Hospital Costs > In Georgia > Hutcheson Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Pulmonary Edema & Respiratory Failure | 36 | 167 / 33 | $30.030,10 | 1045 / 36 | $7.840,97 | 1037 / 37 | $7.001,86 | 1036 / 44 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 66 | $39.904,60 | 1313 / 48 | $10.940,40 | 873 / 29 | $10.025,30 | 872 / 32 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 42 | $27.415,00 | 866 / 26 | $8.742,76 | 613 / 29 | $7.450,79 | 613 / 18 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 47 | $16.120,70 | 1093 / 38 | $5.274,92 | 1402 / 56 | $4.248,46 | 1393 / 57 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 46 | $18.464,00 | 1206 / 43 | $5.170,04 | 1709 / 54 | $4.349,56 | 1696 / 69 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 25 | 36 / 2 | $18.191,20 | 449 / 15 | $4.622,36 | 360 / 11 | $3.490,44 | 359 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 38 | $23.804,30 | 1371 / 53 | $6.119,73 | 1117 / 36 | $5.073,91 | 1113 / 48 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 46 | $18.809,70 | 998 / 29 | $6.314,24 | 1378 / 42 | $5.395,38 | 1373 / 58 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 46 | $31.596,20 | 1564 / 61 | $7.747,35 | 1133 / 53 | $6.377,65 | 1128 / 47 |
| Heart Failure & Shock W Cc | 20 | 258 / 55 | $20.542,90 | 1244 / 47 | $7.409,60 | 670 / 71 | $5.040,55 | 669 / 22 |
| Heart Failure & Shock W Mcc | 19 | 265 / 58 | $31.070,20 | 1158 / 40 | $9.664,47 | 1343 / 53 | $8.776,89 | 1340 / 53 |
| Diabetes W Cc | 17 | 75 / 22 | $23.290,60 | 908 / 41 | $5.654,47 | 774 / 32 | $4.660,59 | 771 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 38 | $13.302,60 | 729 / 25 | $4.874,82 | 1516 / 47 | $4.091,76 | 1511 / 55 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 10 | $44.586,20 | 630 / 21 | $9.196,71 | 508 / 15 | $8.560,47 | 506 / 19 |
| Renal Failure W Cc | 16 | 205 / 50 | $23.909,30 | 1341 / 52 | $6.423,69 | 1249 / 50 | $5.443,69 | 1241 / 55 |
| G.I. Hemorrhage W Cc | 16 | 202 / 50 | $33.580,70 | 1741 / 64 | $6.778,19 | 1002 / 49 | $5.366,69 | 1000 / 39 |
| Cellulitis W/O Mcc | 15 | 174 / 42 | $18.103,00 | 1255 / 41 | $5.731,93 | 1369 / 46 | $4.599,13 | 1363 / 49 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 38 | $30.697,50 | 245 / 5 | $11.999,80 | 457 / 40 | $10.001,20 | 456 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 12 | 552 / 71 | $34.803,10 | 449 / 16 | $12.982,80 | 1431 / 29 | $11.873,50 | 1398 / 60 |
| G.I. Obstruction W Cc | 12 | 80 / 25 | $23.764,90 | 910 / 31 | $6.088,08 | 675 / 33 | $4.668,08 | 674 / 23 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 42 | $27.958,10 | 422 / 12 | $7.037,91 | 742 / 23 | $5.798,82 | 740 / 34 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 32 | $55.794,20 | 793 / 30 | $16.438,70 | 396 / 47 | $12.142,10 | 392 / 12 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 21 | $28.515,50 | 628 / 19 | $8.192,27 | 638 / 17 | $7.645,36 | 635 / 23 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 28 | $47.368,00 | 1008 / 40 | $10.892,20 | 294 / 9 | $10.010,70 | 294 / 9 | Total 24 procedures | 452 | 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.