Hospital Costs > In North Carolina > Vidant Edgecombe Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 42 | $16.610,20 | 704 / 38 | $5.145,95 | 847 / 27 | $4.151,00 | 844 / 36 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 39 | $25.228,60 | 672 / 39 | $7.798,80 | 538 / 30 | $6.426,47 | 535 / 29 |
Cellulitis W/O Mcc | 16 | 173 / 48 | $12.501,90 | 529 / 16 | $5.622,62 | 1221 / 38 | $4.445,56 | 1215 / 50 |
Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 35 | $22.183,10 | 1225 / 61 | $6.222,94 | 1026 / 43 | $4.979,59 | 1023 / 45 |
Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 44 | $25.487,60 | 1165 / 62 | $7.783,53 | 945 / 59 | $6.195,44 | 940 / 49 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 29 | $17.077,30 | 1024 / 55 | $4.817,79 | 946 / 27 | $3.689,05 | 937 / 39 |
Diabetes W Cc | 20 | 72 / 25 | $18.217,90 | 578 / 41 | $5.525,45 | 769 / 32 | $4.651,70 | 766 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 60 | $16.339,90 | 918 / 38 | $5.059,54 | 1020 / 40 | $3.772,62 | 1012 / 44 |
G.I. Hemorrhage W Cc | 41 | 177 / 42 | $18.464,00 | 607 / 34 | $6.518,46 | 944 / 43 | $5.320,07 | 942 / 45 |
G.I. Hemorrhage W Mcc | 13 | 108 / 30 | $31.894,20 | 388 / 24 | $11.522,80 | 56 / 35 | $8.224,23 | 56 / 4 |
G.I. Obstruction W Cc | 12 | 80 / 30 | $20.376,50 | 684 / 30 | $5.916,17 | 713 / 20 | $4.716,75 | 712 / 24 |
Heart Failure & Shock W Cc | 70 | 208 / 31 | $19.993,30 | 1185 / 53 | $6.493,57 | 1114 / 49 | $5.381,90 | 1112 / 47 |
Heart Failure & Shock W Mcc | 90 | 194 / 35 | $24.504,60 | 702 / 42 | $9.068,50 | 771 / 37 | $8.020,18 | 771 / 40 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 33 | $16.950,10 | 1054 / 49 | $4.725,21 | 894 / 37 | $3.635,64 | 887 / 37 |
Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 42 | $38.643,20 | 567 / 28 | $11.319,30 | 340 / 20 | $9.811,83 | 339 / 18 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 21 | $57.956,80 | 88 / 6 | $27.096,30 | 99 / 5 | $25.538,80 | 99 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 27 | $21.191,90 | 550 / 35 | $6.904,47 | 746 / 37 | $5.478,63 | 744 / 42 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 30 | $26.721,40 | 252 / 18 | $9.823,43 | 247 / 10 | $8.633,24 | 246 / 16 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 39 | $16.338,10 | 323 / 25 | $6.889,27 | 470 / 26 | $5.666,77 | 469 / 23 |
Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 50 | $14.671,30 | 889 / 38 | $5.096,84 | 959 / 38 | $3.932,58 | 952 / 42 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 21 | $22.505,60 | 378 / 23 | $7.553,85 | 349 / 17 | $6.278,00 | 348 / 17 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 45 | 519 / 59 | $45.632,50 | 1062 / 36 | $14.073,20 | 751 / 59 | $10.698,70 | 741 / 32 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 34 | $22.376,80 | 552 / 36 | $7.241,69 | 577 / 27 | $6.151,54 | 574 / 31 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 35 | $16.116,10 | 1096 / 49 | $4.783,40 | 933 / 37 | $3.605,60 | 930 / 38 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 24 | $29.362,70 | 364 / 23 | $9.168,05 | 194 / 12 | $7.967,84 | 194 / 14 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 23 | $18.338,30 | 78 / 7 | $8.672,82 | 258 / 15 | $7.519,73 | 257 / 13 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 50 | $29.725,90 | 1028 / 60 | $9.354,11 | 925 / 70 | $6.841,07 | 925 / 52 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 34 | $16.315,70 | 563 / 25 | $5.330,81 | 1049 / 26 | $4.582,00 | 1042 / 48 |
Renal Failure W Cc | 56 | 165 / 36 | $16.784,10 | 648 / 38 | $6.085,93 | 889 / 33 | $5.077,70 | 881 / 46 |
Renal Failure W Mcc | 32 | 163 / 34 | $22.848,70 | 356 / 26 | $9.896,00 | 364 / 48 | $7.850,69 | 364 / 24 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 28 | $26.454,60 | 538 / 38 | $8.553,27 | 505 / 24 | $7.353,36 | 502 / 28 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 34 | $38.294,00 | 712 / 52 | $12.036,00 | 705 / 36 | $10.928,00 | 697 / 45 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 34 | $42.667,20 | 400 / 28 | $13.630,30 | 404 / 23 | $12.157,40 | 400 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 182 | 334 / 33 | $27.996,30 | 694 / 33 | $11.595,30 | 460 / 49 | $9.449,43 | 460 / 21 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 38 | $20.717,20 | 848 / 44 | $7.795,82 | 809 / 66 | $5.485,62 | 807 / 39 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 54 | $15.706,30 | 643 / 29 | $6.385,13 | 755 / 37 | $4.866,13 | 752 / 30 |
Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 62 | $23.894,00 | 627 / 31 | $9.025,91 | 668 / 38 | $7.522,55 | 668 / 32 |
Spinal Fusion Except Cervical W/O Mcc | 34 | 160 / 20 | $95.536,70 | 689 / 23 | $23.787,30 | 586 / 16 | $22.380,30 | 583 / 23 | Total 38 procedures | 1.140 | 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.