Hospital Costs > In Georgia > Dekalb Medical Center, 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 | 257 | 308 / 14 | $36.544,70 | 556 / 18 | $14.656,30 | 1751 / 64 | $12.697,10 | 1711 / 70 |
| Psychoses | 138 | 161 / 6 | $9.302,30 | 46 / 1 | $7.868,54 | 424 / 7 | $7.040,52 | 424 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 135 | 381 / 32 | $33.329,50 | 960 / 31 | $13.123,90 | 1827 / 78 | $11.811,10 | 1792 / 77 |
| Heart Failure & Shock W Cc | 107 | 171 / 17 | $15.711,10 | 652 / 15 | $7.701,81 | 2078 / 75 | $6.690,69 | 2073 / 77 |
| Renal Failure W Cc | 101 | 120 / 9 | $16.820,50 | 652 / 17 | $7.605,42 | 1899 / 70 | $6.658,71 | 1889 / 72 |
| Heart Failure & Shock W Mcc | 89 | 195 / 24 | $25.692,20 | 797 / 21 | $10.661,40 | 1860 / 66 | $9.928,01 | 1855 / 72 |
| G.I. Hemorrhage W Cc | 84 | 134 / 11 | $17.762,60 | 548 / 11 | $7.812,38 | 1857 / 66 | $6.780,77 | 1853 / 66 |
| Renal Failure W Mcc | 84 | 111 / 16 | $23.638,30 | 395 / 13 | $11.402,20 | 1482 / 60 | $10.219,10 | 1481 / 59 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 80 | 46 / 6 | $17.444,70 | 274 / 10 | $8.500,20 | 1214 / 52 | $7.725,51 | 1211 / 53 |
| Kidney & Urinary Tract Infections W/O Mcc | 79 | 154 / 17 | $13.375,30 | 695 / 23 | $6.632,43 | 2191 / 78 | $5.437,59 | 2180 / 77 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 22 | $14.463,30 | 681 / 25 | $6.298,37 | 2284 / 81 | $5.469,19 | 2269 / 86 |
| Pulmonary Edema & Respiratory Failure | 63 | 140 / 20 | $26.168,90 | 805 / 23 | $9.125,40 | 1671 / 57 | $8.355,43 | 1666 / 64 |
| Red Blood Cell Disorders W/O Mcc | 62 | 81 / 9 | $15.414,60 | 489 / 18 | $6.732,85 | 1550 / 60 | $5.660,81 | 1541 / 60 |
| Simple Pneumonia & Pleurisy W Mcc | 60 | 145 / 22 | $24.135,50 | 645 / 18 | $10.390,30 | 1779 / 72 | $9.335,60 | 1779 / 72 |
| Diabetes W Cc | 56 | 36 / 3 | $12.902,80 | 198 / 3 | $6.753,25 | 1250 / 45 | $5.952,21 | 1245 / 47 |
| Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 28 | $17.323,10 | 828 / 21 | $7.644,81 | 2222 / 82 | $6.677,87 | 2214 / 83 |
| Other Circulatory System Diagnoses W Mcc | 50 | 66 / 6 | $33.482,50 | 302 / 11 | $12.862,80 | 723 / 38 | $11.717,70 | 721 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 50 | 132 / 20 | $22.367,80 | 631 / 17 | $8.047,40 | 1542 / 54 | $7.018,86 | 1539 / 55 |
| Chronic Obstructive Pulmonary Disease W Cc | 48 | 131 / 19 | $13.833,10 | 393 / 10 | $7.418,29 | 1950 / 71 | $6.541,40 | 1943 / 71 |
| Syncope & Collapse | 47 | 122 / 13 | $13.361,20 | 289 / 2 | $6.209,87 | 1493 / 45 | $5.116,15 | 1486 / 46 |
| Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 28 | $19.525,00 | 674 / 18 | $8.775,06 | 1966 / 70 | $7.864,19 | 1958 / 73 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 23 | $18.382,00 | 625 / 22 | $8.070,55 | 1865 / 71 | $6.966,66 | 1857 / 74 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 18 | $15.052,60 | 961 / 36 | $5.990,20 | 2049 / 69 | $5.008,07 | 2041 / 71 |
| Respiratory Infections & Inflammations W Mcc | 43 | 93 / 6 | $52.521,20 | 1126 / 44 | $14.008,70 | 832 / 53 | $11.189,70 | 822 / 39 |
