 / 48 | $24.543,40 | 697 / 39 | $7.556,91 | 265 / 28 | $6.037,56 | 265 / 13 |
G.I. Hemorrhage W Cc | 31 | 187 / 48 | $25.364,90 | 1230 / 61 | $6.238,74 | 697 / 29 | $5.087,32 | 696 / 36 |
Red Blood Cell Disorders W/O Mcc | 31 | 112 / 23 | $20.153,70 | 909 / 44 | $5.087,77 | 734 / 18 | $4.217,61 | 729 / 31 |
Cellulitis W/O Mcc | 30 | 159 / 39 | $18.098,40 | 1254 / 52 | $5.378,30 | 860 / 25 | $4.169,37 | 854 / 36 |
Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 30 | $50.917,40 | 1075 / 53 | $11.494,80 | 456 / 27 | $9.999,22 | 455 / 26 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 28 | $21.433,70 | 416 / 25 | $7.051,59 | 165 / 8 | $5.783,93 | 165 / 7 |
Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 23 | $14.672,30 | 811 / 41 | $4.457,92 | 508 / 26 | $3.314,85 | 506 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 38 | $18.994,70 | 959 / 50 | $5.086,44 | 872 / 22 | $4.173,04 | 869 / 40 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 28 | $30.545,10 | 543 / 23 | $6.669,56 | 445 / 8 | $5.357,68 | 443 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 40 | $29.834,10 | 1146 / 64 | $7.656,68 | 186 / 62 | $4.805,20 | 186 / 9 |
Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 22 | $24.422,50 | 497 / 24 | $6.316,79 | 318 / 9 | $5.179,58 | 317 / 11 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 25 | $15.913,50 | 893 / 46 | $4.682,48 | 856 / 22 | $3.614,35 | 851 / 33 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 15 | $25.304,00 | 325 / 21 | $7.617,56 | 235 / 7 | $6.656,11 | 235 / 9 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 30 | $16.574,50 | 228 / 15 | $6.810,47 | 342 / 18 | $5.776,18 | 339 / 16 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 42 | $34.035,30 | 557 / 39 | $11.063,70 | 165 / 15 | $9.613,76 | 165 / 12 |
Diabetes W Cc | 16 | 76 / 29 | $21.176,50 | 779 / 50 | $5.390,88 | 258 / 25 | $3.933,25 | 258 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 27 | $18.652,80 | 484 / 30 | $4.863,50 | 466 / 18 | $3.589,38 | 463 / 20 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 33 | $39.355,20 | 308 / 20 | $12.738,20 | 76 / 12 | $10.981,10 | 76 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 40 | $11.893,60 | 572 / 30 | $3.923,57 | 438 / 32 | $2.391,57 | 435 / 14 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 23 | $23.724,60 | 590 / 32 | $7.756,38 | 138 / 41 | $4.456,46 | 138 / 5 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 23 | $31.268,80 | 247 / 12 | $9.925,77 | 125 / 1 | $9.266,46 | 125 / 6 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 17 | $14.254,00 | 119 / 12 | $4.674,54 | 368 / 8 | $3.913,46 | 365 / 16 |
Seizures W/O Mcc | 13 | 95 / 22 | $21.525,50 | 633 / 25 | $4.949,62 | 380 / 7 | $3.877,92 | 378 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 48 | $15.121,90 | 970 / 43 | $4.621,08 | 1152 / 30 | $3.773,50 | 1149 / 46 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 39 | $26.830,80 | 255 / 19 | $9.907,58 | 68 / 12 | $7.973,00 | 68 / 4 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 17 | $15.234,80 | 104 / 5 | $7.418,67 | 99 / 20 | $4.198,75 | 99 / 4 |
G.I. Obstruction W Cc | 11 | 81 / 31 | $22.148,50 | 810 / 40 | $5.772,18 | 626 / 15 | $4.613,18 | 625 / 21 | Total 42 procedures | 1.393 | 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.