Hospital Costs > In North Carolina > Southeastern Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 35 | 56 / 12 | $32.254,20 | 823 / 37 | $7.746,74 | 1055 / 31 | $6.918,29 | 1053 / 35 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 40 | 85 / 18 | $47.006,10 | 1060 / 48 | $13.220,00 | 1342 / 47 | $11.728,20 | 1332 / 48 |
| Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 8 | $43.647,80 | 85 / 8 | $13.982,70 | 144 / 8 | $13.124,00 | 144 / 10 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 11 | 16 / 6 | $26.298,40 | 34 / 4 | $11.202,40 | 71 / 6 | $10.375,10 | 71 / 6 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 45 | 79 / 7 | $14.985,50 | 339 / 11 | $5.094,96 | 459 / 13 | $4.285,44 | 458 / 20 |
| Atherosclerosis W/O Mcc | 14 | 44 / 12 | $18.020,60 | 266 / 16 | $4.511,71 | / 15 | $3.501,14 | / |
| Bronchitis & Asthma W Cc/Mcc | 40 | 36 / 3 | $18.284,20 | 317 / 20 | $6.426,75 | 671 / 27 | $5.336,50 | 667 / 31 |
| Bronchitis & Asthma W/O Cc/Mcc | 17 | 28 / 3 | $16.398,80 | 158 / 8 | $4.765,88 | 172 / 7 | $3.421,29 | 172 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 73 | 88 / 14 | $18.706,80 | 922 / 48 | $5.842,93 | 1397 / 56 | $4.799,51 | 1392 / 62 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 57 | 66 / 13 | $23.424,60 | 550 / 33 | $8.900,40 | 1334 / 55 | $8.062,96 | 1331 / 58 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 23 | $14.789,40 | 963 / 49 | $4.357,62 | 1030 / 48 | $2.851,67 | 1025 / 48 |
| Cellulitis W Mcc | 12 | 46 / 18 | $25.166,70 | 249 / 15 | $10.751,60 | 692 / 24 | $9.921,92 | 690 / 26 |
| Cellulitis W/O Mcc | 82 | 107 / 10 | $16.549,00 | 1057 / 45 | $6.235,28 | 1841 / 63 | $5.227,60 | 1833 / 69 |
| Chest Pain | 57 | 94 / 7 | $16.625,00 | 650 / 30 | $4.437,51 | 950 / 28 | $3.464,53 | 945 / 36 |
| Chronic Obstructive Pulmonary Disease W Cc | 142 | 43 / 3 | $17.819,60 | 783 / 35 | $6.888,21 | 1756 / 65 | $5.996,24 | 1749 / 69 |
| Chronic Obstructive Pulmonary Disease W Mcc | 109 | 93 / 12 | $20.153,60 | 728 / 36 | $8.631,47 | 1873 / 73 | $7.612,49 | 1865 / 74 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 71 | 49 / 3 | $13.162,40 | 569 / 28 | $5.263,01 | 1380 / 49 | $4.213,30 | 1369 / 55 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 20 | $61.355,50 | 487 / 21 | $16.233,10 | 688 / 20 | $15.019,90 | 681 / 22 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 68 | 120 / 18 | $41.967,20 | 1004 / 36 | $8.046,41 | 1158 / 31 | $6.871,82 | 1155 / 34 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 23 | 45 / 9 | $18.873,50 | 193 / 14 | $6.482,65 | 462 / 15 | $5.767,87 | 462 / 23 |
| Degenerative Nervous System Disorders W/O Mcc | 39 | 39 / 2 | $19.735,90 | 226 / 8 | $7.369,21 | 533 / 14 | $6.270,03 | 533 / 15 |
| Diabetes W Cc | 47 | 45 / 9 | $17.920,60 | 553 / 39 | $6.273,28 | 994 / 52 | $5.128,57 | 990 / 53 |
| Diabetes W Mcc | 15 | 42 / 17 | $26.713,10 | 215 / 17 | $10.149,20 | 488 / 24 | $9.397,07 | 488 / 26 |
| Diabetes W/O Cc/Mcc | 22 | 16 / 2 | $12.459,30 | 80 / 10 | $4.230,23 | 145 / 6 | $3.462,05 | 145 / 11 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 13 | $21.799,70 | 360 / 18 | $7.475,44 | 553 / 27 | $5.438,81 | 550 / 27 |
