Hospital Costs > In North Carolina > The Mcdowell Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Mcc | 69 | 136 / 29 | $14.687,90 | 112 / 2 | $8.941,87 | 891 / 32 | $7.750,72 | 891 / 48 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 49 | 467 / 68 | $18.690,90 | 212 / 6 | $11.162,70 | 862 / 37 | $10.009,80 | 861 / 47 |
| Pulmonary Edema & Respiratory Failure | 47 | 156 / 39 | $12.344,60 | 47 / 3 | $7.838,15 | 496 / 35 | $6.332,47 | 496 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 42 | $14.594,10 | 700 / 25 | $4.962,50 | 1082 / 35 | $3.813,11 | 1074 / 46 |
| Heart Failure & Shock W Mcc | 33 | 251 / 57 | $16.335,80 | 214 / 7 | $9.087,09 | 661 / 38 | $7.881,79 | 661 / 33 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 46 | $11.624,30 | 105 / 5 | $7.209,58 | 824 / 32 | $6.072,29 | 819 / 40 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 49 | $11.997,60 | 255 / 6 | $6.191,50 | 959 / 29 | $5.047,82 | 956 / 42 |
| Heart Failure & Shock W Cc | 22 | 256 / 57 | $9.725,09 | 114 / 3 | $6.038,27 | 390 / 22 | $4.772,36 | 390 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 40 | $14.370,90 | 203 / 15 | $6.911,95 | 565 / 29 | $5.789,57 | 564 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 39 | $9.764,90 | 287 / 6 | $5.248,67 | 313 / 64 | $3.150,76 | 313 / 10 |
| Renal Failure W Mcc | 19 | 176 / 43 | $15.515,70 | 83 / 6 | $8.616,05 | 286 / 14 | $7.711,58 | 286 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 54 | $11.518,10 | 115 / 3 | $5.967,53 | 256 / 3 | $4.939,53 | 255 / 6 |
| G.I. Obstruction W Cc | 18 | 74 / 24 | $12.248,80 | 130 / 2 | $5.663,39 | 429 / 12 | $4.387,44 | 428 / 12 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 42 | $18.757,90 | 72 / 6 | $11.854,00 | 633 / 31 | $10.757,40 | 625 / 41 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 45 | $18.523,90 | 390 / 23 | $6.997,88 | 589 / 42 | $5.320,81 | 588 / 31 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 53 | $12.909,20 | 632 / 25 | $5.190,62 | 451 / 41 | $3.580,81 | 451 / 14 |
| Cellulitis W/O Mcc | 16 | 173 / 48 | $12.882,10 | 567 / 17 | $5.593,88 | 1138 / 36 | $4.381,19 | 1132 / 47 |
| Renal Failure W Cc | 16 | 205 / 59 | $9.899,44 | 89 / 3 | $6.191,19 | 925 / 37 | $5.106,06 | 917 / 47 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 47 | $8.530,53 | 53 / 1 | $5.186,27 | 952 / 29 | $4.247,47 | 949 / 47 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 39 | $8.214,67 | 164 / 4 | $4.523,07 | 371 / 50 | $2.330,60 | 368 / 9 |
| G.I. Hemorrhage W Cc | 15 | 203 / 59 | $14.025,40 | 227 / 11 | $6.177,80 | 454 / 25 | $4.867,07 | 453 / 19 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 18 | $9.629,69 | 117 / 4 | $4.033,77 | 668 / 9 | $3.190,38 | 666 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 28 | $17.288,20 | 119 / 2 | $7.580,42 | 467 / 17 | $6.558,33 | 464 / 21 |
| Syncope & Collapse | 11 | 158 / 38 | $14.589,00 | 359 / 12 | $4.850,09 | 653 / 21 | $3.699,91 | 650 / 24 | Total 24 procedures | 569 | 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.