Hospital Costs > In Georgia > Hamilton Medical Center, 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 | 192 | 324 / 17 | $49.563,40 | 1769 / 70 | $11.271,40 | 938 / 40 | $10.107,80 | 933 / 39 |
| Chronic Obstructive Pulmonary Disease W Mcc | 183 | 31 / 1 | $29.120,40 | 1412 / 51 | $7.377,83 | 1206 / 38 | $6.469,27 | 1200 / 51 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 170 | 394 / 28 | $49.710,90 | 1275 / 36 | $14.301,20 | 452 / 60 | $10.250,00 | 449 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 167 | 42 / 1 | $35.455,40 | 1380 / 54 | $8.882,69 | 788 / 40 | $7.641,17 | 788 / 27 |
| Heart Failure & Shock W Mcc | 150 | 134 / 11 | $36.191,20 | 1461 / 54 | $9.583,29 | 759 / 51 | $8.005,44 | 759 / 24 |
| Simple Pneumonia & Pleurisy W Cc | 102 | 101 / 6 | $23.423,30 | 1492 / 58 | $6.315,25 | 1156 / 43 | $5.200,07 | 1152 / 44 |
| Heart Failure & Shock W Cc | 93 | 185 / 20 | $24.138,00 | 1602 / 61 | $6.267,43 | 949 / 41 | $5.256,20 | 948 / 32 |
| G.I. Hemorrhage W Cc | 90 | 128 / 10 | $22.685,00 | 997 / 31 | $6.250,24 | 634 / 27 | $5.039,60 | 633 / 16 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 83 | 113 / 6 | $75.905,00 | 794 / 35 | $13.665,10 | 533 / 26 | $10.715,60 | 530 / 24 |
| Renal Failure W Cc | 79 | 142 / 17 | $19.933,10 | 977 / 31 | $6.023,42 | 903 / 30 | $5.086,94 | 895 / 32 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 75 | 200 / 20 | $19.177,00 | 1299 / 51 | $5.131,15 | 877 / 51 | $3.678,43 | 872 / 30 |
| Respiratory Infections & Inflammations W Mcc | 68 | 68 / 2 | $41.741,60 | 851 / 34 | $11.394,30 | 349 / 18 | $10.125,20 | 349 / 11 |
| Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 24 | $18.918,70 | 1451 / 54 | $5.068,28 | 1181 / 40 | $4.075,03 | 1173 / 38 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 61 | 127 / 15 | $30.886,70 | 559 / 20 | $7.690,21 | 330 / 39 | $5.186,07 | 330 / 7 |
| Renal Failure W Mcc | 58 | 137 / 23 | $34.026,40 | 1003 / 38 | $9.034,64 | 600 / 17 | $8.211,84 | 600 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 16 | $30.084,40 | 1164 / 41 | $7.742,31 | 457 / 50 | $5.169,26 | 456 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 16 | $23.573,70 | 1126 / 37 | $6.644,69 | 631 / 30 | $5.340,26 | 629 / 25 |
| Hip & Femur Procedures Except Major Joint W Cc | 46 | 97 / 14 | $48.558,80 | 1000 / 34 | $12.500,70 | 479 / 44 | $10.041,20 | 478 / 12 |
| Pulmonary Edema & Respiratory Failure | 43 | 160 / 28 | $32.817,30 | 1195 / 44 | $7.426,47 | 896 / 22 | $6.805,40 | 896 / 37 |
| Cellulitis W/O Mcc | 43 | 146 / 19 | $20.580,60 | 1543 / 50 | $6.573,21 | 1004 / 65 | $4.274,49 | 998 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 42 | 119 / 16 | $20.526,70 | 1094 / 37 | $5.186,55 | 728 / 27 | $4.038,74 | 725 / 18 |
| Syncope & Collapse | 38 | 131 / 18 | $23.680,60 | 1143 / 33 | $4.951,34 | 654 / 28 | $3.700,00 | 651 / 15 |
| Diabetes W Cc | 38 | 54 / 8 | $20.437,80 | 722 / 28 | $5.309,53 | 372 / 17 | $4.114,03 | 372 / 13 |
| Chest Pain | 37 | 114 / 19 | $20.820,60 | 979 / 34 | $4.371,41 | 600 / 31 | $3.023,03 | 596 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 36 | 132 / 19 | $40.101,80 | 702 / 24 | $10.088,40 | 460 / 17 | $9.246,17 | 459 / 15 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 36 | 64 / 8 | $97.124,10 | 460 / 17 | $28.528,10 | 7 / 27 | $13.706,50 | 7 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 30 | $27.895,50 | 1614 / 66 | $6.482,18 | 391 / 56 | $4.419,15 | 390 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 14 | $43.427,20 | 944 / 29 | $10.745,00 | 255 / 36 | $8.434,85 | 255 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 25 | $18.980,80 | 1451 / 58 | $4.646,27 | 514 / 33 | $3.317,30 | 512 / 9 |