| Disorders Of The Biliary Tract W/O Cc/Mcc | 12 | 17 / 4 | $17.276,10 | 20 / 3 | $5.527,00 | 49 / 2 | $4.421,00 | 49 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 19 | $21.545,70 | 277 / 15 | $8.730,58 | 915 / 37 | $7.819,73 | 910 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 139 | 136 / 11 | $17.182,50 | 1025 / 43 | $5.484,18 | 1765 / 66 | $4.425,35 | 1752 / 71 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 8 | $15.237,00 | 202 / 7 | $5.573,62 | 525 / 11 | $4.681,75 | 523 / 13 |
| G.I. Hemorrhage W Cc | 88 | 130 / 17 | $25.339,50 | 1226 / 60 | $7.425,30 | 1698 / 70 | $6.358,50 | 1694 / 74 |
| G.I. Hemorrhage W Mcc | 26 | 95 / 20 | $42.378,20 | 779 / 43 | $13.019,60 | 1162 / 48 | $11.973,50 | 1154 / 52 |
| G.I. Hemorrhage W/O Cc/Mcc | 24 | 44 / 6 | $21.708,80 | 615 / 30 | $5.187,50 | 638 / 19 | $4.165,00 | 634 / 24 |
| G.I. Obstruction W Cc | 22 | 70 / 21 | $26.372,90 | 1053 / 48 | $6.634,36 | 1157 / 40 | $5.443,55 | 1154 / 45 |
| G.I. Obstruction W Mcc | 11 | 31 / 13 | $34.949,90 | 193 / 16 | $11.995,50 | 363 / 13 | $11.001,80 | 363 / 16 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 14 | $16.289,50 | 614 / 27 | $4.530,71 | 774 / 25 | $3.388,12 | 771 / 32 |
| Heart Failure & Shock W Cc | 153 | 125 / 12 | $21.173,80 | 1311 / 58 | $7.348,78 | 1978 / 71 | $6.487,25 | 1973 / 73 |
| Heart Failure & Shock W Mcc | 170 | 114 / 16 | $27.328,70 | 928 / 56 | $11.066,50 | 1941 / 74 | $10.166,50 | 1934 / 76 |
| Heart Failure & Shock W/O Cc/Mcc | 49 | 61 / 11 | $13.995,00 | 723 / 38 | $5.142,51 | 1103 / 51 | $3.846,57 | 1094 / 47 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 28 | $49.921,30 | 1038 / 49 | $14.431,20 | 1589 / 61 | $13.276,80 | 1570 / 63 |
| Hypertension W/O Mcc | 26 | 39 / 4 | $17.282,90 | 308 / 17 | $4.597,04 | 403 / 13 | $3.448,19 | 401 / 15 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 29 | $109.190,00 | 598 / 38 | $40.613,60 | 1227 / 41 | $39.461,10 | 1217 / 43 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 56 | 126 / 23 | $27.820,80 | 985 / 57 | $7.975,04 | 1510 / 67 | $6.915,18 | 1507 / 67 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 28 | 140 / 25 | $40.778,40 | 716 / 48 | $12.856,80 | 1123 / 52 | $11.666,40 | 1117 / 53 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 27 | $21.961,80 | 712 / 43 | $6.473,81 | 980 / 51 | $4.297,75 | 976 / 49 |
| Kidney & Urinary Tract Infections W Mcc | 45 | 99 / 19 | $26.973,20 | 1038 / 65 | $8.901,16 | 1574 / 66 | $7.977,24 | 1570 / 69 |
| Kidney & Urinary Tract Infections W/O Mcc | 185 | 58 / 1 | $17.155,90 | 1240 / 55 | $5.730,46 | 1803 / 66 | $4.694,83 | 1792 / 70 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 17 | $52.004,20 | 492 / 30 | $12.233,90 | 677 / 27 | $10.930,40 | 675 / 29 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 24 | 49 / 12 | $22.710,50 | 385 / 24 | $8.682,25 | 791 / 32 | $7.712,58 | 789 / 33 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 16 | $49.969,80 | 421 / 28 | $14.115,50 | 496 / 23 | $13.418,20 | 495 / 28 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 104 | 460 / 39 | $63.177,30 | 1812 / 68 | $16.498,60 | 2031 / 74 | $13.723,50 | 1989 / 74 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 22 | $114.218,00 | 513 / 27 | $47.399,10 | 817 / 32 | $33.891,00 | 815 / 29 |
