Hospital Costs > In Georgia > Emanuel Medical Center Swainsboro, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 12 | 177 / 45 | $14.725,20 | 825 / 24 | $5.359,42 | 952 / 26 | $4.240,17 | 946 / 25 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 42 | $20.265,90 | 1026 / 30 | $5.820,53 | 811 / 24 | $4.804,59 | 808 / 32 |
| Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 39 | $21.153,10 | 824 / 22 | $7.264,73 | 607 / 33 | $5.871,87 | 605 / 19 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 30 | $16.730,20 | 992 / 39 | $4.598,12 | 563 / 16 | $3.376,94 | 562 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 53 | $16.171,60 | 892 / 31 | $4.742,73 | 1119 / 23 | $3.838,60 | 1111 / 41 |
| Heart Failure & Shock W Cc | 17 | 261 / 57 | $17.605,10 | 885 / 29 | $6.155,24 | 1081 / 32 | $5.355,53 | 1079 / 43 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 47 | $15.911,30 | 1065 / 36 | $4.941,81 | 1262 / 26 | $4.134,81 | 1253 / 46 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 42 | $13.416,20 | 748 / 27 | $4.460,77 | 795 / 21 | $3.516,31 | 792 / 29 |
| Renal Failure W Cc | 19 | 202 / 47 | $17.452,30 | 722 / 21 | $5.847,21 | 638 / 21 | $4.868,00 | 632 / 15 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 15 | $29.559,50 | 672 / 22 | $8.414,12 | 734 / 22 | $7.818,41 | 729 / 28 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 24 | $31.725,90 | 448 / 12 | $11.854,50 | 825 / 32 | $11.180,10 | 815 / 38 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 29 | 487 / 67 | $26.373,40 | 607 / 22 | $10.841,60 | 720 / 26 | $9.816,00 | 719 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 45 | $24.163,40 | 1176 / 40 | $6.605,17 | 1302 / 27 | $5.983,92 | 1297 / 56 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 54 | $17.463,00 | 846 / 22 | $6.096,75 | 1266 / 29 | $5.269,33 | 1262 / 51 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 53 | $26.859,00 | 825 / 23 | $8.791,23 | 1241 / 33 | $8.209,38 | 1241 / 55 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 22 | $14.664,40 | 694 / 15 | $4.626,00 | 591 / 18 | $3.307,54 | 589 / 14 | Total 16 procedures | 276 | 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.