Hospital Costs > In Georgia > Medical College Of Ga Hospitals And Clinics, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 27 | $76.129,30 | 1519 / 53 | $20.093,80 | 1787 / 56 | $19.304,40 | 1774 / 57 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 28 | 96 / 4 | $12.718,80 | 228 / 5 | $7.740,68 | 764 / 15 | $6.782,25 | 763 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 30 | $18.348,50 | 887 / 26 | $8.525,21 | 2059 / 62 | $7.754,92 | 2054 / 62 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 31 | $27.376,40 | 814 / 18 | $11.811,10 | 1729 / 51 | $10.217,60 | 1726 / 51 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 26 | $12.190,70 | 615 / 17 | $6.737,16 | 1922 / 56 | $5.836,95 | 1916 / 57 |
| Cellulitis W/O Mcc | 36 | 153 / 23 | $13.858,30 | 708 / 19 | $8.649,64 | 2472 / 74 | $7.660,67 | 2464 / 74 |
| Cervical Spinal Fusion W Cc | 18 | 35 / 4 | $127.262,00 | 334 / 16 | $27.325,10 | 340 / 16 | $24.084,60 | 339 / 16 |
| Cervical Spinal Fusion W/O Cc/Mcc | 31 | 73 / 14 | $102.878,00 | 778 / 37 | $22.062,50 | 845 / 38 | $19.967,50 | 842 / 38 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 20 | 71 / 4 | $37.960,60 | 239 / 8 | $10.942,20 | 352 / 8 | $10.680,80 | 352 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 43 | $20.557,60 | 1053 / 32 | $9.581,44 | 2324 / 75 | $8.816,75 | 2317 / 75 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 44 | $31.132,40 | 1542 / 59 | $11.337,20 | 2417 / 75 | $10.401,80 | 2409 / 77 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 21 | $69.424,80 | 579 / 29 | $19.009,20 | 814 / 31 | $18.263,00 | 806 / 32 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 35 | $32.263,00 | 625 / 27 | $10.828,00 | 1467 / 50 | $8.823,23 | 1464 / 51 |
| Complications Of Treatment W Cc | 15 | 37 / 4 | $26.120,90 | 174 / 7 | $10.202,20 | 330 / 8 | $9.418,00 | 330 / 8 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 15 | 44 / 10 | $213.843,00 | 182 / 11 | $58.288,60 | 231 / 11 | $57.487,10 | 230 / 11 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 24 | 64 / 11 | $119.711,00 | 359 / 13 | $33.234,50 | 515 / 17 | $28.784,80 | 514 / 17 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 14 | $23.344,60 | 310 / 15 | $9.185,91 | 659 / 23 | $7.816,45 | 659 / 24 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 19 | 79 / 8 | $89.062,60 | 142 / 4 | $35.478,40 | 411 / 12 | $34.617,60 | 411 / 14 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 40 | 35 / 2 | $69.585,20 | 136 / 5 | $20.056,90 | 200 / 7 | $17.198,40 | 199 / 7 |
| Degenerative Nervous System Disorders W/O Mcc | 25 | 53 / 4 | $33.150,10 | 568 / 19 | $10.051,50 | 771 / 22 | $8.828,20 | 771 / 24 |
| Diabetes W Cc | 33 | 59 / 12 | $24.572,30 | 974 / 45 | $8.826,24 | 1512 / 50 | $8.087,33 | 1507 / 51 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 7 | $23.967,60 | 439 / 16 | $9.749,82 | 881 / 27 | $8.113,12 | 878 / 27 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 28 | 53 / 6 | $461.082,00 | 242 / 10 | $151.744,00 | 348 / 12 | $142.325,00 | 347 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 22 | $23.863,60 | 386 / 12 | $11.602,00 | 1320 / 47 | $10.621,60 | 1315 / 47 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 37 | $20.558,20 | 1458 / 55 | $8.173,21 | 2599 / 87 | $7.376,08 | 2584 / 90 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 14 | $106.240,00 | 266 / 11 | $43.814,60 | 669 / 22 | $41.452,40 | 669 / 24 |
| G.I. Hemorrhage W Cc | 42 | 176 / 34 | $30.415,80 | 1584 / 57 | $10.068,70 | 2295 / 70 | $9.297,64 | 2291 / 72 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 20 | $45.908,50 | 891 / 34 | $16.061,30 | 1464 / 52 | $14.655,50 | 1454 / 50 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 16 | $42.692,10 | 945 / 28 | $12.631,50 | 1004 / 28 | $12.183,80 | 1000 / 28 |
| G.I. Obstruction W Cc | 21 | 71 / 16 | $23.340,70 | 887 / 28 | $9.451,33 | 1640 / 52 | $8.018,67 | 1635 / 54 |
