Major Chest Procedures W Mcc - costs for treatment in North Carolina

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Major Chest Procedures W Mcc - costs for treatment in North Carolina


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Carolinas Medical Center-NortheastConcord20$120,792.00$37,016.40$30,979.60
Memorial Mission Hospital And Asheville Surgery CeAsheville19$80,923.20$30,711.40$29,278.80
Novant Health Forsyth Medical CenterWinston-Salem12$131,728.00$43,232.40$41,299.80
Duke University HospitalDurham36$105,909.00$44,531.10$37,984.20
Vidant Medical CenterGreenville22$131,901.00$40,039.30$36,190.60
North Carolina Baptist HospitalWinston-Salem24$102,314.00$42,381.40$36,320.40
Novant Health Presbyterian Medical CenterCharlotte16$133,354.00$37,096.80$35,004.10
University Of North Carolina HospitalChapel Hill12$72,698.30$43,043.60$38,061.20
Duke Health Raleigh HospitalRaleigh11$104,736.00$28,120.40$26,328.40
Moses H Cone Memorial Hospital, TheGreensboro19$78,092.50$32,184.60$29,978.10
Carolinas Medical Center/Behav HealthCharlotte29$133,280.00$37,185.20$28,414.30
Rex HospitalRaleigh11$95,131.90$29,534.10$28,287.20
Carolina East Medical CenterNew Bern13$115,854.00$41,923.50$34,037.00
Total 13 hospitals244

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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