O.R. Procedures For Obesity W/O Cc/Mcc - costs for treatment in North Carolina

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O.R. Procedures For Obesity W/O Cc/Mcc - costs for treatment in North Carolina


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Carolinas Medical Center-NortheastConcord12$59,101.20$12,048.00$7,911.08
Memorial Mission Hospital And Asheville Surgery CeAsheville29$33,693.40$10,392.90$8,048.28
Vidant Medical CenterGreenville57$50,732.50$11,845.90$9,988.72
Novant Health Presbyterian Medical CenterCharlotte17$46,810.50$11,558.60$8,269.88
University Of North Carolina HospitalChapel Hill11$30,362.60$15,122.50$12,803.10
Duke Health Raleigh HospitalRaleigh11$46,650.30$9,082.00$7,905.91
Carolinas Medical Center/Behav HealthCharlotte23$58,000.90$15,292.80$8,821.00
Rex HospitalRaleigh94$37,404.30$9,412.21$7,091.28
Frye Regional Medical CenterHickory17$69,855.60$10,275.90$6,993.18
Lake Norman Regional Medical CenterMooresville13$46,781.20$9,555.77$6,734.92
New Hanover Regional Medical CenterWilmington20$37,324.90$11,567.20$9,293.80
Duke Regional HospitalDurham46$42,913.80$10,393.50$8,868.30
Total 12 hospitals350

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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