| Heart Failure & Shock W Cc | 34 | 244 / 45 | $21.296,90 | 1331 / 52 | $10.083,10 | 2565 / 81 | $8.801,68 | 2559 / 81 |
| Heart Failure & Shock W Mcc | 25 | 259 / 53 | $37.637,40 | 1538 / 56 | $15.150,80 | 2496 / 80 | $14.300,60 | 2485 / 80 |
| Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 24 | $59.096,40 | 1326 / 46 | $17.116,10 | 1887 / 60 | $16.048,10 | 1867 / 61 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 13 | $77.502,10 | 497 / 16 | $25.290,40 | 809 / 24 | $22.723,30 | 806 / 24 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 14 | $183.504,00 | 1187 / 38 | $54.344,10 | 1514 / 46 | $52.309,30 | 1504 / 46 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 46 | 136 / 23 | $25.099,60 | 804 / 25 | $10.531,80 | 1949 / 61 | $9.559,28 | 1945 / 62 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 44 | 124 / 13 | $40.664,30 | 711 / 25 | $15.797,30 | 1449 / 48 | $14.776,00 | 1442 / 49 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 46 | 56 / 3 | $19.691,50 | 554 / 16 | $8.183,63 | 1500 / 45 | $6.818,65 | 1496 / 45 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 15 | 30 / 2 | $49.882,00 | 84 / 3 | $16.561,50 | 177 / 3 | $15.648,40 | 177 / 3 |
| Kidney & Ureter Procedures For Non-Neoplasm W/O Cc/Mcc | 11 | 14 / 1 | $36.947,50 | 18 / 1 | $12.759,60 | 33 / 1 | $11.539,60 | 33 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 18 | $24.004,10 | 860 / 29 | $11.048,20 | 1854 / 65 | $10.373,60 | 1850 / 65 |
| Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 25 | $19.757,80 | 1550 / 61 | $8.412,58 | 2587 / 83 | $7.495,97 | 2576 / 85 |
| Kidney Transplant | 55 | 49 / 3 | $192.529,00 | 82 / 2 | $33.243,80 | 157 / 2 | $32.442,50 | 157 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 18 | $97.107,20 | 556 / 18 | $28.194,40 | 891 / 27 | $27.368,80 | 890 / 28 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 4 | $38.200,30 | 307 / 10 | $11.432,20 | 418 / 10 | $10.352,20 | 418 / 10 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 16 | $80.726,20 | 667 / 21 | $19.886,70 | 750 / 22 | $17.202,80 | 746 / 23 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 44 | 520 / 52 | $66.087,00 | 1894 / 64 | $18.873,30 | 2483 / 79 | $17.254,80 | 2437 / 80 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 5 | $103.366,00 | 415 / 7 | $23.037,00 | 444 / 8 | $21.918,50 | 444 / 8 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 23 | $111.768,00 | 1305 / 45 | $28.615,60 | 1509 / 47 | $25.881,50 | 1495 / 47 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 16 | $238.781,00 | 1140 / 37 | $50.137,90 | 1165 / 38 | $44.236,90 | 1162 / 38 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 44 | 82 / 17 | $21.574,40 | 498 / 22 | $11.326,50 | 1578 / 57 | $10.328,80 | 1575 / 57 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 15 | $17.970,00 | 1318 / 53 | $8.114,94 | 2409 / 75 | $6.876,43 | 2400 / 75 |
| Organic Disturbances & Mental Retardation | 19 | 40 / 3 | $24.144,00 | 264 / 10 | $10.111,70 | 497 / 14 | $9.244,42 | 497 / 14 |
| Other Circulatory System Diagnoses W Cc | 19 | 47 / 5 | $28.276,80 | 383 / 21 | $9.959,37 | 603 / 21 | $8.497,84 | 602 / 21 |
| Other Circulatory System Diagnoses W Mcc | 35 | 81 / 10 | $33.231,60 | 297 / 10 | $17.007,20 | 1214 / 50 | $16.165,00 | 1206 / 51 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 12 | $52.869,40 | 772 / 16 | $14.901,80 | 856 / 17 | $13.305,40 | 856 / 17 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 6 | $74.463,20 | 981 / 27 | $21.022,40 | 1095 / 28 | $20.260,60 | 1091 / 28 |
| Other Vascular Procedures W Cc | 11 | 91 / 20 | $62.147,90 | 401 / 13 | $21.682,50 | 997 / 33 | $20.670,60 | 992 / 35 |
