Hospital Costs > In North Carolina > Vidant Duplin 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 | 130 | 386 / 47 | $22.165,80 | 372 / 16 | $11.791,00 | 1293 / 56 | $10.630,20 | 1271 / 62 |
| Heart Failure & Shock W Cc | 40 | 238 / 48 | $14.074,00 | 481 / 22 | $7.019,12 | 1732 / 65 | $6.040,25 | 1727 / 68 |
| Renal Failure W Cc | 39 | 182 / 45 | $12.960,00 | 284 / 15 | $6.592,82 | 1282 / 56 | $5.474,82 | 1274 / 59 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 45 | $16.868,70 | 505 / 24 | $7.396,67 | 1405 / 54 | $6.117,20 | 1400 / 63 |
| G.I. Hemorrhage W Cc | 27 | 191 / 52 | $13.138,70 | 172 / 6 | $6.818,67 | 1409 / 60 | $5.832,44 | 1406 / 66 |
| Cellulitis W/O Mcc | 23 | 166 / 44 | $9.287,91 | 182 / 3 | $6.021,13 | 1511 / 59 | $4.747,83 | 1504 / 60 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 42 | $12.438,20 | 125 / 7 | $7.564,32 | 1049 / 52 | $6.482,63 | 1046 / 55 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 45 | $14.647,90 | 479 / 23 | $6.332,84 | 1427 / 50 | $5.419,05 | 1422 / 61 |
| Renal Failure W Mcc | 18 | 177 / 44 | $19.117,50 | 194 / 13 | $9.414,06 | 603 / 35 | $8.212,33 | 603 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 44 | $18.932,20 | 411 / 27 | $7.539,35 | 1320 / 58 | $6.378,41 | 1317 / 63 |
| Heart Failure & Shock W Mcc | 16 | 268 / 66 | $20.775,00 | 465 / 29 | $10.080,00 | 1428 / 63 | $8.921,62 | 1424 / 64 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 39 | $15.932,70 | 152 / 6 | $8.120,07 | 824 / 38 | $6.843,13 | 821 / 44 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 59 | $14.537,70 | 694 / 24 | $5.404,13 | 1880 / 64 | $4.588,27 | 1866 / 74 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 55 | $13.504,00 | 710 / 28 | $5.606,93 | 1497 / 63 | $4.347,57 | 1486 / 64 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 32 | $15.798,50 | 65 / 3 | $7.260,23 | 8 / 1 | $6.730,69 | 8 / 3 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 56 | $22.034,80 | 542 / 34 | $8.515,38 | 1195 / 57 | $7.220,46 | 1193 / 61 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 47 | $19.441,90 | 88 / 7 | $10.252,70 | 83 / 3 | $9.302,92 | 83 / 4 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 37 | $15.414,40 | 488 / 22 | $6.120,00 | 858 / 51 | $4.367,25 | 853 / 39 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 57 | $15.001,20 | 563 / 24 | $6.769,42 | 1582 / 55 | $5.593,50 | 1575 / 64 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 60 | $20.990,00 | 811 / 43 | $8.131,92 | 1533 / 61 | $6.878,75 | 1526 / 66 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 18 | $14.086,50 | 312 / 17 | $4.952,64 | 561 / 19 | $3.771,55 | 560 / 21 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 35 | $11.347,90 | 393 / 17 | $5.082,55 | 1294 / 49 | $4.086,27 | 1284 / 53 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 49 | $12.744,00 | 645 / 29 | $5.344,91 | 1530 / 65 | $4.108,55 | 1525 / 66 | Total 23 procedures | 529 | 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.