Hospital Costs > In Mississippi > George Regional Health System, 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 | 17 | 172 / 24 | $11.333,70 | 396 / 12 | $5.230,00 | 755 / 18 | $4.091,18 | 751 / 16 |
Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 22 | $13.335,40 | 202 / 4 | $6.992,60 | 778 / 19 | $6.027,48 | 773 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 33 | $11.013,50 | 285 / 13 | $5.151,07 | 1383 / 32 | $4.034,33 | 1372 / 32 |
Heart Failure & Shock W Cc | 31 | 247 / 28 | $8.336,55 | 48 / 5 | $5.826,13 | 695 / 13 | $5.059,68 | 694 / 14 |
Heart Failure & Shock W Mcc | 19 | 265 / 30 | $12.916,80 | 77 / 2 | $8.478,53 | 621 / 9 | $7.840,21 | 621 / 15 |
Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 9 | $10.463,50 | 57 / 3 | $6.639,51 | 654 / 8 | $5.882,46 | 653 / 13 |
Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 39 | $9.817,94 | 276 / 12 | $4.865,00 | 997 / 19 | $3.959,00 | 989 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 30 | $7.127,25 | 84 / 6 | $4.392,50 | 636 / 10 | $3.408,50 | 634 / 10 |
Pulmonary Edema & Respiratory Failure | 15 | 188 / 21 | $12.751,10 | 60 / 2 | $7.376,33 | 566 / 14 | $6.412,07 | 566 / 12 |
Renal Failure W Mcc | 11 | 184 / 24 | $8.594,00 | 5 / 1 | $8.638,64 | 519 / 5 | $8.088,82 | 519 / 9 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 13 | $19.163,10 | 81 / 2 | $11.086,20 | 380 / 6 | $10.217,60 | 379 / 6 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 25 | 491 / 36 | $16.362,50 | 109 / 2 | $10.846,10 | 857 / 18 | $9.994,64 | 856 / 19 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 25 | $16.985,40 | 212 / 6 | $8.536,24 | 756 / 22 | $7.612,00 | 756 / 23 | Total 13 procedures | 260 | 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.