Hospital Costs > In Georgia > Floyd Medical Center, 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 | 254 | 262 / 11 | $44.146,80 | 1530 / 59 | $12.584,10 | 1708 / 70 | $11.470,20 | 1675 / 72 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 185 | 379 / 24 | $77.388,30 | 2155 / 74 | $17.185,80 | 1433 / 77 | $11.875,00 | 1400 / 61 |
Chronic Obstructive Pulmonary Disease W Mcc | 140 | 63 / 5 | $26.686,90 | 1253 / 42 | $8.251,38 | 1603 / 63 | $7.001,21 | 1595 / 63 |
Renal Failure W Mcc | 99 | 96 / 10 | $35.020,80 | 1048 / 39 | $10.907,30 | 1242 / 56 | $9.529,32 | 1242 / 55 |
Renal Failure W Cc | 97 | 124 / 11 | $22.267,70 | 1207 / 48 | $7.048,06 | 1725 / 64 | $6.209,53 | 1715 / 66 |
Pulmonary Edema & Respiratory Failure | 95 | 108 / 8 | $31.356,60 | 1114 / 39 | $8.907,40 | 1383 / 56 | $7.558,94 | 1379 / 56 |
Heart Failure & Shock W Mcc | 90 | 194 / 23 | $34.567,50 | 1372 / 48 | $10.682,70 | 1705 / 68 | $9.476,14 | 1700 / 65 |
Simple Pneumonia & Pleurisy W Cc | 90 | 113 / 9 | $21.352,10 | 1287 / 41 | $7.244,91 | 1906 / 76 | $5.997,18 | 1898 / 78 |
Heart Failure & Shock W Cc | 84 | 194 / 22 | $20.462,10 | 1230 / 46 | $7.122,87 | 1895 / 69 | $6.316,18 | 1890 / 71 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 78 | 197 / 19 | $26.012,00 | 1947 / 76 | $5.945,10 | 1963 / 76 | $4.702,44 | 1949 / 79 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 75 | 113 / 10 | $30.953,90 | 563 / 21 | $7.880,93 | 1128 / 40 | $6.778,09 | 1125 / 42 |
Simple Pneumonia & Pleurisy W Mcc | 70 | 135 / 16 | $31.598,40 | 1145 / 43 | $9.730,76 | 1481 / 63 | $8.641,51 | 1481 / 62 |
Spinal Fusion Except Cervical W/O Mcc | 68 | 126 / 18 | $109.108,00 | 825 / 33 | $31.618,00 | 480 / 43 | $21.669,10 | 477 / 22 |
Chronic Obstructive Pulmonary Disease W Cc | 63 | 116 / 13 | $22.609,30 | 1261 / 48 | $7.174,27 | 1633 / 68 | $5.732,44 | 1626 / 63 |
G.I. Hemorrhage W Cc | 62 | 156 / 19 | $32.008,10 | 1661 / 58 | $7.190,15 | 1666 / 58 | $6.288,60 | 1662 / 59 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 62 | 63 / 5 | $40.358,20 | 816 / 23 | $11.622,30 | 1132 / 43 | $10.791,20 | 1127 / 47 |
Respiratory Infections & Inflammations W Mcc | 61 | 75 / 3 | $40.422,40 | 805 / 31 | $12.887,70 | 762 / 46 | $11.048,40 | 754 / 37 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 61 | 121 / 15 | $27.088,10 | 938 / 33 | $7.672,23 | 1445 / 49 | $6.692,03 | 1442 / 51 |
Kidney & Urinary Tract Infections W/O Mcc | 57 | 176 / 27 | $21.182,90 | 1692 / 67 | $6.041,70 | 1878 / 72 | $4.785,88 | 1867 / 70 |
Cellulitis W/O Mcc | 57 | 132 / 13 | $19.064,30 | 1376 / 45 | $6.448,25 | 1814 / 62 | $5.163,54 | 1806 / 63 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 55 | 152 / 19 | $29.630,10 | 1599 / 63 | $7.588,20 | 1694 / 67 | $6.566,62 | 1687 / 69 |
Hip & Femur Procedures Except Major Joint W Cc | 52 | 91 / 12 | $52.940,30 | 1147 / 40 | $12.817,00 | 1237 / 48 | $11.766,50 | 1221 / 49 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 18 | $17.133,50 | 1218 / 47 | $5.567,39 | 1815 / 65 | $4.498,59 | 1810 / 64 |
Diabetes W Cc | 41 | 51 / 6 | $22.599,80 | 856 / 35 | $6.267,07 | 1071 / 41 | $5.318,07 | 1067 / 41 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 13 | $32.833,70 | 1085 / 32 | $8.781,35 | 1319 / 38 | $7.984,62 | 1316 / 39 |
Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 16 | $30.291,90 | 1189 / 51 | $8.229,51 | 1384 / 54 | $7.261,65 | 1380 / 54 |
