Hospital Costs > In Georgia > Meadows Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Heart Failure & Shock W Cc | 52 | 226 / 38 | $24.878,00 | 1659 / 64 | $6.253,10 | 986 / 39 | $5.281,15 | 985 / 34 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 52 | 464 / 57 | $43.920,30 | 1522 / 58 | $10.837,60 | 924 / 25 | $10.094,60 | 921 / 38 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 27 | $29.702,70 | 1457 / 54 | $7.221,02 | 909 / 31 | $6.160,78 | 904 / 37 |
Renal Failure W Cc | 50 | 171 / 32 | $24.845,40 | 1403 / 58 | $6.091,74 | 1083 / 35 | $5.268,04 | 1075 / 46 |
Heart Failure & Shock W Mcc | 49 | 235 / 41 | $35.144,60 | 1403 / 50 | $9.072,12 | 957 / 33 | $8.228,49 | 956 / 37 |
Simple Pneumonia & Pleurisy W Mcc | 49 | 156 / 29 | $33.326,30 | 1243 / 49 | $8.601,92 | 912 / 23 | $7.770,84 | 912 / 33 |
Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 30 | $26.180,20 | 1715 / 68 | $6.385,66 | 1341 / 51 | $5.353,04 | 1336 / 55 |
Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 35 | $21.023,50 | 1674 / 66 | $5.047,11 | 1250 / 38 | $4.124,27 | 1241 / 45 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 29 | $25.082,40 | 1459 / 58 | $6.138,57 | 1037 / 40 | $4.988,23 | 1034 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 40 | $23.014,40 | 1715 / 69 | $4.924,03 | 1226 / 36 | $3.911,03 | 1215 / 49 |
G.I. Hemorrhage W Cc | 32 | 186 / 40 | $26.295,80 | 1313 / 47 | $6.305,19 | 1230 / 29 | $5.616,47 | 1228 / 52 |
Cellulitis W/O Mcc | 28 | 161 / 31 | $21.190,20 | 1598 / 54 | $5.404,25 | 1220 / 27 | $4.445,11 | 1214 / 46 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 28 | 536 / 60 | $72.221,90 | 2047 / 69 | $12.427,40 | 1147 / 15 | $11.296,60 | 1120 / 48 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 21 | $48.330,80 | 1094 / 34 | $10.251,00 | 699 / 24 | $9.431,39 | 698 / 31 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 34 | $30.645,30 | 550 / 19 | $6.734,30 | 709 / 12 | $5.763,83 | 707 / 31 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 32 | $70.467,00 | 693 / 28 | $11.832,50 | 544 / 5 | $10.749,00 | 541 / 25 |
Atherosclerosis W/O Mcc | 22 | 36 / 2 | $16.570,50 | 226 / 9 | $4.212,50 | / 9 | $3.406,09 | / |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 33 | $17.925,70 | 848 / 24 | $5.186,30 | 1068 / 26 | $4.369,40 | 1064 / 39 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 38 | $29.470,10 | 1585 / 62 | $6.562,30 | 998 / 26 | $5.657,05 | 995 / 38 |
Renal Failure W Mcc | 19 | 176 / 44 | $43.182,10 | 1388 / 55 | $10.084,20 | 1195 / 44 | $9.418,84 | 1195 / 52 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 25 | $67.612,60 | 1095 / 39 | $13.948,80 | 755 / 17 | $13.147,20 | 747 / 30 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 37 | $21.394,20 | 1680 / 65 | $4.738,61 | 1125 / 37 | $3.744,39 | 1122 / 43 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 39 | $25.776,10 | 843 / 28 | $6.597,00 | 857 / 23 | $5.631,06 | 855 / 39 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 18 | $17.051,30 | 932 / 31 | $4.728,76 | 1086 / 24 | $3.768,53 | 1080 / 35 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 29 | $15.319,00 | 1027 / 40 | $3.931,75 | 938 / 25 | $2.774,12 | 933 / 31 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 36 | $21.148,70 | 1003 / 43 | $5.251,67 | 824 / 27 | $4.323,93 | 819 / 30 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 31 | $16.414,70 | 955 / 35 | $4.792,00 | 1256 / 23 | $4.020,80 | 1246 / 41 |
G.I. Hemorrhage W Mcc | 13 | 108 / 34 | $33.513,10 | 447 / 14 | $10.043,80 | 418 / 6 | $9.437,62 | 419 / 15 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 14 | $24.257,60 | 452 / 14 | $7.158,23 | 381 / 9 | $6.351,85 | 380 / 12 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 14 | $17.235,70 | 463 / 16 | $4.309,69 | 477 / 12 | $3.527,77 | 476 / 17 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 19 | $31.489,70 | 798 / 28 | $6.524,08 | 641 / 17 | $5.742,69 | 640 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 26 | $21.108,00 | 661 / 20 | $4.961,31 | 664 / 11 | $3.813,31 | 660 / 20 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 22 | $79.472,50 | 268 / 9 | $18.115,70 | 201 / 4 | $17.160,20 | 200 / 8 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 49 | $35.799,80 | 1328 / 49 | $8.402,42 | 719 / 51 | $6.617,17 | 719 / 25 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 9 | $21.205,80 | 336 / 8 | $4.958,33 | 475 / 12 | $4.221,92 | 472 / 19 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 28 | $37.336,50 | 668 / 20 | $11.580,50 | 550 / 27 | $10.570,70 | 543 / 22 | Total 36 procedures | 929 | 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.