| Medical Back Problems W/O Mcc | 19 | 102 / 21 | $19.816,90 | 503 / 17 | $6.126,42 | 865 / 20 | $4.897,89 | 862 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 17 | $23.196,00 | 606 / 41 | $8.206,61 | 1094 / 48 | $7.323,11 | 1091 / 49 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 70 | 96 / 13 | $16.752,10 | 1172 / 53 | $5.246,54 | 1537 / 63 | $4.116,56 | 1532 / 67 |
| Organic Disturbances & Mental Retardation | 18 | 41 / 5 | $21.217,90 | 200 / 10 | $7.671,67 | 286 / 12 | $6.186,22 | 286 / 13 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 17 | $20.965,30 | 217 / 11 | $7.015,38 | 412 / 11 | $6.130,31 | 411 / 17 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 18 | $38.071,40 | 434 / 24 | $13.932,50 | 838 / 32 | $12.328,40 | 833 / 29 |
| Other Circulatory System O.R. Procedures | 18 | 37 / 7 | $91.314,10 | 298 / 18 | $22.270,50 | 327 / 14 | $20.508,70 | 327 / 15 |
| Other Digestive System Diagnoses W Cc | 26 | 71 / 17 | $21.318,50 | 476 / 21 | $7.164,58 | 943 / 31 | $6.270,42 | 939 / 33 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 15 | $33.105,20 | 211 / 14 | $12.241,70 | 367 / 18 | $10.583,40 | 366 / 17 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 15 | 28 / 7 | $18.414,10 | 135 / 10 | $5.087,13 | 167 / 7 | $3.669,40 | 167 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 32 | 71 / 6 | $20.184,40 | 255 / 8 | $7.322,47 | 535 / 14 | $6.510,91 | 535 / 16 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 54 | 47 / 7 | $29.983,00 | 385 / 25 | $11.674,00 | 773 / 33 | $10.653,10 | 771 / 36 |
| Other Vascular Procedures W Cc | 18 | 84 / 17 | $91.706,10 | 764 / 24 | $20.621,40 | 950 / 21 | $19.634,80 | 945 / 25 |
| Other Vascular Procedures W Mcc | 30 | 67 / 10 | $74.824,10 | 320 / 17 | $22.976,10 | 591 / 17 | $21.965,00 | 588 / 19 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 26 | 74 / 15 | $106.385,00 | 559 / 16 | $24.719,90 | 670 / 17 | $21.573,80 | 666 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 45 | 151 / 18 | $80.186,10 | 870 / 26 | $15.654,10 | 1125 / 25 | $13.382,60 | 1118 / 27 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 13 | 32 / 10 | $93.745,50 | 143 / 14 | $21.839,10 | 191 / 12 | $20.608,50 | 190 / 16 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 21 | 48 / 14 | $76.012,30 | 396 / 22 | $13.716,80 | 449 / 18 | $12.446,20 | 447 / 21 |
| Peripheral Vascular Disorders W Cc | 29 | 55 / 6 | $24.227,30 | 599 / 22 | $7.169,03 | 824 / 22 | $6.289,93 | 821 / 25 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 17 | $31.296,00 | 382 / 31 | $10.400,10 | 640 / 32 | $9.389,53 | 638 / 33 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 28 | 33 / 6 | $17.956,00 | 442 / 26 | $4.892,46 | 464 / 23 | $3.775,68 | 463 / 24 |
| Psychoses | 247 | 86 / 3 | $13.585,20 | 153 / 9 | $7.595,52 | 328 / 15 | $6.147,68 | 328 / 18 |
| Pulmonary Edema & Respiratory Failure | 148 | 58 / 8 | $24.576,70 | 702 / 41 | $9.144,75 | 1619 / 67 | $8.161,09 | 1614 / 71 |
