Hospital Costs > In Georgia > Newton Medical Center Covington, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 76 | 488 / 43 | $43.949,50 | 973 / 28 | $12.660,50 | 1023 / 23 | $11.099,50 | 1001 / 40 |
Chronic Obstructive Pulmonary Disease W Mcc | 71 | 131 / 15 | $15.045,20 | 315 / 6 | $6.932,11 | 638 / 17 | $5.910,66 | 635 / 23 |
Heart Failure & Shock W Cc | 71 | 207 / 27 | $12.767,60 | 349 / 8 | $5.818,14 | 542 / 10 | $4.932,93 | 542 / 11 |
Heart Failure & Shock W Mcc | 60 | 224 / 36 | $15.570,50 | 165 / 3 | $8.486,25 | 632 / 12 | $7.858,12 | 632 / 20 |
Kidney & Urinary Tract Infections W/O Mcc | 59 | 174 / 26 | $10.672,10 | 356 / 11 | $4.803,32 | 858 / 19 | $3.861,51 | 853 / 24 |
Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 29 | $12.258,30 | 271 / 2 | $6.000,48 | 807 / 27 | $4.915,42 | 804 / 28 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 48 | 468 / 58 | $24.868,70 | 523 / 20 | $10.644,70 | 580 / 17 | $9.639,12 | 579 / 16 |
Simple Pneumonia & Pleurisy W Mcc | 48 | 157 / 30 | $19.369,90 | 351 / 7 | $8.570,56 | 906 / 21 | $7.763,12 | 906 / 31 |
Renal Failure W Cc | 39 | 182 / 39 | $14.221,60 | 396 / 6 | $5.822,56 | 660 / 17 | $4.889,67 | 653 / 18 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 38 | $13.375,20 | 554 / 18 | $4.738,21 | 934 / 22 | $3.719,55 | 928 / 33 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 28 | $11.773,10 | 215 / 4 | $5.784,31 | 948 / 23 | $4.912,22 | 945 / 39 |
Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 11 | $9.660,22 | 229 / 7 | $4.201,58 | 406 / 7 | $3.222,14 | 404 / 8 |
Pulmonary Edema & Respiratory Failure | 32 | 171 / 36 | $17.040,80 | 234 / 4 | $7.413,34 | 787 / 19 | $6.692,69 | 787 / 32 |
G.I. Hemorrhage W Cc | 31 | 187 / 41 | $16.073,20 | 398 / 6 | $6.015,35 | 329 / 11 | $4.743,77 | 329 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 27 | $11.127,90 | 440 / 12 | $4.366,97 | 667 / 14 | $3.429,10 | 665 / 18 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 17 | $15.263,70 | 54 / 1 | $8.789,28 | 129 / 2 | $8.036,28 | 129 / 4 |
Renal Failure W Mcc | 27 | 168 / 39 | $21.018,30 | 273 / 6 | $8.954,15 | 526 / 13 | $8.101,33 | 526 / 15 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 23 | 30 / 1 | $15.876,20 | 159 / 1 | $4.697,61 | 363 / 5 | $3.907,35 | 360 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 19 | $13.999,50 | 194 / 4 | $4.718,95 | 542 / 6 | $3.673,95 | 538 / 15 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 30 | $34.982,50 | 410 / 9 | $11.593,70 | 860 / 24 | $10.713,00 | 849 / 34 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 23 | $8.330,68 | 175 / 2 | $3.695,50 | 511 / 12 | $2.452,77 | 507 / 9 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 13 | $12.749,00 | 73 / 1 | $5.574,48 | 105 / 1 | $4.708,62 | 105 / 2 |
Cellulitis W/O Mcc | 20 | 169 / 37 | $8.356,65 | 112 / 2 | $5.262,20 | 1036 / 18 | $4.294,20 | 1030 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 38 | $18.057,30 | 354 / 8 | $6.222,79 | 476 / 10 | $5.200,95 | 475 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 40 | $13.939,10 | 272 / 9 | $6.309,78 | 832 / 14 | $5.504,56 | 830 / 32 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 34 | $13.427,30 | 102 / 3 | $6.556,83 | 434 / 9 | $5.935,39 | 431 / 13 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 21 | $14.149,20 | 10 / 3 | $9.909,44 | 72 / 1 | $9.237,50 | 72 / 1 |
Syncope & Collapse | 18 | 151 / 32 | $14.132,10 | 333 / 3 | $4.646,50 | 460 / 8 | $3.510,44 | 458 / 8 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 18 | $10.027,40 | 223 / 1 | $4.516,12 | 751 / 11 | $3.452,53 | 747 / 21 |
Seizures W/O Mcc | 16 | 92 / 15 | $15.527,40 | 287 / 6 | $4.721,94 | 322 / 8 | $3.794,88 | 320 / 14 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 35 | $12.772,60 | 264 / 7 | $5.064,56 | 744 / 15 | $4.232,31 | 739 / 23 |
Chest Pain | 16 | 135 / 34 | $10.653,80 | 178 / 2 | $3.944,81 | 391 / 10 | $2.812,25 | 390 / 11 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 32 | $13.936,60 | 186 / 4 | $6.269,19 | 259 / 2 | $5.362,31 | 259 / 5 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 30 | $10.425,40 | 283 / 6 | $4.510,81 | 838 / 11 | $3.604,56 | 833 / 26 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 28 | $35.226,60 | 215 / 3 | $12.917,00 | 378 / 7 | $12.082,50 | 374 / 11 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 16 | $12.743,50 | 79 / 1 | $5.999,47 | 299 / 13 | $4.859,80 | 296 / 9 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 19 | $68.973,90 | 117 / 3 | $25.831,30 | 92 / 2 | $24.871,00 | 92 / 4 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 18 | $13.664,90 | 45 / 1 | $7.581,92 | 338 / 10 | $6.933,69 | 336 / 16 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 36 | $63.640,40 | 261 / 9 | $23.109,30 | 531 / 7 | $21.987,20 | 528 / 25 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 15 | $13.295,20 | 385 / 6 | $3.991,83 | 232 / 7 | $2.586,92 | 232 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 40 | $11.479,20 | 202 / 4 | $4.916,67 | 539 / 12 | $3.849,00 | 537 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 33 | $15.456,40 | 33 / 1 | $9.382,45 | 206 / 1 | $8.498,45 | 205 / 7 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 16 | $16.455,10 | 163 / 2 | $7.156,36 | 528 / 8 | $6.712,36 | 526 / 18 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 35 | $14.721,20 | 114 / 1 | $7.072,64 | 326 / 5 | $6.081,00 | 325 / 7 |
Signs & Symptoms W/O Mcc | 11 | 80 / 20 | $12.923,60 | 217 / 4 | $4.436,27 | 264 / 9 | $3.331,45 | 263 / 9 | Total 45 procedures | 1.239 | 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.