Hospital Costs > In Georgia > North Fulton Hospital, 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 | 120 | 444 / 34 | $95.817,40 | 2422 / 78 | $13.422,40 | 1151 / 39 | $11.300,40 | 1124 / 49 |
Kidney & Urinary Tract Infections W/O Mcc | 78 | 155 / 18 | $44.450,50 | 2577 / 85 | $5.269,81 | 1292 / 55 | $4.162,32 | 1283 / 48 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 64 | 452 / 51 | $122.266,00 | 2752 / 91 | $12.163,80 | 1638 / 65 | $11.302,00 | 1606 / 69 |
Kidney & Urinary Tract Infections W Mcc | 58 | 86 / 8 | $51.887,40 | 1708 / 66 | $7.264,98 | 970 / 40 | $6.328,71 | 967 / 43 |
Heart Failure & Shock W Mcc | 42 | 242 / 45 | $80.000,10 | 2449 / 81 | $9.558,31 | 1382 / 49 | $8.839,83 | 1378 / 56 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 36 | $43.715,40 | 2557 / 91 | $5.121,43 | 1373 / 50 | $4.025,05 | 1362 / 58 |
G.I. Hemorrhage W Cc | 41 | 177 / 35 | $56.160,80 | 2258 / 73 | $6.576,80 | 1203 / 43 | $5.577,78 | 1201 / 50 |
Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 36 | $58.047,20 | 2675 / 90 | $6.436,74 | 1039 / 53 | $5.112,42 | 1036 / 36 |
Renal Failure W Cc | 37 | 184 / 40 | $48.588,70 | 2231 / 78 | $6.333,27 | 1228 / 49 | $5.419,11 | 1220 / 53 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 37 | $75.991,30 | 2306 / 81 | $9.049,23 | 1208 / 46 | $8.151,40 | 1208 / 52 |
Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 21 | $91.881,50 | 1825 / 59 | $11.831,70 | 885 / 35 | $10.769,10 | 872 / 37 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 32 | $69.687,20 | 1988 / 63 | $7.011,62 | 866 / 37 | $5.646,55 | 864 / 40 |
Medical Back Problems W/O Mcc | 29 | 92 / 8 | $44.269,60 | 1332 / 39 | $5.631,79 | 716 / 17 | $4.585,72 | 713 / 26 |
Heart Failure & Shock W Cc | 27 | 251 / 49 | $44.152,40 | 2439 / 83 | $6.279,33 | 1226 / 43 | $5.475,78 | 1222 / 53 |
Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 42 | $72.470,60 | 2462 / 80 | $7.645,73 | 1599 / 50 | $6.997,12 | 1591 / 62 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 22 | $30.139,00 | 1715 / 63 | $4.869,76 | 1312 / 32 | $4.096,64 | 1301 / 46 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 24 | 65 / 8 | $79.099,10 | 733 / 21 | $7.675,88 | 276 / 14 | $5.493,33 | 275 / 10 |
Renal Failure W Mcc | 24 | 171 / 40 | $121.510,00 | 2150 / 70 | $12.915,80 | 1842 / 65 | $12.214,50 | 1838 / 65 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 34 | $69.033,40 | 1490 / 52 | $6.983,48 | 839 / 22 | $5.985,91 | 837 / 37 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 33 | $121.517,00 | 1327 / 47 | $17.502,50 | 186 / 45 | $9.750,27 | 186 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 33 | $36.230,00 | 2285 / 78 | $4.837,45 | 1511 / 44 | $4.083,27 | 1506 / 54 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 24 | $31.035,00 | 1781 / 57 | $4.208,43 | 1015 / 40 | $2.840,90 | 1010 / 35 |
Syncope & Collapse | 21 | 148 / 29 | $35.514,60 | 1598 / 50 | $5.322,86 | 973 / 35 | $4.030,81 | 967 / 30 |
Cellulitis W/O Mcc | 21 | 168 / 36 | $37.305,40 | 2354 / 73 | $5.586,24 | 1382 / 39 | $4.607,95 | 1376 / 50 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 20 | $42.210,70 | 1927 / 54 | $4.740,50 | 1094 / 35 | $3.838,10 | 1085 / 33 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 10 | $86.589,80 | 1032 / 28 | $9.039,80 | 155 / 5 | $7.813,40 | 155 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 25 | $93.958,60 | 1463 / 50 | $10.682,80 | 637 / 23 | $9.718,05 | 636 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 39 | $65.278,40 | 2462 / 82 | $8.171,21 | 1098 / 73 | $5.760,89 | 1095 / 45 |