| Spinal Fusion Except Cervical W/O Mcc | 31 | 163 / 28 | $64.797,20 | 274 / 10 | $23.608,30 | 334 / 13 | $20.803,90 | 333 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 19 | $15.222,20 | 1019 / 39 | $3.851,93 | 1072 / 22 | $2.882,67 | 1067 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 12 | $21.169,50 | 664 / 21 | $5.988,03 | 167 / 36 | $3.150,55 | 165 / 4 |
| Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 22 | $22.852,10 | 780 / 23 | $6.577,50 | 575 / 14 | $5.798,46 | 574 / 21 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 19 | $17.843,90 | 1099 / 44 | $4.838,43 | 687 / 28 | $3.476,07 | 685 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 10 | $15.518,40 | 787 / 21 | $4.663,48 | 898 / 21 | $3.590,67 | 893 / 29 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 26 | 67 / 8 | $49.296,70 | 309 / 18 | $12.113,30 | 221 / 7 | $11.146,00 | 216 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 23 | $21.776,50 | 439 / 6 | $7.264,64 | 377 / 9 | $6.170,20 | 375 / 9 |
| Transient Ischemia | 25 | 100 / 20 | $22.557,90 | 830 / 27 | $4.628,76 | 749 / 17 | $3.654,24 | 745 / 29 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 24 | 48 / 6 | $51.163,00 | 720 / 25 | $9.952,42 | 598 / 21 | $9.088,50 | 596 / 22 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 23 | 33 / 5 | $46.492,20 | 402 / 10 | $10.310,40 | 421 / 13 | $9.146,57 | 421 / 16 |
| Cervical Spinal Fusion W/O Cc/Mcc | 23 | 81 / 19 | $40.269,70 | 203 / 8 | $13.040,80 | 349 / 10 | $11.883,50 | 348 / 21 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 26 | $40.539,40 | 708 / 25 | $10.180,80 | 335 / 11 | $9.244,45 | 335 / 10 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 21 | 75 / 12 | $56.591,50 | 434 / 8 | $15.537,90 | 124 / 16 | $10.613,10 | 123 / 5 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 12 | $21.645,10 | 495 / 13 | $6.466,45 | 273 / 21 | $4.805,20 | 270 / 8 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 13 | $31.358,80 | 729 / 27 | $8.177,30 | 520 / 14 | $7.385,90 | 517 / 17 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 19 | 51 / 4 | $21.582,80 | 217 / 8 | $5.753,05 | 146 / 4 | $5.018,95 | 146 / 5 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 12 | $20.882,60 | 694 / 28 | $4.459,95 | 609 / 10 | $3.882,79 | 608 / 25 |
| Other Resp System O.R. Procedures W Mcc | 18 | 45 / 8 | $91.309,40 | 293 / 14 | $21.918,60 | 65 / 8 | $18.392,90 | 65 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 15 | $142.260,00 | 518 / 28 | $31.688,90 | 414 / 21 | $30.964,80 | 414 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 35 | $40.143,20 | 1307 / 54 | $7.458,29 | 879 / 39 | $6.743,59 | 876 / 41 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 16 | $26.022,10 | 692 / 21 | $6.187,19 | 432 / 14 | $5.063,75 | 431 / 16 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 8 | $17.222,60 | 190 / 1 | $5.822,19 | 385 / 9 | $4.985,62 | 384 / 13 |
| Renal Failure W/O Cc/Mcc | 16 | 40 / 11 | $14.470,40 | 335 / 10 | $4.263,69 | 342 / 10 | $3.205,06 | 341 / 10 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 28 | $54.679,00 | 756 / 26 | $15.943,30 | 208 / 42 | $11.586,50 | 206 / 5 |
| G.I. Obstruction W Cc | 16 | 76 / 21 | $21.896,80 | 793 / 18 | $5.628,31 | 481 / 15 | $4.451,38 | 480 / 14 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 7 | $49.371,50 | 412 / 18 | $11.223,50 | 199 / 4 | $10.589,30 | 199 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 22 | $28.842,20 | 591 / 18 | $7.308,87 | 517 / 12 | $6.658,67 | 514 / 22 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 25 | $16.466,60 | 1013 / 37 | $4.514,87 | 699 / 25 | $3.469,33 | 695 / 15 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 28 | $111.136,00 | 629 / 17 | $30.421,50 | 196 / 13 | $26.877,00 | 196 / 7 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 10 | $22.717,30 | 288 / 14 | $5.622,33 | 238 / 5 | $4.810,67 | 238 / 11 |
