Hospital Costs > In Georgia > Grady Memorial Hospital Atlanta, 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 | 187 | 329 / 18 | $65.241,60 | 2205 / 80 | $18.439,80 | 2665 / 90 | $17.374,20 | 2620 / 90 |
Heart Failure & Shock W Cc | 136 | 142 / 11 | $31.607,90 | 2042 / 75 | $11.639,30 | 2689 / 84 | $10.825,40 | 2683 / 84 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 88 | 80 / 4 | $74.454,50 | 1316 / 46 | $18.528,60 | 1535 / 51 | $17.071,90 | 1528 / 51 |
Heart Failure & Shock W Mcc | 87 | 197 / 25 | $60.872,00 | 2210 / 77 | $16.084,80 | 2541 / 81 | $15.311,90 | 2530 / 81 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 80 | 102 / 12 | $43.730,20 | 1612 / 58 | $12.356,80 | 2023 / 63 | $11.304,70 | 2019 / 64 |
Red Blood Cell Disorders W/O Mcc | 75 | 68 / 4 | $24.443,60 | 1215 / 51 | $10.194,90 | 1938 / 66 | $9.267,55 | 1929 / 66 |
Renal Failure W Cc | 73 | 148 / 21 | $28.419,30 | 1629 / 63 | $11.269,80 | 2374 / 78 | $10.426,50 | 2364 / 78 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 14 | $32.063,40 | 1735 / 68 | $12.121,20 | 2502 / 81 | $11.205,40 | 2492 / 82 |
Renal Failure W Mcc | 56 | 139 / 24 | $37.400,40 | 1175 / 49 | $15.872,20 | 2056 / 70 | $15.057,90 | 2052 / 70 |
G.I. Hemorrhage W Cc | 51 | 167 / 27 | $33.302,00 | 1729 / 63 | $11.744,90 | 2371 / 73 | $10.827,80 | 2367 / 73 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 49 | 2 / 1 | $179.850,00 | 119 / 4 | $43.297,90 | 110 / 5 | $40.138,80 | 110 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 30 | $34.941,50 | 1733 / 64 | $12.970,90 | 2511 / 80 | $12.082,60 | 2503 / 80 |
Hiv W Major Related Condition W Mcc | 41 | 3 / 1 | $81.297,20 | 49 / 5 | $25.878,10 | 62 / 5 | $25.076,00 | 62 / 5 |
Pulmonary Edema & Respiratory Failure | 39 | 164 / 31 | $60.061,40 | 1933 / 70 | $14.766,00 | 2199 / 72 | $13.965,20 | 2193 / 72 |
Diabetes W Cc | 39 | 53 / 7 | $22.937,40 | 880 / 38 | $10.381,40 | 1570 / 53 | $9.504,62 | 1565 / 53 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 38 | 54 / 5 | $195.661,00 | 735 / 27 | $52.517,00 | 971 / 31 | $51.246,80 | 970 / 32 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 38 | 88 / 19 | $33.959,40 | 1130 / 47 | $12.837,40 | 1670 / 60 | $12.052,20 | 1666 / 61 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 37 | 44 / 5 | $745.023,00 | 395 / 13 | $155.007,00 | 370 / 13 | $152.509,00 | 369 / 13 |
G.I. Hemorrhage W Mcc | 34 | 87 / 15 | $57.073,00 | 1142 / 44 | $17.634,40 | 1579 / 53 | $16.782,90 | 1569 / 53 |
Seizures W/O Mcc | 34 | 74 / 5 | $29.888,80 | 943 / 35 | $9.730,26 | 1265 / 41 | $8.695,15 | 1263 / 41 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 24 | $35.090,00 | 2263 / 76 | $9.077,32 | 2472 / 78 | $8.160,26 | 2463 / 78 |
Syncope & Collapse | 34 | 135 / 20 | $31.423,60 | 1486 / 45 | $9.647,41 | 1877 / 52 | $8.744,24 | 1869 / 52 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 33 | 531 / 55 | $103.055,00 | 2511 / 79 | $21.000,40 | 2602 / 80 | $19.842,60 | 2556 / 81 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 32 | $24.372,80 | 1407 / 55 | $11.230,80 | 2396 / 79 | $10.504,20 | 2389 / 79 |
Poisoning & Toxic Effects Of Drugs W Mcc | 32 | 40 / 3 | $57.632,60 | 793 / 29 | $16.128,50 | 954 / 30 | $15.496,30 | 951 / 30 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 31 | 70 / 4 | $48.167,50 | 771 / 21 | $15.529,90 | 1034 / 26 | $14.786,90 | 1030 / 27 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 45 | $26.583,00 | 2060 / 75 | $9.812,43 | 2665 / 85 | $9.236,43 | 2654 / 86 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 44 | $25.915,60 | 1943 / 75 | $9.776,32 | 2669 / 91 | $8.763,32 | 2654 / 92 |
Degenerative Nervous System Disorders W/O Mcc | 28 | 50 / 3 | $34.222,90 | 589 / 20 | $11.664,90 | 832 / 25 | $10.649,00 | 832 / 26 |
Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 25 | $109.744,00 | 1948 / 61 | $19.122,40 | 1979 / 62 | $18.060,60 | 1958 / 62 |
Hiv W Major Related Condition W Cc | 28 | 2 / 1 | $37.614,10 | 19 / 2 | $14.399,00 | 29 / 2 | $13.380,90 | 29 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 18 | $89.424,10 | 1407 / 49 | $22.828,30 | 1756 / 58 | $21.951,40 | 1742 / 59 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 15 | $23.602,40 | 1493 / 48 | $9.020,96 | 1973 / 54 | $8.201,70 | 1960 / 54 |
Other Circulatory System Diagnoses W Mcc | 25 | 91 / 17 | $54.271,10 | 836 / 38 | $18.209,10 | 1264 / 51 | $17.420,30 | 1256 / 52 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 25 | 99 / 5 | $29.967,30 | 691 / 16 | $9.263,24 | 812 / 17 | $8.468,04 | 811 / 17 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 18 | $206.189,00 | 1284 / 42 | $49.322,20 | 1459 / 45 | $48.106,10 | 1449 / 45 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 23 | 38 / 3 | $27.272,50 | 714 / 22 | $8.622,87 | 891 / 25 | $7.912,61 | 890 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 18 | $41.547,00 | 1384 / 46 | $9.860,61 | 1577 / 48 | $8.796,09 | 1573 / 48 |
Psychoses | 22 | 253 / 9 | $20.178,70 | 331 / 7 | $11.819,00 | 585 / 11 | $10.968,10 | 585 / 11 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 24 | $21.809,00 | 1392 / 51 | $9.564,09 | 2072 / 66 | $8.512,27 | 2060 / 66 |
Diabetes W Mcc | 21 | 36 / 8 | $66.030,30 | 672 / 27 | $15.266,50 | 717 / 28 | $14.485,60 | 716 / 28 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 13 | $48.834,50 | 1169 / 44 | $12.227,60 | 1399 / 47 | $11.111,40 | 1397 / 47 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 17 | $49.935,70 | 1160 / 45 | $13.956,10 | 1416 / 50 | $13.058,60 | 1411 / 50 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 12 | $28.857,80 | 828 / 28 | $11.518,00 | 1399 / 41 | $10.714,00 | 1395 / 41 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 28 | $53.703,10 | 1606 / 52 | $13.454,70 | 1851 / 54 | $12.530,60 | 1848 / 54 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 33 | $33.244,50 | 1746 / 62 | $10.610,80 | 2141 / 65 | $9.864,05 | 2136 / 65 |
Chest Pain | 20 | 131 / 30 | $25.374,50 | 1226 / 42 | $8.693,10 | 1655 / 52 | $7.782,70 | 1646 / 53 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 19 | 79 / 8 | $222.381,00 | 453 / 14 | $42.529,50 | 474 / 15 | $41.656,60 | 474 / 15 |
Seizures W Mcc | 19 | 47 / 9 | $86.835,20 | 705 / 23 | $19.008,60 | 740 / 23 | $17.112,80 | 740 / 23 |
Organic Disturbances & Mental Retardation | 19 | 40 / 3 | $31.461,40 | 365 / 15 | $11.107,70 | 516 / 15 | $10.120,70 | 516 / 15 |
Peripheral Vascular Disorders W Cc | 18 | 66 / 12 | $34.078,50 | 902 / 37 | $11.451,80 | 1222 / 41 | $10.683,80 | 1219 / 41 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 18 | 46 / 8 | $404.902,00 | 440 / 17 | $82.718,70 | 422 / 15 | $81.038,40 | 421 / 15 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 13 | $47.071,40 | 792 / 34 | $13.883,90 | 1056 / 37 | $13.322,70 | 1052 / 38 |
Cellulitis W/O Mcc | 17 | 172 / 40 | $22.650,40 | 1698 / 60 | $10.554,00 | 2573 / 77 | $9.612,59 | 2565 / 77 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 17 | 37 / 4 | $40.245,40 | 345 / 9 | $9.740,47 | 391 / 10 | $8.799,76 | 391 / 10 |
Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 18 | $258.411,00 | 1180 / 40 | $52.551,50 | 1250 / 39 | $51.376,40 | 1247 / 39 |
Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 49 | $31.177,30 | 2014 / 78 | $11.607,00 | 2753 / 89 | $10.591,50 | 2744 / 90 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 51 | $45.289,30 | 1765 / 71 | $14.744,20 | 2437 / 81 | $14.111,20 | 2431 / 81 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 38 | $39.898,60 | 945 / 38 | $12.448,60 | 1595 / 52 | $11.381,10 | 1592 / 53 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 16 | $177.289,00 | 668 / 33 | $48.586,10 | 916 / 39 | $47.918,60 | 915 / 39 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 15 | 12 / 1 | $79.727,90 | 129 / 5 | $17.951,30 | 130 / 5 | $17.097,50 | 130 / 5 |
Signs & Symptoms W Mcc | 15 | 26 / 3 | $44.580,30 | 216 / 7 | $12.552,50 | 260 / 7 | $11.745,60 | 260 / 7 |
Other Vascular Procedures W Mcc | 14 | 83 / 21 | $105.188,00 | 638 / 27 | $29.286,30 | 885 / 33 | $28.304,90 | 882 / 34 |
Other Resp System O.R. Procedures W Mcc | 14 | 49 / 11 | $127.218,00 | 441 / 18 | $32.987,20 | 533 / 19 | $32.168,70 | 532 / 20 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 14 | 52 / 8 | $48.623,60 | 412 / 10 | $12.640,10 | 508 / 11 | $11.583,90 | 507 / 11 |
G.I. Obstruction W Cc | 14 | 78 / 23 | $38.643,60 | 1431 / 53 | $10.905,50 | 1715 / 55 | $10.020,40 | 1710 / 56 |
Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 11 | $25.604,70 | 408 / 10 | $11.707,30 | 831 / 16 | $10.827,60 | 831 / 16 |
Medical Back Problems W/O Mcc | 14 | 107 / 18 | $39.752,10 | 1243 / 38 | $10.615,40 | 1446 / 40 | $9.007,14 | 1441 / 41 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 29 | $53.153,40 | 1208 / 42 | $17.144,10 | 1728 / 55 | $16.432,40 | 1715 / 56 |
Signs & Symptoms W/O Mcc | 13 | 78 / 18 | $34.649,30 | 1123 / 40 | $9.598,23 | 1303 / 42 | $8.740,08 | 1300 / 42 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 13 | 18 / 2 | $61.771,90 | 88 / 2 | $18.223,50 | 143 / 2 | $16.507,20 | 143 / 2 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 19 | $38.978,90 | 1034 / 38 | $11.207,00 | 1261 / 40 | $10.449,80 | 1258 / 41 |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 16 | $25.859,50 | 611 / 27 | $10.765,70 | 1060 / 37 | $9.821,38 | 1056 / 37 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 12 | $104.448,00 | 722 / 22 | $27.041,90 | 893 / 25 | $26.082,50 | 890 / 26 |
Hiv W Or W/O Other Related Condition | 13 | 7 / 1 | $26.580,50 | 5 / 1 | $12.711,20 | 10 / 1 | $11.433,70 | 10 / 1 |
Digestive Malignancy W Mcc | 12 | 25 / 3 | $118.401,00 | 144 / 3 | $26.044,50 | 149 / 3 | $25.183,80 | 149 / 3 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 7 | $102.416,00 | 584 / 14 | $19.482,80 | 614 / 15 | $18.640,20 | 610 / 15 |
Respiratory Neoplasms W Mcc | 12 | 40 / 9 | $70.825,10 | 504 / 19 | $17.203,00 | 608 / 19 | $16.334,00 | 605 / 19 |
Respiratory Neoplasms W Cc | 12 | 35 / 6 | $45.956,10 | 371 / 16 | $14.114,20 | 495 / 16 | $13.386,50 | 494 / 16 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 6 | $69.998,20 | 446 / 10 | $15.680,20 | 505 / 11 | $14.564,50 | 505 / 11 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 16 | $19.258,30 | 531 / 18 | $8.147,55 | 841 / 25 | $7.147,55 | 839 / 26 |
Digestive Malignancy W Cc | 11 | 36 / 6 | $40.534,10 | 245 / 8 | $13.745,00 | 375 / 9 | $13.061,00 | 373 / 9 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 37 | $30.908,50 | 1215 / 52 | $12.788,70 | 1908 / 67 | $11.994,90 | 1904 / 67 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 3 | $23.509,70 | 212 / 3 | $9.517,00 | 374 / 4 | $8.729,36 | 374 / 4 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 6 | $65.997,10 | 244 / 9 | $17.449,20 | 311 / 10 | $16.525,90 | 312 / 10 |
Full Thickness Burn W Skin Graft Or Inhal Inj W Cc/Mcc | 11 | 20 / 3 | $251.870,00 | 35 / 3 | $58.478,40 | 32 / 3 | $57.220,50 | 32 / 3 | Total 86 procedures | 2.543 | 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.