Hospital Costs > In Georgia > Candler Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 14 | 16 / 2 | $41.844,50 | 64 / 1 | $12.244,10 | 43 / 2 | $10.034,60 | 42 / 1 |
Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 7 | $19.868,70 | 374 / 12 | $6.009,27 | 436 / 21 | $4.633,27 | 432 / 16 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 31 | $19.355,90 | 997 / 34 | $5.566,48 | 1417 / 45 | $4.836,04 | 1412 / 50 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 24 | $53.060,90 | 1589 / 51 | $8.911,21 | 1388 / 40 | $8.247,88 | 1385 / 43 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 33 | $12.389,20 | 642 / 19 | $4.446,00 | 966 / 45 | $2.794,17 | 961 / 32 |
Cellulitis W Mcc | 17 | 41 / 7 | $44.251,50 | 670 / 16 | $9.761,24 | 514 / 12 | $8.835,12 | 512 / 14 |
Cellulitis W/O Mcc | 84 | 105 / 2 | $20.541,70 | 1538 / 49 | $5.874,43 | 1491 / 50 | $4.709,37 | 1484 / 53 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 27 | 64 / 3 | $34.717,60 | 208 / 7 | $7.333,26 | 112 / 4 | $6.781,78 | 112 / 3 |
Chest Pain | 21 | 130 / 29 | $16.206,20 | 605 / 17 | $4.563,43 | 909 / 36 | $3.406,86 | 904 / 40 |
Chronic Obstructive Pulmonary Disease W Cc | 60 | 119 / 14 | $22.433,10 | 1248 / 46 | $6.304,30 | 1349 / 51 | $5.317,42 | 1344 / 54 |
Chronic Obstructive Pulmonary Disease W Mcc | 71 | 131 / 15 | $33.977,20 | 1689 / 63 | $7.838,27 | 1212 / 55 | $6.475,90 | 1206 / 52 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 16 | $16.051,00 | 911 / 33 | $5.247,97 | 1265 / 45 | $4.026,56 | 1255 / 43 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 17 | 51 / 8 | $15.814,70 | 117 / 3 | $6.140,18 | 301 / 11 | $5.024,06 | 301 / 14 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 11 | $19.545,70 | 220 / 8 | $6.456,38 | 346 / 12 | $5.437,31 | 346 / 14 |
Diabetes W Cc | 33 | 59 / 12 | $23.620,60 | 923 / 43 | $5.729,97 | 942 / 34 | $4.999,79 | 938 / 37 |
Diabetes W Mcc | 11 | 46 / 15 | $49.439,80 | 544 / 24 | $9.166,00 | 373 / 14 | $8.511,45 | 373 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 18 | $34.656,10 | 791 / 32 | $8.026,21 | 293 / 29 | $6.228,37 | 291 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 91 | 184 / 14 | $16.929,10 | 988 / 34 | $5.321,76 | 1484 / 61 | $4.117,24 | 1473 / 62 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 13 | $134.374,00 | 418 / 18 | $31.117,70 | 131 / 14 | $25.870,80 | 131 / 4 |
G.I. Hemorrhage W Cc | 56 | 162 / 23 | $22.317,60 | 968 / 30 | $6.804,20 | 1170 / 51 | $5.542,18 | 1168 / 47 |
G.I. Hemorrhage W Mcc | 22 | 99 / 26 | $43.235,50 | 813 / 30 | $10.689,40 | 678 / 21 | $10.144,00 | 679 / 29 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 15 | $16.366,90 | 394 / 15 | $5.065,75 | 668 / 16 | $4.260,42 | 664 / 22 |
G.I. Obstruction W Cc | 32 | 60 / 7 | $18.560,70 | 553 / 10 | $7.073,22 | 806 / 44 | $4.818,00 | 804 / 32 |
G.I. Obstruction W Mcc | 14 | 28 / 5 | $30.030,10 | 129 / 3 | $9.780,14 | 170 / 4 | $9.007,57 | 170 / 7 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 11 | $13.722,80 | 421 / 8 | $4.538,53 | 857 / 20 | $3.546,53 | 854 / 25 |
Heart Failure & Shock W Cc | 77 | 201 / 26 | $21.123,90 | 1306 / 51 | $6.616,06 | 1497 / 60 | $5.767,44 | 1492 / 63 |
