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Wayne Memorial Hospital Raleigh, procedure costs

2700 Wayne Memorial Dr, Goldsboro, NC 27534,

Procedure Costs @ Wayne Memorial Hospital Raleigh
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc292226 / 18$20.378,60277 / 10$12.752,401627 / 66$11.277,501595 / 68
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc203361 / 21$37.788,90633 / 15$14.907,101715 / 65$12.589,301677 / 67
Renal Failure W Cc13389 / 11$13.501,00339 / 18$6.841,791276 / 62$5.471,661268 / 58
Heart Failure & Shock W Mcc110174 / 27$14.920,90141 / 5$10.262,001533 / 66$9.127,011529 / 68
Chronic Obstructive Pulmonary Disease W Cc9782 / 8$11.010,60152 / 4$6.433,341209 / 54$5.162,971204 / 54
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc88119 / 15$14.003,50277 / 8$7.460,581371 / 57$6.085,381366 / 62
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc85190 / 23$13.097,60517 / 14$5.108,291344 / 43$4.005,271333 / 59
G.I. Hemorrhage W Cc81137 / 21$14.791,40286 / 15$6.815,371257 / 59$5.649,541254 / 63
Respiratory Infections & Inflammations W Mcc7957 / 9$20.386,30114 / 11$13.743,801079 / 55$11.973,101065 / 55
Kidney & Urinary Tract Infections W/O Mcc75158 / 21$11.948,90507 / 15$5.805,881062 / 68$4.001,031054 / 44
Heart Failure & Shock W Cc73205 / 30$12.436,60308 / 10$6.947,531309 / 62$5.561,591305 / 57
Renal Failure W Mcc73122 / 19$20.908,00264 / 21$11.039,001336 / 64$9.754,341336 / 63
Chronic Obstructive Pulmonary Disease W Mcc69133 / 23$14.162,80259 / 13$8.062,991469 / 60$6.794,551463 / 64
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc65101 / 15$11.144,90445 / 16$5.060,691021 / 54$3.666,861018 / 41
Cardiac Arrhythmia & Conduction Disorders W Cc54107 / 19$13.568,90379 / 23$5.877,11905 / 59$4.203,30902 / 43
Simple Pneumonia & Pleurisy W Cc53150 / 28$11.597,70219 / 4$6.835,961423 / 58$5.441,661417 / 61
Simple Pneumonia & Pleurisy W Mcc52153 / 39$16.309,50184 / 9$10.009,601541 / 62$8.774,271541 / 63
Chest Pain50101 / 11$13.751,00380 / 16$4.337,48562 / 24$2.982,56558 / 22
Cellulitis W/O Mcc49140 / 24$11.272,00389 / 11$5.920,411126 / 55$4.367,881120 / 46
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs49133 / 26$15.777,90197 / 11$7.375,881061 / 53$5.927,201058 / 57
Hip & Femur Procedures Except Major Joint W Cc4796 / 18$34.982,40409 / 14$14.049,601428 / 60$12.482,001410 / 61
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc4575 / 9$8.987,93150 / 6$4.873,71978 / 30$3.713,73969 / 44
Infectious & Parasitic Diseases W O.R. Procedure W Mcc4381 / 14$64.766,10143 / 11$40.196,701085 / 40$36.778,401078 / 41
Red Blood Cell Disorders W/O Mcc43100 / 19$12.480,00241 / 5$5.485,91800 / 34$4.297,65795 / 36
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc43107 / 22$10.874,40441 / 21$3.837,91693 / 25$2.582,30689 / 29
Circulatory Disorders Except Ami, W Card Cath W/O Mcc41147 / 24$27.258,50388 / 19$8.092,71492 / 32$5.431,85490 / 15
Other Circulatory System Diagnoses W Mcc4175 / 10$21.641,0071 / 4$13.489,20784 / 28$11.995,50780 / 27
Kidney & Urinary Tract Infections W Mcc41103 / 23$13.447,80169 / 12$8.049,12796 / 61$6.092,51795 / 45
Pulmonary Edema & Respiratory Failure39164 / 44$13.750,2095 / 9$8.424,871132 / 52$7.146,231130 / 58
Septicemia Or Severe Sepsis W Mv 96+ Hours3953 / 8$83.036,20104 / 5$44.015,00708 / 26$41.177,60707 / 28
