Dysequilibrium - costs for treatment in North Carolina

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Dysequilibrium - costs for treatment in North Carolina


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Rex HospitalRaleigh22$15,603.60$3,439.95$2,286.95
Firsthealth Moore Regional HospitalPinehurst16$12,649.00$4,069.31$2,834.19
Caromont Regional Medical CenterGastonia18$19,279.80$4,327.33$3,081.67
New Hanover Regional Medical CenterWilmington32$14,475.40$4,476.94$3,144.72
Moses H Cone Memorial Hospital, TheGreensboro20$12,418.70$4,600.80$3,318.30
Carolinas Medical Center-NortheastConcord18$18,256.20$4,700.11$3,102.11
Cape Fear Valley Medical CenterFayetteville13$25,004.90$5,023.85$3,795.15
Novant Health Presbyterian Medical CenterCharlotte11$24,631.90$5,265.73$4,096.64
Vidant Medical CenterGreenville14$23,384.60$6,175.43$3,978.21
Carolinas Medical Center/Behav HealthCharlotte20$24,566.70$6,721.25$4,752.30
Duke University HospitalDurham11$26,723.80$7,904.09$5,234.91
Total 11 hospitals195

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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