Hospital Costs > Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc > Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc - costs for treatment in North Carolina
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Rex Hospital | Raleigh | 15 | $110,350.00 | $28,467.20 | $15,128.50 |
| Firsthealth Moore Regional Hospital | Pinehurst | 56 | $47,008.80 | $21,018.20 | $17,446.40 |
| North Carolina Specialty Hospital | Durham | 11 | $46,703.50 | $19,499.30 | $18,258.50 |
| Carolina East Medical Center | New Bern | 24 | $83,890.80 | $29,072.70 | $18,922.50 |
| Memorial Mission Hospital And Asheville Surgery Ce | Asheville | 21 | $58,979.30 | $20,401.10 | $18,983.10 |
| Carolinas Medical Center-Pineville | Charlotte | 12 | $91,870.60 | $20,549.60 | $19,043.80 |
| Carolinas Medical Center/Behav Health | Charlotte | 13 | $79,257.20 | $26,861.70 | $21,060.20 |
| New Hanover Regional Medical Center | Wilmington | 52 | $70,496.20 | $24,544.60 | $23,018.90 | Total 8 hospitals | 204 |
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.