Hospital Costs > In Georgia > Mayo Clinic Health System In Waycross, Inc, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Cc | 108 | 71 / 4 | $17.181,30 | 720 / 21 | $5.573,92 | 412 / 12 | $4.441,59 | 411 / 11 |
Chronic Obstructive Pulmonary Disease W Mcc | 85 | 117 / 12 | $22.786,50 | 956 / 32 | $6.711,52 | 690 / 7 | $5.966,40 | 686 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 73 | 443 / 49 | $32.030,80 | 888 / 30 | $10.757,80 | 681 / 24 | $9.759,77 | 680 / 20 |
Simple Pneumonia & Pleurisy W Cc | 69 | 134 / 18 | $18.850,10 | 1002 / 30 | $5.687,29 | 542 / 12 | $4.679,91 | 539 / 18 |
Heart Failure & Shock W Cc | 67 | 211 / 29 | $15.808,70 | 665 / 17 | $5.720,90 | 656 / 8 | $5.030,93 | 655 / 21 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 26 | $14.173,40 | 640 / 21 | $4.434,85 | 297 / 9 | $3.228,15 | 296 / 5 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 64 | 124 / 13 | $23.455,40 | 217 / 4 | $6.922,88 | 190 / 20 | $4.949,91 | 190 / 4 |
Heart Failure & Shock W Mcc | 55 | 229 / 37 | $25.496,50 | 784 / 20 | $8.806,25 | 840 / 19 | $8.097,29 | 840 / 26 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 53 | 511 / 48 | $33.014,30 | 355 / 13 | $12.458,20 | 914 / 16 | $10.911,50 | 895 / 31 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 52 | 114 / 14 | $11.963,20 | 544 / 16 | $4.103,67 | 562 / 4 | $3.355,75 | 560 / 12 |
Simple Pneumonia & Pleurisy W Mcc | 49 | 156 / 29 | $28.441,40 | 936 / 29 | $8.140,96 | 589 / 8 | $7.426,04 | 589 / 17 |
Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 32 | $13.113,70 | 658 / 22 | $4.450,87 | 319 / 7 | $3.457,23 | 319 / 8 |
G.I. Hemorrhage W Cc | 45 | 173 / 31 | $17.167,60 | 498 / 9 | $6.076,67 | 547 / 13 | $4.952,69 | 546 / 14 |
Cellulitis W/O Mcc | 41 | 148 / 20 | $12.919,30 | 575 / 14 | $4.802,80 | 395 / 6 | $3.793,22 | 392 / 12 |
Chest Pain | 40 | 111 / 16 | $14.903,10 | 487 / 14 | $3.615,30 | 248 / 4 | $2.617,88 | 247 / 6 |
Renal Failure W Cc | 39 | 182 / 39 | $22.003,10 | 1180 / 46 | $5.767,18 | 310 / 10 | $4.548,10 | 308 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 19 | $16.113,50 | 636 / 17 | $4.901,97 | 243 / 10 | $3.540,74 | 243 / 6 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 13 | $13.498,80 | 608 / 20 | $4.173,94 | 340 / 2 | $3.173,66 | 340 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 25 | $49.829,40 | 221 / 4 | $12.277,00 | 351 / 10 | $10.275,60 | 351 / 11 |
Renal Failure W Mcc | 31 | 164 / 38 | $29.243,20 | 714 / 28 | $9.475,00 | 543 / 32 | $8.123,94 | 543 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 23 | $19.734,20 | 390 / 18 | $6.369,00 | 186 / 6 | $5.510,35 | 184 / 6 |
Syncope & Collapse | 30 | 139 / 23 | $16.145,80 | 499 / 11 | $4.226,93 | 482 / 4 | $3.537,80 | 480 / 10 |
Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 26 | $34.042,30 | 378 / 8 | $11.257,30 | 632 / 12 | $10.312,30 | 629 / 16 |
Red Blood Cell Disorders W/O Mcc | 26 | 117 / 27 | $14.699,50 | 430 / 16 | $4.601,04 | 431 / 4 | $3.902,23 | 430 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 34 | $20.335,20 | 498 / 13 | $6.141,54 | 534 / 9 | $5.254,77 | 533 / 16 |
Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 23 | $15.458,20 | 278 / 6 | $6.438,88 | 398 / 9 | $5.566,92 | 397 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 34 | $15.324,20 | 374 / 10 | $6.114,29 | 455 / 9 | $5.152,96 | 453 / 15 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 14 | $10.982,00 | 312 / 4 | $4.115,52 | 480 / 5 | $3.219,22 | 478 / 11 |
Diabetes W Cc | 22 | 70 / 18 | $9.868,05 | 77 / 1 | $4.728,23 | 464 / 2 | $4.235,18 | 464 / 17 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 23 | $11.900,10 | 574 / 16 | $3.565,86 | 648 / 6 | $2.555,82 | 644 / 16 |
