Hospital Costs > In Georgia > Coffee Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 12 | $14.831,90 | 184 / 5 | $5.058,06 | 115 / 3 | $3.842,59 | 114 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 24 | $15.519,90 | 572 / 14 | $4.512,19 | 337 / 3 | $3.655,42 | 337 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 34 | $18.019,30 | 238 / 3 | $6.660,58 | 241 / 1 | $5.951,25 | 241 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 30 | $11.691,50 | 551 / 13 | $3.424,00 | 516 / 5 | $2.457,60 | 512 / 10 |
Cellulitis W Mcc | 11 | 47 / 12 | $22.424,40 | 176 / 4 | $7.843,64 | 192 / 1 | $7.401,45 | 191 / 3 |
Cellulitis W/O Mcc | 32 | 157 / 27 | $14.530,70 | 794 / 23 | $4.808,06 | 662 / 7 | $4.019,06 | 658 / 17 |
Chronic Obstructive Pulmonary Disease W Cc | 58 | 121 / 15 | $15.575,00 | 570 / 16 | $5.498,83 | 268 / 10 | $4.276,59 | 267 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 53 | 149 / 25 | $23.434,10 | 1018 / 36 | $6.469,91 | 295 / 2 | $5.560,62 | 294 / 3 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 32 | $13.228,60 | 575 / 17 | $4.182,71 | 413 / 3 | $3.243,29 | 412 / 7 |
Diabetes W Cc | 11 | 81 / 28 | $13.983,80 | 266 / 5 | $4.821,45 | 84 / 5 | $3.570,82 | 84 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 26 | $19.047,50 | 170 / 3 | $6.574,64 | 73 / 2 | $5.591,36 | 73 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 40 | $12.473,20 | 453 / 15 | $4.732,42 | 250 / 21 | $3.178,03 | 250 / 4 |
G.I. Hemorrhage W Cc | 29 | 189 / 43 | $16.265,20 | 417 / 7 | $5.631,48 | 503 / 3 | $4.911,48 | 502 / 11 |
G.I. Hemorrhage W Mcc | 17 | 104 / 30 | $31.244,80 | 365 / 11 | $10.068,60 | 406 / 7 | $9.418,76 | 407 / 13 |
G.I. Obstruction W Cc | 17 | 75 / 20 | $18.823,20 | 570 / 11 | $5.071,59 | 213 / 4 | $4.075,82 | 212 / 8 |
Heart Failure & Shock W Cc | 41 | 237 / 43 | $16.627,20 | 764 / 25 | $5.553,02 | 382 / 4 | $4.765,90 | 382 / 7 |
Heart Failure & Shock W Mcc | 63 | 221 / 33 | $30.531,80 | 1114 / 37 | $8.389,24 | 510 / 10 | $7.703,90 | 510 / 16 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 35 | $46.980,00 | 933 / 33 | $10.527,70 | 168 / 3 | $9.401,27 | 167 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 27 | $57.172,90 | 84 / 2 | $28.272,10 | 276 / 5 | $27.666,10 | 276 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 40 | $21.343,80 | 558 / 15 | $5.997,13 | 402 / 6 | $5.111,80 | 401 / 11 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 31 | $16.489,80 | 335 / 8 | $6.403,59 | 228 / 8 | $5.308,00 | 228 / 3 |
Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 36 | $13.822,10 | 770 / 25 | $4.433,19 | 556 / 5 | $3.662,52 | 555 / 13 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 70 | 494 / 44 | $63.143,60 | 1810 / 60 | $13.733,70 | 172 / 45 | $9.625,20 | 172 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 41 | $17.814,30 | 298 / 13 | $6.148,82 | 298 / 1 | $5.709,55 | 295 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 32 | $11.380,30 | 472 / 14 | $4.403,09 | 615 / 17 | $3.390,04 | 613 / 15 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 27 | $30.725,30 | 233 / 7 | $11.055,20 | 19 / 12 | $8.311,46 | 19 / 1 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 18 | $18.643,40 | 345 / 14 | $5.469,91 | 180 / 4 | $4.594,27 | 180 / 6 |
Pulmonary Edema & Respiratory Failure | 64 | 139 / 19 | $18.688,30 | 326 / 7 | $6.909,50 | 140 / 5 | $5.784,33 | 140 / 4 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 20 | $21.750,70 | 200 / 4 | $6.857,00 | 114 / 1 | $6.196,64 | 114 / 6 |
Red Blood Cell Disorders W/O Mcc | 26 | 117 / 27 | $17.270,00 | 649 / 25 | $4.639,58 | 378 / 5 | $3.848,19 | 377 / 10 |
Renal Failure W Cc | 44 | 177 / 35 | $15.621,70 | 519 / 11 | $5.517,70 | 319 / 2 | $4.557,41 | 317 / 7 |
Renal Failure W Mcc | 52 | 143 / 28 | $24.979,20 | 458 / 15 | $8.548,46 | 234 / 5 | $7.600,00 | 234 / 5 |
Respiratory Infections & Inflammations W Cc | 34 | 54 / 4 | $19.466,20 | 245 / 5 | $7.723,85 | 125 / 3 | $6.568,15 | 125 / 2 |
Respiratory Infections & Inflammations W Mcc | 26 | 110 / 15 | $41.391,00 | 836 / 33 | $11.465,40 | 667 / 20 | $10.851,80 | 659 / 28 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 21 | $41.388,20 | 363 / 8 | $12.493,00 | 298 / 3 | $11.889,00 | 295 / 8 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 19 | $66.517,70 | 64 / 1 | $29.835,10 | 10 / 10 | $23.054,90 | 10 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 108 | 408 / 39 | $31.448,70 | 857 / 28 | $10.073,30 | 283 / 6 | $9.126,17 | 283 / 6 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 34 | $17.312,50 | 539 / 19 | $5.936,71 | 385 / 5 | $5.079,38 | 384 / 11 |
Signs & Symptoms W/O Mcc | 16 | 75 / 15 | $13.455,70 | 244 / 6 | $4.079,56 | 119 / 6 | $3.029,56 | 119 / 5 |
Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 41 | $18.243,80 | 943 / 27 | $5.493,63 | 349 / 3 | $4.508,74 | 347 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 31 | $30.628,60 | 1075 / 38 | $8.106,37 | 334 / 5 | $7.081,67 | 334 / 8 |
Transient Ischemia | 12 | 113 / 30 | $17.903,70 | 493 / 11 | $4.132,75 | 278 / 7 | $3.127,42 | 278 / 9 | Total 42 procedures | 1.225 | 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.