Hospital Costs > In Georgia > Appling Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 39 | $11.261,40 | 193 / 3 | $5.571,36 | 1328 / 46 | $4.702,14 | 1323 / 48 |
Cellulitis W/O Mcc | 19 | 170 / 38 | $9.401,74 | 196 / 3 | $6.096,89 | 1465 / 57 | $4.685,32 | 1458 / 51 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 42 | $11.728,70 | 211 / 3 | $6.510,41 | 1629 / 57 | $5.725,82 | 1622 / 62 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 56 | $8.681,75 | 132 / 2 | $5.383,25 | 1551 / 63 | $4.175,00 | 1538 / 65 |
Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 54 | $10.847,80 | 371 / 12 | $5.617,12 | 1812 / 64 | $4.709,50 | 1801 / 67 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 40 | $9.051,40 | 226 / 1 | $5.443,40 | 1321 / 63 | $3.902,13 | 1317 / 51 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 17 | 499 / 72 | $18.624,60 | 209 / 7 | $11.532,10 | 1319 / 51 | $10.673,00 | 1296 / 60 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 45 | $12.265,80 | 166 / 4 | $7.275,92 | 1218 / 62 | $5.901,08 | 1213 / 53 |
Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 43 | $13.695,40 | 417 / 9 | $6.817,04 | 1878 / 66 | $5.960,71 | 1870 / 76 | Total 9 procedures | 146 | discharges |
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.