Major Chest Procedures W Cc - costs for treatment in North Carolina

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Major Chest Procedures W Cc - costs for treatment in North Carolina


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Carolina East Medical CenterNew Bern21$56,340.30$17,915.20$16,804.00
Carolinas Medical Center-NortheastConcord15$80,276.80$20,011.70$14,444.60
Carolinas Medical Center/Behav HealthCharlotte41$92,454.10$21,665.80$14,626.50
Caromont Regional Medical CenterGastonia18$65,741.10$16,433.10$12,371.70
Duke Health Raleigh HospitalRaleigh30$56,294.30$14,558.60$13,208.40
Duke University HospitalDurham96$65,339.90$23,078.90$19,441.30
Firsthealth Moore Regional HospitalPinehurst27$50,888.20$16,344.90$13,708.00
Lenoir Memorial HospitalKinston14$46,513.40$15,343.30$14,208.60
Memorial Mission Hospital And Asheville Surgery CeAsheville46$45,696.10$15,532.60$14,054.40
Moses H Cone Memorial Hospital, TheGreensboro23$47,181.10$16,576.40$15,012.60
New Hanover Regional Medical CenterWilmington27$56,470.80$18,496.10$16,935.40
North Carolina Baptist HospitalWinston-Salem57$68,018.20$22,683.20$18,326.50
Novant Health Forsyth Medical CenterWinston-Salem24$54,912.80$19,811.00$12,160.80
Novant Health Presbyterian Medical CenterCharlotte22$74,897.50$19,732.60$14,590.50
Rex HospitalRaleigh34$55,715.90$14,249.80$13,146.10
University Of North Carolina HospitalChapel Hill34$51,012.40$24,578.40$19,541.10
Vidant Medical CenterGreenville35$75,618.50$20,325.00$17,455.90
Total 17 hospitals564

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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