Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc - costs for treatment in North Carolina

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Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc - costs for treatment in North Carolina


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Novant Health Forsyth Medical CenterWinston-Salem11$36,530.60$8,764.09$7,408.45
Cape Fear Valley Medical CenterFayetteville11$35,807.30$8,079.36$6,872.27
Duke University HospitalDurham28$38,103.10$12,422.70$8,454.46
Vidant Medical CenterGreenville16$22,847.20$9,331.81$7,478.94
North Carolina Baptist HospitalWinston-Salem16$32,095.90$12,486.60$8,451.56
University Of North Carolina HospitalChapel Hill12$22,291.10$11,992.10$9,539.25
Carolinas Medical Center-PinevilleCharlotte28$20,679.80$6,861.82$5,593.79
Carolinas Medical Center/Behav HealthCharlotte27$29,346.70$10,978.30$7,991.67
Rex HospitalRaleigh12$41,480.60$9,177.67$8,088.08
Firsthealth Moore Regional HospitalPinehurst16$25,157.70$6,505.19$5,240.94
New Hanover Regional Medical CenterWilmington16$27,203.20$8,225.62$6,602.75
Total 11 hospitals193

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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