Hospital Costs > In Georgia > Coliseum Northside Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 111 | 453 / 35 | $50.856,40 | 1331 / 42 | $12.341,20 | 426 / 12 | $10.219,80 | 424 / 17 |
| Spinal Fusion Except Cervical W/O Mcc | 76 | 118 / 13 | $101.489,00 | 749 / 29 | $23.628,80 | 125 / 14 | $19.212,00 | 124 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 17 | $54.914,80 | 1206 / 43 | $10.840,50 | 308 / 7 | $9.754,92 | 307 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 32 | 484 / 65 | $36.636,60 | 1128 / 36 | $10.728,60 | 285 / 21 | $9.129,09 | 285 / 7 |
| Renal Failure W Cc | 30 | 191 / 42 | $22.319,60 | 1214 / 49 | $5.645,27 | 240 / 6 | $4.452,87 | 239 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 27 | 77 / 16 | $57.452,30 | 424 / 22 | $12.558,90 | 251 / 5 | $11.391,50 | 251 / 14 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 19 | 37 / 11 | $46.615,10 | 521 / 24 | $9.165,95 | 161 / 5 | $8.020,68 | 161 / 8 |
| Heart Failure & Shock W Mcc | 19 | 265 / 58 | $33.208,40 | 1296 / 45 | $8.369,63 | 349 / 8 | $7.480,37 | 349 / 5 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 52 | $26.906,60 | 2073 / 76 | $4.443,06 | 359 / 6 | $3.502,61 | 359 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 50 | $29.319,60 | 1919 / 77 | $5.590,38 | 629 / 8 | $4.760,38 | 626 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 39 | $16.980,90 | 1205 / 46 | $4.151,38 | 294 / 7 | $3.122,38 | 294 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 53 | $18.664,40 | 1236 / 45 | $4.365,27 | 516 / 6 | $3.416,47 | 514 / 13 |
| Medical Back Problems W/O Mcc | 15 | 106 / 17 | $19.580,70 | 488 / 15 | $5.908,80 | 26 / 21 | $3.295,80 | 26 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 9 | $15.613,10 | 312 / 4 | $4.035,93 | 91 / 3 | $2.909,53 | 92 / 4 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 37 | $22.046,20 | 1073 / 45 | $4.685,86 | 317 / 7 | $3.781,86 | 316 / 6 |
| Heart Failure & Shock W Cc | 14 | 264 / 60 | $23.701,40 | 1556 / 59 | $5.673,50 | 591 / 7 | $4.980,93 | 591 / 15 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 45 | $23.748,70 | 1368 / 52 | $5.218,86 | 338 / 3 | $4.361,71 | 337 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 35 | $27.523,50 | 1067 / 44 | $6.344,38 | 452 / 5 | $5.647,77 | 451 / 13 |
| Chest Pain | 13 | 138 / 36 | $19.074,90 | 848 / 30 | $3.606,92 | 166 / 3 | $2.491,85 | 165 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 24 | $20.611,70 | 1242 / 43 | $4.049,73 | 230 / 3 | $2.955,91 | 228 / 4 | Total 20 procedures | 527 | 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.