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Medical College Of Ga Hospitals And Clinics, procedure costs

1120 15Th Street, Augusta, GA 30912,

Procedure Costs @ Medical College Of Ga Hospitals And Clinics
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 Mcc186330 / 19$48.233,401721 / 67$17.243,002582 / 87$16.016,302537 / 89
Psychoses133165 / 7$22.339,90371 / 9$10.144,60541 / 9$8.979,60541 / 9
Renal Failure W Cc102119 / 8$21.559,501132 / 40$10.157,802317 / 76$9.187,752307 / 76
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc80127 / 8$26.094,201346 / 51$10.613,102438 / 79$9.777,642428 / 80
Red Blood Cell Disorders W/O Mcc7172 / 5$19.027,90805 / 29$8.623,591871 / 62$7.623,541862 / 63
Simple Pneumonia & Pleurisy W Cc68135 / 19$23.311,101484 / 56$10.031,902661 / 86$8.867,532652 / 87
Renal Failure W Mcc65130 / 21$35.993,201100 / 45$14.788,701935 / 68$13.102,001931 / 69
Kidney & Urinary Tract Infections W/O Mcc62171 / 25$19.757,801550 / 61$8.412,582587 / 83$7.495,972576 / 85
Kidney Transplant5549 / 3$192.529,0082 / 2$33.243,80157 / 2$32.442,50157 / 3
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc51115 / 15$17.970,001318 / 53$8.114,942409 / 75$6.876,432400 / 75
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4656 / 3$19.691,50554 / 16$8.183,631500 / 45$6.818,651496 / 45
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs46136 / 23$25.099,60804 / 25$10.531,801949 / 61$9.559,281945 / 62
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc4482 / 17$21.574,40498 / 22$11.326,501578 / 57$10.328,801575 / 57
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc44520 / 52$66.087,001894 / 64$18.873,302483 / 79$17.254,802437 / 80
Intracranial Hemorrhage Or Cerebral Infarction W Mcc44124 / 13$40.664,30711 / 25$15.797,301449 / 48$14.776,001442 / 49
G.I. Hemorrhage W Cc42176 / 34$30.415,801584 / 57$10.068,702295 / 70$9.297,642291 / 72
Septicemia Or Severe Sepsis W Mv 96+ Hours4151 / 4$139.112,00446 / 17$47.070,90867 / 30$45.713,30866 / 31
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc4035 / 2$69.585,20136 / 5$20.056,90200 / 7$17.198,40199 / 7
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc39236 / 37$20.558,201458 / 55$8.173,212599 / 87$7.376,082584 / 90
Spinal Fusion Except Cervical W/O Mcc37157 / 27$140.818,001065 / 40$38.489,801259 / 46$32.997,901254 / 46
Cellulitis W/O Mcc36153 / 23$13.858,30708 / 19$8.649,642472 / 74$7.660,672464 / 74
Kidney & Urinary Tract Infections W Mcc35109 / 18$24.004,10860 / 29$11.048,201854 / 65$10.373,601850 / 65
Simple Pneumonia & Pleurisy W Mcc35170 / 37$42.084,301638 / 66$13.700,902363 / 79$12.835,202357 / 80
Other Circulatory System Diagnoses W Mcc3581 / 10$33.231,60297 / 10$17.007,201214 / 50$16.165,001206 / 51
Heart Failure & Shock W Cc34244 / 45$21.296,901331 / 52$10.083,102565 / 81$8.801,682559 / 81
Diabetes W Cc3359 / 12$24.572,30974 / 45$8.826,241512 / 50$8.087,331507 / 51
Respiratory System Diagnosis W Ventilator Support <96 Hours3299 / 15$44.734,60474 / 10$19.420,601590 / 56$18.773,201576 / 57
Cervical Spinal Fusion W/O Cc/Mcc3173 / 14$102.878,00778 / 37$22.062,50845 / 38$19.967,50842 / 38
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3094 / 14$183.504,001187 / 38$54.344,101514 / 46$52.309,301504 / 46
