Hospital Costs > In Georgia > Memorial Hospital And Manor, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 45 | $11.078,30 | 295 / 7 | $5.578,92 | 1329 / 72 | $3.990,92 | 1318 / 56 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 23 | $11.219,00 | 367 / 7 | $5.023,62 | 1257 / 40 | $4.020,96 | 1247 / 42 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 21 | $10.923,70 | 356 / 9 | $4.789,05 | 1186 / 36 | $3.962,11 | 1176 / 38 |
Bronchitis & Asthma W/O Cc/Mcc | 18 | 27 / 3 | $11.149,90 | 63 / 2 | $4.793,89 | 195 / 8 | $3.569,17 | 195 / 9 |
Heart Failure & Shock W Cc | 16 | 262 / 58 | $16.851,50 | 784 / 26 | $6.325,44 | 1189 / 45 | $5.440,44 | 1186 / 52 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 19 | $12.111,20 | 423 / 5 | $4.983,75 | 1214 / 34 | $3.923,75 | 1208 / 39 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 46 | $21.566,60 | 504 / 12 | $8.518,62 | 1412 / 52 | $7.614,62 | 1408 / 58 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 51 | $13.504,10 | 394 / 7 | $6.478,40 | 1494 / 55 | $5.507,73 | 1488 / 60 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 14 | 550 / 69 | $46.967,20 | 1133 / 31 | $14.928,80 | 1104 / 67 | $11.224,60 | 1080 / 46 |
Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 45 | $11.935,40 | 226 / 5 | $6.092,93 | 1354 / 35 | $5.322,64 | 1349 / 55 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 13 | $8.496,50 | 67 / 1 | $4.443,36 | 782 / 18 | $3.403,36 | 779 / 21 |
Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 53 | $20.172,20 | 401 / 9 | $9.171,77 | 1260 / 51 | $8.246,23 | 1260 / 56 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 19 | $16.465,50 | 141 / 2 | $8.516,77 | 792 / 26 | $7.958,00 | 787 / 33 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 15 | $12.178,90 | 179 / 3 | $6.115,50 | 408 / 25 | $3.577,08 | 404 / 8 |
G.I. Obstruction W Cc | 11 | 81 / 26 | $8.582,73 | 30 / 1 | $5.950,64 | 1146 / 28 | $5.400,82 | 1143 / 39 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 27 | $12.475,50 | 115 / 2 | $5.070,91 | 860 / 17 | $4.084,73 | 856 / 28 |
Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 59 | $9.639,45 | 262 / 6 | $5.377,36 | 1543 / 59 | $4.385,36 | 1532 / 60 | Total 17 procedures | 263 | 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.