Hospital Costs > In South Carolina > Georgetown Memorial Hospital, 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 | 121 | 395 / 25 | $32.596,50 | 918 / 10 | $10.865,90 | 431 / 18 | $9.393,57 | 431 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 62 | 502 / 32 | $59.890,90 | 1691 / 22 | $12.541,10 | 1079 / 14 | $11.184,90 | 1056 / 29 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 21 | $20.730,80 | 851 / 10 | $6.558,82 | 724 / 18 | $5.411,27 | 722 / 20 |
Heart Failure & Shock W Mcc | 39 | 245 / 29 | $21.609,20 | 512 / 6 | $8.694,44 | 411 / 16 | $7.576,10 | 411 / 13 |
Red Blood Cell Disorders W/O Mcc | 37 | 106 / 20 | $24.906,20 | 1246 / 26 | $5.485,86 | 699 / 24 | $4.181,70 | 694 / 17 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 30 | $16.174,80 | 895 / 6 | $4.985,85 | 630 / 24 | $3.513,91 | 626 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 33 | 93 / 15 | $28.507,60 | 891 / 17 | $7.705,09 | 747 / 19 | $6.494,45 | 744 / 18 |
Heart Failure & Shock W Cc | 33 | 245 / 29 | $17.085,90 | 815 / 6 | $6.011,79 | 388 / 17 | $4.769,97 | 388 / 10 |
Renal Failure W Cc | 30 | 191 / 26 | $16.313,60 | 592 / 5 | $5.981,53 | 737 / 17 | $4.945,27 | 730 / 20 |
G.I. Hemorrhage W Cc | 30 | 188 / 28 | $19.149,10 | 676 / 8 | $6.225,73 | 706 / 17 | $5.095,53 | 705 / 20 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 29 | $15.353,00 | 990 / 11 | $4.955,00 | 755 / 21 | $3.794,46 | 750 / 18 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 19 | $19.226,70 | 526 / 7 | $6.515,56 | 182 / 8 | $5.222,56 | 182 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 12 | $32.013,90 | 512 / 4 | $9.618,44 | 162 / 9 | $8.175,52 | 162 / 8 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 20 | $33.428,70 | 677 / 9 | $6.524,04 | 502 / 5 | $5.448,04 | 500 / 10 |
Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 33 | $25.615,60 | 1667 / 27 | $6.080,48 | 797 / 20 | $4.905,96 | 794 / 19 |
Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 33 | $33.891,30 | 1274 / 17 | $8.884,00 | 823 / 17 | $7.680,48 | 823 / 21 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 20 | $18.042,90 | 854 / 11 | $5.095,04 | 345 / 13 | $3.659,57 | 345 / 11 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 33 | $23.547,60 | 633 / 5 | $7.540,45 | 475 / 19 | $6.312,10 | 475 / 15 |
Diabetes W Cc | 20 | 72 / 17 | $19.642,10 | 669 / 8 | $5.410,05 | 333 / 9 | $4.059,55 | 333 / 8 |
Renal Failure W Mcc | 19 | 176 / 31 | $22.312,50 | 334 / 3 | $8.883,21 | 350 / 10 | $7.829,16 | 350 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 27 | $26.575,00 | 898 / 18 | $6.505,95 | 506 / 16 | $5.225,68 | 505 / 15 |
Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 35 | $28.061,80 | 1350 / 19 | $7.217,95 | 222 / 17 | $5.447,21 | 221 / 5 |
Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 29 | $25.090,30 | 1460 / 22 | $6.044,47 | 863 / 20 | $4.848,63 | 860 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 28 | $16.952,00 | 1202 / 18 | $4.740,33 | 705 / 25 | $3.453,83 | 703 / 17 |
Transient Ischemia | 18 | 107 / 20 | $21.041,10 | 739 / 11 | $4.564,44 | 438 / 11 | $3.301,06 | 437 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 25 | $48.177,70 | 975 / 13 | $11.564,00 | 508 / 16 | $10.076,20 | 507 / 14 |
Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 24 | $105.407,00 | 793 / 14 | $22.782,20 | 412 / 3 | $21.328,90 | 410 / 11 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 26 | $14.528,00 | 929 / 15 | $3.826,27 | 758 / 16 | $2.633,00 | 754 / 18 |
Cellulitis W/O Mcc | 15 | 174 / 32 | $18.400,50 | 1290 / 21 | $8.662,40 | 141 / 46 | $3.460,60 | 141 / 5 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 22 | $38.405,90 | 717 / 7 | $11.838,00 | 727 / 14 | $10.985,60 | 719 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 22 | $31.403,80 | 388 / 6 | $9.984,21 | 309 / 5 | $8.807,93 | 308 / 7 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 24 | $13.420,10 | 595 / 5 | $4.446,50 | 514 / 12 | $3.338,14 | 513 / 12 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 20 | $26.378,10 | 589 / 9 | $6.069,38 | 304 / 8 | $5.154,38 | 303 / 8 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 10 | $26.962,20 | 509 / 9 | $4.757,85 | 371 / 6 | $3.926,85 | 368 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 23 | $41.985,70 | 385 / 3 | $14.144,40 | 602 / 16 | $12.708,60 | 594 / 17 |
Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 19 | $52.341,50 | 367 / 8 | $12.977,30 | 307 / 5 | $11.653,00 | 306 / 15 |
Diabetes W Mcc | 12 | 45 / 12 | $26.709,80 | 214 / 3 | $11.630,20 | 75 / 17 | $6.813,75 | 75 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 22 | $28.540,00 | 887 / 8 | $7.501,50 | 533 / 12 | $6.422,25 | 530 / 12 |
Syncope & Collapse | 12 | 157 / 28 | $21.372,30 | 971 / 22 | $4.760,75 | 932 / 14 | $3.979,33 | 926 / 23 |
Seizures W/O Mcc | 11 | 97 / 18 | $21.512,60 | 632 / 7 | $4.988,55 | 303 / 5 | $3.758,45 | 301 / 5 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 11 | $29.119,90 | 357 / 1 | $8.887,64 | 195 / 2 | $7.968,27 | 195 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 11 | 185 / 19 | $62.048,80 | 497 / 5 | $12.068,00 | 513 / 3 | $10.676,00 | 511 / 9 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 21 | $89.010,60 | 352 / 3 | $29.733,10 | 392 / 4 | $28.559,90 | 392 / 7 | Total 43 procedures | 1.027 | 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.