Hospital Costs > In North Carolina > Wayne Memorial Hospital Raleigh, 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 | $20.498,40 | 303 / 12 | $8.190,25 | 583 / 34 | $5.623,44 | 582 / 23 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 28 | $25.386,50 | 298 / 15 | $12.336,20 | 1238 / 40 | $11.179,80 | 1229 / 42 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 19 | $13.144,70 | 94 / 7 | $5.039,55 | 458 / 13 | $4.174,91 | 455 / 21 |
| Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 17 | $10.035,80 | 52 / 1 | $7.081,95 | 482 / 31 | $4.740,85 | 478 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 54 | 107 / 19 | $13.568,90 | 379 / 23 | $5.877,11 | 905 / 59 | $4.203,30 | 902 / 43 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 25 | $17.066,50 | 195 / 10 | $8.508,39 | 1165 / 49 | $7.511,35 | 1162 / 53 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 22 | $10.874,40 | 441 / 21 | $3.837,91 | 693 / 25 | $2.582,30 | 689 / 29 |
| Cellulitis W Mcc | 15 | 43 / 15 | $17.874,70 | 86 / 3 | $9.892,33 | 337 / 16 | $8.034,80 | 336 / 14 |
| Cellulitis W/O Mcc | 49 | 140 / 24 | $11.272,00 | 389 / 11 | $5.920,41 | 1126 / 55 | $4.367,88 | 1120 / 46 |
| Cervical Spinal Fusion W Cc | 11 | 42 / 10 | $57.391,50 | 116 / 4 | $21.025,30 | 278 / 8 | $19.657,90 | 277 / 11 |
| Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 16 | $38.382,00 | 172 / 4 | $14.796,80 | 589 / 18 | $13.507,30 | 586 / 23 |
| Chest Pain | 50 | 101 / 11 | $13.751,00 | 380 / 16 | $4.337,48 | 562 / 24 | $2.982,56 | 558 / 22 |
| Chronic Obstructive Pulmonary Disease W Cc | 97 | 82 / 8 | $11.010,60 | 152 / 4 | $6.433,34 | 1209 / 54 | $5.162,97 | 1204 / 54 |
| Chronic Obstructive Pulmonary Disease W Mcc | 69 | 133 / 23 | $14.162,80 | 259 / 13 | $8.062,99 | 1469 / 60 | $6.794,55 | 1463 / 64 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 45 | 75 / 9 | $8.987,93 | 150 / 6 | $4.873,71 | 978 / 30 | $3.713,73 | 969 / 44 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 22 | $33.872,80 | 74 / 3 | $14.400,50 | 542 / 12 | $13.207,20 | 536 / 14 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 41 | 147 / 24 | $27.258,50 | 388 / 19 | $8.092,71 | 492 / 32 | $5.431,85 | 490 / 15 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 15 | 27 / 4 | $22.945,50 | 17 / 2 | $11.814,40 | 131 / 8 | $10.938,40 | 131 / 12 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 18 | 50 / 12 | $12.282,90 | 55 / 1 | $6.044,83 | 355 / 9 | $5.218,00 | 355 / 17 |
| Diabetes W Cc | 30 | 62 / 18 | $11.909,90 | 147 / 7 | $5.726,20 | 620 / 39 | $4.414,33 | 619 / 31 |
| Diabetes W Mcc | 16 | 41 / 16 | $21.469,90 | 102 / 6 | $9.751,19 | 308 / 21 | $8.150,50 | 308 / 19 |
| Diabetes W/O Cc/Mcc | 15 | 23 / 6 | $7.982,07 | 20 / 1 | $3.907,47 | 58 / 2 | $2.780,33 | 58 / 5 |
| Digestive Malignancy W Cc | 12 | 35 / 12 | $13.908,20 | 16 / 1 | $8.577,75 | 169 / 6 | $7.447,67 | 167 / 7 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 12 | $13.043,90 | 73 / 2 | $6.329,88 | 344 / 14 | $4.881,41 | 343 / 16 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 9 | $12.707,50 | 86 / 5 | $4.493,82 | 122 / 3 | $3.036,45 | 122 / 6 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 10 | $162.747,00 | 3 / 1 | $117.816,00 | 225 / 4 | $112.932,00 | 224 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 33 | 63 / 15 | $17.754,00 | 135 / 3 | $8.506,70 | 638 / 31 | $6.974,91 | 633 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 85 | 190 / 23 | $13.097,60 | 517 / 14 | $5.108,29 | 1344 / 43 | $4.005,27 | 1333 / 59 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 15 | $75.521,20 | 76 / 2 | $42.007,30 | 632 / 15 | $39.174,50 | 632 / 17 |
| Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 23 | $22.601,90 | 211 / 11 | $7.040,00 | 613 / 13 | $6.145,83 | 611 / 19 |
| G.I. Hemorrhage W Cc | 81 | 137 / 21 | $14.791,40 | 286 / 15 | $6.815,37 | 1257 / 59 | $5.649,54 | 1254 / 63 |
| G.I. Hemorrhage W Mcc | 30 | 91 / 18 | $27.761,10 | 253 / 17 | $13.581,20 | 1112 / 49 | $11.769,70 | 1104 / 49 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 15 | $10.725,80 | 124 / 4 | $4.748,42 | 396 / 10 | $3.554,33 | 392 / 15 |
| G.I. Obstruction W Cc | 31 | 61 / 15 | $13.824,30 | 216 / 4 | $6.232,45 | 894 / 33 | $4.947,90 | 892 / 37 |
| G.I. Obstruction W Mcc | 16 | 26 / 10 | $20.890,90 | 38 / 2 | $11.320,80 | 227 / 12 | $9.496,75 | 227 / 11 |
| Heart Failure & Shock W Cc | 73 | 205 / 30 | $12.436,60 | 308 / 10 | $6.947,53 | 1309 / 62 | $5.561,59 | 1305 / 57 |
| Heart Failure & Shock W Mcc | 110 | 174 / 27 | $14.920,90 | 141 / 5 | $10.262,00 | 1533 / 66 | $9.127,01 | 1529 / 68 |
| Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 15 | $9.799,86 | 245 / 9 | $4.583,08 | 898 / 29 | $3.639,25 | 891 / 38 |
| Hip & Femur Procedures Except Major Joint W Cc | 47 | 96 / 18 | $34.982,40 | 409 / 14 | $14.049,60 | 1428 / 60 | $12.482,00 | 1410 / 61 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 17 | $43.636,40 | 77 / 6 | $20.689,80 | 566 / 20 | $19.039,50 | 563 / 21 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 15 | $27.516,20 | 137 / 6 | $11.124,40 | 546 / 21 | $9.477,64 | 544 / 22 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 43 | 81 / 14 | $64.766,10 | 143 / 11 | $40.196,70 | 1085 / 40 | $36.778,40 | 1078 / 41 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 49 | 133 / 26 | $15.777,90 | 197 / 11 | $7.375,88 | 1061 / 53 | $5.927,20 | 1058 / 57 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 24 | $16.953,20 | 47 / 3 | $11.747,90 | 900 / 42 | $10.630,60 | 898 / 45 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 33 | 69 / 17 | $12.642,50 | 119 / 4 | $5.496,09 | 653 / 42 | $3.795,30 | 649 / 35 |
| Kidney & Urinary Tract Infections W Mcc | 41 | 103 / 23 | $13.447,80 | 169 / 12 | $8.049,12 | 796 / 61 | $6.092,51 | 795 / 45 |
