Hospital Costs > In North Carolina > Stanly Regional Medical Center, 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 | 141 | 375 / 45 | $33.307,70 | 959 / 50 | $10.493,20 | 376 / 12 | $9.311,71 | 376 / 18 |
Heart Failure & Shock W Mcc | 98 | 186 / 30 | $19.726,20 | 416 / 27 | $8.304,36 | 295 / 10 | $7.412,30 | 295 / 13 |
Pulmonary Edema & Respiratory Failure | 65 | 138 / 27 | $19.268,40 | 362 / 25 | $7.549,11 | 384 / 27 | $6.199,12 | 384 / 20 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 53 | 511 / 57 | $56.851,60 | 1570 / 53 | $12.386,70 | 1003 / 12 | $11.055,00 | 983 / 43 |
Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 43 | $19.770,30 | 379 / 19 | $8.035,02 | 282 / 8 | $6.992,32 | 282 / 13 |
Heart Failure & Shock W Cc | 42 | 236 / 46 | $18.563,40 | 999 / 48 | $5.898,64 | 758 / 14 | $5.109,52 | 757 / 36 |
Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 28 | $15.030,00 | 245 / 17 | $6.011,54 | 81 / 2 | $4.971,97 | 81 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 41 | $18.231,50 | 613 / 30 | $6.291,40 | 535 / 12 | $5.244,54 | 533 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 43 | $23.270,80 | 1741 / 71 | $4.691,36 | 794 / 16 | $3.626,70 | 789 / 30 |
Renal Failure W Cc | 32 | 189 / 51 | $19.800,70 | 966 / 52 | $5.738,97 | 323 / 11 | $4.562,84 | 321 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 42 | $14.836,10 | 907 / 40 | $4.579,65 | 386 / 6 | $3.530,29 | 386 / 9 |
G.I. Hemorrhage W Cc | 28 | 190 / 51 | $30.715,60 | 1600 / 76 | $6.057,82 | 737 / 17 | $5.124,32 | 735 / 39 |
Respiratory Infections & Inflammations W Mcc | 28 | 108 / 33 | $24.626,80 | 217 / 18 | $10.240,00 | 93 / 2 | $9.355,39 | 93 / 6 |
Cellulitis W/O Mcc | 25 | 164 / 42 | $12.900,60 | 571 / 18 | $5.065,92 | 752 / 10 | $4.086,80 | 748 / 28 |
Renal Failure W Mcc | 25 | 170 / 38 | $22.498,70 | 343 / 23 | $8.152,48 | 48 / 3 | $6.964,24 | 48 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 24 | $21.579,40 | 191 / 10 | $8.664,42 | 14 / 4 | $6.952,21 | 14 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 42 | $13.142,00 | 336 / 14 | $5.608,21 | 476 / 12 | $4.516,00 | 475 / 16 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 25 | $13.344,60 | 641 / 35 | $4.320,17 | 501 / 15 | $3.309,43 | 499 / 21 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 35 | $45.690,80 | 872 / 42 | $11.389,40 | 574 / 25 | $10.203,20 | 571 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 33 | $24.464,90 | 624 / 37 | $7.454,32 | 563 / 22 | $6.466,45 | 560 / 31 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 24 | $15.895,70 | 142 / 3 | $5.831,81 | 270 / 2 | $5.087,38 | 270 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 42 | $16.250,70 | 659 / 35 | $4.914,50 | 495 / 16 | $3.814,00 | 494 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 43 | $22.252,00 | 620 / 41 | $7.014,00 | 45 / 43 | $4.365,32 | 45 / 1 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 29 | $37.945,50 | 277 / 19 | $12.778,20 | 234 / 14 | $11.676,80 | 232 / 13 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 30 | $13.915,70 | 650 / 33 | $4.441,11 | 393 / 8 | $3.224,22 | 392 / 15 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 52 | $14.254,80 | 474 / 19 | $5.630,39 | 473 / 7 | $4.623,39 | 470 / 18 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 17 | 36 / 13 | $11.706,70 | 68 / 5 | $4.614,00 | 392 / 6 | $3.980,82 | 389 / 17 |
Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 58 | $17.709,00 | 540 / 25 | $6.720,69 | 446 / 9 | $5.737,88 | 445 / 23 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 35 | $19.638,50 | 870 / 42 | $5.207,47 | 241 / 22 | $3.687,33 | 241 / 9 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 39 | $13.794,90 | 840 / 42 | $3.574,67 | 904 / 10 | $2.750,47 | 900 / 36 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 25 | $18.035,90 | 192 / 15 | $6.892,21 | 27 / 2 | $6.016,29 | 27 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 47 | $12.894,50 | 658 / 31 | $4.494,00 | 657 / 21 | $3.423,46 | 655 / 26 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 17 | $56.603,10 | 541 / 23 | $14.797,40 | 207 / 22 | $8.100,00 | 207 / 5 |
G.I. Hemorrhage W Mcc | 11 | 110 / 32 | $46.726,50 | 912 / 49 | $10.081,00 | 288 / 12 | $9.118,00 | 288 / 14 | Total 34 procedures | 1.060 | 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.