Hospital Costs > In Kentucky > Georgetown Community Hospital, 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 | 11 | 178 / 37 | $27.675,60 | 2027 / 53 | $5.339,18 | 879 / 24 | $4.181,73 | 873 / 34 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 38 | $26.397,70 | 1540 / 50 | $5.641,62 | 505 / 15 | $4.551,62 | 503 / 16 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 43 | $30.118,60 | 1486 / 51 | $7.023,91 | 368 / 19 | $5.632,45 | 367 / 13 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 28 | $21.111,90 | 1340 / 49 | $4.509,36 | 617 / 18 | $3.421,55 | 616 / 24 |
| Heart Failure & Shock W Cc | 16 | 262 / 40 | $25.884,40 | 1740 / 49 | $5.992,62 | 607 / 22 | $4.992,38 | 607 / 17 |
| Heart Failure & Shock W Mcc | 15 | 269 / 42 | $37.404,10 | 1528 / 48 | $8.832,53 | 599 / 25 | $7.815,33 | 599 / 23 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 35 | $23.584,80 | 1893 / 54 | $4.836,19 | 652 / 24 | $3.725,62 | 648 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 21 | 543 / 36 | $62.598,60 | 1791 / 40 | $12.383,60 | 535 / 15 | $10.369,40 | 531 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 28 | $21.430,80 | 1682 / 53 | $4.453,68 | 426 / 22 | $3.261,68 | 426 / 11 |
| Renal Failure W Mcc | 12 | 183 / 37 | $44.927,20 | 1443 / 39 | $9.257,08 | 438 / 23 | $7.974,33 | 438 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 30 | $49.973,50 | 616 / 27 | $11.973,30 | 54 / 3 | $10.794,50 | 54 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 14 | 502 / 51 | $49.562,80 | 1768 / 50 | $10.336,20 | 378 / 13 | $9.315,14 | 378 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 40 | $25.732,00 | 1678 / 52 | $6.210,72 | 418 / 40 | $4.581,20 | 415 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 29 | $21.286,70 | 1277 / 49 | $4.453,27 | 444 / 22 | $3.188,18 | 442 / 18 | Total 14 procedures | 230 | 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.