Hospital Costs > In North Carolina > Duke Regional Hospital, procedure costs

Duke Regional Hospital, procedure costs

3643 N Roxboro Road, Durham, NC 27704,

Procedure Costs @ Duke Regional Hospital
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc349226 / 13$52.477,401395 / 49$13.454,001268 / 45$11.525,301237 / 56
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc187329 / 32$34.035,801001 / 54$12.391,501379 / 64$10.783,601352 / 65
Kidney & Urinary Tract Infections W/O Mcc130103 / 7$16.883,501211 / 52$5.643,791450 / 64$4.301,501441 / 62
Heart Failure & Shock W Cc124154 / 17$21.562,001353 / 61$7.178,071458 / 70$5.720,801453 / 61
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc113162 / 16$18.019,501131 / 51$5.498,441576 / 67$4.196,371563 / 68
Heart Failure & Shock W Mcc111173 / 26$30.576,301119 / 63$10.451,001472 / 68$8.985,991468 / 65
Simple Pneumonia & Pleurisy W Cc81122 / 14$18.545,40974 / 44$6.912,781374 / 64$5.389,261369 / 59
Pulmonary Edema & Respiratory Failure80123 / 23$24.656,40711 / 43$8.451,411128 / 54$7.138,211126 / 56
Chronic Obstructive Pulmonary Disease W Mcc75127 / 20$20.750,10786 / 38$8.269,321348 / 66$6.635,571342 / 62
Chronic Obstructive Pulmonary Disease W Cc69110 / 18$18.903,70885 / 42$6.689,361393 / 61$5.371,231388 / 59
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc66100 / 14$16.943,501201 / 56$5.090,111440 / 58$4.013,331435 / 62
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs66116 / 17$26.222,10876 / 53$7.403,831020 / 54$5.856,681017 / 54
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc66141 / 24$22.929,501057 / 54$7.610,591352 / 61$6.046,891347 / 61
Renal Failure W Cc64157 / 32$22.708,301251 / 66$7.087,161407 / 67$5.625,691398 / 64
G.I. Hemorrhage W Cc61157 / 29$25.822,901274 / 65$7.171,101379 / 68$5.790,411376 / 65
Renal Failure W Mcc61134 / 24$31.778,30864 / 56$10.064,00846 / 50$8.634,88846 / 54
Simple Pneumonia & Pleurisy W Mcc58147 / 34$28.538,60944 / 53$9.879,381150 / 59$8.052,861150 / 57
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc5448 / 11$22.416,00746 / 44$5.586,00935 / 45$4.194,11931 / 47
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc5373 / 12$22.561,90564 / 37$7.756,53754 / 40$6.501,45751 / 39
Cellulitis W/O Mcc49140 / 24$17.124,901141 / 49$6.218,471426 / 62$4.650,291419 / 56
Kidney & Urinary Tract Infections W Mcc4896 / 17$22.804,50775 / 51$7.989,881046 / 59$6.470,191043 / 54
O.R. Procedures For Obesity W/O Cc/Mcc4631 / 3$42.913,80204 / 5$10.393,50202 / 6$8.868,30202 / 9
Hip & Femur Procedures Except Major Joint W Cc4598 / 19$50.794,701071 / 52$13.036,001097 / 54$11.296,701083 / 55
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc4278 / 11$15.882,90891 / 45$5.271,361095 / 50$3.822,001086 / 49
Cardiac Arrhythmia & Conduction Disorders W Cc38123 / 28$20.038,801059 / 53$5.862,081222 / 58$4.529,971217 / 58
Chest Pain38113 / 18$17.489,20732 / 33$4.555,95856 / 35$3.335,79851 / 34
Heart Failure & Shock W/O Cc/Mcc3872 / 14$18.744,601206 / 56$5.224,08911 / 52$3.654,26904 / 39
Diabetes W Cc3656 / 15$18.005,50560 / 40$6.028,44828 / 47$4.745,28824 / 48
Respiratory Infections & Inflammations W Mcc35101 / 27$37.392,30672 / 47$13.532,70929 / 54$11.498,70919 / 50
Syncope & Collapse33136 / 22$18.359,60715 / 34$5.202,58745 / 35$3.795,58742 / 27
G.I. Obstruction W Cc3359 / 14$21.746,20775 / 38$6.608,36851 / 39$4.887,58849 / 32
