Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc - costs for treatment in North Carolina

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Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc - costs for treatment in North Carolina


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Caromont Regional Medical CenterGastonia15$141,662.00$42,830.90$41,286.10
North Carolina Baptist HospitalWinston-Salem56$143,808.00$63,501.60$57,714.30
University Of North Carolina HospitalChapel Hill19$145,909.00$69,695.70$62,343.10
Firsthealth Moore Regional HospitalPinehurst12$149,775.00$43,611.60$42,154.20
Moses H Cone Memorial Hospital, TheGreensboro23$155,980.00$54,940.60$52,856.10
Memorial Mission Hospital And Asheville Surgery CeAsheville37$165,943.00$48,127.60$46,515.20
New Hanover Regional Medical CenterWilmington30$170,177.00$55,239.30$53,505.00
Vidant Medical CenterGreenville114$180,172.00$61,802.20$48,376.70
Carolinas Medical Center-PinevilleCharlotte14$189,330.00$46,696.10$45,028.30
Wakemed, Raleigh CampusRaleigh43$194,429.00$50,738.50$47,323.00
Rex HospitalRaleigh22$195,648.00$51,681.50$45,511.20
Carolinas Medical Center-NortheastConcord13$198,918.00$55,780.90$53,191.10
Carolinas Medical Center/Behav HealthCharlotte75$215,794.00$58,520.70$50,057.20
Duke University HospitalDurham69$237,487.00$74,410.30$67,050.30
Novant Health Presbyterian Medical CenterCharlotte38$253,121.00$58,916.70$57,253.70
Total 15 hospitals580

DATA

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.





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