Hip & Femur Procedures Except Major Joint W Cc29114 / 24$59.096,401326 / 46$17.116,101887 / 60$16.048,101867 / 61
G.I. Hemorrhage W Mcc2992 / 20$45.908,50891 / 34$16.061,301464 / 52$14.655,501454 / 50
Other Kidney & Urinary Tract Diagnoses W Mcc2873 / 6$74.463,20981 / 27$21.022,401095 / 28$20.260,601091 / 28
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.2853 / 6$461.082,00242 / 10$151.744,00348 / 12$142.325,00347 / 12
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc2896 / 4$12.718,80228 / 5$7.740,68764 / 15$6.782,25763 / 15
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc28168 / 28$72.498,10728 / 30$18.495,301332 / 46$15.907,101325 / 47
Seizures W/O Mcc2682 / 10$23.103,50703 / 27$8.312,881168 / 39$6.728,231166 / 38
Heart Failure & Shock W Mcc25259 / 53$37.637,401538 / 56$15.150,802496 / 80$14.300,602485 / 80
Degenerative Nervous System Disorders W/O Mcc2553 / 4$33.150,10568 / 19$10.051,50771 / 22$8.828,20771 / 24
Coronary Bypass W/O Cardiac Cath W/O Mcc2464 / 11$119.711,00359 / 13$33.234,50515 / 17$28.784,80514 / 17
Cardiac Arrhythmia & Conduction Disorders W Cc24137 / 30$18.348,50887 / 26$8.525,212059 / 62$7.754,922054 / 62
Respiratory Infections & Inflammations W Cc2464 / 10$32.925,30786 / 29$13.409,301398 / 47$12.053,701393 / 47
Chronic Obstructive Pulmonary Disease W Mcc23179 / 44$31.132,401542 / 59$11.337,202417 / 75$10.401,802409 / 77
Circulatory Disorders Except Ami, W Card Cath W/O Mcc22166 / 35$32.263,00625 / 27$10.828,001467 / 50$8.823,231464 / 51
Seizures W Mcc2244 / 6$59.167,70561 / 18$15.397,30701 / 20$14.865,00701 / 21
Red Blood Cell Disorders W Mcc2150 / 11$36.047,00603 / 26$12.478,801015 / 35$11.733,301011 / 37
G.I. Obstruction W Cc2171 / 16$23.340,70887 / 28$9.451,331640 / 52$8.018,671635 / 54
Other Vascular Procedures W Mcc2077 / 16$59.705,40155 / 7$26.463,20798 / 30$25.645,00795 / 30
Major Small & Large Bowel Procedures W Mcc2065 / 16$238.781,001140 / 37$50.137,901165 / 38$44.236,901162 / 38
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc2071 / 4$37.960,60239 / 8$10.942,20352 / 8$10.680,80352 / 9
Postoperative & Post-Traumatic Infections W/O Mcc1935 / 2$23.954,40188 / 3$10.028,30418 / 8$9.502,21418 / 8
Organic Disturbances & Mental Retardation1940 / 3$24.144,00264 / 10$10.111,70497 / 14$9.244,42497 / 14
Craniotomy & Endovascular Intracranial Procedures W Mcc1979 / 8$89.062,60142 / 4$35.478,40411 / 12$34.617,60411 / 14
Other Circulatory System Diagnoses W Cc1947 / 5$28.276,80383 / 21$9.959,37603 / 21$8.497,84602 / 21
Revision Of Hip Or Knee Replacement W Cc1967 / 7$118.740,00537 / 18$28.716,10614 / 19$27.733,00612 / 19
Major Small & Large Bowel Procedures W Cc1989 / 23$111.768,001305 / 45$28.615,601509 / 47$25.881,501495 / 47
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc19131 / 26$12.190,70615 / 17$6.737,161922 / 56$5.836,951916 / 57
Cervical Spinal Fusion W Cc1835 / 4$127.262,00334 / 16$27.325,10340 / 16$24.084,60339 / 16
Respiratory Infections & Inflammations W Mcc17119 / 22$76.719,601474 / 58$19.643,501770 / 59$19.028,201754 / 59
Disorders Of Pancreas Except Malignancy W Cc1744 / 7$23.967,60439 / 16$9.749,82881 / 27$8.113,12878 / 27
Chronic Obstructive Pulmonary Disease W Cc16163 / 43$20.557,601053 / 32$9.581,442324 / 75$8.816,752317 / 75
