Hospital Costs > In North Carolina > Wakemed, Cary Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 28 | $19.796,30 | 275 / 10 | $5.791,62 | 165 / 1 | $4.864,44 | 165 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 23 | $39.808,50 | 802 / 44 | $9.791,04 | 360 / 12 | $8.685,73 | 360 / 16 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 18 | $30.661,50 | 703 / 24 | $4.295,00 | 83 / 3 | $3.120,91 | 83 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 22 | $28.047,60 | 662 / 34 | $5.515,93 | 246 / 9 | $4.217,50 | 243 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 30 | $21.941,20 | 1203 / 61 | $4.843,03 | 424 / 12 | $3.750,97 | 424 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 33 | $23.377,60 | 548 / 32 | $7.235,00 | 315 / 13 | $6.064,55 | 314 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 51 | 99 / 17 | $14.605,80 | 943 / 48 | $4.172,51 | 267 / 44 | $2.217,88 | 265 / 7 |
| Cellulitis W/O Mcc | 60 | 129 / 18 | $19.432,40 | 1417 / 61 | $5.466,02 | 360 / 29 | $3.760,42 | 357 / 8 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 22 | $66.287,50 | 542 / 18 | $13.624,10 | 174 / 13 | $10.930,20 | 174 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 50 | 129 / 26 | $23.943,80 | 1381 / 66 | $5.687,10 | 411 / 18 | $4.441,08 | 410 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 39 | $29.904,60 | 1471 / 72 | $7.122,77 | 787 / 22 | $6.031,65 | 782 / 36 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 29 | $17.065,70 | 1023 / 54 | $4.455,53 | 359 / 10 | $3.196,53 | 359 / 12 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 16 | $31.424,80 | 488 / 25 | $5.725,46 | 135 / 5 | $4.374,00 | 135 / 5 |
| Diabetes W Cc | 15 | 77 / 30 | $19.235,50 | 638 / 45 | $4.958,07 | 321 / 8 | $4.044,33 | 321 / 17 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 14 | $28.710,20 | 586 / 29 | $6.697,47 | 208 / 22 | $4.520,93 | 208 / 11 |
| Endocrine Disorders W Cc | 12 | 26 / 8 | $25.896,60 | 139 / 9 | $6.167,83 | 42 / 2 | $5.111,75 | 42 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 29 | $30.570,50 | 655 / 39 | $7.129,55 | 233 / 8 | $6.071,91 | 232 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 64 | 211 / 30 | $23.708,70 | 1778 / 75 | $4.870,80 | 581 / 28 | $3.471,77 | 579 / 19 |
| Fever | 11 | 35 / 8 | $19.221,80 | 96 / 7 | $5.144,09 | 48 / 1 | $4.074,91 | 48 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 11 | $19.340,80 | 489 / 22 | $4.364,88 | 178 / 7 | $3.194,19 | 179 / 5 |
| G.I. Hemorrhage W Cc | 85 | 133 / 18 | $25.584,30 | 1248 / 62 | $6.314,47 | 407 / 33 | $4.816,16 | 406 / 13 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 21 | $36.747,00 | 576 / 38 | $10.290,00 | 317 / 15 | $9.197,48 | 317 / 17 |
| G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 11 | $18.093,40 | 466 / 24 | $5.283,17 | 279 / 20 | $3.326,44 | 277 / 13 |
| G.I. Obstruction W Cc | 24 | 68 / 19 | $23.943,80 | 921 / 44 | $5.455,50 | 384 / 9 | $4.331,00 | 383 / 10 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 10 | $17.490,10 | 698 / 30 | $4.474,86 | 121 / 23 | $2.378,45 | 121 / 3 |
| Heart Failure & Shock W Cc | 89 | 189 / 27 | $23.152,20 | 1502 / 66 | $6.012,54 | 513 / 20 | $4.906,81 | 513 / 17 |
| Heart Failure & Shock W Mcc | 91 | 193 / 34 | $33.891,30 | 1338 / 70 | $9.238,76 | 1086 / 45 | $8.414,78 | 1083 / 56 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 33 | $17.367,60 | 1091 / 50 | $4.162,21 | 243 / 10 | $3.020,93 | 241 / 7 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 20 | $54.232,60 | 1186 / 58 | $11.419,20 | 613 / 26 | $10.268,10 | 610 / 39 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 26 | $100.939,00 | 503 / 35 | $31.260,50 | 428 / 19 | $28.873,30 | 425 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 22 | $27.901,70 | 994 / 58 | $6.258,86 | 396 / 11 | $5.107,62 | 395 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 30 | 138 / 23 | $44.592,70 | 827 / 52 | $10.659,30 | 334 / 30 | $8.883,00 | 333 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 19 | $24.863,30 | 896 / 53 | $4.699,16 | 200 / 9 | $3.204,00 | 198 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 26 | $25.100,40 | 928 / 60 | $6.641,54 | 510 / 15 | $5.717,76 | 509 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 96 | 137 / 14 | $20.897,90 | 1664 / 68 | $4.745,82 | 621 / 15 | $3.705,44 | 619 / 23 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 20 | 36 / 10 | $47.477,10 | 413 / 23 | $11.006,80 | 384 / 17 | $8.992,65 | 384 / 18 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 19 | 28 / 7 | $30.575,10 | 166 / 11 | $7.230,47 | 153 / 4 | $5.933,16 | 153 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 23 | 50 / 13 | $30.180,90 | 651 / 36 | $7.040,09 | 273 / 8 | $6.071,91 | 272 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 17 | $85.296,40 | 531 / 29 | $20.182,00 | 48 / 17 | $15.162,40 | 48 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 161 | 403 / 31 | $51.128,40 | 1342 / 47 | $28.603,90 | 516 / 79 | $10.344,10 | 513 / 21 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 14 | 59 / 14 | $39.709,20 | 183 / 13 | $8.635,71 | 83 / 6 | $5.854,07 | 83 / 7 |