Heart Failure & Shock W Mcc | 60 | 224 / 36 | $34.870,90 | 1386 / 49 | $9.317,38 | 1057 / 40 | $8.366,35 | 1055 / 41 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 22 | $12.543,40 | 537 / 15 | $4.949,17 | 1392 / 39 | $4.211,39 | 1381 / 42 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 21 | $153.955,00 | 1048 / 34 | $36.273,00 | 772 / 31 | $32.301,00 | 766 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 34 | $19.452,30 | 443 / 9 | $6.891,96 | 898 / 34 | $5.682,12 | 896 / 42 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 28 | $37.535,70 | 608 / 16 | $10.721,90 | 777 / 26 | $10.115,90 | 776 / 30 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 24 | $15.321,50 | 275 / 5 | $5.358,07 | 917 / 26 | $4.159,13 | 913 / 29 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 15 | 25 / 2 | $31.733,50 | 23 / 1 | $9.570,53 | 35 / 1 | $7.866,33 | 35 / 1 |
Kidney & Urinary Tract Infections W Mcc | 41 | 103 / 13 | $26.796,10 | 1021 / 39 | $7.368,63 | 1056 / 43 | $6.499,17 | 1053 / 47 |
Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 25 | $15.537,20 | 1015 / 32 | $5.442,79 | 1760 / 61 | $4.632,40 | 1749 / 64 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 7 | $80.108,80 | 290 / 10 | $16.708,70 | 284 / 8 | $15.703,20 | 283 / 10 |
Major Chest Procedures W Cc | 16 | 58 / 9 | $77.558,90 | 319 / 14 | $15.411,10 | 177 / 3 | $14.351,10 | 177 / 7 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 15 | $21.503,40 | 336 / 8 | $7.457,08 | 542 / 14 | $6.753,08 | 540 / 20 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 8 | $45.322,70 | 375 / 16 | $11.325,50 | 233 / 5 | $10.841,20 | 232 / 9 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 5 | $27.557,80 | 164 / 1 | $7.745,29 | 209 / 4 | $7.055,00 | 209 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 24 | 540 / 63 | $45.268,70 | 1046 / 29 | $13.311,50 | 1093 / 38 | $11.211,20 | 1069 / 45 |
Major Male Pelvic Procedures W/O Cc/Mcc | 21 | 52 / 5 | $27.597,50 | 61 / 1 | $8.372,19 | 177 / 6 | $6.772,33 | 177 / 7 |
Major Small & Large Bowel Procedures W Cc | 31 | 77 / 15 | $68.509,40 | 828 / 30 | $15.600,20 | 583 / 22 | $13.923,70 | 577 / 24 |
Major Small & Large Bowel Procedures W Mcc | 32 | 53 / 5 | $166.299,00 | 898 / 34 | $33.323,00 | 682 / 20 | $32.000,50 | 680 / 26 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 31 | 33 / 7 | $38.354,30 | 270 / 13 | $10.247,90 | 334 / 14 | $8.766,16 | 334 / 16 |
Medical Back Problems W/O Mcc | 13 | 108 / 19 | $15.641,40 | 259 / 2 | $5.972,69 | 677 / 22 | $4.528,85 | 675 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 32 | $23.970,20 | 643 / 32 | $7.133,40 | 588 / 30 | $6.171,80 | 585 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 53 | 113 / 13 | $16.198,90 | 1105 / 43 | $5.125,68 | 1592 / 54 | $4.169,62 | 1587 / 58 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 27 | $43.804,50 | 601 / 28 | $11.549,90 | 464 / 21 | $10.626,80 | 463 / 20 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 15 | $24.648,40 | 661 / 22 | $6.574,75 | 554 / 22 | $5.293,12 | 551 / 19 |
