Hospital Costs > In Georgia > Atlanta Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 153 | 151 / 5 | $22.660,50 | 377 / 10 | $11.030,60 | 555 / 10 | $9.378,99 | 555 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 138 | 378 / 29 | $104.417,00 | 2672 / 90 | $17.463,10 | 2439 / 88 | $14.562,10 | 2395 / 87 |
Heart Failure & Shock W Mcc | 93 | 191 / 21 | $66.424,60 | 2287 / 79 | $14.347,90 | 2363 / 79 | $12.500,00 | 2353 / 79 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 88 | 476 / 39 | $103.473,00 | 2515 / 80 | $18.524,70 | 2406 / 78 | $16.268,60 | 2360 / 79 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 80 | 46 / 6 | $40.147,80 | 1309 / 55 | $11.704,30 | 1595 / 58 | $10.453,20 | 1592 / 59 |
Chest Pain | 73 | 78 / 4 | $35.938,80 | 1517 / 53 | $8.507,51 | 1618 / 51 | $6.609,05 | 1609 / 52 |
Pulmonary Edema & Respiratory Failure | 66 | 137 / 17 | $60.557,70 | 1942 / 71 | $12.574,20 | 2065 / 71 | $10.843,50 | 2059 / 70 |
Heart Failure & Shock W Cc | 65 | 213 / 30 | $41.105,20 | 2356 / 82 | $10.986,50 | 2616 / 83 | $9.299,40 | 2610 / 83 |
Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 18 | $53.434,30 | 2252 / 77 | $12.725,50 | 2425 / 78 | $10.477,40 | 2417 / 78 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 62 | 30 / 1 | $227.595,00 | 834 / 29 | $39.820,60 | 436 / 21 | $35.607,20 | 435 / 20 |
Renal Failure W Cc | 60 | 161 / 27 | $45.263,10 | 2165 / 77 | $10.747,20 | 2294 / 77 | $8.910,87 | 2284 / 75 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 16 | $89.431,60 | 2053 / 64 | $12.551,70 | 1993 / 64 | $10.592,50 | 1989 / 63 |
Syncope & Collapse | 51 | 118 / 11 | $39.470,50 | 1683 / 52 | $9.067,49 | 1836 / 51 | $7.591,90 | 1828 / 50 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 34 | $44.169,50 | 2569 / 92 | $9.306,69 | 2630 / 90 | $7.850,38 | 2615 / 91 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 17 | $35.240,70 | 2267 / 77 | $8.991,89 | 2446 / 77 | $7.485,38 | 2437 / 77 |
Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 33 | $47.931,20 | 2521 / 87 | $10.382,50 | 2622 / 88 | $8.565,36 | 2613 / 86 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 44 | 124 / 13 | $128.635,00 | 1591 / 51 | $17.751,00 | 1486 / 50 | $15.618,20 | 1479 / 50 |
Renal Failure W Mcc | 43 | 152 / 33 | $82.105,80 | 2009 / 69 | $15.757,30 | 1934 / 69 | $13.100,30 | 1930 / 68 |
O.R. Procedures For Obesity W/O Cc/Mcc | 39 | 38 / 3 | $91.984,10 | 395 / 10 | $14.263,80 | 376 / 10 | $12.879,90 | 375 / 10 |
Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 11 | $24.323,70 | 1522 / 50 | $8.670,36 | 1950 / 53 | $7.361,44 | 1937 / 53 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 36 | $79.582,50 | 2342 / 82 | $13.776,10 | 2269 / 80 | $11.847,60 | 2263 / 79 |
Diabetes W Cc | 36 | 56 / 10 | $39.543,70 | 1392 / 52 | $9.849,64 | 1529 / 52 | $8.346,22 | 1524 / 52 |
Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 40 | $45.852,30 | 2592 / 86 | $10.614,40 | 2581 / 86 | $7.422,31 | 2570 / 84 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 33 | 155 / 28 | $69.518,40 | 1493 / 53 | $11.539,30 | 1540 / 51 | $9.815,79 | 1537 / 52 |
Other Circulatory System Diagnoses W Mcc | 33 | 83 / 11 | $61.074,80 | 943 / 44 | $16.622,70 | 1163 / 49 | $15.297,00 | 1155 / 50 |
Transient Ischemia | 32 | 93 / 14 | $48.679,90 | 1557 / 50 | $8.740,81 | 1614 / 50 | $7.313,41 | 1606 / 50 |
Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 33 | $40.741,70 | 2084 / 76 | $10.539,60 | 2332 / 78 | $8.941,48 | 2325 / 77 |
