Hospital Costs > In Georgia > Habersham County Medical Ctr, 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 | 62 | 454 / 53 | $16.220,70 | 106 / 4 | $9.657,76 | 117 / 2 | $8.687,18 | 117 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 32 | $20.459,00 | 419 / 11 | $8.124,89 | 295 / 6 | $7.012,86 | 295 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 53 | $28.770,90 | 182 / 6 | $12.121,90 | 821 / 5 | $10.792,20 | 807 / 25 |
| Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 36 | $12.315,80 | 281 / 3 | $5.751,95 | 756 / 13 | $4.866,89 | 753 / 27 |
| Pulmonary Edema & Respiratory Failure | 37 | 166 / 32 | $14.672,00 | 135 / 3 | $7.128,92 | 539 / 11 | $6.379,30 | 539 / 18 |
| Heart Failure & Shock W Mcc | 25 | 259 / 53 | $17.640,60 | 283 / 5 | $8.237,52 | 375 / 4 | $7.524,24 | 375 / 7 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 20 | $18.902,00 | 77 / 4 | $10.292,50 | 248 / 4 | $9.889,65 | 248 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 38 | $12.488,20 | 67 / 1 | $5.940,68 | 244 / 5 | $4.896,89 | 244 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 42 | $14.063,00 | 424 / 13 | $5.448,71 | 393 / 8 | $4.420,47 | 392 / 10 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 16 | $18.000,40 | 190 / 3 | $8.088,38 | 343 / 11 | $7.061,38 | 340 / 12 |
| Renal Failure W Cc | 15 | 206 / 51 | $12.028,50 | 213 / 3 | $5.717,53 | 315 / 7 | $4.554,33 | 313 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 35 | $27.490,90 | 145 / 2 | $11.115,80 | 567 / 11 | $10.184,60 | 565 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 54 | $11.259,10 | 311 / 8 | $4.567,21 | 730 / 13 | $3.586,64 | 726 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 43 | $13.454,70 | 247 / 8 | $6.106,36 | 422 / 8 | $5.118,36 | 420 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 50 | $15.203,50 | 327 / 8 | $6.721,00 | 581 / 9 | $5.851,46 | 580 / 16 |
| G.I. Hemorrhage W Cc | 11 | 207 / 54 | $12.136,50 | 123 / 2 | $5.495,18 | 405 / 2 | $4.815,18 | 404 / 10 |
| Renal Failure W Mcc | 11 | 184 / 50 | $16.727,60 | 123 / 3 | $8.424,36 | 418 / 3 | $7.944,36 | 418 / 10 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 17 | $15.983,80 | 56 / 1 | $8.205,27 | 80 / 1 | $7.474,36 | 80 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 41 | $10.481,30 | 135 / 2 | $4.842,82 | 141 / 9 | $3.381,73 | 141 / 4 | Total 19 procedures | 434 | 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.