Hospital Costs > In Mississippi > Gilmore Memorial Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 17 | $20.370,20 | 1434 / 33 | $4.741,31 | 889 / 15 | $3.685,22 | 884 / 20 |
| Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 16 | $22.622,30 | 1821 / 41 | $4.780,24 | 854 / 11 | $3.859,76 | 849 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 37 | 479 / 30 | $60.914,60 | 2105 / 36 | $11.159,70 | 1155 / 26 | $10.408,90 | 1138 / 32 |
| Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 15 | $23.735,50 | 1365 / 29 | $5.636,41 | 508 / 15 | $4.552,70 | 506 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 16 | $34.315,00 | 1705 / 36 | $6.752,80 | 680 / 7 | $5.961,03 | 676 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 20 | $32.737,30 | 2093 / 42 | $6.291,43 | 1515 / 28 | $5.530,74 | 1509 / 40 |
| Heart Failure & Shock W Cc | 34 | 244 / 25 | $24.502,50 | 1632 / 39 | $5.868,47 | 1011 / 16 | $5.300,00 | 1009 / 28 |
| Renal Failure W Cc | 31 | 190 / 21 | $21.883,60 | 1168 / 21 | $5.822,48 | 898 / 14 | $5.083,39 | 890 / 20 |
| Cellulitis W/O Mcc | 31 | 158 / 16 | $20.939,80 | 1573 / 34 | $5.416,23 | 747 / 28 | $4.083,94 | 743 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 17 | $32.114,00 | 1737 / 29 | $6.309,39 | 851 / 8 | $5.523,30 | 849 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 25 | $15.458,20 | 1009 / 29 | $4.379,45 | 413 / 9 | $3.254,45 | 413 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 19 | $23.380,70 | 1471 / 31 | $4.518,45 | 819 / 13 | $3.590,45 | 815 / 20 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 20 | $27.781,30 | 1397 / 29 | $5.003,73 | 703 / 16 | $4.184,82 | 698 / 14 |
| G.I. Hemorrhage W Cc | 21 | 197 / 22 | $25.834,50 | 1276 / 22 | $6.049,71 | 552 / 13 | $4.955,62 | 551 / 10 |
| Syncope & Collapse | 20 | 149 / 15 | $14.225,70 | 344 / 6 | $4.620,00 | 670 / 11 | $3.714,40 | 667 / 14 |
| Transient Ischemia | 20 | 105 / 13 | $17.245,70 | 435 / 7 | $4.480,10 | 579 / 8 | $3.451,30 | 576 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 17 | $16.302,80 | 998 / 23 | $4.274,16 | 902 / 11 | $3.644,26 | 895 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 18 | $21.890,20 | 593 / 11 | $6.383,56 | 712 / 13 | $5.448,44 | 711 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 24 | $37.382,80 | 1468 / 34 | $8.177,39 | 714 / 8 | $7.574,72 | 714 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 14 | $17.135,30 | 379 / 7 | $4.749,82 | 549 / 12 | $3.684,41 | 545 / 14 |
| Heart Failure & Shock W Mcc | 17 | 267 / 32 | $31.881,10 | 1204 / 26 | $8.278,94 | 293 / 5 | $7.408,82 | 293 / 8 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 19 | $35.168,50 | 1304 / 26 | $6.907,88 | 380 / 4 | $6.198,24 | 380 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 18 | $23.993,90 | 859 / 21 | $6.639,76 | 151 / 9 | $5.152,47 | 151 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 20 | $12.692,90 | 677 / 16 | $3.750,40 | 744 / 10 | $2.626,13 | 740 / 9 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 16 | $85.273,10 | 1060 / 19 | $14.086,10 | 324 / 9 | $12.966,10 | 322 / 10 |
| Chest Pain | 14 | 137 / 19 | $16.503,70 | 638 / 10 | $3.991,64 | 615 / 15 | $3.043,07 | 611 / 15 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 5 | $18.065,50 | 179 / 9 | $4.199,73 | 108 / 7 | $2.992,45 | 108 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 9 | $58.289,50 | 560 / 8 | $9.360,64 | 220 / 4 | $8.368,64 | 220 / 6 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 13 | $38.601,70 | 657 / 14 | $8.084,45 | 450 / 13 | $7.322,27 | 448 / 15 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 15 | $25.863,80 | 612 / 13 | $5.353,09 | 460 / 8 | $4.698,55 | 456 / 13 | Total 30 procedures | 709 | 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.