Hospital Costs > In Georgia > Eastside 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 | 175 | 389 / 27 | $74.535,10 | 2102 / 72 | $13.583,30 | 915 / 42 | $10.912,10 | 896 / 32 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 130 | 386 / 33 | $86.113,80 | 2508 / 88 | $12.412,40 | 996 / 67 | $10.179,40 | 987 / 42 |
Kidney & Urinary Tract Infections W/O Mcc | 97 | 136 / 11 | $29.250,90 | 2182 / 79 | $5.059,90 | 1061 / 39 | $3.999,91 | 1053 / 28 |
Renal Failure W Cc | 94 | 127 / 13 | $41.095,80 | 2079 / 76 | $6.136,64 | 988 / 38 | $5.172,64 | 980 / 39 |
Heart Failure & Shock W Mcc | 80 | 204 / 28 | $56.580,10 | 2139 / 73 | $9.767,70 | 1205 / 56 | $8.588,22 | 1202 / 48 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 26 | $31.367,70 | 2226 / 88 | $5.024,02 | 1299 / 42 | $3.969,27 | 1288 / 52 |
Heart Failure & Shock W Cc | 62 | 216 / 32 | $29.440,90 | 1929 / 72 | $6.080,63 | 1101 / 27 | $5.371,98 | 1099 / 47 |
G.I. Hemorrhage W Cc | 57 | 161 / 22 | $38.695,60 | 1913 / 66 | $6.511,79 | 945 / 39 | $5.321,63 | 943 / 37 |
Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 25 | $46.229,60 | 1798 / 72 | $8.750,07 | 869 / 31 | $7.733,62 | 869 / 30 |
Renal Failure W Mcc | 55 | 140 / 25 | $61.019,80 | 1776 / 66 | $9.865,22 | 920 / 43 | $8.759,38 | 920 / 42 |
Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 24 | $42.918,50 | 2016 / 73 | $8.178,33 | 224 / 60 | $5.449,74 | 223 / 2 |
Pulmonary Edema & Respiratory Failure | 53 | 150 / 23 | $44.787,50 | 1641 / 63 | $7.922,58 | 392 / 39 | $6.210,66 | 392 / 10 |
Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 28 | $35.898,70 | 2213 / 81 | $6.361,40 | 1180 / 45 | $5.216,87 | 1176 / 47 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 22 | $39.382,40 | 2014 / 74 | $6.747,25 | 1031 / 40 | $5.691,88 | 1028 / 40 |
Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 15 | $76.229,80 | 1652 / 55 | $11.495,00 | 767 / 19 | $10.555,60 | 759 / 27 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 44 | 138 / 24 | $46.030,00 | 1653 / 59 | $6.887,02 | 766 / 33 | $5.513,89 | 764 / 30 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 19 | $29.623,60 | 2120 / 75 | $4.691,05 | 936 / 35 | $3.607,37 | 933 / 35 |
Syncope & Collapse | 38 | 131 / 18 | $32.492,10 | 1516 / 47 | $4.802,34 | 708 / 17 | $3.753,08 | 705 / 18 |
Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 26 | $36.541,50 | 1973 / 73 | $6.190,50 | 477 / 47 | $4.517,76 | 476 / 13 |
Respiratory Infections & Inflammations W Mcc | 37 | 99 / 9 | $63.830,80 | 1333 / 54 | $11.529,40 | 441 / 22 | $10.338,50 | 438 / 15 |
Cellulitis W/O Mcc | 35 | 154 / 24 | $26.329,40 | 1951 / 67 | $5.496,06 | 989 / 34 | $4.262,57 | 983 / 29 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 16 | $95.273,80 | 1461 / 55 | $14.109,20 | 843 / 19 | $13.475,90 | 835 / 32 |
Diabetes W Cc | 30 | 62 / 15 | $30.841,20 | 1208 / 49 | $5.320,93 | 603 / 20 | $4.395,07 | 602 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 27 | $29.012,30 | 1593 / 56 | $5.200,93 | 799 / 28 | $4.108,68 | 796 / 22 |
Chest Pain | 25 | 126 / 27 | $28.910,60 | 1358 / 50 | $4.105,96 | 780 / 16 | $3.240,68 | 775 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 24 | 144 / 22 | $86.185,30 | 1411 / 49 | $11.490,20 | 861 / 35 | $10.474,50 | 859 / 35 |
Transient Ischemia | 24 | 101 / 21 | $36.402,60 | 1362 / 47 | $4.647,67 | 702 / 19 | $3.587,67 | 698 / 27 |
Red Blood Cell Disorders W/O Mcc | 24 | 119 / 28 | $25.473,70 | 1282 / 56 | $5.113,17 | 802 / 18 | $4.301,08 | 797 / 27 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 25 | $42.860,00 | 1560 / 62 | $6.875,52 | 791 / 24 | $6.083,87 | 790 / 34 |
Other Digestive System Diagnoses W Cc | 23 | 74 / 9 | $34.695,60 | 1015 / 34 | $6.223,52 | 375 / 16 | $4.998,96 | 372 / 11 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 22 | $65.363,10 | 1400 / 50 | $9.873,91 | 529 / 17 | $9.055,00 | 528 / 23 |
G.I. Obstruction W Cc | 21 | 71 / 16 | $34.900,10 | 1338 / 50 | $5.711,81 | 730 / 20 | $4.733,52 | 729 / 26 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 27 | $38.877,90 | 1287 / 39 | $8.101,86 | 572 / 29 | $6.473,33 | 569 / 13 |
