Hospital Costs > In Georgia > Elbert Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 46 | $12.441,50 | 296 / 4 | $5.762,05 | 176 / 14 | $4.283,33 | 176 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 50 | $8.232,47 | 105 / 1 | $4.406,58 | 306 / 8 | $3.237,42 | 305 / 6 |
| Heart Failure & Shock W Cc | 15 | 263 / 59 | $12.873,90 | 358 / 10 | $5.939,33 | 396 / 17 | $4.785,80 | 396 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 15 | 501 / 73 | $17.857,70 | 169 / 6 | $10.446,30 | 517 / 12 | $9.547,20 | 516 / 15 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 18 | $14.958,10 | 100 / 1 | $7.920,14 | 245 / 7 | $6.849,50 | 243 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 43 | $10.641,00 | 78 / 2 | $6.641,43 | 180 / 29 | $4.824,50 | 180 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 50 | $13.436,70 | 212 / 2 | $6.866,54 | 538 / 15 | $5.810,08 | 537 / 13 |
| Heart Failure & Shock W Mcc | 12 | 272 / 63 | $19.508,80 | 401 / 10 | $8.827,08 | 643 / 23 | $7.867,25 | 643 / 21 |
| Cellulitis W/O Mcc | 11 | 178 / 46 | $9.980,82 | 241 / 5 | $5.216,91 | 56 / 16 | $3.297,18 | 56 / 1 | Total 9 procedures | 134 | 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.