| Kidney & Urinary Tract Infections W/O Mcc | 75 | 158 / 21 | $11.948,90 | 507 / 15 | $5.805,88 | 1062 / 68 | $4.001,03 | 1054 / 44 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 11 | $31.462,00 | 117 / 5 | $11.194,70 | 526 / 21 | $9.701,05 | 524 / 23 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 10 | $39.509,90 | 41 / 2 | $17.021,60 | 251 / 10 | $15.242,50 | 250 / 10 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 17 | $29.063,00 | 124 / 12 | $14.299,90 | 439 / 24 | $12.635,90 | 438 / 25 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 15 | $40.740,90 | 184 / 4 | $14.740,90 | 566 / 20 | $13.395,80 | 563 / 24 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 14 | $46.987,40 | 98 / 4 | $22.938,60 | 659 / 26 | $21.481,90 | 656 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 203 | 361 / 21 | $37.788,90 | 633 / 15 | $14.907,10 | 1715 / 65 | $12.589,30 | 1677 / 67 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 13 | $44.251,20 | 86 / 3 | $17.460,80 | 332 / 13 | $16.338,80 | 332 / 15 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 15 | $42.014,60 | 240 / 9 | $18.010,20 | 912 / 35 | $15.301,50 | 904 / 35 |
| Major Small & Large Bowel Procedures W Mcc | 28 | 57 / 12 | $76.447,60 | 172 / 9 | $39.393,00 | 978 / 31 | $37.113,60 | 976 / 33 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 14 | $31.923,80 | 165 / 5 | $12.836,10 | 270 / 19 | $8.420,71 | 270 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 37 | 89 / 16 | $11.697,90 | 58 / 2 | $7.777,35 | 660 / 42 | $6.321,38 | 657 / 35 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 65 | 101 / 15 | $11.144,90 | 445 / 16 | $5.060,69 | 1021 / 54 | $3.666,86 | 1018 / 41 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 18 | $17.683,30 | 138 / 5 | $7.262,45 | 384 / 16 | $5.975,09 | 383 / 15 |
| Other Circulatory System Diagnoses W Mcc | 41 | 75 / 10 | $21.641,00 | 71 / 4 | $13.489,20 | 784 / 28 | $11.995,50 | 780 / 27 |
| Other Circulatory System O.R. Procedures | 13 | 42 / 9 | $49.171,80 | 97 / 6 | $25.161,40 | 329 / 16 | $20.533,00 | 329 / 16 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 18 | $15.705,60 | 173 / 5 | $6.894,80 | 553 / 25 | $5.293,08 | 550 / 19 |
| Other Digestive System Diagnoses W Mcc | 14 | 48 / 14 | $17.825,40 | 22 / 1 | $11.175,80 | 276 / 7 | $9.900,64 | 276 / 14 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 26 | 75 / 18 | $18.415,20 | 87 / 6 | $10.880,20 | 528 / 30 | $9.222,31 | 526 / 29 |
| Other Kidney & Urinary Tract Procedures W Mcc | 12 | 26 / 7 | $36.164,50 | 6 / 1 | $22.113,50 | 115 / 8 | $20.363,20 | 114 / 9 |
| Other Vascular Procedures W Cc | 14 | 88 / 19 | $46.747,90 | 158 / 9 | $17.231,50 | 617 / 15 | $15.650,10 | 614 / 16 |
| Other Vascular Procedures W Mcc | 16 | 81 / 16 | $55.370,80 | 117 / 6 | $24.252,20 | 642 / 19 | $22.704,60 | 639 / 20 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 14 | 182 / 25 | $44.799,10 | 130 / 6 | $13.637,40 | 971 / 15 | $12.357,60 | 964 / 21 |
| Peripheral Vascular Disorders W Mcc | 14 | 35 / 9 | $22.527,40 | 84 / 9 | $11.531,50 | 450 / 14 | $10.258,60 | 450 / 16 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 18 | $35.976,90 | 48 / 3 | $17.962,90 | 606 / 16 | $16.837,30 | 605 / 18 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 17 | $35.712,80 | 94 / 5 | $14.427,50 | 435 / 14 | $13.044,70 | 434 / 16 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 16 | $10.909,00 | 139 / 3 | $4.610,75 | 241 / 19 | $3.212,08 | 240 / 11 |
