Hospital Costs > In Georgia > Cartersville Medical Center, 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 | 138 | 378 / 29 | $77.532,30 | 2395 / 85 | $12.563,80 | 630 / 69 | $9.704,46 | 629 / 18 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 106 | 458 / 36 | $84.929,30 | 2289 / 77 | $13.760,40 | 902 / 47 | $10.898,30 | 883 / 30 |
Renal Failure W Cc | 103 | 118 / 7 | $33.403,60 | 1842 / 71 | $6.034,75 | 756 / 32 | $4.966,47 | 749 / 23 |
Chronic Obstructive Pulmonary Disease W Cc | 88 | 91 / 7 | $39.822,30 | 2063 / 75 | $6.045,06 | 898 / 33 | $4.873,34 | 895 / 37 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 82 | 193 / 18 | $35.093,20 | 2353 / 90 | $4.910,91 | 1083 / 35 | $3.814,20 | 1075 / 40 |
Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 24 | $32.414,40 | 2294 / 83 | $5.011,88 | 1149 / 34 | $4.053,53 | 1141 / 33 |
Heart Failure & Shock W Mcc | 62 | 222 / 34 | $61.864,30 | 2224 / 78 | $9.532,13 | 443 / 48 | $7.610,55 | 443 / 11 |
Chest Pain | 59 | 92 / 8 | $30.031,30 | 1389 / 51 | $4.157,85 | 504 / 21 | $2.936,22 | 501 / 16 |
Heart Failure & Shock W Cc | 59 | 219 / 33 | $38.373,10 | 2276 / 81 | $6.128,64 | 1007 / 29 | $5.295,93 | 1005 / 39 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 15 | $50.378,50 | 2266 / 79 | $6.680,90 | 1060 / 34 | $5.716,56 | 1057 / 44 |
Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 24 | $44.770,50 | 2454 / 85 | $6.705,89 | 1094 / 63 | $5.152,58 | 1090 / 39 |
Renal Failure W Mcc | 53 | 142 / 27 | $60.687,00 | 1770 / 65 | $10.137,60 | 591 / 47 | $8.189,91 | 591 / 18 |
Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 27 | $69.344,00 | 2228 / 79 | $8.869,50 | 910 / 38 | $7.766,33 | 910 / 32 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 27 | $63.248,10 | 2391 / 79 | $7.802,73 | 981 / 54 | $6.223,51 | 976 / 40 |
G.I. Hemorrhage W Cc | 46 | 172 / 30 | $43.887,00 | 2048 / 70 | $6.838,39 | 524 / 52 | $4.929,46 | 523 / 12 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 24 | $59.417,90 | 1377 / 51 | $6.813,49 | 726 / 15 | $5.777,58 | 724 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 25 | $50.425,20 | 1752 / 62 | $6.660,17 | 547 / 27 | $5.266,83 | 546 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 23 | $115.740,00 | 1296 / 46 | $12.219,50 | 686 / 9 | $11.190,60 | 682 / 34 |
Pulmonary Edema & Respiratory Failure | 33 | 170 / 35 | $62.557,20 | 1966 / 72 | $7.584,27 | 691 / 30 | $6.578,21 | 691 / 22 |
Syncope & Collapse | 31 | 138 / 22 | $30.962,10 | 1471 / 44 | $4.783,32 | 912 / 11 | $3.952,87 | 907 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 23 | $39.858,90 | 1302 / 53 | $7.036,45 | 405 / 27 | $5.884,74 | 402 / 12 |
Cellulitis W/O Mcc | 30 | 159 / 29 | $42.726,60 | 2466 / 75 | $5.695,67 | 1056 / 43 | $4.313,47 | 1050 / 38 |
Spinal Fusion Except Cervical W/O Mcc | 27 | 167 / 29 | $165.624,00 | 1179 / 44 | $23.372,90 | 572 / 9 | $22.301,40 | 569 / 29 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 27 | $90.010,40 | 1815 / 58 | $11.476,10 | 821 / 17 | $10.644,10 | 811 / 30 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 33 | $27.116,00 | 2006 / 73 | $4.712,82 | 946 / 36 | $3.614,95 | 943 / 38 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 23 | $81.050,60 | 1561 / 54 | $9.605,43 | 392 / 12 | $8.742,95 | 392 / 16 |
Diabetes W Cc | 21 | 71 / 19 | $35.102,30 | 1315 / 51 | $5.362,10 | 649 / 21 | $4.457,71 | 648 / 24 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 14 | $56.970,20 | 1267 / 46 | $6.096,70 | 476 / 5 | $5.432,70 | 475 / 18 |