Acute Myocardial Infarction, Discharged Alive W Cc | 36 | 55 / 3 | $28.017,60 | 652 / 22 | $7.832,42 | 973 / 38 | $6.589,94 | 971 / 40 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 20 | $22.063,60 | 1213 / 44 | $6.070,09 | 1617 / 51 | $5.237,69 | 1612 / 55 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 35 | 61 / 9 | $35.286,90 | 811 / 34 | $9.174,00 | 707 / 43 | $7.155,06 | 702 / 31 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 34 | 97 / 14 | $65.282,00 | 1046 / 37 | $15.439,00 | 1112 / 34 | $14.640,90 | 1100 / 41 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 20 | $41.954,80 | 748 / 27 | $11.472,70 | 908 / 34 | $10.656,90 | 906 / 38 |
Syncope & Collapse | 32 | 137 / 21 | $18.084,60 | 688 / 16 | $5.681,81 | 1311 / 40 | $4.617,38 | 1304 / 40 |
Chest Pain | 31 | 120 / 23 | $20.046,80 | 926 / 32 | $4.920,19 | 1307 / 43 | $4.290,58 | 1300 / 48 |
Respiratory Infections & Inflammations W Cc | 30 | 58 / 8 | $32.582,40 | 775 / 28 | $9.574,40 | 932 / 35 | $8.400,80 | 927 / 36 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 30 | 166 / 26 | $81.000,00 | 887 / 37 | $14.277,90 | 1102 / 33 | $13.183,90 | 1095 / 42 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 24 | $36.602,20 | 1216 / 49 | $8.731,07 | 1295 / 54 | $8.073,72 | 1292 / 54 |
Poisoning & Toxic Effects Of Drugs W Mcc | 29 | 43 / 4 | $31.965,10 | 389 / 12 | $9.661,97 | 431 / 20 | $8.276,90 | 430 / 18 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 16 | $112.851,00 | 656 / 19 | $34.619,50 | 308 / 27 | $28.058,80 | 308 / 11 |
G.I. Hemorrhage W Mcc | 28 | 93 / 21 | $46.587,10 | 910 / 37 | $12.496,90 | 905 / 38 | $10.874,00 | 900 / 35 |
Cervical Spinal Fusion W/O Cc/Mcc | 28 | 76 / 15 | $64.362,70 | 516 / 26 | $16.165,90 | 438 / 30 | $12.364,00 | 437 / 23 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 19 | $22.063,20 | 1411 / 53 | $5.620,75 | 1609 / 54 | $4.670,46 | 1598 / 59 |
Transient Ischemia | 27 | 98 / 18 | $20.635,50 | 708 / 22 | $5.509,26 | 1139 / 40 | $4.343,85 | 1133 / 41 |
Major Small & Large Bowel Procedures W Cc | 26 | 82 / 18 | $72.764,10 | 901 / 32 | $17.959,10 | 975 / 38 | $15.682,90 | 964 / 39 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 24 | 68 / 9 | $135.150,00 | 424 / 15 | $41.589,50 | 465 / 22 | $36.048,90 | 464 / 21 |
Hip & Femur Procedures Except Major Joint W Mcc | 24 | 38 / 6 | $71.059,50 | 429 / 9 | $18.702,80 | 452 / 15 | $17.784,60 | 449 / 17 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 10 | $114.733,00 | 344 / 19 | $31.665,70 | 403 / 20 | $30.754,20 | 403 / 25 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 14 | $110.204,00 | 589 / 23 | $21.824,60 | 599 / 20 | $20.787,10 | 595 / 24 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 29 | $26.157,70 | 1324 / 60 | $6.276,96 | 1345 / 53 | $5.079,96 | 1336 / 52 |
Diabetes W Mcc | 23 | 34 / 6 | $42.484,30 | 488 / 21 | $10.210,80 | 447 / 20 | $9.006,83 | 447 / 20 |
G.I. Obstruction W Cc | 23 | 69 / 15 | $25.862,40 | 1036 / 37 | $6.996,61 | 1195 / 43 | $5.532,96 | 1192 / 42 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 23 | 42 / 6 | $90.545,70 | 577 / 20 | $19.416,20 | 417 / 13 | $18.457,40 | 415 / 19 |
Disorders Of Pancreas Except Malignancy W Cc | 22 | 39 / 3 | $26.050,70 | 512 / 19 | $6.873,73 | 593 / 20 | $5.617,32 | 590 / 20 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 21 | 72 / 12 | $40.665,60 | 164 / 11 | $14.136,90 | 522 / 22 | $13.091,60 | 516 / 22 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 21 | 40 / 4 | $16.015,70 | 343 / 7 | $5.152,81 | 593 / 19 | $4.225,48 | 592 / 18 |
Red Blood Cell Disorders W Mcc | 20 | 51 / 12 | $60.573,90 | 950 / 38 | $12.128,60 | 811 / 34 | $9.093,00 | 807 / 32 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 9 | $17.843,00 | 718 / 21 | $5.275,00 | 948 / 27 | $3.800,79 | 945 / 28 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 11 | $28.519,30 | 607 / 21 | $8.132,56 | 747 / 20 | $7.520,89 | 745 / 26 |
Medical Back Problems W/O Mcc | 17 | 104 / 15 | $23.686,50 | 763 / 22 | $6.422,47 | 1036 / 27 | $5.348,94 | 1033 / 34 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 15 | $37.812,50 | 264 / 12 | $12.440,20 | 361 / 24 | $8.921,12 | 361 / 19 |
Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 15 | $43.220,10 | 685 / 25 | $7.542,88 | 642 / 21 | $6.266,53 | 640 / 21 |
Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 18 | $127.349,00 | 629 / 23 | $32.883,40 | 670 / 19 | $31.857,80 | 668 / 25 |
Seizures W/O Mcc | 16 | 92 / 15 | $20.921,30 | 599 / 22 | $5.681,81 | 833 / 28 | $4.839,31 | 830 / 33 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 14 | $21.602,60 | 444 / 17 | $6.550,20 | 697 / 25 | $5.456,60 | 693 / 29 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 17 | $106.206,00 | 769 / 23 | $17.934,40 | 506 / 20 | $12.888,40 | 503 / 16 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 20 | $15.416,50 | 776 / 20 | $5.596,00 | 1466 / 47 | $4.347,60 | 1458 / 47 |
Pulmonary Embolism W Mcc | 15 | 28 / 7 | $37.859,30 | 287 / 9 | $10.446,50 | 390 / 10 | $9.647,67 | 390 / 11 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 6 | $64.624,20 | 303 / 13 | $12.416,10 | 385 / 11 | $11.281,90 | 383 / 13 |
Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 10 | $117.561,00 | 534 / 17 | $28.698,90 | 386 / 18 | $20.597,70 | 385 / 16 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 25 | $35.122,70 | 347 / 15 | $12.411,70 | 772 / 35 | $11.937,70 | 768 / 38 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 18 | $33.129,90 | 921 / 36 | $7.374,71 | 1010 / 31 | $6.585,71 | 1007 / 37 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 17 | $32.135,50 | 938 / 31 | $7.153,21 | 994 / 28 | $6.451,79 | 990 / 35 |
Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 7 | $34.407,70 | 143 / 4 | $10.397,60 | 92 / 6 | $8.849,64 | 92 / 4 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 9 | $25.599,50 | 171 / 6 | $8.802,38 | 115 / 9 | $5.727,85 | 115 / 4 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 12 | $61.611,30 | 593 / 21 | $11.361,60 | 619 / 17 | $10.336,50 | 617 / 20 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 16 | $18.242,50 | 330 / 12 | $7.382,92 | 706 / 30 | $5.866,69 | 703 / 24 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 32 | $16.017,40 | 1101 / 42 | $5.663,31 | 1166 / 55 | $2.984,46 | 1161 / 43 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 15 | $27.815,50 | 769 / 25 | $5.606,75 | 682 / 23 | $4.306,42 | 678 / 23 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 15 | $105.286,00 | 256 / 10 | $30.675,70 | 355 / 13 | $29.857,30 | 355 / 16 |
Other Circulatory System O.R. Procedures | 12 | 43 / 14 | $109.381,00 | 344 / 20 | $19.613,80 | 281 / 15 | $19.088,20 | 281 / 17 |
Cervical Spinal Fusion W Cc | 12 | 41 / 8 | $81.118,60 | 229 / 13 | $19.143,00 | 224 / 10 | $17.925,20 | 223 / 13 |
Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 19 | $106.664,00 | 645 / 23 | $23.995,00 | 422 / 23 | $19.599,40 | 422 / 16 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 13 | $39.947,90 | 316 / 9 | $11.589,70 | 424 / 13 | $11.032,70 | 423 / 16 |
Other Vascular Procedures W Cc | 11 | 91 / 20 | $68.219,50 | 489 / 21 | $16.804,10 | 635 / 21 | $15.801,40 | 632 / 27 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 11 | 34 / 5 | $92.156,40 | 134 / 7 | $19.343,90 | 141 / 7 | $18.563,90 | 140 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 27 | $18.643,50 | 483 / 14 | $5.801,09 | 1225 / 33 | $4.923,82 | 1221 / 38 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 5 | $121.453,00 | 447 / 8 | $18.444,00 | 364 / 7 | $17.224,60 | 364 / 7 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 8 | $62.048,80 | 383 / 11 | $13.184,60 | 373 / 10 | $11.964,60 | 370 / 10 | Total 87 procedures | 3.353 | 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.