Hospital Costs > In Georgia > Dekalb Medical Center At Hillandale, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 27 | $27.571,50 | 355 / 6 | $10.285,90 | 728 / 26 | $9.529,94 | 727 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 33 | $18.256,70 | 254 / 4 | $7.702,15 | 944 / 21 | $7.054,77 | 941 / 29 |
Chest Pain | 19 | 132 / 31 | $14.742,60 | 476 / 13 | $4.386,58 | 688 / 32 | $3.124,42 | 683 / 26 |
Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 48 | $16.136,00 | 618 / 19 | $6.172,09 | 1418 / 44 | $5.404,09 | 1413 / 57 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 50 | $19.499,20 | 670 / 17 | $7.352,31 | 1150 / 35 | $6.396,00 | 1144 / 48 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 13 | $15.977,00 | 120 / 4 | $5.853,92 | 402 / 8 | $5.451,25 | 402 / 19 |
Diabetes W Cc | 20 | 72 / 20 | $16.032,10 | 402 / 11 | $5.565,80 | 772 / 29 | $4.658,60 | 769 / 30 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 21 | $18.604,50 | 158 / 2 | $7.597,94 | 649 / 23 | $6.993,94 | 644 / 29 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 39 | $13.936,90 | 615 / 19 | $5.232,97 | 1069 / 57 | $3.800,92 | 1061 / 39 |
G.I. Hemorrhage W Cc | 15 | 203 / 51 | $18.684,50 | 634 / 15 | $6.558,73 | 1221 / 42 | $5.600,87 | 1219 / 51 |
Heart Failure & Shock W Cc | 55 | 223 / 36 | $15.105,00 | 591 / 13 | $6.531,55 | 1230 / 57 | $5.478,67 | 1226 / 54 |
Heart Failure & Shock W Mcc | 53 | 231 / 38 | $24.095,20 | 673 / 17 | $9.414,42 | 1138 / 44 | $8.484,49 | 1135 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 23 | $16.378,60 | 332 / 8 | $5.368,56 | 765 / 27 | $3.950,12 | 761 / 23 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 36 | $18.255,00 | 449 / 11 | $7.230,92 | 964 / 38 | $6.324,25 | 961 / 41 |
Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 46 | $12.663,10 | 605 / 20 | $5.187,33 | 1242 / 52 | $4.117,11 | 1233 / 44 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 33 | 93 / 22 | $15.170,90 | 158 / 4 | $7.272,18 | 468 / 34 | $5.975,97 | 465 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 38 | $12.098,10 | 560 / 18 | $4.865,65 | 1191 / 46 | $3.804,00 | 1188 / 46 |
Other Circulatory System Diagnoses W Mcc | 19 | 97 / 22 | $30.105,30 | 220 / 6 | $11.423,80 | 531 / 17 | $10.868,00 | 529 / 26 |
Pulmonary Edema & Respiratory Failure | 33 | 170 / 35 | $21.423,60 | 498 / 11 | $7.772,70 | 1004 / 34 | $6.959,27 | 1003 / 43 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 19 | $22.773,40 | 233 / 5 | $7.581,33 | 169 / 9 | $6.396,00 | 169 / 8 |
Red Blood Cell Disorders W/O Mcc | 43 | 100 / 19 | $12.995,70 | 279 / 8 | $5.419,51 | 871 / 36 | $4.377,65 | 866 / 34 |
Renal Failure W Cc | 40 | 181 / 38 | $17.786,50 | 761 / 25 | $6.318,50 | 924 / 48 | $5.104,50 | 916 / 35 |
Renal Failure W Mcc | 37 | 158 / 36 | $22.972,80 | 364 / 11 | $10.373,00 | 1225 / 52 | $9.491,73 | 1225 / 54 |
Seizures W/O Mcc | 21 | 87 / 12 | $13.965,50 | 208 / 3 | $5.186,05 | 576 / 21 | $4.207,76 | 573 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 35 | 481 / 63 | $37.433,20 | 1180 / 39 | $11.612,10 | 1511 / 53 | $11.035,70 | 1481 / 66 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 46 | $20.225,20 | 804 / 25 | $6.914,45 | 1199 / 50 | $5.875,91 | 1194 / 52 |
Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 39 | $18.102,50 | 929 / 26 | $7.142,20 | 1154 / 73 | $5.198,77 | 1150 / 43 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 45 | $22.240,30 | 524 / 13 | $8.808,80 | 919 / 35 | $7.776,64 | 919 / 35 |
Syncope & Collapse | 18 | 151 / 32 | $15.594,00 | 447 / 7 | $4.994,67 | 994 / 29 | $4.054,22 | 988 / 31 | Total 29 procedures | 708 | 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.