Hospital Costs > In Maryland > Atlantic General Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 136 | 380 / 29 | $14.825,40 | 70 / 3 | $13.695,70 | 2118 / 3 | $12.840,50 | 2081 / 3 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 108 | 5 / 1 | $24.226,00 | 2 / 2 | $24.337,30 | 135 / 2 | $19.860,10 | 135 / 2 |
Simple Pneumonia & Pleurisy W Cc | 86 | 117 / 22 | $7.202,40 | 11 / 3 | $6.675,70 | 1616 / 3 | $5.628,28 | 1609 / 2 |
Heart Failure & Shock W Mcc | 74 | 210 / 24 | $9.986,85 | 12 / 3 | $9.215,74 | 1096 / 3 | $8.424,82 | 1093 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 24 | $9.469,54 | 49 / 13 | $8.741,30 | 2161 / 12 | $7.841,51 | 2152 / 15 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 56 | 219 / 30 | $6.198,80 | 22 / 5 | $5.774,61 | 1935 / 5 | $4.659,91 | 1921 / 6 |
Heart Failure & Shock W Cc | 54 | 224 / 33 | $8.097,28 | 43 / 9 | $7.497,41 | 2083 / 9 | $6.693,15 | 2077 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 31 | $7.618,88 | 86 / 24 | $7.034,81 | 2419 / 25 | $6.220,65 | 2408 / 27 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 51 | 131 / 22 | $7.036,94 | 1 / 1 | $6.553,61 | 570 / 1 | $5.296,86 | 569 / 1 |
G.I. Hemorrhage W Cc | 48 | 170 / 27 | $7.708,92 | 10 / 6 | $7.118,69 | 1649 / 5 | $6.255,19 | 1645 / 6 |
Pulmonary Edema & Respiratory Failure | 44 | 159 / 28 | $9.842,02 | 10 / 1 | $9.189,34 | 1571 / 1 | $8.018,68 | 1566 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 26 | $9.608,95 | 29 / 5 | $8.960,09 | 1884 / 5 | $7.642,53 | 1876 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 40 | 126 / 31 | $7.489,08 | 101 / 20 | $6.964,40 | 2229 / 20 | $5.699,45 | 2221 / 16 |
Cellulitis W/O Mcc | 36 | 153 / 32 | $7.226,83 | 52 / 10 | $6.758,75 | 1714 / 10 | $5.001,86 | 1707 / 5 |
Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 24 | $11.432,20 | 24 / 5 | $10.685,70 | 1470 / 7 | $8.621,33 | 1470 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 18 | $18.052,10 | 16 / 10 | $16.648,60 | 1867 / 10 | $15.698,30 | 1847 / 12 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 16 | $5.619,67 | 14 / 10 | $5.244,40 | 1317 / 10 | $4.076,90 | 1309 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 16 | $6.386,53 | 6 / 6 | $5.948,43 | 1139 / 6 | $4.672,50 | 1135 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 29 | $6.732,86 | 11 / 6 | $6.268,28 | 1549 / 8 | $5.100,14 | 1544 / 5 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 25 | $4.787,52 | 2 / 1 | $4.425,59 | 924 / 1 | $3.663,52 | 917 / 2 |
Red Blood Cell Disorders W/O Mcc | 25 | 118 / 26 | $7.600,92 | 26 / 13 | $7.017,84 | 1677 / 12 | $6.217,84 | 1668 / 14 |
Major Small & Large Bowel Procedures W Cc | 25 | 83 / 15 | $27.681,00 | 35 / 18 | $25.571,60 | 1478 / 18 | $23.523,20 | 1464 / 17 |
G.I. Obstruction W Cc | 24 | 68 / 17 | $9.018,75 | 37 / 25 | $8.326,21 | 1592 / 25 | $7.416,88 | 1587 / 25 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 16 | $17.966,90 | 10 / 4 | $16.669,10 | 1171 / 4 | $14.940,90 | 1158 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 26 | $9.541,87 | 2 / 1 | $8.871,26 | 4 / 2 | $6.912,09 | 4 / 1 |
Transient Ischemia | 22 | 103 / 26 | $7.086,36 | 19 / 14 | $6.549,73 | 1442 / 14 | $5.458,82 | 1434 / 16 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 28 | $4.022,09 | 2 / 2 | $3.782,55 | 635 / 3 | $2.544,23 | 631 / 2 |
Syncope & Collapse | 20 | 149 / 29 | $8.214,40 | 50 / 27 | $7.582,90 | 1786 / 27 | $6.797,30 | 1778 / 28 |
Renal Failure W Cc | 19 | 202 / 35 | $8.438,32 | 30 / 11 | $7.793,58 | 1939 / 10 | $6.776,32 | 1929 / 7 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 8 | $41.088,10 | 3 / 2 | $37.862,50 | 522 / 2 | $37.258,10 | 521 / 4 |
G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 18 | $5.049,61 | 3 / 3 | $4.750,50 | 368 / 3 | $3.497,78 | 365 / 3 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 15 | $4.779,65 | 4 / 4 | $4.425,88 | 721 / 4 | $3.287,06 | 718 / 4 |
Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 14 | $5.832,50 | 3 / 3 | $5.387,88 | 265 / 3 | $4.635,88 | 264 / 4 |
Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 5 | $7.545,50 | 4 / 4 | $6.966,19 | 303 / 4 | $6.212,19 | 303 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 39 | $8.478,20 | 32 / 9 | $7.828,87 | 2048 / 9 | $6.880,07 | 2041 / 10 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 15 | $32.905,70 | 4 / 4 | $30.330,50 | 478 / 4 | $29.443,00 | 476 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 39 | $25.363,60 | 85 / 26 | $23.490,50 | 2640 / 26 | $21.186,80 | 2594 / 27 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 16 | $4.912,93 | 1 / 1 | $4.546,50 | 315 / 1 | $3.506,50 | 316 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 23 | $7.899,43 | 2 / 1 | $7.299,43 | 383 / 1 | $6.177,14 | 381 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 26 | $40.033,60 | 24 / 13 | $36.895,40 | 1048 / 13 | $36.074,90 | 1041 / 13 |
G.I. Hemorrhage W Mcc | 14 | 107 / 23 | $17.445,80 | 46 / 24 | $16.209,80 | 1372 / 24 | $13.523,60 | 1362 / 15 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 31 | $6.428,36 | 21 / 6 | $6.160,36 | 1456 / 8 | $4.337,36 | 1445 / 3 |
Renal Failure W Mcc | 14 | 181 / 26 | $13.577,70 | 36 / 7 | $12.519,90 | 1810 / 7 | $11.916,40 | 1806 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 30 | $12.792,90 | 82 / 31 | $11.803,70 | 1621 / 30 | $10.852,90 | 1618 / 30 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 23 | $5.681,08 | 1 / 1 | $5.350,85 | 26 / 1 | $3.941,92 | 26 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 14 | $17.227,90 | 14 / 14 | $16.011,20 | 834 / 14 | $13.808,10 | 830 / 13 |
Signs & Symptoms W/O Mcc | 12 | 79 / 28 | $5.860,17 | 9 / 4 | $5.550,33 | 736 / 4 | $4.111,75 | 733 / 3 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 29 | $8.914,64 | 26 / 9 | $8.230,09 | 1408 / 9 | $7.345,73 | 1404 / 10 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 28 | $10.393,00 | 7 / 4 | $9.594,91 | 306 / 4 | $8.553,45 | 306 / 4 | Total 49 procedures | 1.560 | 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.