North Carolina Baptist Hospital – Outpatient Hospital Services

All Outpatient Hospital Services

This section provides data about outpatient hospital services provided by the facility. It includes details such as the 'Service Count,' which indicates how many services were provided, and the 'Beneficiary Count,' showing how many individuals received care. The 'Avg Total Charges' reflects the average charge for the services rendered, while the 'Avg Medicare Allowed' and 'Avg Medicare Payment' show the typical amount reimbursed by Medicare. The 'Outlier Services' represents any services that fall outside the normal cost range, with 'Avg Outlier Amount' showing the typical payment for these services. The 'RUCA Classification' gives information about the facility’s location, indicating whether it is in a metropolitan area or rural area.

APC 5072 RUCA 1

Level 2 Excision/ Biopsy/ Incision and Drainage

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

484

Beneficiary Count

431

Avg Medicare Allowed

$1,400.21

Avg Medicare Payment

$1,110.48

Avg Total Charges

$10,443.52

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5073 RUCA 1

Level 3 Excision/ Biopsy/ Incision and Drainage

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

298

Beneficiary Count

234

Avg Medicare Allowed

$2,365.62

Avg Medicare Payment

$1,871.76

Avg Total Charges

$21,167.47

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5091 RUCA 1

Level 1 Breast/Lymphatic Surgery and Related Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

47

Beneficiary Count

46

Avg Medicare Allowed

$3,118.16

Avg Medicare Payment

$2,454.51

Avg Total Charges

$29,896.80

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5092 RUCA 1

Level 2 Breast/Lymphatic Surgery and Related Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

56

Beneficiary Count

54

Avg Medicare Allowed

$5,479.84

Avg Medicare Payment

$4,333.43

Avg Total Charges

$63,273.05

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5093 RUCA 1

Level 3 Breast/Lymphatic Surgery and Related Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

NA

Beneficiary Count

NA

Avg Medicare Allowed

NA

Avg Medicare Payment

NA

Avg Total Charges

NA

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5094 RUCA 1

Level 4 Breast/Lymphatic Surgery and Related Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

NA

Beneficiary Count

NA

Avg Medicare Allowed

NA

Avg Medicare Payment

NA

Avg Total Charges

NA

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5112 RUCA 1

Level 2 Musculoskeletal Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

58

Beneficiary Count

57

Avg Medicare Allowed

$1,324.11

Avg Medicare Payment

$1,043.30

Avg Total Charges

$11,491.73

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5113 RUCA 1

Level 3 Musculoskeletal Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

75

Beneficiary Count

69

Avg Medicare Allowed

$2,637.42

Avg Medicare Payment

$2,063.66

Avg Total Charges

$29,714.16

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5114 RUCA 1

Level 4 Musculoskeletal Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

98

Beneficiary Count

95

Avg Medicare Allowed

$5,856.40

Avg Medicare Payment

$4,587.95

Avg Total Charges

$62,508.68

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5115 RUCA 1

Level 5 Musculoskeletal Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

109

Beneficiary Count

106

Avg Medicare Allowed

$11,969.96

Avg Medicare Payment

$10,365.58

Avg Total Charges

$98,507.77

Outlier Services

12

Avg Outlier Amount

$1,261.56

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5116 RUCA 1

Level 6 Musculoskeletal Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

NA

Beneficiary Count

NA

Avg Medicare Allowed

NA

Avg Medicare Payment

NA

Avg Total Charges

NA

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5153 RUCA 1

Level 3 Airway Endoscopy

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

186

Beneficiary Count

119

Avg Medicare Allowed

$1,493.42

Avg Medicare Payment

$1,179.42

Avg Total Charges

$7,478.74

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater