Hospital Costs > In Georgia > North Georgia Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 43 | $13.748,20 | 419 / 10 | $6.264,29 | 1317 / 40 | $5.316,75 | 1312 / 54 |
| Heart Failure & Shock W Cc | 17 | 261 / 57 | $12.849,90 | 354 / 9 | $6.241,18 | 993 / 38 | $5.290,29 | 992 / 36 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 51 | $9.189,53 | 159 / 3 | $4.868,76 | 1411 / 31 | $4.056,47 | 1400 / 60 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 67 | $49.887,40 | 1283 / 37 | $13.740,40 | 1730 / 46 | $12.628,90 | 1690 / 69 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 32 | $11.731,70 | 417 / 8 | $4.623,00 | 1081 / 17 | $3.808,29 | 1072 / 37 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 56 | $7.723,14 | 93 / 1 | $4.989,14 | 1324 / 33 | $4.184,29 | 1315 / 52 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 50 | $16.390,20 | 423 / 12 | $7.468,62 | 1077 / 43 | $6.315,15 | 1072 / 45 |
| Heart Failure & Shock W Mcc | 12 | 272 / 63 | $18.194,60 | 320 / 7 | $9.305,42 | 1183 / 39 | $8.563,67 | 1180 / 47 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 55 | $16.222,20 | 179 / 4 | $8.977,27 | 1279 / 42 | $8.279,82 | 1279 / 57 | Total 9 procedures | 139 | 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.