North Carolina Baptist Hospital – Outpatient Hospital Services – Page 4

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 5331 RUCA 1

Complex GI Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

93

Beneficiary Count

72

Avg Medicare Allowed

$4,845.91

Avg Medicare Payment

$3,832.77

Avg Total Charges

$43,734.47

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5341 RUCA 1

Abdominal/Peritoneal/Biliary and Related Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

60

Beneficiary Count

50

Avg Medicare Allowed

$3,272.25

Avg Medicare Payment

$2,586.01

Avg Total Charges

$33,460.88

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5361 RUCA 1

Level 1 Laparoscopy and Related Services

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

126

Beneficiary Count

122

Avg Medicare Allowed

$4,791.74

Avg Medicare Payment

$3,783.43

Avg Total Charges

$59,794.02

Outlier Services

18

Avg Outlier Amount

$4,139.32

RUCA Classification

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

APC 5362 RUCA 1

Level 2 Laparoscopy and Related Services

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

115

Beneficiary Count

113

Avg Medicare Allowed

$8,438.19

Avg Medicare Payment

$6,832.01

Avg Total Charges

$96,867.06

Outlier Services

58

Avg Outlier Amount

$2,154.48

RUCA Classification

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

APC 5372 RUCA 1

Level 2 Urology and Related Services

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

47

Beneficiary Count

40

Avg Medicare Allowed

$593.58

Avg Medicare Payment

$468.05

Avg Total Charges

$3,620.16

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 5373 RUCA 1

Level 3 Urology and Related Services

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

206

Beneficiary Count

95

Avg Medicare Allowed

$1,753.71

Avg Medicare Payment

$1,388.45

Avg Total Charges

$16,128.39

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5374 RUCA 1

Level 4 Urology and Related Services

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

216

Beneficiary Count

173

Avg Medicare Allowed

$3,008.25

Avg Medicare Payment

$2,384.97

Avg Total Charges

$26,528.07

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5375 RUCA 1

Level 5 Urology and Related Services

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

98

Beneficiary Count

93

Avg Medicare Allowed

$4,317.47

Avg Medicare Payment

$3,410.44

Avg Total Charges

$46,251.70

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5376 RUCA 1

Level 6 Urology and Related Services

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

31

Beneficiary Count

30

Avg Medicare Allowed

$7,917.47

Avg Medicare Payment

$6,309.43

Avg Total Charges

$78,292.38

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5378 RUCA 1

Level 8 Urology and Related Services

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 5414 RUCA 1

Level 4 Gynecologic Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

27

Beneficiary Count

27

Avg Medicare Allowed

$2,525.01

Avg Medicare Payment

$1,979.61

Avg Total Charges

$25,063.98

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 5415 RUCA 1

Level 5 Gynecologic Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

35

Beneficiary Count

34

Avg Medicare Allowed

$4,298.91

Avg Medicare Payment

$3,399.64

Avg Total Charges

$41,542.65

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

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