Hospital Costs > In North Carolina > Wilson Medical Center, 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 | 294 | 224 / 17 | $39.669,80 | 1304 / 61 | $11.185,20 | 603 / 38 | $9.673,64 | 602 / 32 |
Heart Failure & Shock W Mcc | 162 | 122 / 19 | $30.334,40 | 1103 / 62 | $9.180,08 | 728 / 43 | $7.967,84 | 728 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 110 | 97 / 10 | $24.894,40 | 1245 / 61 | $6.728,81 | 654 / 35 | $5.360,28 | 652 / 32 |
Simple Pneumonia & Pleurisy W Mcc | 108 | 97 / 13 | $37.155,80 | 1458 / 68 | $9.140,58 | 882 / 43 | $7.743,55 | 882 / 47 |
Chronic Obstructive Pulmonary Disease W Mcc | 100 | 102 / 14 | $26.983,40 | 1270 / 68 | $7.331,30 | 759 / 39 | $6.014,80 | 754 / 34 |
Heart Failure & Shock W Cc | 97 | 181 / 25 | $23.270,00 | 1516 / 67 | $6.228,39 | 704 / 35 | $5.067,23 | 703 / 32 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 96 | 179 / 21 | $20.986,40 | 1502 / 61 | $5.003,86 | 691 / 37 | $3.563,04 | 687 / 25 |
Pulmonary Edema & Respiratory Failure | 72 | 131 / 25 | $32.608,80 | 1182 / 66 | $7.740,51 | 462 / 31 | $6.302,56 | 462 / 26 |
Renal Failure W Cc | 63 | 158 / 33 | $25.781,00 | 1476 / 74 | $6.263,52 | 783 / 42 | $4.987,78 | 776 / 39 |
Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 24 | $26.150,80 | 1713 / 69 | $6.305,34 | 999 / 35 | $5.075,16 | 996 / 44 |
Kidney & Urinary Tract Infections W Mcc | 60 | 84 / 12 | $24.109,20 | 869 / 57 | $6.942,88 | 469 / 32 | $5.666,42 | 468 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 57 | 104 / 17 | $20.993,20 | 1128 / 57 | $5.190,91 | 719 / 30 | $4.030,61 | 716 / 33 |
Renal Failure W Mcc | 56 | 139 / 25 | $33.121,40 | 952 / 61 | $9.365,66 | 481 / 33 | $8.035,07 | 481 / 31 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 55 | 70 / 13 | $36.154,50 | 664 / 35 | $10.086,10 | 441 / 19 | $8.866,00 | 441 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 54 | 128 / 24 | $31.846,50 | 1238 / 69 | $7.199,65 | 875 / 51 | $5.661,11 | 873 / 47 |
Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 29 | $21.774,30 | 1746 / 73 | $5.072,15 | 837 / 37 | $3.847,41 | 832 / 35 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 54 | 112 / 19 | $17.632,70 | 1284 / 59 | $4.652,70 | 777 / 32 | $3.505,48 | 774 / 33 |
G.I. Hemorrhage W Cc | 54 | 164 / 33 | $24.263,90 | 1145 / 57 | $6.328,22 | 493 / 35 | $4.901,94 | 492 / 21 |
Cellulitis W/O Mcc | 48 | 141 / 25 | $16.755,40 | 1090 / 47 | $5.364,69 | 788 / 23 | $4.116,83 | 783 / 31 |
Chest Pain | 46 | 105 / 13 | $20.286,00 | 940 / 40 | $4.119,35 | 412 / 16 | $2.841,93 | 410 / 14 |
Diabetes W Cc | 46 | 46 / 10 | $24.663,90 | 981 / 57 | $5.473,02 | 265 / 28 | $3.946,17 | 265 / 11 |
Respiratory Infections & Inflammations W Mcc | 45 | 91 / 21 | $38.761,30 | 736 / 54 | $11.486,90 | 407 / 24 | $10.269,70 | 406 / 28 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 41 | 90 / 16 | $54.036,50 | 742 / 45 | $13.303,70 | 343 / 20 | $11.996,50 | 339 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 40 | 86 / 15 | $22.589,20 | 568 / 38 | $6.877,65 | 272 / 20 | $5.644,70 | 269 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 22 | $29.522,10 | 931 / 55 | $7.999,15 | 797 / 35 | $6.809,33 | 794 / 42 |
Syncope & Collapse | 38 | 131 / 19 | $23.641,20 | 1142 / 47 | $4.822,61 | 407 / 20 | $3.457,39 | 405 / 11 |
Red Blood Cell Disorders W/O Mcc | 35 | 108 / 21 | $21.719,60 | 1049 / 51 | $5.303,83 | 334 / 25 | $3.799,20 | 333 / 11 |
Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 35 | $19.104,40 | 913 / 44 | $5.976,68 | 787 / 31 | $4.787,56 | 785 / 39 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 22 | $37.280,30 | 597 / 44 | $10.432,30 | 379 / 28 | $9.034,91 | 378 / 31 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 29 | 535 / 63 | $57.926,60 | 1621 / 57 | $13.179,70 | 1240 / 39 | $11.468,30 | 1209 / 55 |
Acute Myocardial Infarction, Discharged Alive W Cc | 29 | 62 / 17 | $24.818,30 | 511 / 25 | $6.260,93 | 351 / 8 | $5.219,07 | 350 / 12 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 19 | $77.702,10 | 232 / 14 | $28.098,80 | 165 / 9 | $26.425,20 | 165 / 12 |
