Hospital Costs > In Georgia > John D Archbold Memorial Hospital, 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 | 254 | 262 / 11 | $40.789,80 | 1356 / 52 | $11.269,30 | 1072 / 39 | $10.283,60 | 1059 / 46 |
| Psychoses | 189 | 126 / 4 | $10.014,30 | 59 / 2 | $6.147,70 | 142 / 3 | $5.281,02 | 142 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 182 | 382 / 25 | $41.084,90 | 815 / 25 | $12.504,20 | 418 / 17 | $10.201,70 | 416 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 97 | 110 / 5 | $22.498,30 | 1018 / 34 | $6.612,39 | 752 / 28 | $5.442,60 | 750 / 29 |
| Spinal Fusion Except Cervical W/O Mcc | 81 | 113 / 10 | $56.039,40 | 168 / 4 | $24.021,30 | 214 / 17 | $19.967,20 | 213 / 9 |
| Heart Failure & Shock W Mcc | 76 | 208 / 29 | $37.803,10 | 1547 / 58 | $10.710,10 | 1675 / 70 | $9.422,32 | 1670 / 64 |
| Heart Failure & Shock W Cc | 63 | 215 / 31 | $20.720,20 | 1260 / 48 | $6.047,27 | 987 / 24 | $5.284,43 | 986 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 63 | 212 / 27 | $19.135,60 | 1294 / 49 | $5.152,73 | 972 / 53 | $3.745,86 | 964 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 61 | 121 / 15 | $24.764,60 | 778 / 24 | $7.084,69 | 680 / 41 | $5.413,39 | 679 / 27 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 60 | 128 / 16 | $27.631,60 | 406 / 9 | $7.493,57 | 440 / 33 | $5.354,97 | 438 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 58 | 138 / 16 | $61.384,20 | 487 / 16 | $13.731,70 | 379 / 28 | $10.351,60 | 379 / 14 |
| Renal Failure W Mcc | 55 | 140 / 25 | $28.100,30 | 655 / 24 | $8.976,02 | 501 / 14 | $8.054,42 | 501 / 13 |
| Renal Failure W Cc | 53 | 168 / 30 | $19.054,90 | 886 / 27 | $6.254,89 | 658 / 44 | $4.887,19 | 651 / 17 |
| Chest Pain | 46 | 105 / 12 | $19.792,20 | 910 / 31 | $4.639,61 | 897 / 38 | $3.395,35 | 892 / 38 |
| G.I. Hemorrhage W Cc | 46 | 172 / 30 | $22.285,80 | 964 / 29 | $6.186,15 | 662 / 20 | $5.056,41 | 661 / 19 |
| Pulmonary Edema & Respiratory Failure | 45 | 158 / 27 | $28.286,50 | 924 / 28 | $7.369,09 | 881 / 15 | $6.791,16 | 881 / 36 |
| Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 29 | $28.894,00 | 1401 / 50 | $7.242,45 | 1020 / 32 | $6.261,95 | 1015 / 41 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 41 | 127 / 15 | $38.743,90 | 652 / 21 | $10.615,50 | 680 / 21 | $9.827,49 | 679 / 27 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 40 | 84 / 8 | $111.301,00 | 630 / 18 | $31.802,80 | 532 / 18 | $29.783,20 | 528 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 36 | $22.341,20 | 1386 / 49 | $6.453,03 | 505 / 54 | $4.648,66 | 502 / 17 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 26 | $18.086,70 | 818 / 24 | $6.376,08 | 681 / 53 | $4.709,00 | 679 / 21 |
| Cervical Spinal Fusion W/O Cc/Mcc | 36 | 68 / 12 | $34.276,30 | 113 / 4 | $12.557,30 | 257 / 4 | $11.408,80 | 257 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 20 | $16.222,20 | 655 / 18 | $4.966,66 | 934 / 16 | $4.227,40 | 931 / 32 |
| Cellulitis W/O Mcc | 34 | 155 / 25 | $17.926,70 | 1235 / 40 | $5.581,47 | 806 / 38 | $4.128,65 | 801 / 21 |
| Red Blood Cell Disorders W/O Mcc | 34 | 109 / 24 | $20.796,80 | 964 / 40 | $5.085,74 | 1034 / 16 | $4.556,32 | 1027 / 41 |
| Other Circulatory System Diagnoses W Mcc | 31 | 85 / 13 | $34.926,10 | 342 / 14 | $11.184,50 | 387 / 13 | $10.322,60 | 386 / 16 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 17 | $16.462,10 | 960 / 37 | $4.648,87 | 771 / 18 | $3.547,65 | 768 / 21 |
| Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 43 | $15.780,30 | 1039 / 34 | $4.914,68 | 1192 / 24 | $4.082,23 | 1184 / 39 |
| G.I. Hemorrhage W Mcc | 30 | 91 / 19 | $35.441,60 | 527 / 18 | $11.092,60 | 679 / 27 | $10.145,30 | 680 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 12 | $16.946,00 | 362 / 9 | $4.998,59 | 502 / 15 | $3.632,10 | 498 / 13 |
| Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 25 | $37.647,20 | 523 / 14 | $10.944,20 | 310 / 9 | $9.761,50 | 309 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 44 | $30.681,70 | 1080 / 39 | $8.325,19 | 689 / 14 | $7.547,37 | 689 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 27 | $23.388,20 | 614 / 31 | $6.833,20 | 626 / 19 | $6.242,12 | 623 / 28 |
| Extracranial Procedures W/O Cc/Mcc | 25 | 73 / 11 | $25.330,40 | 295 / 4 | $6.789,28 | 194 / 14 | $4.944,40 | 194 / 5 |
