Hospital Costs > In Georgia > Northridge Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 13 | 176 / 44 | $12.210,10 | 498 / 9 | $5.201,23 | 925 / 12 | $4.221,54 | 919 / 22 |
| Chest Pain | 11 | 140 / 38 | $14.194,00 | 422 / 10 | $3.866,91 | 335 / 9 | $2.732,36 | 334 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 45 | $12.424,60 | 273 / 6 | $5.579,79 | 745 / 13 | $4.754,64 | 743 / 26 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 48 | $15.252,50 | 335 / 9 | $7.078,60 | 1057 / 26 | $6.296,73 | 1052 / 43 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 23 | $13.638,20 | 623 / 22 | $4.594,50 | 815 / 15 | $3.587,17 | 811 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 50 | $11.968,50 | 388 / 12 | $4.760,00 | 908 / 25 | $3.700,63 | 903 / 32 |
| Heart Failure & Shock W Cc | 23 | 255 / 52 | $14.354,00 | 506 / 12 | $6.286,74 | 1121 / 44 | $5.387,26 | 1119 / 48 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 28 | $10.452,70 | 308 / 8 | $4.335,33 | 476 / 13 | $3.290,00 | 474 / 11 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 58 | $9.613,17 | 257 / 5 | $4.717,08 | 867 / 15 | $3.869,08 | 861 / 25 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 40 | $13.186,10 | 285 / 9 | $5.123,27 | 726 / 19 | $4.209,82 | 721 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 44 | $15.993,50 | 682 / 16 | $6.115,78 | 913 / 30 | $5.010,48 | 910 / 33 | Total 11 procedures | 177 | 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.