Other Disorders Of Nervous System W Cc | 16 | 40 / 8 | $22.832,60 | 231 / 9 | $6.140,06 | 269 / 9 | $5.158,06 | 269 / 11 |
Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 8 | $19.710,80 | 236 / 4 | $6.656,89 | 449 / 8 | $6.048,89 | 449 / 12 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 14 | $54.668,40 | 832 / 24 | $12.116,00 | 726 / 23 | $10.354,90 | 724 / 21 |
Other Kidney & Urinary Tract Procedures W Mcc | 12 | 26 / 7 | $76.544,20 | 98 / 10 | $18.138,80 | 44 / 4 | $17.485,50 | 44 / 5 |
Other Resp System O.R. Procedures W Mcc | 15 | 48 / 10 | $54.580,10 | 82 / 2 | $20.541,70 | 48 / 3 | $18.035,70 | 48 / 1 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 13 | $15.500,20 | 202 / 4 | $6.732,25 | 353 / 23 | $5.013,12 | 351 / 10 |
Pulmonary Edema & Respiratory Failure | 74 | 129 / 13 | $36.886,60 | 1382 / 53 | $7.925,51 | 1087 / 40 | $7.076,31 | 1085 / 48 |
Red Blood Cell Disorders W Mcc | 17 | 54 / 14 | $50.854,80 | 849 / 37 | $8.712,00 | 516 / 25 | $7.547,82 | 514 / 23 |
Red Blood Cell Disorders W/O Mcc | 66 | 77 / 7 | $24.493,70 | 1219 / 52 | $5.705,98 | 935 / 44 | $4.450,83 | 929 / 37 |
Renal Failure W Cc | 76 | 145 / 19 | $20.726,60 | 1050 / 36 | $6.531,20 | 1563 / 51 | $5.863,83 | 1554 / 62 |
Renal Failure W Mcc | 50 | 145 / 29 | $46.401,30 | 1489 / 61 | $10.411,30 | 701 / 53 | $8.370,66 | 701 / 25 |
Respiratory Infections & Inflammations W Cc | 23 | 65 / 11 | $34.441,80 | 835 / 31 | $8.721,26 | 784 / 27 | $7.944,22 | 779 / 32 |
Respiratory Infections & Inflammations W Mcc | 31 | 105 / 12 | $51.448,80 | 1108 / 43 | $12.157,60 | 702 / 36 | $10.922,70 | 694 / 32 |
Respiratory Neoplasms W Cc | 14 | 33 / 5 | $22.254,90 | 88 / 4 | $7.647,86 | 241 / 7 | $7.044,43 | 240 / 7 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 18 | $65.277,90 | 1045 / 36 | $14.008,90 | 562 / 18 | $12.613,10 | 554 / 19 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 31 | 40 / 6 | $136.681,00 | 487 / 26 | $30.926,00 | 367 / 15 | $30.149,70 | 367 / 21 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 15 | $176.166,00 | 660 / 25 | $44.422,80 | 539 / 27 | $37.564,60 | 538 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 70 | 446 / 50 | $56.034,10 | 1984 / 76 | $11.598,80 | 1212 / 52 | $10.496,10 | 1193 / 54 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 37 | $28.661,00 | 1538 / 58 | $7.019,19 | 1433 / 54 | $6.155,19 | 1428 / 60 |
Signs & Symptoms W/O Mcc | 19 | 72 / 12 | $22.898,80 | 812 / 31 | $4.985,95 | 605 / 27 | $3.880,47 | 604 / 24 |
Simple Pneumonia & Pleurisy W Cc | 69 | 134 / 18 | $27.593,00 | 1814 / 73 | $6.601,36 | 1576 / 57 | $5.586,78 | 1569 / 63 |
Simple Pneumonia & Pleurisy W Mcc | 67 | 138 / 18 | $39.094,50 | 1531 / 62 | $9.127,76 | 1181 / 49 | $8.111,15 | 1181 / 51 |
Syncope & Collapse | 23 | 146 / 27 | $20.101,30 | 868 / 25 | $5.223,87 | 1194 / 33 | $4.384,91 | 1187 / 35 |
Transient Ischemia | 15 | 110 / 28 | $19.327,40 | 609 / 16 | $5.077,07 | 989 / 33 | $4.029,60 | 984 / 36 |
Transurethral Procedures W Cc | 13 | 28 / 4 | $35.074,90 | 176 / 2 | $8.276,46 | 165 / 3 | $7.058,31 | 165 / 3 | Total 75 procedures | 2.246 | 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.