Cardiac Arrhythmia & Conduction Disorders W Mcc16107 / 31$27.376,40814 / 18$11.811,101729 / 51$10.217,601726 / 51
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1680 / 16$80.726,20667 / 21$19.886,70750 / 22$17.202,80746 / 23
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1648 / 10$284.056,00305 / 10$96.577,90485 / 17$91.278,20484 / 17
Poisoning & Toxic Effects Of Drugs W/O Mcc1645 / 9$16.872,50391 / 11$7.382,44828 / 23$6.228,75827 / 23
Acute Myocardial Infarction, Discharged Alive W Mcc16109 / 27$76.129,301519 / 53$20.093,801787 / 56$19.304,401774 / 57
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1538 / 4$38.200,30307 / 10$11.432,20418 / 10$10.352,20418 / 10
Coronary Bypass W/O Cardiac Cath W Mcc1544 / 10$213.843,00182 / 11$58.288,60231 / 11$57.487,10230 / 11
Kidney & Ureter Procedures For Non-Neoplasm W Cc1530 / 2$49.882,0084 / 3$16.561,50177 / 3$15.648,40177 / 3
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1581 / 22$23.863,60386 / 12$11.602,001320 / 47$10.621,601315 / 47
Complications Of Treatment W Cc1537 / 4$26.120,90174 / 7$10.202,20330 / 8$9.418,00330 / 8
Pulmonary Edema & Respiratory Failure14189 / 48$42.534,101590 / 60$12.561,402106 / 70$11.520,902100 / 71
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc1424 / 2$45.028,1059 / 1$17.456,60138 / 2$16.486,90138 / 4
Respiratory System Diagnosis W Ventilator Support 96+ Hours1457 / 18$133.598,00467 / 24$47.303,10883 / 38$44.602,10882 / 38
Stomach, Esophageal & Duodenal Proc W Cc1337 / 3$121.295,00194 / 8$30.594,20211 / 8$27.125,30211 / 8
Other Kidney & Urinary Tract Diagnoses W Cc1390 / 12$52.869,40772 / 16$14.901,80856 / 17$13.305,40856 / 17
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1350 / 14$106.240,00266 / 11$43.814,60669 / 22$41.452,40669 / 24
Peripheral Vascular Disorders W Cc1272 / 17$26.966,80706 / 28$10.272,501193 / 40$9.546,081190 / 40
Transient Ischemia12113 / 30$16.557,00382 / 8$7.829,831585 / 49$6.807,671577 / 49
Circulatory Disorders Except Ami, W Card Cath W Mcc1281 / 21$69.424,80579 / 29$19.009,20814 / 31$18.263,00806 / 32
Pulmonary Embolism W/O Mcc1262 / 20$30.521,60850 / 30$11.539,901232 / 41$9.069,751229 / 40
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc1283 / 12$88.245,50396 / 11$20.198,20585 / 12$19.475,50581 / 12
Hip & Femur Procedures Except Major Joint W Mcc1250 / 13$77.502,10497 / 16$25.290,40809 / 24$22.723,30806 / 24
Major Cardiovasc Procedures W/O Mcc1289 / 18$97.107,20556 / 18$28.194,40891 / 27$27.368,80890 / 28
Major Joint/Limb Reattachment Procedure Of Upper Extremities1158 / 5$103.366,00415 / 7$23.037,00444 / 8$21.918,50444 / 8
G.I. Hemorrhage W/O Cc/Mcc1157 / 16$42.692,10945 / 28$12.631,501004 / 28$12.183,801000 / 28
Other Vascular Procedures W Cc1191 / 20$62.147,90401 / 13$21.682,50997 / 33$20.670,60992 / 35
Respiratory Neoplasms W Cc1136 / 7$28.848,60177 / 11$12.011,60369 / 15$8.486,55368 / 14
Cranial & Peripheral Nerve Disorders W/O Mcc1157 / 14$23.344,60310 / 15$9.185,91659 / 23$7.816,45659 / 24
Kidney & Ureter Procedures For Non-Neoplasm W/O Cc/Mcc1114 / 1$36.947,5018 / 1$12.759,6033 / 1$11.539,6033 / 1
Total 89 procedures2.671discharges

DATA

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.