Hospital Costs > In South Carolina > Ghs Oconee 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 | 216 | 300 / 13 | $36.269,10 | 1108 / 15 | $12.621,60 | 1590 / 40 | $11.203,70 | 1558 / 41 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 184 | 380 / 17 | $57.083,00 | 1584 / 18 | $14.746,20 | 1597 / 32 | $12.319,10 | 1560 / 37 |
Simple Pneumonia & Pleurisy W Mcc | 85 | 120 / 9 | $29.544,40 | 1006 / 9 | $9.881,18 | 1464 / 31 | $8.613,44 | 1464 / 35 |
Respiratory Infections & Inflammations W Mcc | 69 | 67 / 3 | $37.123,20 | 661 / 5 | $13.371,90 | 1164 / 25 | $12.346,70 | 1150 / 29 |
Heart Failure & Shock W Mcc | 64 | 220 / 20 | $23.922,60 | 657 / 9 | $10.088,70 | 1427 / 38 | $8.916,80 | 1423 / 39 |
G.I. Hemorrhage W Cc | 57 | 161 / 19 | $20.156,10 | 758 / 13 | $6.783,16 | 1228 / 29 | $5.613,07 | 1226 / 34 |
Renal Failure W Cc | 56 | 165 / 17 | $19.854,70 | 972 / 14 | $6.548,09 | 1224 / 34 | $5.416,27 | 1216 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 52 | 223 / 24 | $16.152,60 | 890 / 5 | $5.125,60 | 922 / 32 | $3.709,58 | 917 / 23 |
Renal Failure W Mcc | 51 | 144 / 17 | $25.968,70 | 520 / 7 | $10.918,20 | 1132 / 30 | $9.207,02 | 1132 / 32 |
Kidney & Urinary Tract Infections W/O Mcc | 49 | 184 / 20 | $15.654,00 | 1025 / 14 | $5.216,31 | 1391 / 26 | $4.240,29 | 1382 / 36 |
Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 20 | $24.092,50 | 1058 / 10 | $7.909,65 | 1458 / 33 | $6.780,27 | 1452 / 36 |
Kidney & Urinary Tract Infections W Mcc | 47 | 97 / 11 | $18.810,30 | 489 / 5 | $7.622,38 | 1087 / 23 | $6.548,15 | 1083 / 25 |
Pulmonary Edema & Respiratory Failure | 43 | 160 / 22 | $24.648,30 | 709 / 8 | $8.702,86 | 930 / 36 | $6.845,53 | 930 / 25 |
Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 21 | $21.749,90 | 1324 / 19 | $6.455,37 | 1381 / 30 | $5.396,76 | 1375 / 38 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 10 | $23.233,50 | 538 / 3 | $8.177,60 | 800 / 21 | $6.814,77 | 797 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 23 | $20.766,70 | 858 / 11 | $7.342,00 | 1123 / 34 | $5.779,08 | 1119 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 15 | $15.437,00 | 562 / 5 | $5.314,57 | 999 / 23 | $4.297,41 | 996 / 27 |
Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 15 | $46.261,60 | 894 / 10 | $13.212,90 | 1284 / 31 | $11.930,50 | 1267 / 30 |
Heart Failure & Shock W Cc | 34 | 244 / 28 | $14.909,40 | 566 / 5 | $6.686,53 | 1463 / 35 | $5.722,38 | 1458 / 39 |
Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 19 | $20.998,30 | 1106 / 12 | $6.875,97 | 1129 / 36 | $5.080,50 | 1125 / 28 |
Cellulitis W/O Mcc | 32 | 157 / 19 | $17.971,10 | 1242 / 17 | $5.801,62 | 923 / 29 | $4.217,84 | 917 / 23 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 18 | $11.476,90 | 521 / 5 | $3.740,03 | 628 / 11 | $2.538,77 | 624 / 14 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 8 | $15.226,30 | 757 / 11 | $4.781,25 | 854 / 19 | $3.553,50 | 850 / 20 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 14 | $15.587,90 | 856 / 13 | $4.880,96 | 910 / 27 | $3.660,64 | 902 / 25 |
Poisoning & Toxic Effects Of Drugs W Mcc | 27 | 45 / 6 | $25.231,70 | 219 / 2 | $10.043,40 | 289 / 15 | $7.636,07 | 288 / 10 |
Respiratory Infections & Inflammations W Cc | 25 | 63 / 7 | $27.994,10 | 609 / 6 | $9.556,44 | 842 / 20 | $8.107,84 | 837 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 24 | $14.459,70 | 892 / 10 | $4.737,48 | 1194 / 24 | $3.805,44 | 1190 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 16 | $24.139,70 | 183 / 2 | $11.658,10 | 875 / 17 | $10.527,60 | 873 / 23 |
