Hospital Costs > In North Carolina > Vidant Beaufort 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 | 80 | 436 / 59 | $18.311,00 | 191 / 5 | $9.868,84 | 231 / 2 | $9.011,56 | 231 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 75 | 489 / 47 | $33.748,60 | 385 / 13 | $11.924,60 | 391 / 4 | $10.155,40 | 390 / 15 |
| Renal Failure W Cc | 52 | 169 / 39 | $11.387,40 | 171 / 10 | $5.278,81 | 82 / 1 | $4.127,96 | 82 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 31 | $12.404,30 | 271 / 11 | $5.065,47 | 104 / 1 | $4.022,16 | 104 / 2 |
| Heart Failure & Shock W Mcc | 38 | 246 / 55 | $10.973,20 | 22 / 1 | $7.601,42 | 51 / 1 | $6.780,79 | 51 / 2 |
| G.I. Hemorrhage W Cc | 38 | 180 / 43 | $11.529,70 | 100 / 2 | $5.488,00 | 159 / 1 | $4.485,89 | 159 / 3 |
| Heart Failure & Shock W Cc | 37 | 241 / 51 | $10.607,60 | 160 / 6 | $5.124,08 | 125 / 1 | $4.409,11 | 125 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 43 | $15.272,10 | 337 / 15 | $6.441,71 | 352 / 3 | $5.614,40 | 351 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 42 | $15.374,30 | 381 / 13 | $5.684,44 | 48 / 1 | $4.463,76 | 48 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 42 | $13.137,40 | 364 / 14 | $5.227,45 | 90 / 1 | $4.127,09 | 90 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 37 | $15.300,20 | 169 / 9 | $5.778,24 | 124 / 1 | $4.648,86 | 124 / 2 |
| Cellulitis W/O Mcc | 26 | 163 / 41 | $11.898,50 | 456 / 14 | $4.633,31 | 67 / 1 | $3.330,00 | 67 / 1 |
| Renal Failure W Mcc | 24 | 171 / 39 | $14.237,00 | 50 / 4 | $8.379,04 | 196 / 6 | $7.527,71 | 196 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 46 | $11.453,40 | 450 / 8 | $4.236,83 | 171 / 2 | $3.264,08 | 171 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 40 | $13.276,70 | 346 / 17 | $4.269,91 | 242 / 1 | $3.540,52 | 242 / 4 |
| Respiratory Infections & Inflammations W Cc | 21 | 67 / 18 | $17.605,10 | 177 / 11 | $7.462,05 | 115 / 4 | $6.540,33 | 115 / 5 |
| Diabetes W Cc | 20 | 72 / 25 | $10.839,80 | 113 / 4 | $4.407,60 | 36 / 1 | $3.364,20 | 36 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 29 | $10.395,50 | 282 / 10 | $3.908,32 | 45 / 1 | $2.665,47 | 45 / 2 |
| G.I. Obstruction W Cc | 18 | 74 / 24 | $15.825,70 | 353 / 12 | $4.800,78 | 65 / 1 | $3.680,00 | 65 / 2 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 41 | $19.613,60 | 92 / 8 | $10.318,60 | 94 / 4 | $9.358,61 | 94 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 42 | $11.650,70 | 508 / 18 | $4.272,39 | 14 / 8 | $2.514,11 | 14 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 58 | $16.989,10 | 214 / 12 | $7.607,00 | 155 / 2 | $6.721,11 | 155 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 58 | $17.891,20 | 1112 / 50 | $4.151,56 | 92 / 1 | $2.925,69 | 92 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 32 | $8.496,47 | 147 / 3 | $3.679,87 | 130 / 1 | $2.850,67 | 128 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 47 | $11.824,40 | 99 / 4 | $5.763,21 | 42 / 1 | $4.781,50 | 42 / 2 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 36 | $10.631,50 | 135 / 2 | $4.333,38 | 101 / 1 | $3.420,62 | 101 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 21 | $15.129,50 | 122 / 4 | $6.450,62 | 42 / 2 | $5.248,77 | 42 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 41 | $15.749,90 | 143 / 5 | $6.243,54 | 14 / 1 | $5.137,15 | 14 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 42 | $37.650,00 | 524 / 25 | $12.063,80 | 13 / 40 | $8.524,00 | 13 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 17 | $25.611,80 | 42 / 3 | $8.780,25 | 26 / 1 | $7.259,92 | 26 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 41 | $8.226,25 | 166 / 5 | $3.202,50 | 7 / 1 | $1.644,75 | 7 / 1 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 58 | $13.263,50 | 80 / 7 | $6.658,55 | 115 / 1 | $5.719,09 | 115 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 31 | $16.136,40 | 318 / 16 | $4.147,82 | 157 / 1 | $3.118,91 | 155 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 36 | $26.923,10 | 84 / 4 | $12.215,30 | 201 / 7 | $11.559,50 | 199 / 9 | Total 34 procedures | 876 | 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.