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc3789 / 16$11.697,9058 / 2$7.777,35660 / 42$6.321,38657 / 35
Syncope & Collapse36133 / 20$12.801,20252 / 4$5.058,92756 / 29$3.805,69753 / 29
Heart Failure & Shock W/O Cc/Mcc3674 / 15$9.799,86245 / 9$4.583,08898 / 29$3.639,25891 / 38
Transient Ischemia3491 / 14$13.371,80202 / 7$4.784,94625 / 25$3.498,82621 / 26
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3369 / 17$12.642,50119 / 4$5.496,09653 / 42$3.795,30649 / 35
Esophagitis, Gastroent & Misc Digest Disorders W Mcc3363 / 15$17.754,00135 / 3$8.506,70638 / 31$6.974,91633 / 33
Cardiac Arrhythmia & Conduction Disorders W Mcc3192 / 25$17.066,50195 / 10$8.508,391165 / 49$7.511,351162 / 53
Respiratory System Diagnosis W Ventilator Support 96+ Hours3140 / 10$60.556,6051 / 2$36.966,30619 / 24$35.112,10618 / 26
G.I. Obstruction W Cc3161 / 15$13.824,30216 / 4$6.232,45894 / 33$4.947,90892 / 37
Diabetes W Cc3062 / 18$11.909,90147 / 7$5.726,20620 / 39$4.414,33619 / 31
Respiratory System Diagnosis W Ventilator Support <96 Hours30101 / 22$32.771,90164 / 10$15.625,201020 / 47$14.203,201010 / 50
G.I. Hemorrhage W Mcc3091 / 18$27.761,10253 / 17$13.581,201112 / 49$11.769,701104 / 49
Intracranial Hemorrhage Or Cerebral Infarction W Mcc29139 / 24$16.953,2047 / 3$11.747,90900 / 42$10.630,60898 / 45
Major Small & Large Bowel Procedures W Mcc2857 / 12$76.447,60172 / 9$39.393,00978 / 31$37.113,60976 / 33
Major Small & Large Bowel Procedures W Cc2781 / 15$42.014,60240 / 9$18.010,20912 / 35$15.301,50904 / 35
Other Kidney & Urinary Tract Diagnoses W Mcc2675 / 18$18.415,2087 / 6$10.880,20528 / 30$9.222,31526 / 29
Other Digestive System Diagnoses W Cc2572 / 18$15.705,60173 / 5$6.894,80553 / 25$5.293,08550 / 19
Respiratory Infections & Inflammations W Cc2563 / 15$15.255,40109 / 5$9.544,16933 / 41$8.412,04928 / 43
Cervical Spinal Fusion W/O Cc/Mcc2579 / 16$38.382,00172 / 4$14.796,80589 / 18$13.507,30586 / 23
Respiratory Neoplasms W Mcc2230 / 9$21.781,4045 / 1$12.223,70259 / 15$9.873,95259 / 14
Renal Failure W/O Cc/Mcc2036 / 10$7.248,4036 / 1$4.399,15226 / 8$2.977,45225 / 5
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc2076 / 15$40.740,90184 / 4$14.740,90566 / 20$13.395,80563 / 24
Pulmonary Embolism W/O Mcc2054 / 17$14.696,80142 / 5$6.958,95601 / 32$5.365,70598 / 29
Bronchitis & Asthma W Cc/Mcc2056 / 17$10.035,8052 / 1$7.081,95482 / 31$4.740,85478 / 20
Simple Pneumonia & Pleurisy W/O Cc/Mcc1974 / 19$9.057,16149 / 5$4.829,95758 / 26$3.460,21754 / 32
Acute Myocardial Infarction, Discharged Alive W Mcc19106 / 28$25.386,50298 / 15$12.336,201238 / 40$11.179,801229 / 42
Respiratory Neoplasms W Cc1928 / 7$14.902,4027 / 2$7.964,32230 / 5$6.980,11229 / 7
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1937 / 11$31.462,00117 / 5$11.194,70526 / 21$9.701,05524 / 23
Seizures W/O Mcc1890 / 17$11.405,10118 / 2$5.185,78524 / 12$4.093,28521 / 18
Cranial & Peripheral Nerve Disorders W/O Mcc1850 / 12$12.282,9055 / 1$6.044,83355 / 9$5.218,00355 / 17
Disorders Of Pancreas Except Malignancy W Cc1744 / 12$13.043,9073 / 2$6.329,88344 / 14$4.881,41343 / 16
Diabetes W Mcc1641 / 16$21.469,90102 / 6$9.751,19308 / 21$8.150,50308 / 19
Red Blood Cell Disorders W Mcc1655 / 16$17.908,70113 / 7$8.690,25529 / 20$7.587,12527 / 22
Acute Myocardial Infarction, Discharged Alive W Cc1675 / 28$20.498,40303 / 12$8.190,25583 / 34$5.623,44582 / 23
G.I. Obstruction W Mcc1626 / 10$20.890,9038 / 2$11.320,80227 / 12$9.496,75227 / 11