| Other Vascular Procedures W Mcc | 40 | 57 / 8 | $51.279,80 | 90 / 2 | $20.741,80 | 362 / 17 | $19.336,90 | 360 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 38 | 130 / 17 | $33.290,00 | 453 / 9 | $11.764,10 | 1003 / 38 | $11.045,50 | 998 / 41 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 38 | 150 / 25 | $25.307,30 | 296 / 7 | $8.317,58 | 1307 / 43 | $7.510,50 | 1304 / 49 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 34 | 91 / 13 | $33.298,10 | 558 / 12 | $13.010,00 | 1128 / 48 | $10.771,90 | 1123 / 46 |
| Major Small & Large Bowel Procedures W Cc | 34 | 74 / 13 | $47.460,40 | 347 / 9 | $17.387,40 | 847 / 35 | $14.961,30 | 839 / 35 |
| Kidney & Urinary Tract Infections W Mcc | 33 | 111 / 19 | $17.346,40 | 389 / 10 | $8.700,00 | 1484 / 58 | $7.565,24 | 1480 / 58 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 23 | $17.703,20 | 828 / 23 | $6.560,62 | 1755 / 57 | $5.646,75 | 1750 / 59 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 13 | $71.744,30 | 185 / 4 | $31.454,90 | 498 / 17 | $29.471,10 | 494 / 20 |
| Chest Pain | 30 | 121 / 24 | $14.240,50 | 431 / 11 | $5.555,33 | 1266 / 48 | $4.176,17 | 1259 / 47 |
| Cellulitis W/O Mcc | 29 | 160 / 30 | $13.245,20 | 624 / 18 | $6.887,52 | 2096 / 69 | $5.793,03 | 2088 / 70 |
| Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 25 | $30.528,10 | 242 / 4 | $13.296,40 | 1368 / 50 | $12.252,80 | 1350 / 53 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 19 | $11.934,40 | 440 / 9 | $6.114,29 | 1784 / 61 | $5.285,89 | 1773 / 62 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 27 | 169 / 29 | $56.771,60 | 378 / 12 | $14.056,60 | 1017 / 32 | $12.616,90 | 1010 / 39 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 18 | $45.924,00 | 511 / 12 | $16.182,20 | 1227 / 46 | $15.244,00 | 1214 / 47 |
| Peripheral Vascular Disorders W Cc | 27 | 57 / 6 | $19.407,50 | 387 / 17 | $7.833,96 | 993 / 34 | $7.150,52 | 990 / 37 |
| Signs & Symptoms W/O Mcc | 26 | 65 / 7 | $15.241,40 | 350 / 10 | $5.981,50 | 1078 / 36 | $5.285,04 | 1075 / 39 |
| G.I. Hemorrhage W Mcc | 26 | 95 / 23 | $23.528,70 | 143 / 3 | $12.536,80 | 810 / 39 | $10.565,70 | 807 / 32 |
| G.I. Obstruction W Cc | 26 | 66 / 12 | $15.942,20 | 360 / 6 | $7.417,50 | 1333 / 49 | $5.982,23 | 1328 / 47 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 25 | 71 / 9 | $34.486,20 | 91 / 2 | $14.828,50 | 570 / 14 | $13.436,00 | 567 / 20 |
| Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 11 | $127.678,00 | 632 / 24 | $39.859,80 | 705 / 34 | $32.375,70 | 703 / 28 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 25 | 44 / 9 | $47.570,90 | 93 / 7 | $18.269,30 | 360 / 11 | $17.150,40 | 359 / 15 |
| Diabetes W Mcc | 24 | 33 / 5 | $35.085,80 | 382 / 17 | $10.854,00 | 562 / 22 | $10.127,30 | 561 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 18 | $18.233,70 | 448 / 12 | $6.111,35 | 1234 / 38 | $4.948,65 | 1230 / 39 |
| Spinal Fusion Except Cervical W/O Mcc | 23 | 171 / 30 | $57.494,80 | 181 / 6 | $26.694,00 | 582 / 29 | $22.356,40 | 579 / 30 |
| Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 6 | $14.287,70 | 169 / 4 | $7.027,43 | 749 / 28 | $5.707,61 | 745 / 32 |
| Hypertension W/O Mcc | 23 | 42 / 3 | $13.456,60 | 153 / 3 | $6.213,65 | 606 / 18 | $4.416,04 | 604 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 26 | $28.300,60 | 868 / 20 | $8.999,00 | 1357 / 41 | $8.131,73 | 1354 / 41 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 12 | $24.548,00 | 501 / 11 | $8.131,00 | 995 / 40 | $6.687,91 | 993 / 41 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 22 | 42 / 11 | $33.585,70 | 192 / 6 | $11.443,10 | 398 / 20 | $9.185,82 | 398 / 21 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 22 | 49 / 12 | $91.981,30 | 187 / 7 | $32.493,80 | 465 / 23 | $31.745,00 | 465 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 16 | $20.678,20 | 231 / 8 | $8.953,82 | 993 / 41 | $8.125,91 | 988 / 42 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 11 | $18.623,90 | 327 / 6 | $7.573,67 | 974 / 34 | $6.390,14 | 970 / 34 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 13 | $16.151,40 | 196 / 1 | $7.831,57 | 854 / 35 | $5.978,81 | 851 / 29 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 19 | $13.190,60 | 629 / 19 | $5.947,14 | 1583 / 51 | $4.673,86 | 1570 / 50 |
| Peripheral Vascular Disorders W Mcc | 20 | 29 / 3 | $26.858,30 | 145 / 7 | $9.901,45 | 396 / 14 | $9.368,20 | 396 / 14 |
| Other Vascular Procedures W Cc | 20 | 82 / 13 | $60.613,40 | 375 / 11 | $16.815,50 | 638 / 22 | $15.832,40 | 635 / 28 |
| Seizures W Mcc | 20 | 46 / 8 | $35.737,00 | 275 / 10 | $12.545,00 | 555 / 15 | $11.362,00 | 555 / 15 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 20 | 57 / 8 | $28.061,20 | 64 / 1 | $11.286,30 | 218 / 6 | $9.049,20 | 218 / 7 |
| Renal Failure W/O Cc/Mcc | 20 | 36 / 8 | $10.440,70 | 132 / 2 | $5.580,10 | 724 / 22 | $4.724,90 | 722 / 24 |
| Transient Ischemia | 19 | 106 / 25 | $16.924,70 | 412 / 9 | $6.023,95 | 1344 / 45 | $4.996,63 | 1337 / 46 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 19 | 105 / 8 | $9.898,89 | 132 / 4 | $5.933,32 | 614 / 13 | $5.064,89 | 613 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 26 | $12.795,70 | 688 / 21 | $5.167,21 | 1713 / 52 | $4.141,11 | 1707 / 55 |
| Seizures W/O Mcc | 18 | 90 / 14 | $14.171,30 | 216 / 4 | $6.391,67 | 991 / 33 | $5.523,44 | 989 / 37 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 12 | $27.386,40 | 312 / 3 | $11.093,10 | 664 / 21 | $9.946,61 | 662 / 19 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 14 | $100.785,00 | 188 / 7 | $36.692,20 | 357 / 13 | $34.080,40 | 356 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 16 | $35.226,90 | 90 / 3 | $14.357,60 | 573 / 24 | $13.448,90 | 567 / 24 |
| Depressive Neuroses | 17 | 33 / 1 | $8.074,47 | 31 / 1 | $5.781,24 | 108 / 3 | $4.898,24 | 108 / 3 |