Bronchitis & Asthma W Cc/Mcc | 27 | 49 / 11 | $22.140,30 | 467 / 30 | $5.555,63 | 266 / 10 | $4.255,15 | 263 / 11 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 29 | $33.192,70 | 663 / 27 | $6.776,54 | 429 / 10 | $5.342,00 | 427 / 9 |
Diabetes W Mcc | 24 | 33 / 11 | $35.812,50 | 393 / 29 | $8.901,50 | 180 / 14 | $7.457,38 | 180 / 11 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 32 | $14.814,70 | 968 / 50 | $3.791,09 | 990 / 22 | $2.813,43 | 985 / 45 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 34 | $42.813,00 | 756 / 36 | $11.586,40 | 493 / 29 | $10.060,40 | 492 / 28 |
G.I. Hemorrhage W Mcc | 21 | 100 / 23 | $41.215,00 | 740 / 40 | $10.579,20 | 339 / 21 | $9.251,86 | 339 / 20 |
Transient Ischemia | 20 | 105 / 21 | $19.531,30 | 627 / 34 | $4.581,20 | 493 / 17 | $3.371,45 | 491 / 20 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 16 | $28.786,00 | 614 / 34 | $7.499,55 | 297 / 15 | $6.130,90 | 296 / 14 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 31 | $18.588,90 | 1196 / 55 | $4.596,47 | 458 / 30 | $3.274,94 | 456 / 18 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 12 | $18.721,90 | 498 / 26 | $4.665,41 | 278 / 8 | $3.324,82 | 276 / 12 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 31 | $14.153,70 | 682 / 37 | $4.671,18 | 629 / 21 | $3.426,06 | 628 / 23 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 16 | 180 / 24 | $64.861,90 | 563 / 19 | $12.297,60 | 604 / 6 | $10.957,20 | 600 / 14 |
Signs & Symptoms W/O Mcc | 16 | 75 / 16 | $22.777,90 | 808 / 29 | $4.793,62 | 509 / 13 | $3.685,38 | 508 / 19 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 16 | $17.244,60 | 683 / 29 | $4.197,00 | 351 / 14 | $2.769,73 | 351 / 12 |
Seizures W/O Mcc | 15 | 93 / 20 | $24.440,70 | 752 / 29 | $5.056,40 | 261 / 8 | $3.674,20 | 260 / 7 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 23 | $15.467,60 | 784 / 35 | $4.803,36 | 354 / 25 | $3.093,71 | 352 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 26 | $26.227,90 | 490 / 26 | $7.381,57 | 227 / 14 | $6.064,43 | 226 / 10 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 22 | $44.823,00 | 623 / 31 | $12.057,50 | 540 / 16 | $10.894,00 | 538 / 20 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 18 | $48.297,10 | 804 / 33 | $8.135,71 | 173 / 14 | $6.414,71 | 173 / 6 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 22 | $24.043,60 | 607 / 33 | $6.389,64 | 395 / 17 | $4.982,29 | 395 / 17 |
Seizures W Mcc | 13 | 53 / 17 | $37.919,50 | 324 / 15 | $9.153,23 | 145 / 4 | $8.031,69 | 145 / 3 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 20 | $99.131,80 | 247 / 17 | $30.594,60 | 285 / 9 | $29.004,50 | 285 / 14 |
Medical Back Problems W/O Mcc | 13 | 108 / 25 | $26.713,80 | 905 / 29 | $5.674,15 | 210 / 13 | $3.777,69 | 210 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 29 | $21.072,20 | 653 / 41 | $4.875,92 | 513 / 19 | $3.649,00 | 509 / 24 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 17 | $22.858,10 | 534 / 20 | $6.053,69 | 268 / 5 | $4.782,31 | 267 / 6 |
Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 11 | $25.637,30 | 235 / 12 | $5.908,08 | 92 / 1 | $4.812,54 | 92 / 4 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 27 | $41.087,20 | 985 / 53 | $9.637,17 | 897 / 42 | $8.301,75 | 892 / 40 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 16 | $50.007,30 | 424 / 29 | $13.353,00 | 322 / 22 | $11.416,40 | 321 / 21 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 31 | $41.083,40 | 645 / 39 | $9.309,55 | 218 / 14 | $8.067,09 | 218 / 18 |
Hypertension W/O Mcc | 11 | 54 / 15 | $25.110,80 | 545 / 25 | $4.360,09 | 259 / 6 | $3.054,00 | 257 / 8 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 27 | $28.900,40 | 830 / 34 | $6.358,27 | 401 / 13 | $5.045,64 | 398 / 14 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 12 | $19.086,90 | 349 / 15 | $5.053,64 | 282 / 4 | $3.844,00 | 282 / 8 | Total 64 procedures | 2.652 | 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.