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3391 / 17$103.325,00531 / 36$33.022,50642 / 27$30.877,40636 / 28
Intracranial Hemorrhage Or Cerebral Infarction W Mcc33135 / 22$41.840,00745 / 50$11.677,50751 / 41$10.046,40750 / 42
Revision Of Hip Or Knee Replacement W/O Cc/Mcc3237 / 5$86.513,40364 / 18$18.537,50205 / 13$14.856,80205 / 10
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc32164 / 20$86.497,80994 / 27$13.548,70899 / 12$12.084,90892 / 19
G.I. Hemorrhage W Mcc3289 / 17$31.575,30378 / 22$11.751,40768 / 37$10.466,80766 / 36
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc31119 / 28$13.876,50850 / 43$4.098,351008 / 39$2.834,161003 / 46
Respiratory System Diagnosis W Ventilator Support <96 Hours31100 / 21$54.402,80751 / 47$15.013,90801 / 43$13.328,10793 / 45
Cardiac Arrhythmia & Conduction Disorders W Mcc2895 / 27$25.745,10703 / 41$8.791,75765 / 54$6.751,11762 / 37
Simple Pneumonia & Pleurisy W/O Cc/Mcc2865 / 11$14.406,20661 / 28$5.024,71976 / 37$3.655,75971 / 39
Other Circulatory System Diagnoses W Mcc2888 / 14$36.789,60394 / 21$12.622,10627 / 20$11.240,60625 / 24
G.I. Hemorrhage W/O Cc/Mcc2642 / 5$13.865,40267 / 16$5.072,35484 / 17$3.741,08480 / 21
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2670 / 19$30.058,20637 / 38$8.544,15625 / 32$6.942,73620 / 32
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc2663 / 10$28.968,20275 / 8$7.452,65397 / 11$5.986,77396 / 9
Acute Myocardial Infarction, Discharged Alive W Cc2665 / 20$28.754,20688 / 31$7.820,58600 / 32$5.658,42599 / 24
Signs & Symptoms W/O Mcc2566 / 10$17.516,00513 / 20$5.021,92497 / 21$3.672,52496 / 18
Other Digestive System Diagnoses W Cc2572 / 18$21.452,20481 / 22$6.954,00853 / 27$5.948,56849 / 30
Acute Myocardial Infarction, Discharged Alive W Mcc24101 / 24$26.386,50321 / 17$10.717,00318 / 30$8.587,96318 / 13
Other Kidney & Urinary Tract Diagnoses W Mcc2378 / 20$20.639,00134 / 10$10.143,70455 / 24$8.971,09454 / 27
Red Blood Cell Disorders W/O Mcc23120 / 28$20.286,30922 / 45$5.929,831002 / 48$4.522,04996 / 43
Other Kidney & Urinary Tract Diagnoses W Cc2281 / 11$20.079,00253 / 7$6.942,36374 / 10$5.763,23374 / 11
Circulatory Disorders Except Ami, W Card Cath W/O Mcc22166 / 30$35.338,10774 / 32$7.639,41768 / 26$5.849,50766 / 25
Transient Ischemia21104 / 20$19.785,40651 / 36$5.072,57743 / 35$3.649,95739 / 33
Red Blood Cell Disorders W Mcc2150 / 12$22.963,30237 / 15$8.355,81377 / 16$7.049,19375 / 15
Fractures Of Hip & Pelvis W/O Mcc2140 / 6$17.255,00393 / 18$5.261,52416 / 19$3.747,05416 / 19
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc2135 / 10$42.966,10342 / 27$12.994,80284 / 20$11.151,60283 / 17
Diabetes W Mcc2136 / 13$32.491,70329 / 27$9.881,29277 / 22$7.982,71277 / 18
Major Small & Large Bowel Procedures W Cc2088 / 22$77.357,20966 / 45$18.191,701020 / 38$15.967,801009 / 38
Respiratory Infections & Inflammations W Cc1969 / 20$22.287,50365 / 30$8.729,74686 / 28$7.728,26681 / 34
Seizures W/O Mcc1989 / 16$23.868,50730 / 28$5.714,63657 / 22$4.411,74654 / 25
Spinal Fusion Except Cervical W/O Mcc19175 / 27$89.968,50635 / 21$24.353,30292 / 19$20.517,70291 / 9
Poisoning & Toxic Effects Of Drugs W Mcc1953 / 16$29.486,00333 / 28$9.804,53483 / 27$8.477,79481 / 27
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1928 / 7$36.726,10262 / 16$8.483,68274 / 12$6.494,63274 / 14
Major Small & Large Bowel Procedures W Mcc1966 / 17$121.656,00577 / 29$36.150,80777 / 29$33.295,10775 / 27
