Hospital Costs > In Maryland > Garrett County Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 102 | 462 / 28 | $20.278,10 | 18 / 9 | $18.777,30 | 2446 / 9 | $16.769,50 | 2400 / 9 |
Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 31 | $10.179,20 | 122 / 29 | $9.396,03 | 2608 / 29 | $8.451,03 | 2599 / 29 |
Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 37 | $6.617,78 | 39 / 13 | $6.165,78 | 1948 / 13 | $4.905,04 | 1937 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 34 | $9.526,73 | 50 / 14 | $8.795,46 | 2152 / 14 | $7.820,69 | 2144 / 14 |
Heart Failure & Shock W Cc | 26 | 252 / 41 | $10.843,70 | 180 / 33 | $10.005,90 | 2606 / 33 | $9.167,73 | 2600 / 33 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 23 | 493 / 39 | $14.678,70 | 65 / 2 | $13.550,20 | 2008 / 2 | $12.403,30 | 1971 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 39 | $6.880,27 | 48 / 17 | $6.363,64 | 2135 / 17 | $5.079,45 | 2121 / 13 |
Heart Failure & Shock W Mcc | 19 | 265 / 36 | $15.176,60 | 147 / 29 | $13.998,30 | 2432 / 29 | $13.112,40 | 2421 / 30 |
Renal Failure W Cc | 17 | 204 / 36 | $9.806,29 | 83 / 24 | $9.050,53 | 2215 / 23 | $8.201,59 | 2205 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 38 | $11.055,90 | 155 / 36 | $10.204,70 | 2348 / 36 | $9.207,06 | 2341 / 36 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 25 | $19.894,00 | 30 / 19 | $18.350,70 | 1944 / 19 | $17.136,90 | 1924 / 18 |
Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 35 | $10.569,80 | 57 / 11 | $9.759,21 | 2167 / 12 | $8.634,64 | 2159 / 11 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 21 | $11.082,00 | 135 / 36 | $10.226,00 | 997 / 36 | $9.364,29 | 993 / 36 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 33 | $6.558,93 | 59 / 30 | $6.060,93 | 1870 / 30 | $5.112,36 | 1864 / 30 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 31 | $7.866,64 | 90 / 30 | $7.269,21 | 1938 / 30 | $6.149,21 | 1927 / 28 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 19 | $6.149,00 | 24 / 21 | $5.684,50 | 1172 / 19 | $4.681,83 | 1169 / 22 |
G.I. Hemorrhage W Cc | 12 | 206 / 40 | $11.088,10 | 87 / 30 | $10.230,20 | 2300 / 30 | $9.427,58 | 2296 / 31 |
Cellulitis W/O Mcc | 12 | 177 / 39 | $9.029,17 | 162 / 29 | $8.337,58 | 2435 / 29 | $7.332,25 | 2427 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 35 | $6.737,50 | 12 / 7 | $6.226,67 | 1614 / 6 | $5.226,67 | 1609 / 7 |
G.I. Obstruction W Cc | 11 | 81 / 26 | $6.288,36 | 8 / 7 | $5.808,09 | 961 / 7 | $5.043,00 | 958 / 8 | Total 20 procedures | 441 | 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.