Pulmonary Edema & Respiratory Failure | 21 | 182 / 41 | $28.512,40 | 941 / 30 | $7.253,43 | 129 / 14 | $5.739,14 | 129 / 2 |
Other Digestive System Diagnoses W Cc | 21 | 76 / 11 | $19.629,60 | 386 / 7 | $5.527,62 | 34 / 3 | $4.139,05 | 34 / 2 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 14 | $68.895,20 | 69 / 2 | $29.845,60 | 304 / 11 | $29.264,40 | 304 / 15 |
G.I. Obstruction W Cc | 19 | 73 / 18 | $16.139,60 | 370 / 7 | $5.884,47 | 135 / 26 | $3.902,58 | 134 / 5 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 15 | $23.720,00 | 412 / 12 | $7.946,00 | 446 / 8 | $7.234,82 | 443 / 15 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 23 | $9.188,35 | 195 / 2 | $3.963,47 | 443 / 3 | $3.251,71 | 441 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 32 | $27.038,20 | 789 / 17 | $7.010,07 | 246 / 4 | $5.957,60 | 246 / 6 |
Transient Ischemia | 15 | 110 / 28 | $13.756,60 | 228 / 3 | $4.093,27 | 213 / 5 | $3.039,40 | 213 / 7 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 25 | $28.750,10 | 187 / 4 | $10.749,30 | 354 / 7 | $10.182,20 | 353 / 13 |
G.I. Hemorrhage W Mcc | 15 | 106 / 32 | $25.203,60 | 183 / 5 | $10.113,90 | 432 / 9 | $9.466,33 | 433 / 16 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 27 | $44.045,00 | 272 / 5 | $15.417,30 | 272 / 21 | $12.756,90 | 270 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 31 | $18.760,70 | 71 / 2 | $9.945,85 | 477 / 13 | $9.288,62 | 476 / 18 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 20 | $36.854,30 | 112 / 5 | $12.032,10 | 169 / 4 | $10.910,80 | 166 / 5 |
Signs & Symptoms W/O Mcc | 12 | 79 / 19 | $12.800,00 | 211 / 3 | $4.066,67 | 168 / 4 | $3.156,67 | 168 / 7 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 12 | 79 / 9 | $26.140,90 | 122 / 4 | $6.314,42 | 52 / 1 | $6.107,33 | 52 / 1 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 13 | $17.576,60 | 156 / 7 | $5.030,58 | 82 / 2 | $4.114,67 | 82 / 3 |
Other Disorders Of Nervous System W Cc | 12 | 44 / 11 | $16.430,90 | 110 / 2 | $5.086,17 | 66 / 1 | $4.186,83 | 66 / 2 |
Seizures W/O Mcc | 12 | 96 / 19 | $12.785,20 | 165 / 2 | $4.401,83 | 173 / 4 | $3.497,17 | 172 / 7 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 15 | $77.594,30 | 86 / 3 | $28.429,80 | 210 / 6 | $27.413,70 | 210 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 25 | $32.380,80 | 721 / 23 | $8.613,83 | 885 / 37 | $7.702,92 | 880 / 39 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 12 | $18.797,60 | 259 / 3 | $5.247,58 | 116 / 3 | $4.234,83 | 116 / 4 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 21 | $122.926,00 | 594 / 19 | $35.078,50 | 830 / 29 | $34.154,30 | 828 / 33 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 17 | $17.045,80 | 271 / 7 | $5.533,50 | 191 / 6 | $4.618,67 | 191 / 7 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 15 | $29.428,30 | 332 / 11 | $8.055,82 | 130 / 4 | $6.952,55 | 130 / 5 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 32 | $29.598,80 | 428 / 7 | $10.371,50 | 796 / 29 | $9.709,09 | 795 / 36 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 20 | $86.026,40 | 114 / 1 | $35.080,50 | 105 / 10 | $30.100,50 | 105 / 2 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 21 | $18.168,90 | 303 / 4 | $5.999,55 | 192 / 8 | $4.572,82 | 192 / 6 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 13 | $12.948,90 | 70 / 2 | $5.611,36 | 158 / 3 | $4.835,82 | 158 / 5 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 16 | $13.371,60 | 392 / 7 | $3.624,55 | 191 / 4 | $2.521,64 | 191 / 5 | Total 59 procedures | 1.744 | 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.