Hospital Costs > In Georgia > Emory-Adventist Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 32 | 484 / 65 | $30.335,50 | 798 / 27 | $10.544,30 | 731 / 13 | $9.827,34 | 730 / 23 |
| Heart Failure & Shock W Cc | 27 | 251 / 49 | $18.019,40 | 932 / 32 | $5.883,93 | 502 / 14 | $4.900,22 | 502 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 68 | $51.707,70 | 1366 / 46 | $12.267,20 | 1198 / 10 | $11.379,70 | 1169 / 52 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 52 | $22.350,50 | 531 / 15 | $8.003,43 | 317 / 2 | $7.057,14 | 317 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 53 | $23.882,10 | 1533 / 61 | $5.542,00 | 673 / 6 | $4.798,62 | 670 / 25 |
| Renal Failure W Cc | 13 | 208 / 52 | $16.935,20 | 667 / 18 | $5.757,54 | 1015 / 9 | $5.198,77 | 1007 / 41 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 49 | $37.916,00 | 1428 / 54 | $7.188,75 | 457 / 13 | $6.292,75 | 457 / 14 |
| Heart Failure & Shock W Mcc | 12 | 272 / 63 | $26.077,70 | 829 / 22 | $8.625,08 | 954 / 16 | $8.225,08 | 953 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 57 | $22.253,00 | 1653 / 64 | $4.519,27 | 815 / 10 | $3.640,73 | 810 / 27 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 46 | $22.289,10 | 999 / 32 | $6.321,45 | 617 / 15 | $5.329,45 | 615 / 24 | Total 10 procedures | 160 | 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.