| Other Vascular Procedures W Mcc | 20 | 77 / 16 | $59.705,40 | 155 / 7 | $26.463,20 | 798 / 30 | $25.645,00 | 795 / 30 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 28 | $72.498,10 | 728 / 30 | $18.495,30 | 1332 / 46 | $15.907,10 | 1325 / 47 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 12 | $88.245,50 | 396 / 11 | $20.198,20 | 585 / 12 | $19.475,50 | 581 / 12 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 17 | $26.966,80 | 706 / 28 | $10.272,50 | 1193 / 40 | $9.546,08 | 1190 / 40 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 9 | $16.872,50 | 391 / 11 | $7.382,44 | 828 / 23 | $6.228,75 | 827 / 23 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 19 | 35 / 2 | $23.954,40 | 188 / 3 | $10.028,30 | 418 / 8 | $9.502,21 | 418 / 8 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 14 | 24 / 2 | $45.028,10 | 59 / 1 | $17.456,60 | 138 / 2 | $16.486,90 | 138 / 4 |
| Psychoses | 133 | 165 / 7 | $22.339,90 | 371 / 9 | $10.144,60 | 541 / 9 | $8.979,60 | 541 / 9 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 48 | $42.534,10 | 1590 / 60 | $12.561,40 | 2106 / 70 | $11.520,90 | 2100 / 71 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 20 | $30.521,60 | 850 / 30 | $11.539,90 | 1232 / 41 | $9.069,75 | 1229 / 40 |
| Red Blood Cell Disorders W Mcc | 21 | 50 / 11 | $36.047,00 | 603 / 26 | $12.478,80 | 1015 / 35 | $11.733,30 | 1011 / 37 |
| Red Blood Cell Disorders W/O Mcc | 71 | 72 / 5 | $19.027,90 | 805 / 29 | $8.623,59 | 1871 / 62 | $7.623,54 | 1862 / 63 |
| Renal Failure W Cc | 102 | 119 / 8 | $21.559,50 | 1132 / 40 | $10.157,80 | 2317 / 76 | $9.187,75 | 2307 / 76 |
| Renal Failure W Mcc | 65 | 130 / 21 | $35.993,20 | 1100 / 45 | $14.788,70 | 1935 / 68 | $13.102,00 | 1931 / 69 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 10 | $32.925,30 | 786 / 29 | $13.409,30 | 1398 / 47 | $12.053,70 | 1393 / 47 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 22 | $76.719,60 | 1474 / 58 | $19.643,50 | 1770 / 59 | $19.028,20 | 1754 / 59 |
| Respiratory Neoplasms W Cc | 11 | 36 / 7 | $28.848,60 | 177 / 11 | $12.011,60 | 369 / 15 | $8.486,55 | 368 / 14 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 32 | 99 / 15 | $44.734,60 | 474 / 10 | $19.420,60 | 1590 / 56 | $18.773,20 | 1576 / 57 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 18 | $133.598,00 | 467 / 24 | $47.303,10 | 883 / 38 | $44.602,10 | 882 / 38 |
| Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 7 | $118.740,00 | 537 / 18 | $28.716,10 | 614 / 19 | $27.733,00 | 612 / 19 |
| Seizures W Mcc | 22 | 44 / 6 | $59.167,70 | 561 / 18 | $15.397,30 | 701 / 20 | $14.865,00 | 701 / 21 |
| Seizures W/O Mcc | 26 | 82 / 10 | $23.103,50 | 703 / 27 | $8.312,88 | 1168 / 39 | $6.728,23 | 1166 / 38 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 41 | 51 / 4 | $139.112,00 | 446 / 17 | $47.070,90 | 867 / 30 | $45.713,30 | 866 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 186 | 330 / 19 | $48.233,40 | 1721 / 67 | $17.243,00 | 2582 / 87 | $16.016,30 | 2537 / 89 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 80 | 127 / 8 | $26.094,20 | 1346 / 51 | $10.613,10 | 2438 / 79 | $9.777,64 | 2428 / 80 |
| Simple Pneumonia & Pleurisy W Cc | 68 | 135 / 19 | $23.311,10 | 1484 / 56 | $10.031,90 | 2661 / 86 | $8.867,53 | 2652 / 87 |
| Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 37 | $42.084,30 | 1638 / 66 | $13.700,90 | 2363 / 79 | $12.835,20 | 2357 / 80 |
| Spinal Fusion Except Cervical W/O Mcc | 37 | 157 / 27 | $140.818,00 | 1065 / 40 | $38.489,80 | 1259 / 46 | $32.997,90 | 1254 / 46 |
| Stomach, Esophageal & Duodenal Proc W Cc | 13 | 37 / 3 | $121.295,00 | 194 / 8 | $30.594,20 | 211 / 8 | $27.125,30 | 211 / 8 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 16 | 48 / 10 | $284.056,00 | 305 / 10 | $96.577,90 | 485 / 17 | $91.278,20 | 484 / 17 |
| Transient Ischemia | 12 | 113 / 30 | $16.557,00 | 382 / 8 | $7.829,83 | 1585 / 49 | $6.807,67 | 1577 / 49 | Total 89 procedures | 2.671 | 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.