G.I. Hemorrhage W Mcc | 30 | 91 / 19 | $91.748,60 | 1514 / 51 | $15.995,20 | 1453 / 51 | $14.453,40 | 1443 / 49 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 29 | 27 / 4 | $89.325,50 | 869 / 33 | $15.125,60 | 838 / 33 | $13.137,80 | 835 / 33 |
Seizures W/O Mcc | 28 | 80 / 8 | $51.750,70 | 1241 / 41 | $9.433,54 | 1245 / 40 | $7.945,64 | 1243 / 40 |
Other Vascular Procedures W Mcc | 27 | 70 / 14 | $127.455,00 | 778 / 34 | $28.120,60 | 837 / 32 | $26.496,70 | 834 / 31 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 27 | 27 / 2 | $43.513,00 | 359 / 10 | $9.196,26 | 376 / 9 | $7.273,19 | 376 / 9 |
G.I. Hemorrhage W Cc | 26 | 192 / 44 | $55.458,90 | 2253 / 72 | $11.057,80 | 2286 / 72 | $9.220,46 | 2282 / 71 |
Red Blood Cell Disorders W/O Mcc | 26 | 117 / 27 | $40.175,80 | 1764 / 64 | $9.640,58 | 1887 / 64 | $7.889,27 | 1878 / 64 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 15 | $62.842,80 | 1571 / 48 | $9.521,88 | 1525 / 47 | $7.100,15 | 1521 / 46 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 19 | $106.646,00 | 1575 / 57 | $19.533,30 | 1521 / 57 | $17.810,60 | 1507 / 56 |
Signs & Symptoms W/O Mcc | 24 | 67 / 8 | $42.116,40 | 1253 / 42 | $8.941,79 | 1281 / 41 | $7.645,25 | 1278 / 41 |
Medical Back Problems W/O Mcc | 23 | 98 / 12 | $64.759,20 | 1471 / 41 | $10.208,60 | 1427 / 39 | $8.356,39 | 1422 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 35 | $59.041,10 | 2401 / 81 | $13.246,70 | 2379 / 82 | $9.161,74 | 2369 / 79 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 23 | 58 / 8 | $649.534,00 | 353 / 12 | $103.321,00 | 108 / 6 | $93.938,80 | 108 / 3 |
Cellulitis W/O Mcc | 22 | 167 / 35 | $48.823,70 | 2546 / 77 | $10.245,40 | 2518 / 76 | $8.337,09 | 2510 / 76 |
Renal Failure W/O Cc/Mcc | 21 | 35 / 7 | $30.781,20 | 745 / 25 | $8.564,76 | 838 / 26 | $7.095,90 | 836 / 25 |
G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 8 | $38.443,40 | 905 / 27 | $8.914,24 | 981 / 27 | $7.577,33 | 977 / 27 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 24 | $36.514,20 | 1883 / 58 | $8.039,95 | 1948 / 58 | $6.655,33 | 1942 / 58 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 7 | $37.265,80 | 763 / 17 | $8.942,85 | 798 / 16 | $7.611,80 | 797 / 16 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 32 | $116.396,00 | 1982 / 62 | $17.293,80 | 1834 / 61 | $15.331,20 | 1815 / 60 |
Seizures W Mcc | 19 | 47 / 9 | $74.638,80 | 656 / 21 | $14.527,70 | 647 / 19 | $13.255,40 | 647 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 18 | $60.941,30 | 1281 / 48 | $12.574,40 | 1354 / 48 | $11.304,60 | 1349 / 48 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 35 | $104.575,00 | 1208 / 45 | $18.882,40 | 1270 / 47 | $14.999,20 | 1263 / 46 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 25 | $272.997,00 | 1465 / 45 | $44.533,90 | 1259 / 41 | $40.448,70 | 1249 / 40 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 7 | $37.766,10 | 839 / 25 | $8.482,33 | 873 / 24 | $7.226,22 | 872 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 30 | $59.238,60 | 1673 / 53 | $12.409,50 | 1786 / 52 | $11.040,40 | 1783 / 52 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 15 | $182.068,00 | 681 / 35 | $31.537,60 | 289 / 19 | $29.084,90 | 289 / 13 |
Diabetes W/O Cc/Mcc | 17 | 21 / 1 | $31.551,80 | 264 / 6 | $8.170,24 | 273 / 6 | $6.754,00 | 273 / 6 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 16 | 50 / 7 | $54.893,30 | 452 / 11 | $12.097,20 | 481 / 10 | $10.011,90 | 480 / 10 |
Traumatic Stupor & Coma, Coma >1 Hr W/O Cc/Mcc | 16 | 5 / 1 | $51.042,60 | 18 / 2 | $10.111,50 | 17 / 2 | $8.286,19 | 17 / 2 |
Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 8 | $70.698,30 | 853 / 26 | $13.331,90 | 764 / 26 | $8.752,62 | 764 / 23 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 16 | 31 / 3 | $100.781,00 | 502 / 11 | $14.484,40 | 459 / 10 | $11.736,60 | 459 / 10 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 15 | 27 / 4 | $315.386,00 | 166 / 5 | $39.147,10 | 83 / 4 | $36.364,30 | 83 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 38 | $43.779,50 | 1975 / 64 | $9.673,67 | 2083 / 64 | $8.140,47 | 2078 / 64 |
Diabetes W Mcc | 15 | 42 / 12 | $113.973,00 | 737 / 28 | $14.619,60 | 683 / 27 | $12.536,00 | 682 / 27 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 10 | $37.076,20 | 834 / 23 | $9.423,43 | 891 / 23 | $7.052,07 | 890 / 22 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 10 | $281.494,00 | 485 / 15 | $35.601,50 | 373 / 13 | $32.949,70 | 373 / 13 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 11 | $402.898,00 | 438 / 16 | $67.615,10 | 249 / 7 | $62.470,00 | 249 / 8 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 15 | $63.952,00 | 1222 / 41 | $9.934,86 | 1137 / 39 | $8.507,43 | 1134 / 39 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 18 | $48.668,90 | 811 / 35 | $12.522,60 | 1001 / 36 | $11.318,50 | 997 / 36 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 13 | $109.726,00 | 964 / 30 | $14.492,20 | 881 / 29 | $12.530,50 | 878 / 29 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 13 | 38 / 5 | $147.563,00 | 338 / 9 | $18.564,80 | 271 / 9 | $16.145,30 | 271 / 9 |
Other Digestive System Diagnoses W Mcc | 13 | 49 / 11 | $101.114,00 | 721 / 20 | $15.694,90 | 629 / 19 | $13.956,00 | 628 / 20 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 14 | $202.337,00 | 901 / 25 | $29.855,50 | 856 / 25 | $27.513,50 | 852 / 25 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 28 | $149.669,00 | 1442 / 47 | $22.140,80 | 1258 / 46 | $18.245,80 | 1244 / 46 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 33 | $27.117,20 | 1617 / 60 | $8.576,38 | 2018 / 64 | $6.996,08 | 2006 / 64 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 7 | $122.071,00 | 620 / 15 | $17.249,00 | 556 / 14 | $15.500,20 | 552 / 14 |
Hypertension W/O Mcc | 12 | 53 / 10 | $37.779,60 | 724 / 19 | $8.305,83 | 755 / 19 | $7.027,33 | 753 / 19 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 21 | $243.349,00 | 1150 / 38 | $35.050,60 | 715 / 27 | $32.472,00 | 713 / 30 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 23 | $28.940,20 | 1587 / 52 | $8.951,00 | 1919 / 55 | $7.261,33 | 1911 / 56 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 17 | $34.901,90 | 811 / 35 | $10.136,80 | 1033 / 36 | $8.528,17 | 1029 / 36 |
Other Vascular Procedures W Cc | 11 | 91 / 20 | $105.707,00 | 884 / 33 | $21.118,10 | 924 / 31 | $19.142,50 | 919 / 33 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 32 | $89.012,30 | 1630 / 56 | $16.012,40 | 1616 / 54 | $14.183,80 | 1603 / 55 |
G.I. Obstruction W Cc | 11 | 81 / 26 | $46.292,20 | 1557 / 56 | $10.622,90 | 1620 / 54 | $7.807,09 | 1615 / 53 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 37 | $59.412,50 | 1807 / 67 | $12.081,50 | 1864 / 66 | $10.585,70 | 1860 / 66 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 5 | $48.278,50 | 443 / 7 | $8.976,00 | 452 / 7 | $7.464,64 | 451 / 7 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 14 | $183.283,00 | 933 / 26 | $25.233,00 | 821 / 23 | $23.051,80 | 818 / 25 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 16 | $190.888,00 | 614 / 24 | $36.714,30 | 521 / 20 | $34.075,60 | 521 / 20 | Total 84 procedures | 2.585 | 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.