| G.I. Obstruction W Cc | 24 | 68 / 14 | $19.958,50 | 652 / 14 | $5.539,08 | 803 / 10 | $4.815,33 | 801 / 31 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 15 | $26.771,40 | 515 / 15 | $7.138,42 | 413 / 6 | $6.452,75 | 411 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 24 | $33.095,90 | 1095 / 33 | $8.029,29 | 592 / 28 | $6.508,12 | 589 / 17 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 10 | $28.221,80 | 616 / 18 | $8.185,38 | 578 / 16 | $7.511,17 | 575 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 22 | $11.515,70 | 524 / 11 | $4.112,83 | 634 / 37 | $2.542,83 | 630 / 14 |
| Transient Ischemia | 23 | 102 / 22 | $19.683,30 | 642 / 17 | $4.558,13 | 671 / 12 | $3.551,91 | 667 / 23 |
| Major Small & Large Bowel Procedures W Cc | 22 | 86 / 21 | $42.855,70 | 255 / 1 | $14.198,60 | 364 / 5 | $13.077,10 | 361 / 11 |
| Syncope & Collapse | 22 | 147 / 28 | $18.832,00 | 754 / 19 | $4.701,68 | 658 / 9 | $3.701,41 | 655 / 16 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 6 | $12.955,80 | 247 / 6 | $4.491,10 | 300 / 4 | $3.783,71 | 300 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 23 | $37.750,10 | 729 / 20 | $9.596,00 | 407 / 11 | $8.776,33 | 407 / 17 |
| Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 13 | $71.589,70 | 273 / 7 | $18.274,80 | 142 / 2 | $17.300,70 | 142 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 17 | $109.835,00 | 587 / 22 | $25.747,10 | 692 / 26 | $21.910,70 | 688 / 27 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 16 | $14.886,50 | 724 / 17 | $4.582,10 | 791 / 14 | $3.494,10 | 787 / 26 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 14 | $25.930,00 | 567 / 17 | $6.387,00 | 506 / 12 | $5.472,35 | 505 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 13 | $42.857,40 | 209 / 13 | $12.641,50 | 305 / 13 | $11.560,10 | 300 / 14 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 25 | $54.168,20 | 745 / 25 | $13.472,70 | 566 / 12 | $12.617,90 | 558 / 20 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 21 | $37.761,20 | 685 / 21 | $11.133,40 | 513 / 14 | $10.507,20 | 508 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 37 | $16.304,20 | 1117 / 44 | $4.949,22 | 893 / 50 | $3.572,78 | 890 / 32 |
| Other Kidney & Urinary Tract Procedures W Mcc | 17 | 21 / 4 | $52.736,20 | 32 / 3 | $17.667,50 | 33 / 2 | $16.780,80 | 33 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 11 | $15.971,10 | 588 / 13 | $4.885,59 | 461 / 24 | $2.916,24 | 460 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 33 | $24.690,40 | 900 / 33 | $6.356,73 | 376 / 6 | $5.529,47 | 375 / 9 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 16 | $24.850,10 | 671 / 23 | $5.956,33 | 413 / 11 | $5.056,87 | 410 / 14 |
| Other Vascular Procedures W Cc | 15 | 87 / 16 | $46.275,70 | 153 / 3 | $14.076,80 | 141 / 4 | $13.009,40 | 141 / 7 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 10 | $25.197,60 | 484 / 18 | $6.181,07 | 174 / 15 | $4.422,29 | 174 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 11 | $36.282,10 | 187 / 4 | $9.516,50 | 188 / 3 | $8.244,29 | 188 / 7 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 19 | $122.738,00 | 591 / 18 | $32.513,30 | 650 / 18 | $31.504,60 | 648 / 23 |
| Diabetes W Cc | 13 | 79 / 26 | $18.428,10 | 585 / 20 | $5.118,38 | 420 / 8 | $4.180,92 | 420 / 15 |
| Other Vascular Procedures W Mcc | 13 | 84 / 22 | $53.814,50 | 103 / 4 | $17.308,80 | 42 / 3 | $16.273,40 | 42 / 3 |
| Depressive Neuroses | 13 | 37 / 3 | $10.979,20 | 63 / 2 | $4.352,85 | 40 / 1 | $3.389,92 | 40 / 1 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 19 | $111.191,00 | 321 / 18 | $30.604,70 | 357 / 14 | $30.001,30 | 357 / 20 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 27 | $9.248,62 | 199 / 3 | $4.373,00 | 661 / 17 | $3.443,23 | 659 / 13 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 6 | $59.398,50 | 169 / 6 | $13.782,90 | 49 / 1 | $12.353,10 | 49 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 15 | $76.896,20 | 461 / 11 | $19.818,20 | 460 / 18 | $18.882,60 | 457 / 23 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 21 | $22.769,80 | 540 / 16 | $6.075,91 | 561 / 12 | $5.289,00 | 558 / 21 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 20 | $131.304,00 | 393 / 13 | $34.184,90 | 229 / 6 | $32.061,90 | 228 / 8 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 18 | $29.862,70 | 800 / 32 | $7.871,00 | 108 / 35 | $4.417,82 | 108 / 2 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 20 | $26.715,90 | 364 / 17 | $7.499,73 | 303 / 8 | $6.829,36 | 303 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 17 | $34.906,50 | 517 / 13 | $9.650,36 | 308 / 12 | $8.396,82 | 308 / 7 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 15 | $46.940,20 | 661 / 22 | $10.303,40 | 654 / 25 | $9.501,18 | 652 / 25 | Total 73 procedures | 2.686 | 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.