Syncope & Collapse | 25 | 144 / 20 | $17.287,40 | 595 / 7 | $4.891,80 | 877 / 17 | $3.923,16 | 873 / 20 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 22 | 74 / 9 | $64.591,20 | 527 / 8 | $14.831,70 | 582 / 9 | $13.542,10 | 578 / 13 |
G.I. Obstruction W Cc | 22 | 70 / 11 | $16.340,70 | 393 / 2 | $5.991,00 | 759 / 14 | $4.770,55 | 757 / 16 |
G.I. Hemorrhage W Mcc | 21 | 100 / 18 | $40.936,60 | 725 / 11 | $12.314,40 | 848 / 22 | $10.677,00 | 844 / 23 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 16 | $104.316,00 | 543 / 7 | $36.370,50 | 844 / 17 | $33.166,90 | 838 / 17 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 19 | $52.122,90 | 680 / 12 | $15.331,60 | 1042 / 23 | $14.310,30 | 1032 / 26 |
Transient Ischemia | 18 | 107 / 20 | $13.127,30 | 187 / 2 | $4.688,28 | 711 / 16 | $3.600,83 | 707 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 20 | $22.430,40 | 557 / 9 | $7.517,78 | 671 / 16 | $6.330,89 | 668 / 16 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 16 | $12.679,20 | 556 / 6 | $4.541,89 | 760 / 18 | $3.520,17 | 756 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 29 | $18.151,60 | 360 / 5 | $7.240,06 | 1135 / 29 | $6.048,35 | 1132 / 32 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 10 | $10.648,60 | 178 / 2 | $4.119,56 | 323 / 11 | $2.728,25 | 323 / 11 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 5 | $14.028,20 | 112 / 2 | $5.548,33 | 102 / 8 | $2.936,40 | 102 / 4 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 9 | $34.913,30 | 518 / 4 | $10.593,20 | 545 / 8 | $9.282,47 | 543 / 9 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 9 | $82.241,70 | 505 / 4 | $24.489,40 | 768 / 14 | $23.501,20 | 765 / 16 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 11 | $20.344,10 | 309 / 4 | $6.241,14 | 440 / 11 | $5.106,57 | 439 / 13 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 18 | $32.773,40 | 281 / 2 | $12.698,00 | 760 / 15 | $11.894,90 | 757 / 19 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 32 | $15.893,20 | 528 / 8 | $5.389,46 | 1021 / 21 | $4.539,92 | 1014 / 27 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 12 | $11.215,40 | 168 / 2 | $4.218,08 | 332 / 9 | $3.196,38 | 331 / 7 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 14 | $114.918,00 | 518 / 5 | $38.855,20 | 388 / 14 | $28.403,40 | 386 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 24 | $12.286,50 | 105 / 2 | $5.082,92 | 815 / 15 | $4.014,75 | 811 / 24 |
Cellulitis W Mcc | 12 | 46 / 9 | $25.898,30 | 274 / 3 | $11.369,90 | 354 / 13 | $8.124,67 | 352 / 5 |
Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 6 | $29.640,60 | 61 / 2 | $11.604,40 | 115 / 5 | $10.380,80 | 115 / 6 |
Medical Back Problems W/O Mcc | 12 | 109 / 16 | $13.878,30 | 166 / 2 | $5.717,00 | 658 / 14 | $4.493,92 | 656 / 15 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 25 | $28.949,90 | 463 / 6 | $7.256,83 | 926 / 15 | $6.182,83 | 923 / 21 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 25 | $36.907,50 | 696 / 11 | $11.609,40 | 1086 / 22 | $10.593,10 | 1081 / 25 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 13 | $40.520,10 | 421 / 6 | $10.936,70 | 588 / 13 | $9.696,55 | 586 / 16 | Total 54 procedures | 1.908 | 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.