| Pulmonary Edema & Respiratory Failure | 39 | 164 / 44 | $13.750,20 | 95 / 9 | $8.424,87 | 1132 / 52 | $7.146,23 | 1130 / 58 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 17 | $14.696,80 | 142 / 5 | $6.958,95 | 601 / 32 | $5.365,70 | 598 / 29 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 16 | $17.908,70 | 113 / 7 | $8.690,25 | 529 / 20 | $7.587,12 | 527 / 22 |
| Red Blood Cell Disorders W/O Mcc | 43 | 100 / 19 | $12.480,00 | 241 / 5 | $5.485,91 | 800 / 34 | $4.297,65 | 795 / 36 |
| Renal Failure W Cc | 133 | 89 / 11 | $13.501,00 | 339 / 18 | $6.841,79 | 1276 / 62 | $5.471,66 | 1268 / 58 |
| Renal Failure W Mcc | 73 | 122 / 19 | $20.908,00 | 264 / 21 | $11.039,00 | 1336 / 64 | $9.754,34 | 1336 / 63 |
| Renal Failure W/O Cc/Mcc | 20 | 36 / 10 | $7.248,40 | 36 / 1 | $4.399,15 | 226 / 8 | $2.977,45 | 225 / 5 |
| Respiratory Infections & Inflammations W Cc | 25 | 63 / 15 | $15.255,40 | 109 / 5 | $9.544,16 | 933 / 41 | $8.412,04 | 928 / 43 |
| Respiratory Infections & Inflammations W Mcc | 79 | 57 / 9 | $20.386,30 | 114 / 11 | $13.743,80 | 1079 / 55 | $11.973,10 | 1065 / 55 |
| Respiratory Neoplasms W Cc | 19 | 28 / 7 | $14.902,40 | 27 / 2 | $7.964,32 | 230 / 5 | $6.980,11 | 229 / 7 |
| Respiratory Neoplasms W Mcc | 22 | 30 / 9 | $21.781,40 | 45 / 1 | $12.223,70 | 259 / 15 | $9.873,95 | 259 / 14 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 22 | $32.771,90 | 164 / 10 | $15.625,20 | 1020 / 47 | $14.203,20 | 1010 / 50 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 31 | 40 / 10 | $60.556,60 | 51 / 2 | $36.966,30 | 619 / 24 | $35.112,10 | 618 / 26 |
| Seizures W/O Mcc | 18 | 90 / 17 | $11.405,10 | 118 / 2 | $5.185,78 | 524 / 12 | $4.093,28 | 521 / 18 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 39 | 53 / 8 | $83.036,20 | 104 / 5 | $44.015,00 | 708 / 26 | $41.177,60 | 707 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 292 | 226 / 18 | $20.378,60 | 277 / 10 | $12.752,40 | 1627 / 66 | $11.277,50 | 1595 / 68 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 88 | 119 / 15 | $14.003,50 | 277 / 8 | $7.460,58 | 1371 / 57 | $6.085,38 | 1366 / 62 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 19 | $11.444,20 | 158 / 3 | $4.803,46 | 514 / 14 | $3.695,31 | 513 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 53 | 150 / 28 | $11.597,70 | 219 / 4 | $6.835,96 | 1423 / 58 | $5.441,66 | 1417 / 61 |
| Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 39 | $16.309,50 | 184 / 9 | $10.009,60 | 1541 / 62 | $8.774,27 | 1541 / 63 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 19 | $9.057,16 | 149 / 5 | $4.829,95 | 758 / 26 | $3.460,21 | 754 / 32 |
| Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 30 | $84.195,20 | 572 / 15 | $29.484,50 | 1099 / 31 | $28.044,50 | 1094 / 35 |
| Syncope & Collapse | 36 | 133 / 20 | $12.801,20 | 252 / 4 | $5.058,92 | 756 / 29 | $3.805,69 | 753 / 29 |
| Transient Ischemia | 34 | 91 / 14 | $13.371,80 | 202 / 7 | $4.784,94 | 625 / 25 | $3.498,82 | 621 / 26 | Total 97 procedures | 3.532 | 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.