Other Vascular Procedures W Mcc1681 / 16$55.370,80117 / 6$24.252,20642 / 19$22.704,60639 / 20
Cellulitis W Mcc1543 / 15$17.874,7086 / 3$9.892,33337 / 16$8.034,80336 / 14
Cirrhosis & Alcoholic Hepatitis W Mcc1527 / 4$22.945,5017 / 2$11.814,40131 / 8$10.938,40131 / 12
Diabetes W/O Cc/Mcc1523 / 6$7.982,0720 / 1$3.907,4758 / 2$2.780,3358 / 5
Permanent Cardiac Pacemaker Implant W Cc1562 / 18$35.976,9048 / 3$17.962,90606 / 16$16.837,30605 / 18
Other Vascular Procedures W Cc1488 / 19$46.747,90158 / 9$17.231,50617 / 15$15.650,10614 / 16
Major Small & Large Bowel Procedures W/O Cc/Mcc1450 / 14$31.923,80165 / 5$12.836,10270 / 19$8.420,71270 / 11
Peripheral Vascular Disorders W Mcc1435 / 9$22.527,4084 / 9$11.531,50450 / 14$10.258,60450 / 16
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc14182 / 25$44.799,10130 / 6$13.637,40971 / 15$12.357,60964 / 21
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1451 / 14$46.987,4098 / 4$22.938,60659 / 26$21.481,90656 / 27
Other Digestive System Diagnoses W Mcc1448 / 14$17.825,4022 / 1$11.175,80276 / 7$9.900,64276 / 14
Other Circulatory System O.R. Procedures1342 / 9$49.171,8097 / 6$25.161,40329 / 16$20.533,00329 / 16
Hip & Femur Procedures Except Major Joint W Mcc1349 / 17$43.636,4077 / 6$20.689,80566 / 20$19.039,50563 / 21
Spinal Fusion Except Cervical W/O Mcc13181 / 30$84.195,20572 / 15$29.484,501099 / 31$28.044,501094 / 35
Signs & Symptoms W/O Mcc1378 / 19$11.444,20158 / 3$4.803,46514 / 14$3.695,31513 / 20
Major Joint/Limb Reattachment Procedure Of Upper Extremities1257 / 13$44.251,2086 / 3$17.460,80332 / 13$16.338,80332 / 15
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1251 / 15$75.521,2076 / 2$42.007,30632 / 15$39.174,50632 / 17
Poisoning & Toxic Effects Of Drugs W/O Mcc1249 / 16$10.909,00139 / 3$4.610,75241 / 19$3.212,08240 / 11
Other Kidney & Urinary Tract Procedures W Mcc1226 / 7$36.164,506 / 1$22.113,50115 / 8$20.363,20114 / 9
Circulatory Disorders Except Ami, W Card Cath W Mcc1281 / 22$33.872,8074 / 3$14.400,50542 / 12$13.207,20536 / 14
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1245 / 17$35.712,8094 / 5$14.427,50435 / 14$13.044,70434 / 16
Digestive Malignancy W Cc1235 / 12$13.908,2016 / 1$8.577,75169 / 6$7.447,67167 / 7
G.I. Hemorrhage W/O Cc/Mcc1256 / 15$10.725,80124 / 4$4.748,42396 / 10$3.554,33392 / 15
Extracranial Procedures W/O Cc/Mcc1286 / 23$22.601,90211 / 11$7.040,00613 / 13$6.145,83611 / 19
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1129 / 10$39.509,9041 / 2$17.021,60251 / 10$15.242,50250 / 10
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1145 / 17$29.063,00124 / 12$14.299,90439 / 24$12.635,90438 / 25
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1127 / 9$12.707,5086 / 5$4.493,82122 / 3$3.036,45122 / 6
Cervical Spinal Fusion W Cc1142 / 10$57.391,50116 / 4$21.025,30278 / 8$19.657,90277 / 11
Other Circulatory System Diagnoses W Cc1155 / 18$17.683,30138 / 5$7.262,45384 / 16$5.975,09383 / 15
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1145 / 15$27.516,20137 / 6$11.124,40546 / 21$9.477,64544 / 22
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1142 / 19$13.144,7094 / 7$5.039,55458 / 13$4.174,91455 / 21
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1170 / 10$162.747,003 / 1$117.816,00225 / 4$112.932,00224 / 5
Total 97 procedures3.532discharges

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.