Pulmonary Embolism W/O Mcc - costs for treatment in North Carolina

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Pulmonary Embolism W/O Mcc - costs for treatment in North Carolina


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Novant Health Huntersville Medical CenterHuntersville19$11,901.80$5,696.63$4,848.11
Morehead Memorial HospitalEden11$13,031.50$5,634.55$4,603.45
Margaret R Pardee Memorial HospitalHendersonville17$13,389.50$5,532.82$4,442.94
Memorial Mission Hospital And Asheville Surgery CeAsheville57$14,653.60$6,782.09$5,002.40
Wayne Memorial Hospital RaleighGoldsboro20$14,696.80$6,958.95$5,365.70
Rutherford Regional Medical CenterRutherfordton11$15,732.00$5,962.36$4,925.45
North Carolina Baptist HospitalWinston-Salem43$15,931.70$9,770.74$7,360.23
Carolina East Medical CenterNew Bern13$16,046.90$6,852.15$5,706.85
Moses H Cone Memorial Hospital, TheGreensboro42$16,067.00$6,740.02$5,417.48
University Of North Carolina HospitalChapel Hill17$16,140.40$10,448.40$8,555.88
Novant Health Presbyterian Medical CenterCharlotte23$16,189.30$7,419.09$5,848.17
Novant Health Brunswick Medical CenterSupply16$16,189.70$5,976.19$4,672.38
New Hanover Regional Medical CenterWilmington50$16,570.90$7,351.36$5,635.92
Maria Parham Medical CenterHenderson16$16,779.80$6,405.06$5,365.00
Lenoir Memorial HospitalKinston33$17,019.30$6,470.36$5,176.48
Sentara Albemarle Medical CenterElizabeth City14$17,326.90$7,003.79$5,899.43
Novant Health Forsyth Medical CenterWinston-Salem53$17,426.00$7,107.06$5,694.49
Vidant Roanoke Chowan HospitalAhoskie11$17,674.10$6,156.36$4,657.09
Firsthealth Moore Regional HospitalPinehurst52$17,995.70$6,328.60$4,925.06
Carolinas Medical Center-UnionMonroe14$18,030.10$6,639.29$5,638.71
Presbyterian Hospital MatthewsMatthews20$18,142.70$6,031.10$4,904.55
High Point Regional HospitalHigh Point14$18,162.20$6,032.57$5,102.57
Nash General HospitalRocky Mount30$18,369.70$6,501.47$5,482.80
Catawba Valley Medical CenterHickory13$19,761.80$6,567.15$5,255.77
Carolinas Medical Center-NortheastConcord52$19,865.10$6,857.25$5,240.46
Caromont Regional Medical CenterGastonia16$19,888.00$6,510.12$5,393.88
Rex HospitalRaleigh22$20,676.50$5,724.00$4,114.32
Halifax Regional Medical Center IncRoanoke Rapids13$21,250.90$6,122.92$4,954.85
Southeastern Regional Medical CenterLumberton16$21,302.20$7,322.06$6,163.19
Wakemed, Cary HospitalCary27$22,828.70$6,425.44$4,356.15
Duke Regional HospitalDurham15$23,577.10$6,807.67$5,258.53
Scotland Memorial HospitalLaurinburg13$23,724.60$7,756.38$4,456.46
Wilson Medical CenterWilson14$24,043.60$6,389.64$4,982.29
Betsy Johnson Regional HospitalDunn13$24,075.50$6,345.15$5,221.54
Carolinas Med Ctr-UniversityCharlotte11$24,276.70$6,501.00$5,164.18
Vidant Medical CenterGreenville70$24,483.90$9,035.43$6,221.07
Duke Health Raleigh HospitalRaleigh17$25,067.60$6,272.88$4,714.47
Duke University HospitalDurham46$25,175.50$10,100.20$7,244.52
Johnston HealthSmithfield17$25,221.20$6,869.29$5,376.00
Carolinas Healthcare System ClevelandShelby14$25,673.40$7,231.00$4,720.14
Wakemed, Raleigh CampusRaleigh48$26,765.10$7,419.38$6,006.29
Iredell Memorial Hospital IncStatesville23$27,713.80$5,826.22$4,515.78
Carolinas Medical Center/Behav HealthCharlotte48$28,143.00$9,557.17$6,567.65
Cmc-Blue RidgeMorganton16$28,177.90$7,197.69$5,585.12
Davis Regional Medical CenterStatesville12$28,530.60$6,284.00$5,284.00
Cape Fear Valley Medical CenterFayetteville40$29,591.10$7,778.62$5,668.95
Frye Regional Medical CenterHickory28$30,132.60$6,152.86$4,362.14
Carolinas Medical Center-PinevilleCharlotte27$33,304.80$7,947.81$5,252.89
Total 48 hospitals1.227

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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