Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in North Carolina
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| Rex Hospital | Raleigh | 19 | $13,167.90 | $3,944.84 | $2,582.05 |
| Frye Regional Medical Center | Hickory | 43 | $22,148.00 | $4,155.37 | $3,030.79 |
| Haywood Regional Medical Center | Clyde | 22 | $11,563.10 | $4,219.82 | $2,897.82 |
| Margaret R Pardee Memorial Hospital | Hendersonville | 11 | $8,999.73 | $4,256.64 | $3,013.55 |
| Wakemed, Cary Hospital | Cary | 16 | $16,872.90 | $4,305.62 | $3,066.88 |
| Martin General Hospital | Williamston | 16 | $23,861.40 | $4,403.31 | $3,341.31 |
| Novant Health Brunswick Medical Center | Supply | 32 | $14,450.80 | $4,415.59 | $3,087.28 |
| Rutherford Regional Medical Center | Rutherfordton | 23 | $10,058.20 | $4,420.57 | $3,322.87 |
| Sandhills Regional Medical Center | Hamlet | 18 | $26,572.90 | $4,426.17 | $3,117.78 |
| Blue Ridge Regional Hospital, Inc | Spruce Pine | 12 | $7,989.58 | $4,496.50 | $3,133.67 |
| Morehead Memorial Hospital | Eden | 19 | $9,044.42 | $4,515.89 | $3,000.05 |
| Novant Health Rowan Medical Center | Salisbury | 25 | $16,741.30 | $4,541.32 | $3,375.60 |
| High Point Regional Hospital | High Point | 21 | $12,695.40 | $4,565.57 | $3,266.76 |
| Central Carolina Hospital | Sanford | 34 | $18,430.60 | $4,566.79 | $3,126.24 |
| Harris Regional Hospital | Sylva | 12 | $10,572.50 | $4,576.50 | $3,203.50 |
| Carolinas Healthcare System Cleveland | Shelby | 24 | $14,351.60 | $4,588.00 | $3,301.25 |
| Person Memorial Hospital | Roxboro | 11 | $14,520.40 | $4,604.00 | $3,612.00 |
| Halifax Regional Medical Center Inc | Roanoke Rapids | 31 | $10,469.80 | $4,631.94 | $3,042.71 |
| Iredell Memorial Hospital Inc | Statesville | 23 | $15,684.50 | $4,679.26 | $2,831.61 |
| Lenoir Memorial Hospital | Kinston | 20 | $9,122.40 | $4,697.20 | $3,336.55 |
| Caldwell Memorial Hospital Lenoir | Lenoir | 16 | $12,551.20 | $4,699.44 | $3,123.81 |
| Firsthealth Moore Regional Hospital | Pinehurst | 66 | $13,627.50 | $4,715.91 | $3,253.88 |
| Duke Health Raleigh Hospital | Raleigh | 15 | $17,887.80 | $4,745.20 | $2,581.93 |
| Hugh Chatham Memorial Hospital | Elkin | 26 | $14,743.00 | $4,791.62 | $3,396.65 |
| Wilson Medical Center | Wilson | 14 | $15,467.60 | $4,803.36 | $3,093.71 |
| Wayne Memorial Hospital Raleigh | Goldsboro | 19 | $9,057.16 | $4,829.95 | $3,460.21 |
| Memorial Mission Hospital And Asheville Surgery Ce | Asheville | 21 | $12,160.40 | $4,869.86 | $3,519.00 |
| Carolina East Medical Center | New Bern | 14 | $12,908.20 | $4,882.57 | $3,821.29 |
| Carteret General Hospital | Morehead City | 21 | $9,434.90 | $4,886.05 | $3,840.71 |
| Granville Health Systems | Oxford | 13 | $11,100.00 | $4,888.46 | $3,428.77 |
| Maria Parham Medical Center | Henderson | 25 | $12,506.80 | $4,906.64 | $3,547.24 |
| Betsy Johnson Regional Hospital | Dunn | 40 | $16,423.30 | $4,910.10 | $3,654.88 |
| Caromont Regional Medical Center | Gastonia | 26 | $12,749.40 | $4,919.69 | $3,343.77 |
| Sampson Regional Medical Center | Clinton | 11 | $8,355.36 | $4,932.55 | $3,574.18 |
| Catawba Valley Medical Center | Hickory | 15 | $13,886.70 | $4,984.20 | $3,692.47 |
| Nash General Hospital | Rocky Mount | 34 | $15,720.90 | $5,000.41 | $3,872.32 |
| Duke Regional Hospital | Durham | 28 | $14,406.20 | $5,024.71 | $3,655.75 |
| Onslow Memorial Hospital | Jacksonville | 12 | $18,421.80 | $5,083.42 | $3,700.42 |
| New Hanover Regional Medical Center | Wilmington | 48 | $11,282.20 | $5,083.60 | $3,671.69 |
| Johnston Health | Smithfield | 24 | $19,294.80 | $5,085.71 | $3,403.04 |
| Moses H Cone Memorial Hospital, The | Greensboro | 44 | $10,750.50 | $5,145.98 | $3,642.36 |
| Carolinas Medical Center-Northeast | Concord | 35 | $12,686.50 | $5,191.40 | $3,438.51 |
| Southeastern Regional Medical Center | Lumberton | 19 | $15,753.50 | $5,227.37 | $4,026.32 |
| Carolinas Healthcare System Lincoln | Lincolnton | 11 | $16,638.50 | $5,308.73 | $3,354.73 |
| Novant Health Forsyth Medical Center | Winston-Salem | 26 | $12,990.80 | $5,338.88 | $4,227.27 |
| Carolinas Medical Center-Pineville | Charlotte | 29 | $18,075.80 | $5,358.76 | $2,834.86 |
| Carolinas Medical Center-Union | Monroe | 14 | $14,679.60 | $5,463.50 | $3,303.71 |
| Novant Health Presbyterian Medical Center | Charlotte | 12 | $15,422.70 | $5,730.08 | $4,414.50 |
| Wakemed, Raleigh Campus | Raleigh | 29 | $17,445.40 | $5,795.59 | $4,024.10 |
| Cmc-Blue Ridge | Morganton | 19 | $19,295.10 | $5,848.58 | $3,704.58 |
| Cape Fear Valley Medical Center | Fayetteville | 26 | $19,312.50 | $5,975.04 | $3,993.23 |
| Vidant Medical Center | Greenville | 29 | $15,390.20 | $6,769.31 | $4,486.31 |
| North Carolina Baptist Hospital | Winston-Salem | 20 | $9,260.65 | $7,766.35 | $4,951.05 |
| Carolinas Medical Center/Behav Health | Charlotte | 20 | $17,809.70 | $7,983.35 | $4,950.75 |
| Duke University Hospital | Durham | 14 | $18,577.40 | $8,131.36 | $5,848.29 | Total 55 hospitals | 1.267 |
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.