| Major Small & Large Bowel Procedures W Cc | 42 | 66 / 11 | $66.148,60 | 778 / 37 | $16.227,70 | 156 / 22 | $12.263,10 | 155 / 9 |
| Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 14 | $104.855,00 | 427 / 22 | $29.846,70 | 393 / 11 | $28.462,40 | 391 / 15 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 12 | $30.660,00 | 147 / 4 | $9.961,53 | 120 / 5 | $7.688,53 | 120 / 4 |
| Medical Back Problems W/O Mcc | 12 | 109 / 26 | $26.083,20 | 876 / 27 | $5.245,25 | 455 / 5 | $4.169,33 | 455 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 22 | $22.122,40 | 534 / 35 | $6.661,77 | 301 / 10 | $5.712,23 | 298 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 26 | $18.661,50 | 1411 / 65 | $4.725,92 | 210 / 35 | $3.017,42 | 210 / 4 |
| Other Digestive System Diagnoses W Cc | 34 | 63 / 13 | $25.385,90 | 698 / 30 | $5.833,09 | 333 / 4 | $4.919,71 | 330 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 22 | 81 / 11 | $23.546,50 | 350 / 15 | $5.824,91 | 153 / 1 | $5.030,23 | 153 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 21 | $31.081,90 | 420 / 30 | $8.907,73 | 183 / 9 | $7.927,59 | 183 / 13 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 18 | $19.789,60 | 399 / 16 | $5.867,33 | 244 / 4 | $4.729,00 | 243 / 5 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 19 | $89.540,10 | 701 / 23 | $15.232,80 | 197 / 3 | $14.023,10 | 196 / 3 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 18 | $78.699,20 | 571 / 21 | $12.395,50 | 207 / 3 | $11.381,90 | 206 / 9 |
| Pulmonary Edema & Respiratory Failure | 64 | 139 / 28 | $31.141,50 | 1103 / 64 | $7.657,66 | 358 / 30 | $6.160,58 | 358 / 17 |
| Pulmonary Embolism W Mcc | 13 | 30 / 16 | $29.969,50 | 160 / 14 | $8.686,31 | 82 / 1 | $7.553,69 | 82 / 3 |
| Pulmonary Embolism W/O Mcc | 27 | 47 / 14 | $22.828,70 | 542 / 30 | $6.425,44 | 105 / 19 | $4.356,15 | 105 / 2 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 29 | $19.176,20 | 822 / 39 | $4.909,05 | 550 / 7 | $4.034,82 | 548 / 20 |
| Renal Failure W Cc | 99 | 122 / 21 | $22.601,90 | 1240 / 64 | $6.016,30 | 305 / 29 | $4.540,74 | 303 / 7 |
| Renal Failure W Mcc | 42 | 153 / 31 | $30.045,30 | 771 / 54 | $8.978,69 | 359 / 22 | $7.843,52 | 359 / 23 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 23 | $29.127,90 | 654 / 44 | $8.157,25 | 368 / 14 | $7.109,38 | 365 / 22 |
| Respiratory Infections & Inflammations W Mcc | 34 | 102 / 28 | $34.080,50 | 559 / 40 | $11.221,40 | 304 / 18 | $10.029,00 | 304 / 20 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 17 | $36.756,20 | 205 / 14 | $10.852,20 | 28 / 8 | $8.135,33 | 28 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 26 | $64.066,00 | 1009 / 56 | $13.926,00 | 425 / 29 | $12.243,30 | 420 / 27 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 160 | 356 / 39 | $34.818,90 | 1041 / 55 | $10.522,70 | 389 / 15 | $9.332,01 | 389 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 26 | $26.035,20 | 1338 / 63 | $6.473,56 | 514 / 19 | $5.223,72 | 512 / 22 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 21 | $25.375,40 | 900 / 31 | $4.356,09 | 196 / 6 | $3.227,18 | 196 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 22 | $22.822,40 | 1434 / 60 | $5.908,25 | 429 / 16 | $4.589,12 | 426 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 63 | 142 / 31 | $34.712,40 | 1332 / 63 | $8.600,08 | 441 / 22 | $7.242,27 | 441 / 20 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 21 | $16.872,90 | 916 / 42 | $4.305,62 | 318 / 5 | $3.066,88 | 316 / 10 |
| Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 25 | $102.736,00 | 758 / 24 | $23.841,60 | 312 / 17 | $20.627,10 | 311 / 11 |
| Stomach, Esophageal & Duodenal Proc W Cc | 12 | 38 / 9 | $54.761,80 | 54 / 4 | $15.320,10 | 37 / 1 | $14.026,80 | 37 / 2 |
| Syncope & Collapse | 21 | 148 / 29 | $24.047,50 | 1167 / 49 | $4.509,43 | 426 / 7 | $3.480,48 | 424 / 12 |
| Transient Ischemia | 16 | 109 / 25 | $25.396,20 | 980 / 45 | $4.336,44 | 331 / 8 | $3.188,69 | 331 / 10 | Total 73 procedures | 2.518 | 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.