Hospital Costs > In Georgia > East Georgia Regional Medical Center, 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 Cc | 13 | 78 / 19 | $43.586,90 | 1095 / 39 | $6.517,31 | 656 / 16 | $5.769,00 | 654 / 29 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 18 | $54.087,70 | 1222 / 44 | $9.726,00 | 479 / 14 | $8.955,04 | 479 / 21 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 9 | $42.780,80 | 757 / 24 | $4.958,25 | 547 / 11 | $4.454,25 | 543 / 21 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 17 | $23.910,80 | 548 / 22 | $5.661,58 | 525 / 12 | $4.853,58 | 521 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 32 | $26.200,70 | 1462 / 52 | $5.224,18 | 815 / 30 | $4.124,55 | 812 / 24 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 29 | $32.410,70 | 1066 / 31 | $7.515,42 | 885 / 15 | $6.947,84 | 882 / 28 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 19 | $19.188,10 | 1351 / 52 | $3.942,27 | 1159 / 29 | $2.974,80 | 1154 / 42 |
| Cellulitis W Mcc | 15 | 43 / 9 | $24.437,90 | 227 / 7 | $8.566,33 | 282 / 4 | $7.759,93 | 281 / 6 |
| Cellulitis W/O Mcc | 23 | 166 / 34 | $21.143,50 | 1589 / 53 | $5.523,39 | 1189 / 35 | $4.420,74 | 1183 / 44 |
| Chest Pain | 18 | 133 / 32 | $17.786,80 | 749 / 24 | $4.209,44 | 640 / 25 | $3.066,33 | 636 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 28 | $28.966,90 | 1669 / 68 | $5.918,31 | 1130 / 27 | $5.081,86 | 1126 / 49 |
| Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 24 | $26.878,60 | 1267 / 44 | $6.974,39 | 559 / 20 | $5.828,19 | 558 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 14 | $23.033,40 | 1453 / 55 | $4.795,82 | 1056 / 24 | $3.787,26 | 1047 / 32 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 19 | $62.109,50 | 497 / 25 | $12.090,60 | 180 / 5 | $10.968,30 | 177 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 31 | $55.104,80 | 1317 / 50 | $6.821,39 | 701 / 16 | $5.745,96 | 699 / 29 |
| Diabetes W Cc | 18 | 74 / 21 | $21.648,70 | 800 / 32 | $5.267,67 | 289 / 14 | $3.985,78 | 289 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 19 | $33.057,80 | 743 / 25 | $7.419,56 | 460 / 16 | $6.546,67 | 457 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 57 | 218 / 30 | $28.897,30 | 2114 / 84 | $5.012,70 | 1205 / 40 | $3.893,39 | 1194 / 47 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 16 | $162.021,00 | 525 / 22 | $30.588,20 | 89 / 12 | $24.935,60 | 89 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 15 | $64.798,00 | 851 / 27 | $6.621,18 | 465 / 13 | $5.634,82 | 464 / 15 |
| G.I. Hemorrhage W Cc | 30 | 188 / 42 | $28.023,30 | 1442 / 52 | $6.237,53 | 942 / 25 | $5.317,43 | 940 / 36 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 25 | $47.463,00 | 931 / 39 | $10.210,70 | 91 / 12 | $8.431,04 | 91 / 1 |
| G.I. Obstruction W Cc | 18 | 74 / 19 | $25.142,40 | 998 / 36 | $5.716,61 | 655 / 22 | $4.641,06 | 654 / 22 |
| Heart Failure & Shock W Cc | 57 | 221 / 34 | $25.932,10 | 1743 / 66 | $6.475,12 | 1139 / 52 | $5.397,12 | 1136 / 50 |
| Heart Failure & Shock W Mcc | 87 | 197 / 25 | $39.736,90 | 1646 / 61 | $9.161,12 | 945 / 35 | $8.213,21 | 944 / 32 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 19 | $18.917,30 | 1213 / 41 | $4.521,71 | 850 / 26 | $3.601,33 | 846 / 24 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 34 | $84.106,10 | 1755 / 57 | $11.612,50 | 809 / 26 | $10.630,50 | 800 / 29 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 14 | $112.470,00 | 762 / 24 | $17.679,30 | 305 / 10 | $16.585,50 | 302 / 13 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 23 | $117.048,00 | 706 / 21 | $28.978,90 | 350 / 8 | $28.316,60 | 350 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 37 | $30.291,90 | 1173 / 42 | $6.429,15 | 671 / 16 | $5.401,95 | 670 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 28 | $40.840,60 | 718 / 26 | $9.719,38 | 212 / 7 | $8.517,38 | 211 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 20 | $31.098,60 | 1140 / 40 | $4.979,11 | 679 / 13 | $3.835,53 | 675 / 21 |
| Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 18 | $32.080,60 | 1253 / 55 | $6.899,34 | 931 / 25 | $6.276,71 | 928 / 40 |
| Kidney & Urinary Tract Infections W/O Mcc | 57 | 176 / 27 | $22.416,80 | 1797 / 69 | $4.968,56 | 1323 / 29 | $4.184,28 | 1314 / 51 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 15 | $27.146,80 | 565 / 18 | $7.322,33 | 492 / 12 | $6.626,33 | 490 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 77 | 487 / 42 | $103.600,00 | 2520 / 81 | $12.780,10 | 1185 / 25 | $11.354,10 | 1157 / 51 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 30 | $103.087,00 | 1240 / 44 | $14.838,50 | 591 / 11 | $13.960,00 | 585 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 34 | $19.661,60 | 388 / 17 | $6.788,94 | 383 / 16 | $5.846,72 | 380 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 33 | $20.781,50 | 1629 / 62 | $4.597,55 | 1096 / 30 | $3.720,45 | 1093 / 41 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 29 | $39.589,80 | 474 / 21 | $11.000,50 | 113 / 10 | $9.203,82 | 113 / 5 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 15 | $31.448,10 | 910 / 30 | $6.928,56 | 464 / 26 | $5.144,44 | 461 / 15 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 17 | $29.203,80 | 361 / 8 | $8.983,18 | 178 / 4 | $7.914,09 | 178 / 5 |
| Other Vascular Procedures W Cc | 11 | 91 / 20 | $67.300,50 | 477 / 18 | $14.148,80 | 99 / 5 | $12.739,90 | 99 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 31 | $102.797,00 | 1189 / 43 | $12.057,40 | 599 / 7 | $10.943,80 | 595 / 30 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 46 | $29.446,10 | 1011 / 34 | $7.572,75 | 907 / 29 | $6.814,75 | 907 / 39 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 19 | $30.741,80 | 856 / 31 | $6.376,69 | 282 / 17 | $4.764,31 | 282 / 9 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 20 | $37.921,10 | 647 / 28 | $7.342,09 | 113 / 6 | $6.193,27 | 113 / 5 |
| Red Blood Cell Disorders W/O Mcc | 26 | 117 / 27 | $23.744,70 | 1166 / 48 | $5.408,77 | 742 / 35 | $4.229,04 | 737 / 22 |
| Renal Failure W Cc | 70 | 151 / 22 | $28.902,60 | 1656 / 64 | $6.058,53 | 896 / 33 | $5.080,84 | 888 / 30 |
| Renal Failure W Mcc | 65 | 130 / 21 | $35.715,70 | 1082 / 42 | $8.909,95 | 343 / 11 | $7.815,58 | 343 / 8 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 20 | $30.507,50 | 704 / 24 | $8.234,33 | 495 / 19 | $7.330,33 | 492 / 16 |
| Respiratory Infections & Inflammations W Mcc | 24 | 112 / 16 | $43.895,90 | 903 / 38 | $10.773,00 | 251 / 7 | $9.894,21 | 251 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 23 | $50.652,80 | 634 / 17 | $13.367,20 | 687 / 9 | $12.929,40 | 679 / 26 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 21 | $96.458,50 | 229 / 11 | $34.054,70 | 15 / 29 | $23.554,50 | 15 / 3 |
| Seizures W/O Mcc | 18 | 90 / 14 | $24.436,00 | 751 / 29 | $5.004,39 | 603 / 16 | $4.268,39 | 600 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 116 | 400 / 37 | $46.674,40 | 1655 / 65 | $10.736,20 | 878 / 22 | $10.028,40 | 877 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 38 | $32.138,40 | 1741 / 69 | $6.648,45 | 1147 / 33 | $5.806,85 | 1142 / 49 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 20 | $21.754,80 | 746 / 30 | $4.689,55 | 708 / 18 | $4.059,73 | 705 / 27 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 32 | $28.391,50 | 1859 / 75 | $6.323,24 | 894 / 44 | $4.993,18 | 891 / 32 |
| Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 34 | $29.950,30 | 1032 / 35 | $8.341,75 | 564 / 15 | $7.399,17 | 564 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 12 | $18.730,50 | 1096 / 37 | $4.737,44 | 772 / 26 | $3.476,08 | 768 / 24 |
| Syncope & Collapse | 34 | 135 / 20 | $23.816,10 | 1151 / 34 | $4.875,88 | 838 / 22 | $3.883,88 | 834 / 23 |
| Transient Ischemia | 12 | 113 / 30 | $29.120,40 | 1152 / 41 | $4.723,67 | 722 / 22 | $3.617,00 | 718 / 28 | Total 63 procedures | 1.713 | 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.