Hospital Costs > In North Carolina > Vidant Roanoke Chowan 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 | 166 | 350 / 37 | $30.503,20 | 803 / 37 | $11.741,00 | 535 / 55 | $9.565,66 | 534 / 24 |
Heart Failure & Shock W Cc | 68 | 210 / 33 | $16.949,10 | 796 / 39 | $6.128,51 | 557 / 27 | $4.948,12 | 557 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 26 | $15.833,40 | 419 / 18 | $6.857,23 | 367 / 39 | $5.058,34 | 366 / 15 |
Heart Failure & Shock W Mcc | 50 | 234 / 46 | $21.197,00 | 490 / 32 | $8.745,48 | 362 / 22 | $7.498,70 | 362 / 16 |
Renal Failure W Cc | 44 | 177 / 43 | $16.208,60 | 585 / 35 | $5.997,80 | 702 / 26 | $4.918,36 | 695 / 34 |
G.I. Hemorrhage W Cc | 44 | 174 / 40 | $19.274,40 | 688 / 41 | $6.386,00 | 369 / 37 | $4.775,50 | 369 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 61 | $45.243,60 | 1044 / 34 | $12.717,40 | 444 / 24 | $10.243,00 | 441 / 17 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 43 | $14.317,60 | 656 / 22 | $5.174,76 | 494 / 47 | $3.399,73 | 492 / 16 |
Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 37 | $18.271,60 | 832 / 38 | $5.827,87 | 474 / 25 | $4.515,74 | 473 / 15 |
Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 47 | $19.489,40 | 668 / 32 | $7.492,20 | 416 / 45 | $5.702,40 | 415 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 37 | $22.103,30 | 604 / 40 | $6.466,52 | 412 / 25 | $5.118,79 | 411 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 27 | $29.472,70 | 326 / 27 | $10.185,00 | 287 / 18 | $8.752,88 | 286 / 20 |
Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 36 | $13.420,60 | 165 / 11 | $6.706,24 | 279 / 18 | $5.392,16 | 278 / 13 |
Renal Failure W Mcc | 24 | 171 / 39 | $24.790,70 | 447 / 35 | $9.200,71 | 309 / 28 | $7.749,50 | 309 / 20 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 48 | $17.979,20 | 909 / 41 | $6.898,17 | 513 / 62 | $4.655,13 | 510 / 19 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 23 | $30.114,30 | 389 / 27 | $9.814,05 | 163 / 22 | $7.849,10 | 163 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 37 | $41.806,10 | 717 / 35 | $11.367,50 | 318 / 24 | $9.772,85 | 317 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 41 | $15.416,40 | 1004 / 45 | $4.601,53 | 765 / 28 | $3.497,42 | 762 / 32 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 40 | $28.577,00 | 344 / 27 | $11.473,70 | 401 / 22 | $10.261,90 | 400 / 26 |
Diabetes W Cc | 15 | 77 / 30 | $20.865,50 | 754 / 48 | $5.420,80 | 215 / 27 | $3.860,80 | 215 / 8 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 33 | $34.940,10 | 210 / 15 | $12.943,10 | 246 / 16 | $11.726,90 | 244 / 15 |
Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 54 | $14.376,50 | 840 / 35 | $5.045,07 | 949 / 33 | $3.920,47 | 942 / 40 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 33 | $13.615,60 | 680 / 36 | $4.397,07 | 320 / 19 | $3.122,14 | 318 / 12 |
Cellulitis W/O Mcc | 14 | 175 / 50 | $18.341,20 | 1286 / 56 | $5.570,86 | 692 / 34 | $4.040,29 | 688 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 40 | $27.423,00 | 817 / 46 | $7.436,86 | 333 / 21 | $6.110,43 | 332 / 15 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 48 | $26.998,90 | 1493 / 67 | $5.256,93 | 325 / 36 | $3.641,64 | 325 / 10 |
G.I. Obstruction W Cc | 14 | 78 / 28 | $23.745,30 | 908 / 42 | $6.001,86 | 528 / 23 | $4.510,57 | 527 / 16 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 33 | $16.219,60 | 933 / 48 | $4.592,07 | 584 / 18 | $3.395,00 | 583 / 22 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 12 | $34.298,60 | 288 / 14 | $9.894,00 | 179 / 11 | $8.075,36 | 179 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 34 | $19.864,40 | 400 / 28 | $6.697,54 | 208 / 11 | $5.547,46 | 206 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 31 | $55.112,00 | 75 / 5 | $28.978,20 | 237 / 11 | $27.285,90 | 237 / 15 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 27 | $16.640,20 | 144 / 8 | $8.175,00 | 273 / 15 | $6.908,92 | 271 / 13 |
Syncope & Collapse | 12 | 157 / 37 | $18.772,20 | 744 / 36 | $4.723,00 | 526 / 18 | $3.577,00 | 524 / 14 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 25 | $17.674,10 | 265 / 18 | $6.156,36 | 227 / 12 | $4.657,09 | 227 / 8 | Total 34 procedures | 977 | 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.