Hospital Costs > In North Carolina > Carolinas Healthcare System Cleveland, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 23 | $22.604,10 | 402 / 18 | $6.105,26 | 73 / 7 | $4.597,26 | 73 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 34 | 91 / 20 | $34.538,30 | 604 / 28 | $9.414,91 | 267 / 7 | $8.460,15 | 267 / 11 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 17 | 36 / 13 | $17.600,20 | 217 / 14 | $4.672,00 | 281 / 7 | $3.737,29 | 279 / 10 |
| Atherosclerosis W/O Mcc | 13 | 45 / 13 | $19.654,80 | 302 / 19 | $3.973,92 | / 5 | $2.848,85 | / |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 24 | $18.708,40 | 338 / 22 | $5.643,00 | 94 / 12 | $3.786,33 | 94 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 46 | 115 / 23 | $21.453,90 | 1160 / 58 | $5.101,02 | 526 / 24 | $3.836,33 | 524 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 46 | 77 / 17 | $28.418,40 | 877 / 50 | $7.357,07 | 329 / 17 | $6.087,37 | 328 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 22 | $17.834,10 | 1258 / 60 | $3.720,60 | 552 / 17 | $2.483,49 | 548 / 19 |
| Cellulitis W Mcc | 12 | 46 / 18 | $18.451,70 | 99 / 4 | $7.198,17 | 12 / 1 | $6.089,33 | 12 / 1 |
| Cellulitis W/O Mcc | 36 | 153 / 34 | $19.477,90 | 1427 / 63 | $5.672,75 | 566 / 39 | $3.942,72 | 563 / 21 |
| Chest Pain | 13 | 138 / 30 | $25.722,50 | 1240 / 47 | $4.831,85 | 142 / 37 | $2.439,00 | 141 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 36 | $20.567,20 | 1057 / 53 | $6.323,31 | 335 / 49 | $4.359,81 | 334 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 68 | 134 / 24 | $22.817,10 | 959 / 53 | $7.191,54 | 854 / 30 | $6.101,87 | 849 / 42 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 22 | $16.411,30 | 954 / 51 | $5.298,50 | 323 / 51 | $3.160,25 | 323 / 10 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 31 | $34.457,10 | 732 / 30 | $6.706,86 | 437 / 9 | $5.349,33 | 435 / 11 |
| Diabetes W Cc | 19 | 73 / 26 | $15.557,10 | 370 / 24 | $5.194,05 | 369 / 18 | $4.113,00 | 369 / 19 |
| Diabetes W Mcc | 13 | 44 / 19 | $31.944,90 | 314 / 26 | $8.228,46 | 204 / 5 | $7.578,92 | 204 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 25 | $22.990,60 | 340 / 17 | $7.338,00 | 375 / 13 | $6.388,13 | 373 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 34 | $23.388,40 | 1754 / 72 | $5.032,11 | 809 / 39 | $3.637,35 | 804 / 31 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 21 | $36.532,80 | 581 / 22 | $7.001,81 | 250 / 12 | $5.090,06 | 250 / 5 |
| G.I. Hemorrhage W Cc | 59 | 159 / 30 | $25.242,30 | 1215 / 59 | $6.543,80 | 435 / 45 | $4.847,92 | 434 / 17 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 19 | $46.152,30 | 902 / 48 | $11.198,00 | 660 / 30 | $10.092,90 | 661 / 34 |
| G.I. Obstruction W Cc | 23 | 69 / 20 | $27.236,30 | 1098 / 51 | $5.763,39 | 559 / 14 | $4.538,26 | 558 / 18 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 15 | $19.479,70 | 794 / 33 | $4.126,75 | 536 / 12 | $3.007,62 | 535 / 23 |
| Heart Failure & Shock W Cc | 70 | 208 / 31 | $26.526,70 | 1779 / 75 | $6.343,13 | 1072 / 39 | $5.350,39 | 1070 / 46 |
| Heart Failure & Shock W Mcc | 155 | 129 / 20 | $28.125,70 | 982 / 58 | $8.873,42 | 630 / 26 | $7.855,21 | 630 / 30 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 23 | $17.378,70 | 1095 / 51 | $4.413,54 | 462 / 21 | $3.277,15 | 460 / 19 |
| Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 17 | $50.963,20 | 1077 / 54 | $11.784,30 | 390 / 33 | $9.902,88 | 389 / 21 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 16 | $71.188,90 | 431 / 23 | $17.734,40 | 307 / 10 | $16.598,10 | 304 / 13 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 12 | $41.215,10 | 435 / 21 | $9.800,14 | 260 / 10 | $8.356,43 | 259 / 11 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 9 | $48.713,30 | 107 / 9 | $14.710,30 | 110 / 3 | $13.440,60 | 110 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 20 | $106.935,00 | 568 / 37 | $29.909,00 | 354 / 16 | $28.385,70 | 354 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 30 | $27.626,20 | 966 / 55 | $6.709,40 | 630 / 31 | $5.359,55 | 629 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 28 | $29.108,20 | 313 / 26 | $11.226,20 | 265 / 35 | $8.676,76 | 264 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 22 | $20.391,90 | 606 / 36 | $4.736,00 | 370 / 11 | $3.455,81 | 367 / 18 |
| Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 34 | $22.891,20 | 785 / 53 | $6.896,26 | 511 / 27 | $5.718,78 | 510 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 39 | $18.893,10 | 1448 / 64 | $4.898,97 | 577 / 22 | $3.676,86 | 575 / 19 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 12 | $49.751,10 | 458 / 27 | $10.548,20 | 151 / 12 | $8.085,39 | 151 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 10 | $77.695,10 | 281 / 13 | $14.634,10 | 108 / 2 | $13.276,50 | 108 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 12 | $47.869,50 | 400 / 21 | $7.504,08 | 192 / 6 | $6.105,62 | 192 / 10 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 18 | $91.736,30 | 507 / 15 | $20.290,30 | 367 / 5 | $19.071,90 | 367 / 9 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 13 | $23.230,10 | 65 / 4 | $11.338,80 | 155 / 6 | $10.258,40 | 155 / 9 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 23 | 73 / 13 | $62.240,00 | 503 / 16 | $13.836,60 | 232 / 12 | $11.277,90 | 230 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 142 | 422 / 35 | $59.374,20 | 1669 / 60 | $13.706,40 | 584 / 55 | $10.450,80 | 578 / 25 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 25 | $66.266,50 | 781 / 38 | $15.597,20 | 311 / 15 | $12.922,30 | 309 / 15 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 21 | $140.341,00 | 738 / 32 | $34.582,80 | 735 / 25 | $32.761,80 | 733 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 20 | $30.449,20 | 980 / 50 | $8.034,78 | 909 / 46 | $6.809,72 | 906 / 45 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 33 | $17.313,10 | 1246 / 57 | $4.540,25 | 456 / 25 | $3.281,04 | 456 / 21 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 18 | $32.500,70 | 275 / 13 | $10.787,90 | 310 / 8 | $10.023,50 | 309 / 9 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 22 | $31.288,40 | 906 / 38 | $6.164,11 | 339 / 7 | $4.929,11 | 336 / 10 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 22 | $29.486,50 | 370 / 24 | $8.774,86 | 200 / 7 | $7.991,52 | 200 / 15 |
| Other Vascular Procedures W Mcc | 11 | 86 / 19 | $62.826,30 | 184 / 10 | $18.339,60 | 143 / 3 | $17.413,10 | 143 / 6 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 18 | $28.188,80 | 752 / 29 | $6.160,92 | 477 / 7 | $5.267,75 | 475 / 13 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 21 | $65.303,40 | 417 / 17 | $15.608,50 | 228 / 7 | $14.217,00 | 227 / 4 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 24 | 48 / 12 | $26.282,40 | 255 / 22 | $8.236,79 | 185 / 6 | $7.194,96 | 184 / 8 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 11 | $16.689,60 | 379 / 23 | $4.130,29 | 101 / 5 | $2.906,18 | 101 / 6 |
| Pulmonary Edema & Respiratory Failure | 112 | 91 / 14 | $22.189,30 | 550 / 35 | $7.770,10 | 509 / 32 | $6.340,70 | 509 / 30 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 22 | $25.673,40 | 676 / 40 | $7.231,00 | 258 / 36 | $4.720,14 | 258 / 11 |
| Red Blood Cell Disorders W/O Mcc | 32 | 111 / 22 | $24.600,60 | 1225 / 59 | $5.151,47 | 767 / 20 | $4.261,16 | 762 / 33 |
| Renal Failure W Cc | 66 | 155 / 31 | $22.726,40 | 1253 / 67 | $5.972,12 | 692 / 22 | $4.909,76 | 685 / 32 |
| Renal Failure W Mcc | 74 | 121 / 18 | $30.335,40 | 783 / 55 | $9.179,58 | 512 / 27 | $8.081,20 | 512 / 32 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 19 | $25.615,60 | 499 / 36 | $8.384,80 | 484 / 19 | $7.312,60 | 481 / 27 |
| Respiratory Infections & Inflammations W Mcc | 83 | 54 / 8 | $29.256,00 | 364 / 29 | $11.104,30 | 284 / 16 | $9.979,87 | 284 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 54 | 77 / 12 | $49.112,60 | 591 / 37 | $14.135,90 | 469 / 34 | $12.362,30 | 463 / 29 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 14 | $97.900,90 | 170 / 7 | $33.261,70 | 114 / 6 | $30.315,70 | 114 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 267 | 251 / 20 | $33.778,20 | 988 / 52 | $10.917,80 | 585 / 30 | $9.643,22 | 584 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 77 | 130 / 19 | $21.286,50 | 900 / 45 | $6.626,49 | 643 / 30 | $5.348,49 | 641 / 31 |
| Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 35 | $26.936,90 | 1764 / 71 | $6.458,88 | 819 / 44 | $4.925,81 | 816 / 35 |
| Simple Pneumonia & Pleurisy W Mcc | 94 | 111 / 17 | $27.784,70 | 892 / 49 | $8.737,32 | 726 / 26 | $7.590,89 | 726 / 36 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 14 | $14.351,60 | 654 / 27 | $4.588,00 | 582 / 16 | $3.301,25 | 580 / 20 |
| Transient Ischemia | 21 | 104 / 20 | $19.549,00 | 629 / 35 | $4.499,90 | 728 / 16 | $3.626,00 | 724 / 32 | Total 71 procedures | 2.672 | discharges |
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.