| Seizures W/O Mcc | 15 | 93 / 16 | $21.697,50 | 637 / 26 | $4.964,27 | 513 / 15 | $4.076,67 | 510 / 21 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 26 | $62.854,70 | 707 / 22 | $18.130,80 | 251 / 40 | $12.662,10 | 249 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 4 | $54.602,70 | 137 / 5 | $15.262,60 | 46 / 3 | $12.303,60 | 46 / 1 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 11 | $17.047,70 | 404 / 13 | $4.138,36 | 276 / 4 | $3.290,36 | 275 / 8 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 17 | $132.857,00 | 401 / 14 | $42.202,20 | 156 / 23 | $31.111,90 | 156 / 5 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 10 | $21.326,10 | 275 / 10 | $6.031,64 | 181 / 6 | $4.906,21 | 181 / 6 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 10 | $18.378,50 | 454 / 11 | $4.719,21 | 319 / 9 | $3.515,14 | 320 / 8 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 15 | $36.804,50 | 339 / 12 | $9.634,79 | 286 / 11 | $8.419,86 | 285 / 13 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 11 | $74.966,40 | 474 / 14 | $18.308,20 | 406 / 14 | $17.348,90 | 403 / 16 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 15 | $34.329,20 | 906 / 38 | $6.610,64 | 746 / 20 | $6.004,36 | 743 / 26 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 8 | $40.629,40 | 218 / 10 | $11.736,30 | 238 / 8 | $11.474,80 | 238 / 10 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 8 | $25.356,90 | 468 / 13 | $4.918,62 | 265 / 10 | $3.707,92 | 264 / 9 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 20 | $102.000,00 | 401 / 12 | $40.058,20 | 2 / 35 | $19.151,20 | 2 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 19 | $29.693,20 | 724 / 24 | $6.907,15 | 158 / 31 | $4.852,31 | 158 / 8 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 13 | 35 / 6 | $22.861,80 | 15 / 1 | $8.608,85 | 34 / 3 | $7.359,00 | 34 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 15 | $23.804,10 | 433 / 12 | $7.025,17 | 332 / 5 | $6.220,92 | 331 / 10 |
| Digestive Malignancy W Cc | 12 | 35 / 5 | $25.931,80 | 94 / 2 | $8.205,92 | 1 / 4 | $4.453,42 | 1 / 1 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 39 | $20.368,90 | 926 / 36 | $5.192,17 | 973 / 24 | $4.487,67 | 967 / 39 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 7 | $55.585,30 | 306 / 8 | $11.680,90 | 217 / 3 | $10.669,90 | 217 / 5 |
| Headaches W/O Mcc | 12 | 31 / 2 | $21.133,10 | 114 / 3 | $4.475,92 | 88 / 1 | $3.467,50 | 88 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 14 | $76.756,00 | 583 / 20 | $15.332,70 | 220 / 4 | $14.169,80 | 219 / 6 |
| Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 18 | $30.561,00 | 460 / 12 | $6.525,33 | 488 / 8 | $5.718,67 | 487 / 16 |
| Psychoses | 12 | 263 / 10 | $21.091,00 | 354 / 8 | $6.162,17 | 38 / 4 | $4.727,08 | 38 / 1 |
| Nervous System Neoplasms W Mcc | 11 | 37 / 5 | $35.802,30 | 138 / 1 | $8.009,18 | 54 / 1 | $6.907,36 | 54 / 1 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 7 | $26.275,10 | 249 / 6 | $6.843,91 | 74 / 6 | $4.730,45 | 74 / 2 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 29 | $42.958,80 | 571 / 27 | $10.574,90 | 198 / 4 | $9.579,55 | 198 / 7 |
| Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 8 | $29.697,90 | 111 / 2 | $9.696,64 | 117 / 3 | $9.090,18 | 117 / 6 | Total 87 procedures | 3.207 | 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.