Degenerative Nervous System Disorders W/O Mcc | 21 | 57 / 5 | $37.896,30 | 646 / 22 | $6.162,00 | 254 / 9 | $5.154,95 | 254 / 8 |
G.I. Hemorrhage W Mcc | 20 | 101 / 27 | $87.708,50 | 1500 / 50 | $14.646,20 | 737 / 45 | $10.366,20 | 736 / 31 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 19 | 177 / 34 | $94.967,90 | 1108 / 42 | $12.190,30 | 681 / 8 | $11.176,40 | 677 / 33 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 33 | $33.405,40 | 1112 / 44 | $6.941,21 | 627 / 23 | $6.243,95 | 624 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 21 | $36.030,60 | 1264 / 43 | $4.991,06 | 791 / 14 | $3.981,28 | 787 / 26 |
Other Vascular Procedures W Mcc | 17 | 80 / 19 | $121.779,00 | 744 / 33 | $19.488,20 | 206 / 11 | $18.022,40 | 206 / 12 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 26 | $201.849,00 | 1268 / 41 | $32.279,10 | 660 / 20 | $31.175,90 | 654 / 24 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 37 | $43.029,80 | 1030 / 40 | $6.902,53 | 333 / 19 | $5.191,88 | 333 / 8 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 16 | $219.450,00 | 801 / 39 | $31.929,10 | 413 / 22 | $30.943,10 | 413 / 26 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 9 | $69.418,10 | 654 / 23 | $10.026,60 | 377 / 7 | $8.968,62 | 377 / 14 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 19 | $30.986,20 | 1643 / 54 | $4.671,12 | 994 / 22 | $3.674,12 | 989 / 32 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 13 | $30.882,40 | 830 / 33 | $5.958,31 | 446 / 9 | $5.198,31 | 444 / 15 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 19 | $100.469,00 | 493 / 19 | $18.533,80 | 52 / 5 | $15.740,90 | 52 / 3 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 17 | $38.010,80 | 1020 / 37 | $7.289,67 | 341 / 29 | $4.873,20 | 341 / 11 |
Other Digestive System Diagnoses W Mcc | 14 | 48 / 10 | $72.423,10 | 646 / 19 | $12.240,60 | 385 / 15 | $10.712,40 | 384 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 23 | $40.789,10 | 969 / 40 | $7.416,64 | 547 / 15 | $6.730,93 | 542 / 25 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 26 | $63.992,50 | 981 / 48 | $11.497,10 | 513 / 19 | $10.804,50 | 511 / 25 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 5 | $24.622,40 | 500 / 12 | $4.976,21 | 312 / 5 | $3.938,50 | 312 / 6 |
Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 35 | $109.100,00 | 824 / 32 | $25.212,60 | 324 / 25 | $20.722,40 | 323 / 15 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 15 | $59.527,60 | 702 / 29 | $11.017,40 | 247 / 26 | $8.312,93 | 246 / 10 |
Signs & Symptoms W/O Mcc | 13 | 78 / 18 | $29.511,90 | 1018 / 37 | $4.543,00 | 569 / 14 | $3.799,62 | 568 / 20 |
Medical Back Problems W/O Mcc | 12 | 109 / 20 | $34.610,60 | 1143 / 36 | $5.497,00 | 595 / 15 | $4.393,00 | 593 / 18 |
Seizures W/O Mcc | 12 | 96 / 19 | $33.633,30 | 1038 / 39 | $4.878,50 | 213 / 14 | $3.588,50 | 212 / 9 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 34 | $28.249,90 | 1655 / 61 | $5.533,33 | 1005 / 52 | $3.737,58 | 996 / 30 |
Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 6 | $21.446,80 | 234 / 10 | $4.253,00 | 94 / 2 | $2.935,75 | 94 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 6 | $52.394,10 | 437 / 15 | $8.289,58 | 147 / 10 | $5.869,50 | 147 / 6 |
Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 29 | $64.617,70 | 519 / 27 | $17.222,20 | 62 / 35 | $10.111,00 | 62 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 21 | $44.531,50 | 1109 / 40 | $6.482,18 | 447 / 15 | $5.385,45 | 446 / 15 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 21 | $53.412,70 | 1189 / 45 | $8.411,55 | 700 / 21 | $7.751,18 | 695 / 26 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 18 | $24.048,50 | 551 / 23 | $5.614,36 | 381 / 10 | $4.517,64 | 377 / 14 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 14 | $35.977,50 | 824 / 24 | $4.923,82 | 159 / 17 | $3.037,36 | 158 / 4 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 15 | $36.354,90 | 406 / 14 | $7.268,45 | 211 / 11 | $5.249,36 | 211 / 7 | Total 65 procedures | 2.120 | 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.