G.I. Hemorrhage W Mcc | 19 | 102 / 28 | $121.948,00 | 1631 / 53 | $11.573,30 | 907 / 30 | $10.876,00 | 902 / 36 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 20 | $41.847,40 | 1389 / 47 | $5.082,68 | 849 / 18 | $4.063,74 | 845 / 27 |
Transient Ischemia | 19 | 106 / 25 | $32.318,50 | 1251 / 43 | $4.921,47 | 544 / 30 | $3.417,74 | 541 / 18 |
Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 40 | $53.379,60 | 2295 / 79 | $7.164,84 | 730 / 67 | $4.746,05 | 728 / 25 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 15 | $65.773,60 | 1342 / 47 | $6.892,11 | 774 / 29 | $6.066,84 | 772 / 35 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 12 | $42.660,70 | 931 / 36 | $5.730,94 | 529 / 15 | $4.876,35 | 525 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 36 | $41.871,20 | 1340 / 57 | $7.174,69 | 641 / 31 | $6.272,69 | 638 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 37 | $45.969,30 | 2015 / 65 | $5.388,00 | 967 / 40 | $4.256,00 | 964 / 34 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 27 | $87.130,90 | 1614 / 55 | $10.542,10 | 764 / 33 | $9.638,06 | 763 / 34 |
Pulmonary Edema & Respiratory Failure | 15 | 188 / 47 | $52.096,10 | 1792 / 68 | $8.551,53 | 966 / 54 | $6.884,07 | 965 / 42 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 10 | $25.729,90 | 668 / 21 | $4.853,93 | 485 / 15 | $3.903,07 | 485 / 15 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 13 | $31.036,20 | 824 / 26 | $4.864,86 | 486 / 13 | $3.742,57 | 482 / 14 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 13 | $128.355,00 | 777 / 22 | $19.676,40 | 431 / 16 | $18.561,00 | 429 / 20 |
Nonspecific Cerebrovascular Disorders W/O Cc/Mcc | 14 | 7 / 1 | $30.950,50 | 35 / 2 | $4.739,43 | 24 / 2 | $3.873,14 | 24 / 2 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 18 | $92.851,40 | 1444 / 47 | $9.734,64 | 1096 / 37 | $9.039,79 | 1091 / 40 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 24 | $54.793,70 | 1219 / 47 | $7.655,00 | 454 / 24 | $6.535,00 | 451 / 16 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 22 | $42.256,70 | 1831 / 56 | $4.895,15 | 1170 / 33 | $3.871,15 | 1164 / 37 |
Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 28 | $146.751,00 | 860 / 38 | $14.365,20 | 578 / 19 | $13.437,20 | 575 / 30 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 36 | $234.760,00 | 1327 / 46 | $24.523,10 | 716 / 19 | $23.319,40 | 712 / 34 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 16 | $83.493,70 | 855 / 32 | $9.963,00 | 381 / 20 | $8.756,85 | 379 / 20 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 19 | $49.448,10 | 1256 / 39 | $6.328,08 | 610 / 20 | $5.421,42 | 607 / 26 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 39 | $36.891,60 | 1711 / 63 | $5.447,42 | 1168 / 38 | $4.746,08 | 1160 / 48 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 15 | $30.488,00 | 742 / 24 | $4.454,83 | 448 / 14 | $3.446,83 | 447 / 16 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 14 | $148.943,00 | 878 / 25 | $37.304,50 | 166 / 26 | $15.654,00 | 166 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 7 | $28.819,50 | 273 / 8 | $5.056,18 | 180 / 4 | $4.177,64 | 180 / 6 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 13 | $154.615,00 | 571 / 18 | $13.000,90 | 349 / 11 | $11.793,60 | 347 / 14 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 32 | $172.635,00 | 1812 / 59 | $16.172,80 | 1241 / 45 | $15.321,90 | 1228 / 48 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 10 | $34.801,60 | 663 / 20 | $5.138,82 | 372 / 17 | $3.928,64 | 369 / 15 |
Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 7 | $31.816,20 | 320 / 12 | $4.553,64 | 194 / 4 | $3.564,55 | 194 / 8 | Total 57 procedures | 1.394 | 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.