Hospital Costs > In North Carolina > Carolinas Medical Center-Union, 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 | 16 | 75 / 28 | $21.075,10 | 332 / 14 | $6.369,31 | 403 / 10 | $5.318,25 | 402 / 15 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 21 | $28.069,70 | 369 / 20 | $10.048,40 | 221 / 16 | $8.365,03 | 221 / 8 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 18 | $13.170,00 | 95 / 8 | $5.029,92 | 569 / 12 | $4.551,00 | 565 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 43 | 118 / 26 | $14.513,90 | 469 / 28 | $5.498,42 | 882 / 45 | $4.185,05 | 879 / 41 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 48 | 75 / 15 | $19.283,10 | 299 / 16 | $7.835,83 | 777 / 31 | $6.770,65 | 774 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 24 | $14.185,80 | 888 / 46 | $4.166,81 | 1058 / 43 | $2.866,75 | 1053 / 49 |
| Cellulitis W/O Mcc | 56 | 133 / 20 | $11.035,80 | 362 / 10 | $5.765,32 | 947 / 46 | $4.236,82 | 941 / 42 |
| Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 33 | $13.756,20 | 388 / 19 | $6.200,97 | 1151 / 40 | $5.100,16 | 1147 / 51 |
| Chronic Obstructive Pulmonary Disease W Mcc | 123 | 79 / 9 | $16.098,30 | 399 / 17 | $7.738,71 | 1064 / 56 | $6.301,76 | 1059 / 56 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 32 | $12.627,90 | 508 / 23 | $5.033,06 | 974 / 42 | $3.712,50 | 965 / 43 |
| Diabetes W Cc | 27 | 65 / 19 | $14.342,00 | 291 / 15 | $5.562,15 | 629 / 33 | $4.424,70 | 628 / 32 |
| Diabetes W Mcc | 12 | 45 / 20 | $17.988,90 | 58 / 2 | $8.577,42 | 14 / 10 | $6.093,25 | 14 / 2 |
| Diabetes W/O Cc/Mcc | 11 | 27 / 9 | $11.489,80 | 65 / 7 | $4.430,82 | 37 / 8 | $2.679,82 | 37 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 24 | $21.221,10 | 258 / 13 | $7.818,94 | 567 / 22 | $6.773,47 | 562 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 47 | $17.677,60 | 1082 / 49 | $5.230,21 | 1337 / 53 | $4.001,79 | 1326 / 57 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 14 | $13.356,40 | 216 / 12 | $4.995,23 | 399 / 17 | $3.697,46 | 400 / 17 |
| G.I. Hemorrhage W Cc | 53 | 165 / 34 | $18.570,40 | 617 / 35 | $6.721,60 | 1062 / 53 | $5.424,64 | 1060 / 51 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 26 | $26.942,80 | 225 / 13 | $10.613,30 | 402 / 22 | $9.403,00 | 402 / 22 |
| G.I. Obstruction W Cc | 21 | 71 / 22 | $17.097,80 | 437 / 14 | $6.165,05 | 866 / 29 | $4.904,52 | 864 / 35 |
| G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 11 | $12.479,90 | 322 / 14 | $4.638,00 | 449 / 27 | $2.896,33 | 448 / 16 |
| Heart Failure & Shock W Cc | 103 | 175 / 23 | $16.126,80 | 700 / 36 | $6.815,50 | 1251 / 58 | $5.498,59 | 1247 / 53 |
| Heart Failure & Shock W Mcc | 166 | 118 / 18 | $21.009,60 | 480 / 31 | $9.470,74 | 1091 / 54 | $8.420,78 | 1088 / 57 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 24 | $11.631,80 | 425 / 20 | $4.771,20 | 969 / 38 | $3.703,44 | 961 / 43 |
| Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 26 | $46.095,70 | 885 / 43 | $12.736,40 | 762 / 52 | $10.549,00 | 755 / 45 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 23 | $77.903,80 | 235 / 15 | $31.373,80 | 549 / 20 | $29.946,30 | 545 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 54 | 128 / 24 | $27.223,40 | 948 / 54 | $7.195,74 | 971 / 49 | $5.794,33 | 968 / 53 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 18 | $36.649,90 | 569 / 42 | $11.087,20 | 684 / 34 | $9.838,69 | 683 / 41 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 21 | $19.167,90 | 517 / 32 | $5.532,64 | 638 / 43 | $3.784,82 | 634 / 32 |
| Kidney & Urinary Tract Infections W Mcc | 52 | 92 / 14 | $15.292,90 | 272 / 21 | $7.286,08 | 833 / 46 | $6.137,35 | 832 / 48 |
| Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 32 | $15.168,80 | 964 / 43 | $5.396,89 | 1270 / 53 | $4.143,02 | 1261 / 54 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 16 | $49.585,00 | 452 / 26 | $10.651,70 | 431 / 14 | $9.187,77 | 431 / 22 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 13 | $43.435,40 | 353 / 19 | $8.115,25 | 234 / 10 | $6.310,50 | 234 / 13 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 22 | $66.031,40 | 544 / 19 | $13.662,40 | 436 / 9 | $12.402,40 | 433 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 16 | $60.604,20 | 269 / 14 | $19.792,40 | 372 / 14 | $18.186,10 | 370 / 19 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 126 | 438 / 37 | $56.014,10 | 1547 / 52 | $13.371,60 | 1448 / 43 | $11.919,50 | 1415 / 65 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 16 | $68.285,20 | 822 / 40 | $16.440,70 | 794 / 25 | $14.725,00 | 786 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 26 | $18.106,30 | 310 / 20 | $7.093,23 | 576 / 24 | $6.146,09 | 573 / 30 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 40 | 126 / 24 | $13.754,90 | 796 / 36 | $4.935,75 | 1207 / 46 | $3.815,52 | 1203 / 49 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 21 | $22.590,30 | 82 / 5 | $11.728,80 | 414 / 14 | $10.432,30 | 413 / 14 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 22 | $19.736,40 | 393 / 18 | $6.891,11 | 417 / 24 | $5.061,56 | 414 / 15 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 16 | $26.568,50 | 114 / 7 | $11.663,10 | 107 / 14 | $8.869,67 | 107 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 26 | 75 / 18 | $20.623,10 | 133 / 9 | $9.765,38 | 399 / 20 | $8.735,73 | 398 / 26 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 17 | $28.346,80 | 314 / 27 | $9.280,76 | 414 / 19 | $8.201,41 | 413 / 23 |
| Pulmonary Edema & Respiratory Failure | 46 | 157 / 40 | $19.634,00 | 387 / 27 | $8.559,48 | 562 / 58 | $6.409,11 | 562 / 35 |
| Pulmonary Embolism W Mcc | 11 | 32 / 17 | $21.164,10 | 55 / 3 | $9.146,55 | 159 / 3 | $8.047,91 | 159 / 8 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 22 | $18.030,10 | 292 / 20 | $6.639,29 | 734 / 25 | $5.638,71 | 731 / 36 |
| Red Blood Cell Disorders W Mcc | 16 | 55 / 16 | $28.876,80 | 425 / 25 | $9.356,81 | 605 / 30 | $7.807,69 | 602 / 26 |
| Red Blood Cell Disorders W/O Mcc | 24 | 119 / 27 | $13.995,60 | 354 / 12 | $5.601,33 | 760 / 40 | $4.253,46 | 755 / 32 |
| Renal Failure W Cc | 73 | 148 / 28 | $14.707,10 | 438 / 27 | $6.417,30 | 822 / 47 | $5.023,01 | 815 / 41 |
| Renal Failure W Mcc | 67 | 128 / 23 | $20.648,70 | 249 / 20 | $9.705,76 | 569 / 44 | $8.158,72 | 569 / 35 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 22 | $19.872,50 | 252 / 19 | $8.066,65 | 329 / 11 | $7.028,82 | 326 / 19 |
| Respiratory Infections & Inflammations W Mcc | 42 | 94 / 23 | $28.315,10 | 338 / 26 | $11.559,60 | 413 / 25 | $10.293,80 | 412 / 29 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 18 | $31.569,40 | 128 / 8 | $10.912,00 | 208 / 9 | $9.580,00 | 208 / 11 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 21 | $36.439,80 | 240 / 17 | $14.122,70 | 709 / 33 | $12.993,50 | 701 / 40 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 21 | $69.963,00 | 71 / 5 | $30.821,80 | 106 / 12 | $26.575,20 | 106 / 5 |
| Seizures W Mcc | 14 | 52 / 16 | $28.698,40 | 147 / 6 | $9.294,36 | 181 / 5 | $8.272,50 | 181 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 227 | 289 / 25 | $26.821,70 | 640 / 31 | $11.668,50 | 842 / 52 | $9.983,14 | 841 / 45 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 36 | $19.067,80 | 698 / 35 | $7.167,02 | 958 / 51 | $5.627,70 | 955 / 51 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 33 | $17.068,20 | 805 / 34 | $6.517,22 | 1200 / 46 | $5.225,58 | 1196 / 53 |
| Simple Pneumonia & Pleurisy W Mcc | 92 | 113 / 18 | $19.249,00 | 342 / 18 | $9.363,16 | 833 / 52 | $7.692,85 | 833 / 45 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 23 | $14.679,60 | 700 / 31 | $5.463,50 | 584 / 47 | $3.303,71 | 582 / 21 |
| Syncope & Collapse | 15 | 154 / 34 | $18.418,50 | 718 / 35 | $5.080,80 | 1026 / 31 | $4.091,13 | 1019 / 41 | Total 62 procedures | 2.377 | 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.