Other Vascular Procedures W Mcc | 20 | 77 / 16 | $117.749,00 | 712 / 32 | $18.501,30 | 151 / 8 | $17.492,20 | 151 / 9 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 33 | $25.755,10 | 1301 / 58 | $5.368,84 | 680 / 32 | $4.163,37 | 676 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 34 | $31.294,40 | 1678 / 58 | $5.146,58 | 897 / 22 | $4.198,37 | 894 / 30 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 11 | $69.103,80 | 950 / 26 | $9.202,21 | 365 / 8 | $8.627,95 | 365 / 10 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 30 | $36.871,60 | 1411 / 59 | $7.809,11 | 493 / 49 | $5.698,50 | 492 / 15 |
Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 11 | $45.536,70 | 975 / 37 | $5.596,94 | 527 / 9 | $4.862,72 | 523 / 21 |
Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 9 | $39.688,20 | 654 / 15 | $6.284,76 | 228 / 4 | $5.285,24 | 228 / 6 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 27 | $122.034,00 | 1690 / 58 | $15.079,50 | 573 / 31 | $12.636,30 | 565 / 21 |
Transient Ischemia | 17 | 108 / 27 | $38.609,20 | 1408 / 48 | $6.770,18 | 168 / 47 | $2.958,41 | 168 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 30 | $39.221,10 | 1302 / 40 | $7.524,53 | 705 / 16 | $6.669,94 | 702 / 23 |
Other Circulatory System O.R. Procedures | 16 | 39 / 10 | $78.719,80 | 261 / 16 | $15.725,60 | 100 / 4 | $15.174,60 | 100 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 22 | $54.413,30 | 1216 / 46 | $7.420,93 | 499 / 17 | $6.618,80 | 496 / 21 |
Signs & Symptoms W/O Mcc | 15 | 76 / 16 | $30.432,90 | 1038 / 38 | $4.539,13 | 437 / 13 | $3.572,73 | 436 / 16 |
G.I. Hemorrhage W Mcc | 14 | 107 / 33 | $69.542,40 | 1335 / 46 | $10.644,90 | 607 / 20 | $9.954,64 | 608 / 27 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 14 | 31 / 4 | $135.356,00 | 231 / 11 | $19.381,10 | 27 / 8 | $15.142,90 | 27 / 3 |
Hypertension W/O Mcc | 14 | 51 / 8 | $27.425,50 | 596 / 18 | $4.070,29 | 145 / 5 | $2.771,86 | 145 / 4 |
G.I. Obstruction W Cc | 14 | 78 / 23 | $37.657,60 | 1411 / 52 | $5.647,57 | 540 / 16 | $4.520,71 | 539 / 17 |
Seizures W/O Mcc | 13 | 95 / 18 | $28.181,20 | 896 / 34 | $5.371,62 | 60 / 24 | $3.175,54 | 60 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 14 | $134.798,00 | 800 / 23 | $18.908,20 | 359 / 11 | $18.066,40 | 357 / 16 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 27 | $66.791,80 | 1369 / 56 | $10.942,20 | 392 / 10 | $10.243,60 | 391 / 13 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 28 | $59.596,20 | 925 / 43 | $10.848,20 | 424 / 9 | $10.450,80 | 423 / 18 |
Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 18 | $167.998,00 | 924 / 27 | $29.154,70 | 21 / 28 | $15.775,00 | 21 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 22 | $144.838,00 | 797 / 27 | $18.644,00 | 281 / 6 | $17.745,30 | 279 / 13 |
Medical Back Problems W/O Mcc | 12 | 109 / 20 | $28.024,60 | 942 / 30 | $5.155,42 | 629 / 7 | $4.451,42 | 627 / 19 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 19 | $37.529,40 | 1081 / 37 | $5.956,17 | 350 / 10 | $4.950,83 | 347 / 10 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 29 | $95.058,80 | 1172 / 43 | $15.079,80 | 705 / 14 | $14.373,10 | 699 / 31 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 15 | $178.349,00 | 575 / 23 | $26.569,80 | 129 / 1 | $25.868,50 | 129 / 3 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 21 | $50.288,00 | 1153 / 43 | $8.266,82 | 408 / 20 | $7.170,09 | 405 / 14 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 14 | $27.476,40 | 718 / 23 | $4.267,55 | 272 / 6 | $3.284,27 | 271 / 7 | Total 57 procedures | 1.885 | 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.