Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc - costs for treatment in North Carolina

Hospital Costs > Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc > Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc - costs for treatment in North Carolina

Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc - costs for treatment in North Carolina


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Rex HospitalRaleigh18$90,360.20$27,053.90$24,921.40
Caromont Regional Medical CenterGastonia20$83,082.80$27,254.50$25,760.10
Moses H Cone Memorial Hospital, TheGreensboro30$60,732.20$27,471.00$25,869.50
Memorial Mission Hospital And Asheville Surgery CeAsheville47$75,828.80$28,189.70$26,730.30
Novant Health Presbyterian Medical CenterCharlotte14$104,693.00$28,289.30$26,898.10
Firsthealth Moore Regional HospitalPinehurst36$112,571.00$35,985.60$28,089.50
Novant Health Forsyth Medical CenterWinston-Salem35$91,829.00$29,746.10$28,181.10
Carolinas Medical Center/Behav HealthCharlotte32$112,819.00$38,624.40$28,196.80
Carolinas Medical Center-NortheastConcord13$101,405.00$33,516.50$29,888.80
Cape Fear Valley Medical CenterFayetteville24$126,048.00$31,590.00$30,101.00
Carolina East Medical CenterNew Bern13$94,980.20$35,235.90$30,348.80
New Hanover Regional Medical CenterWilmington28$101,971.00$37,441.30$32,089.80
Wakemed, Raleigh CampusRaleigh24$141,919.00$34,904.20$32,796.80
Vidant Medical CenterGreenville55$113,884.00$41,231.40$32,863.50
North Carolina Baptist HospitalWinston-Salem30$99,777.00$45,591.30$37,581.90
University Of North Carolina HospitalChapel Hill26$104,155.00$47,057.40$39,125.10
Wayne Memorial Hospital RaleighGoldsboro12$75,521.20$42,007.30$39,174.50
Duke University HospitalDurham27$181,577.00$56,075.30$48,957.30
Total 18 hospitals484

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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