Hospital Costs > In Georgia > Evans Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 47 | $22.140,70 | 1219 / 44 | $5.608,50 | 928 / 14 | $4.897,92 | 925 / 38 |
Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 49 | $22.248,60 | 922 / 29 | $7.087,14 | 806 / 27 | $6.047,64 | 801 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 49 | $17.173,60 | 1023 / 36 | $4.660,55 | 705 / 17 | $3.569,60 | 701 / 23 |
Heart Failure & Shock W Cc | 13 | 265 / 61 | $15.356,50 | 616 / 14 | $6.136,77 | 1005 / 31 | $5.294,54 | 1003 / 38 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 36 | $19.361,50 | 532 / 12 | $6.943,00 | 912 / 27 | $6.237,00 | 909 / 38 |
Renal Failure W Cc | 11 | 210 / 54 | $15.058,00 | 472 / 9 | $5.740,45 | 897 / 8 | $5.081,91 | 889 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 66 | $22.493,60 | 383 / 15 | $9.958,68 | 390 / 5 | $9.335,23 | 390 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 34 | $16.160,30 | 452 / 14 | $6.423,58 | 1059 / 19 | $5.716,21 | 1056 / 43 | Total 8 procedures | 137 | 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.