Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc - costs for treatment in North Carolina

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Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc - costs for treatment in North Carolina


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Memorial Mission Hospital And Asheville Surgery CeAsheville22$30,753.50$8,764.82$7,494.27
Novant Health Forsyth Medical CenterWinston-Salem11$38,811.70$9,724.36$8,472.73
Duke University HospitalDurham34$50,778.40$14,289.70$10,647.40
Vidant Medical CenterGreenville24$47,279.80$11,670.90$9,405.12
North Carolina Baptist HospitalWinston-Salem12$34,940.90$14,177.00$8,821.83
University Of North Carolina HospitalChapel Hill20$32,640.60$15,047.80$11,566.70
Carolinas Medical Center/Behav HealthCharlotte20$60,334.10$13,907.50$10,083.20
Rex HospitalRaleigh24$31,159.90$8,710.50$6,413.67
Firsthealth Moore Regional HospitalPinehurst13$22,857.10$8,818.46$7,629.38
New Hanover Regional Medical CenterWilmington14$31,912.70$10,310.10$8,440.79
Novant Health Park HospitalWinston-Salem12$31,014.80$8,907.33$5,853.50
Total 11 hospitals206

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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