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1838 / 12$40.337,40273 / 17$11.085,60538 / 18$9.813,17536 / 25
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1844 / 6$16.146,70235 / 8$5.660,89350 / 13$4.051,72350 / 10
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1847 / 11$82.144,00504 / 28$22.798,60618 / 25$20.891,90615 / 26
Poisoning & Toxic Effects Of Drugs W/O Mcc1744 / 11$25.238,30655 / 33$5.338,71586 / 27$4.183,47585 / 29
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc17107 / 15$24.040,80591 / 23$5.330,12320 / 16$3.851,29320 / 15
Respiratory System Diagnosis W Ventilator Support 96+ Hours1655 / 17$194.648,00729 / 33$54.266,90930 / 33$49.473,60929 / 34
Medical Back Problems W/O Mcc16105 / 23$18.509,10426 / 12$6.282,56612 / 22$4.426,25610 / 17
Pulmonary Embolism W/O Mcc1559 / 21$23.577,10578 / 31$6.807,67537 / 28$5.258,53535 / 26
Degenerative Nervous System Disorders W/O Mcc1563 / 15$24.813,70382 / 13$7.652,47287 / 15$5.227,20287 / 9
Septicemia Or Severe Sepsis W Mv 96+ Hours1577 / 18$109.967,00252 / 13$37.677,70419 / 17$35.338,10418 / 21
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1554 / 17$72.905,00368 / 18$11.988,10304 / 9$10.601,50304 / 13
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1541 / 11$46.572,90518 / 23$10.887,70490 / 18$9.205,80488 / 19
Bronchitis & Asthma W Cc/Mcc1561 / 21$17.946,70306 / 18$6.319,13610 / 23$5.096,80606 / 27
Circulatory Disorders Except Ami, W Card Cath W Mcc1578 / 20$52.842,70366 / 18$12.938,20265 / 4$11.369,40260 / 4
Other Kidney & Urinary Tract Procedures W Mcc1424 / 6$45.788,2018 / 4$18.525,2039 / 2$17.194,4039 / 4
Cranial & Peripheral Nerve Disorders W Mcc1422 / 10$18.766,1018 / 6$8.408,4315 / 2$6.863,9315 / 2
Organic Disturbances & Mental Retardation1445 / 7$19.883,90174 / 9$7.127,64194 / 7$5.654,64194 / 9
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1456 / 11$21.627,00218 / 15$6.456,21218 / 8$5.409,64218 / 11
Hip & Femur Procedures Except Major Joint W Mcc1448 / 16$60.742,80315 / 19$19.331,10439 / 16$17.638,90436 / 19
G.I. Obstruction W/O Cc/Mcc1457 / 17$18.760,20768 / 32$4.823,29443 / 31$2.889,86442 / 15
Complications Of Treatment W Mcc1437 / 9$32.784,6067 / 7$11.786,5089 / 6$10.323,9089 / 5
Other Vascular Procedures W Mcc1483 / 18$61.203,30170 / 9$20.788,40361 / 13$19.335,80359 / 13
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1340 / 17$28.162,50537 / 28$5.474,00466 / 21$4.193,54463 / 22
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1360 / 21$18.131,60214 / 15$8.214,31363 / 26$6.301,00362 / 18
Pulmonary Embolism W Mcc1330 / 16$32.564,50208 / 16$10.064,80232 / 15$8.495,85232 / 12
Cellulitis W Mcc1246 / 18$29.186,00357 / 20$10.467,60284 / 23$7.767,08283 / 11
Coronary Bypass W Cardiac Cath W/O Mcc1264 / 17$124.948,00260 / 12$33.373,40271 / 12$26.187,00271 / 9
Other Disorders Of Nervous System W Cc1145 / 17$22.048,40211 / 16$6.325,82231 / 13$4.994,55231 / 11
Atherosclerosis W/O Mcc1147 / 15$18.563,30281 / 18$4.548,82 / 16$3.443,45 /
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1165 / 15$29.789,0092 / 5$11.914,10206 / 6$11.075,70206 / 10
Disorders Of The Biliary Tract W Cc1143 / 10$27.397,70169 / 7$7.420,55194 / 6$6.109,64194 / 7
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1144 / 14$60.142,10357 / 14$13.214,30330 / 11$11.582,80328 / 12
Fever1135 / 8$14.692,5041 / 1$6.067,82161 / 4$4.989,00161 / 6
Total 97 procedures3.630discharges

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.