Hospital Costs > In Georgia > Gordon 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 | 136 | 380 / 31 | $43.676,30 | 1509 / 57 | $10.724,60 | 782 / 20 | $9.887,08 | 781 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 67 | 497 / 45 | $75.342,80 | 2119 / 73 | $15.136,20 | 961 / 70 | $10.986,20 | 942 / 35 |
| Simple Pneumonia & Pleurisy W Mcc | 66 | 139 / 19 | $32.707,80 | 1203 / 44 | $8.443,68 | 803 / 19 | $7.658,71 | 803 / 28 |
| Pulmonary Edema & Respiratory Failure | 62 | 141 / 21 | $28.711,60 | 955 / 32 | $7.546,39 | 941 / 27 | $6.859,16 | 941 / 41 |
| Heart Failure & Shock W Mcc | 61 | 223 / 35 | $29.987,80 | 1083 / 34 | $8.279,64 | 406 / 5 | $7.567,77 | 406 / 9 |
| Renal Failure W Mcc | 60 | 135 / 22 | $29.486,00 | 731 / 30 | $8.531,53 | 297 / 4 | $7.729,40 | 297 / 6 |
| Renal Failure W Cc | 56 | 165 / 29 | $22.072,10 | 1188 / 47 | $5.784,29 | 595 / 15 | $4.837,43 | 589 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 28 | $24.197,60 | 1178 / 41 | $6.740,49 | 797 / 39 | $5.473,63 | 795 / 30 |
| G.I. Hemorrhage W Cc | 37 | 181 / 37 | $28.824,70 | 1488 / 55 | $6.849,73 | 840 / 53 | $5.208,46 | 838 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 39 | $21.184,60 | 1515 / 57 | $4.890,83 | 1315 / 34 | $3.984,17 | 1304 / 54 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 33 | 155 / 28 | $34.433,90 | 731 / 29 | $6.675,85 | 568 / 9 | $5.543,24 | 566 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 41 | $37.817,40 | 1853 / 70 | $7.003,67 | 1045 / 23 | $6.289,00 | 1040 / 42 |
| Heart Failure & Shock W Cc | 27 | 251 / 49 | $22.264,90 | 1423 / 56 | $6.486,59 | 605 / 54 | $4.990,04 | 605 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 43 | $23.715,10 | 1514 / 60 | $6.045,25 | 954 / 28 | $5.039,92 | 951 / 34 |
| Respiratory Infections & Inflammations W Mcc | 23 | 113 / 17 | $52.852,90 | 1131 / 45 | $11.110,70 | 467 / 13 | $10.427,60 | 463 / 17 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 38 | $25.739,70 | 1489 / 60 | $5.615,86 | 722 / 15 | $4.740,23 | 720 / 24 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 36 | $20.921,70 | 1120 / 38 | $6.262,76 | 318 / 55 | $3.633,82 | 318 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 29 | $15.199,00 | 1015 / 38 | $3.828,44 | 826 / 21 | $2.690,44 | 822 / 25 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 27 | $29.845,40 | 438 / 8 | $8.438,94 | 48 / 1 | $7.454,94 | 48 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 33 | $20.713,10 | 617 / 18 | $6.368,87 | 341 / 7 | $5.487,80 | 340 / 7 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 6 | $26.647,20 | 504 / 14 | $4.845,13 | 560 / 9 | $4.520,87 | 556 / 22 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 29 | $57.786,50 | 860 / 32 | $15.965,00 | 159 / 43 | $11.431,50 | 159 / 2 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 37 | $20.262,50 | 918 / 34 | $5.222,43 | 933 / 26 | $4.449,86 | 927 / 36 |
| Diabetes W Cc | 14 | 78 / 25 | $23.131,30 | 897 / 40 | $5.266,29 | 532 / 13 | $4.313,14 | 532 / 18 |
| Cellulitis W/O Mcc | 14 | 175 / 43 | $23.857,00 | 1805 / 63 | $5.467,93 | 977 / 32 | $4.254,21 | 971 / 27 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 14 | $14.187,10 | 319 / 8 | $4.062,62 | 210 / 4 | $2.945,08 | 209 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 31 | $31.915,30 | 405 / 8 | $11.512,60 | 83 / 36 | $8.034,31 | 83 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 43 | $24.736,80 | 775 / 23 | $5.496,08 | 138 / 1 | $4.688,08 | 138 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 9 | $13.836,50 | 64 / 1 | $5.768,18 | 64 / 5 | $4.558,00 | 64 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 24 | $16.343,60 | 863 / 26 | $4.445,18 | 631 / 8 | $3.348,45 | 628 / 15 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 16 | $15.629,50 | 365 / 13 | $4.573,00 | 413 / 6 | $3.583,91 | 409 / 9 |
| Atherosclerosis W/O Mcc | 11 | 47 / 8 | $15.266,10 | 176 / 7 | $4.121,09 | / 6 | $3.137,82 | / | Total 32 procedures | 996 | 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.