Hospital Costs > In Georgia > Grady General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Cc | 17 | 261 / 57 | $11.971,70 | 266 / 5 | $6.749,65 | 1680 / 62 | $5.965,00 | 1675 / 66 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 30 | $8.827,00 | 138 / 2 | $5.238,62 | 1493 / 44 | $4.406,50 | 1482 / 53 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 54 | $14.507,30 | 688 / 26 | $5.407,64 | 1729 / 65 | $4.372,71 | 1716 / 70 |
| Heart Failure & Shock W Mcc | 13 | 271 / 62 | $17.781,50 | 291 / 6 | $9.356,31 | 951 / 41 | $8.223,54 | 950 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 43 | $10.798,60 | 410 / 10 | $5.168,83 | 1577 / 55 | $4.154,08 | 1572 / 57 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 55 | $20.225,70 | 1150 / 38 | $6.902,00 | 1760 / 68 | $5.796,45 | 1752 / 70 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 75 | $16.021,60 | 98 / 3 | $11.409,40 | 1232 / 47 | $10.523,60 | 1211 / 56 | Total 7 procedures | 94 | 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.