| Pulmonary Embolism W Mcc | 13 | 30 / 16 | $34.889,50 | 245 / 19 | $11.365,30 | 440 / 20 | $10.149,00 | 439 / 23 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 20 | $21.302,20 | 458 / 29 | $7.322,06 | 914 / 37 | $6.163,19 | 911 / 43 |
| Red Blood Cell Disorders W Mcc | 20 | 51 / 13 | $24.704,20 | 297 / 19 | $9.172,25 | 692 / 26 | $8.283,55 | 688 / 32 |
| Red Blood Cell Disorders W/O Mcc | 61 | 82 / 13 | $14.799,10 | 435 / 19 | $5.935,79 | 1214 / 49 | $4.835,49 | 1206 / 52 |
| Renal Failure W Cc | 180 | 49 / 5 | $19.394,00 | 914 / 50 | $7.151,68 | 1693 / 69 | $6.107,62 | 1684 / 72 |
| Renal Failure W Mcc | 131 | 65 / 9 | $27.254,80 | 594 / 45 | $11.329,30 | 1534 / 66 | $10.408,50 | 1533 / 70 |
| Renal Failure W/O Cc/Mcc | 25 | 31 / 6 | $14.821,80 | 357 / 21 | $4.674,16 | 500 / 17 | $3.583,64 | 499 / 19 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 19 | $24.856,70 | 464 / 35 | $10.283,00 | 1159 / 48 | $9.430,35 | 1154 / 50 |
| Respiratory Infections & Inflammations W Mcc | 40 | 96 / 25 | $37.269,10 | 664 / 46 | $14.705,20 | 1423 / 59 | $13.747,80 | 1408 / 62 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 17 | $35.619,00 | 183 / 12 | $12.536,40 | 467 / 19 | $11.979,90 | 465 / 24 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 86 | 46 / 9 | $55.887,20 | 799 / 48 | $17.498,50 | 1356 / 57 | $16.121,60 | 1343 / 59 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 35 | 36 / 8 | $92.482,60 | 193 / 11 | $38.333,30 | 694 / 27 | $36.979,10 | 693 / 29 |
| Seizures W Mcc | 16 | 50 / 14 | $34.647,60 | 255 / 11 | $11.240,90 | 471 / 16 | $10.216,70 | 471 / 17 |
| Seizures W/O Mcc | 49 | 59 / 6 | $18.860,90 | 491 / 21 | $5.851,71 | 620 / 24 | $4.315,98 | 617 / 23 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 20 | $112.002,00 | 270 / 14 | $43.222,30 | 743 / 25 | $42.018,00 | 742 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 104 | 412 / 52 | $41.443,80 | 1383 / 64 | $13.668,80 | 2065 / 75 | $12.626,30 | 2028 / 78 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 27 | $26.096,30 | 1348 / 64 | $7.934,14 | 1811 / 69 | $6.810,02 | 1803 / 73 |
| Signs & Symptoms W Mcc | 18 | 23 / 3 | $26.870,00 | 117 / 8 | $8.452,72 | 158 / 6 | $7.684,94 | 158 / 10 |
| Signs & Symptoms W/O Mcc | 67 | 25 / 1 | $17.292,00 | 491 / 19 | $5.237,09 | 718 / 22 | $4.087,30 | 715 / 26 |
| Simple Pneumonia & Pleurisy W Cc | 96 | 107 / 9 | $19.607,20 | 1092 / 51 | $7.256,38 | 1985 / 69 | $6.142,07 | 1977 / 74 |
| Simple Pneumonia & Pleurisy W Mcc | 118 | 87 / 9 | $25.780,00 | 750 / 39 | $10.715,60 | 1893 / 70 | $9.688,69 | 1893 / 72 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 19 | $15.753,50 | 810 / 38 | $5.227,37 | 1289 / 43 | $4.026,32 | 1282 / 49 |
| Syncope & Collapse | 68 | 101 / 9 | $17.507,50 | 625 / 29 | $5.367,99 | 1134 / 40 | $4.278,66 | 1127 / 44 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 13 | $207.625,00 | 163 / 9 | $79.914,20 | 402 / 12 | $78.159,60 | 401 / 14 |
| Transient Ischemia | 43 | 82 / 10 | $20.605,30 | 703 / 40 | $5.293,60 | 918 / 41 | $3.900,05 | 913 / 42 | Total 99 procedures | 4.701 | 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.