| Cranial & Peripheral Nerve Disorders W Mcc | 16 | 20 / 4 | $36.699,40 | 80 / 6 | $11.154,50 | 110 / 8 | $9.869,00 | 110 / 8 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 13 | $27.984,20 | 149 / 4 | $11.434,80 | 689 / 29 | $10.589,10 | 686 / 30 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 16 | $22.146,00 | 356 / 8 | $9.832,88 | 1100 / 38 | $9.061,50 | 1095 / 41 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 16 | 18 / 5 | $83.706,40 | 64 / 4 | $29.425,80 | 95 / 5 | $28.454,10 | 95 / 5 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 10 | $15.377,30 | 312 / 5 | $5.661,67 | 728 / 22 | $4.963,67 | 727 / 22 |
| Other Circulatory System O.R. Procedures | 15 | 40 / 11 | $45.836,20 | 86 / 5 | $17.488,10 | 160 / 6 | $16.235,20 | 160 / 7 |
| Other Digestive System Diagnoses W Mcc | 14 | 48 / 10 | $19.698,40 | 34 / 1 | $11.696,60 | 409 / 14 | $10.907,40 | 408 / 15 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 13 | $113.402,00 | 178 / 8 | $37.148,40 | 405 / 11 | $36.254,60 | 404 / 13 |
| Medical Back Problems W/O Mcc | 14 | 107 / 18 | $18.404,80 | 415 / 11 | $6.886,57 | 1162 / 32 | $5.836,64 | 1158 / 36 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 16 | $66.519,80 | 209 / 5 | $21.983,40 | 565 / 15 | $20.933,00 | 565 / 23 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 17 | $24.810,80 | 305 / 9 | $9.594,79 | 781 / 29 | $8.891,36 | 777 / 30 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 21 | $13.015,30 | 512 / 7 | $6.051,71 | 1634 / 52 | $4.840,86 | 1626 / 53 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 20 | $72.037,10 | 188 / 4 | $22.508,00 | 396 / 22 | $18.689,40 | 394 / 17 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 13 | $53.612,20 | 259 / 8 | $18.458,70 | 402 / 18 | $15.183,80 | 401 / 17 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 11 | $46.590,90 | 740 / 24 | $11.201,00 | 820 / 24 | $10.252,80 | 820 / 25 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 17 | $28.689,80 | 400 / 9 | $8.080,85 | 773 / 25 | $7.144,85 | 770 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 14 | $57.271,10 | 211 / 2 | $17.724,90 | 232 / 3 | $17.060,50 | 231 / 7 |
| Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 6 | $23.336,00 | 189 / 4 | $7.697,83 | 382 / 12 | $7.180,25 | 382 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 15 | $14.581,40 | 102 / 1 | $8.846,92 | 875 / 23 | $8.333,08 | 873 / 27 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 13 | $13.270,60 | 72 / 1 | $6.829,67 | 337 / 19 | $5.171,75 | 337 / 15 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 2 | $12.759,10 | 58 / 1 | $6.082,67 | 286 / 3 | $5.469,75 | 286 / 3 |
| Pulmonary Embolism W Mcc | 11 | 32 / 10 | $29.954,80 | 159 / 3 | $10.977,90 | 441 / 13 | $10.184,90 | 440 / 14 |
| Degenerative Nervous System Disorders W Mcc | 11 | 27 / 3 | $32.311,80 | 74 / 2 | $12.161,40 | 113 / 3 | $11.044,30 | 113 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 12 | $24.464,20 | 72 / 2 | $12.588,80 | 352 / 15 | $11.702,10 | 351 / 16 |
| Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 6 | $33.465,00 | 86 / 4 | $12.561,50 | 196 / 8 | $11.664,80 | 196 / 10 | Total 96 procedures | 3.395 | 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.