Hospital Costs > In Georgia > Northside Hospital Atlanta, 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 | 186 | 378 / 23 | $66.268,50 | 1897 / 65 | $16.462,30 | 1936 / 75 | $13.373,10 | 1894 / 76 |
| Simple Pneumonia & Pleurisy W Cc | 63 | 140 / 20 | $53.661,70 | 2623 / 89 | $16.645,30 | 2747 / 90 | $10.426,80 | 2738 / 89 |
| Spinal Fusion Except Cervical W/O Mcc | 58 | 136 / 20 | $140.913,00 | 1068 / 41 | $31.699,00 | 876 / 44 | $24.787,20 | 872 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 54 | 221 / 32 | $27.919,10 | 2056 / 82 | $8.953,72 | 2585 / 89 | $7.214,02 | 2570 / 89 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 54 | 462 / 56 | $73.818,00 | 2340 / 84 | $18.254,30 | 2453 / 89 | $14.660,10 | 2409 / 88 |
| Major Small & Large Bowel Procedures W Cc | 45 | 63 / 9 | $72.425,60 | 897 / 31 | $19.851,50 | 1196 / 42 | $17.437,00 | 1182 / 44 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 43 | 11 / 1 | $104.850,00 | 481 / 11 | $17.523,10 | 477 / 11 | $15.280,40 | 477 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 42 | 102 / 12 | $32.416,60 | 1263 / 56 | $10.726,40 | 1832 / 64 | $10.029,80 | 1828 / 64 |
| G.I. Hemorrhage W Cc | 41 | 177 / 35 | $32.408,00 | 1680 / 60 | $10.119,60 | 2257 / 71 | $8.875,34 | 2253 / 70 |
| Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 16 | $62.851,60 | 1427 / 53 | $15.561,00 | 1721 / 59 | $14.162,80 | 1702 / 59 |
| Cellulitis W/O Mcc | 41 | 148 / 20 | $25.777,40 | 1919 / 65 | $9.546,71 | 2507 / 75 | $8.105,85 | 2499 / 75 |
| Respiratory Infections & Inflammations W Mcc | 37 | 99 / 9 | $56.393,90 | 1201 / 50 | $16.255,90 | 1620 / 57 | $15.599,50 | 1604 / 58 |
| Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 37 | $66.363,40 | 2192 / 77 | $15.526,80 | 2441 / 82 | $14.168,20 | 2435 / 82 |
| Red Blood Cell Disorders W/O Mcc | 35 | 108 / 23 | $41.549,90 | 1788 / 65 | $10.142,30 | 1894 / 65 | $7.943,63 | 1885 / 65 |
| Major Chest Procedures W Cc | 33 | 41 / 3 | $87.779,20 | 356 / 15 | $18.882,50 | 333 / 12 | $16.867,90 | 331 / 14 |
| Acute Leukemia W/O Major O.R. Procedure W Mcc | 32 | 6 / 1 | $417.429,00 | 58 / 2 | $113.914,00 | 46 / 2 | $62.944,80 | 46 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 43 | $24.999,00 | 1977 / 73 | $9.043,87 | 2575 / 84 | $7.321,97 | 2564 / 83 |
| Heart Failure & Shock W Mcc | 31 | 253 / 50 | $43.138,30 | 1788 / 66 | $12.603,00 | 2268 / 76 | $11.663,00 | 2258 / 77 |
| Heart Failure & Shock W Cc | 29 | 249 / 48 | $32.015,20 | 2058 / 76 | $10.086,80 | 2587 / 82 | $8.947,31 | 2581 / 82 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 32 | $40.301,90 | 1523 / 55 | $11.131,60 | 1897 / 62 | $8.925,86 | 1893 / 61 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 28 | 61 / 6 | $39.553,50 | 458 / 17 | $10.460,00 | 687 / 21 | $8.549,71 | 686 / 21 |
| Respiratory Infections & Inflammations W Cc | 26 | 62 / 9 | $42.183,80 | 1008 / 38 | $12.306,20 | 1370 / 46 | $11.515,60 | 1365 / 46 |
| Other Circulatory System Diagnoses W Mcc | 26 | 90 / 16 | $66.012,40 | 1003 / 49 | $16.619,00 | 1151 / 48 | $15.143,30 | 1143 / 49 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 20 | $93.202,30 | 1440 / 53 | $24.734,40 | 1675 / 59 | $20.061,70 | 1661 / 58 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 31 | $25.718,40 | 1924 / 69 | $8.692,32 | 2438 / 76 | $7.318,40 | 2429 / 76 |
| Renal Failure W Cc | 25 | 196 / 45 | $36.808,10 | 1954 / 72 | $10.004,00 | 2327 / 75 | $9.277,40 | 2317 / 77 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 30 | $32.455,40 | 1723 / 61 | $8.982,92 | 2077 / 63 | $8.074,79 | 2072 / 63 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 34 | $48.432,80 | 2229 / 76 | $12.000,50 | 2493 / 80 | $10.990,90 | 2483 / 81 |
| Major Chest Procedures W Mcc | 24 | 25 / 3 | $202.848,00 | 272 / 10 | $42.414,50 | 267 / 9 | $38.556,20 | 266 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 29 | $59.789,70 | 1596 / 61 | $16.276,90 | 1593 / 61 | $10.442,90 | 1590 / 58 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 23 | $63.891,10 | 1192 / 44 | $15.130,10 | 1413 / 47 | $14.337,30 | 1406 / 48 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 44 | $29.490,20 | 1441 / 53 | $11.429,80 | 2357 / 76 | $9.880,43 | 2349 / 76 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 16 | $77.144,70 | 1402 / 51 | $16.164,10 | 1458 / 51 | $15.439,30 | 1453 / 51 |
| G.I. Obstruction W Cc | 21 | 71 / 16 | $43.894,00 | 1515 / 55 | $9.630,48 | 1641 / 53 | $8.023,76 | 1636 / 55 |
| Renal Failure W Mcc | 21 | 174 / 42 | $48.307,50 | 1538 / 62 | $13.075,80 | 1868 / 66 | $12.379,90 | 1864 / 67 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 36 | $44.915,30 | 1072 / 43 | $12.649,50 | 1241 / 53 | $7.175,84 | 1238 / 48 |
| Major Chest Procedures W/O Cc/Mcc | 19 | 40 / 4 | $59.846,70 | 172 / 8 | $17.304,60 | 192 / 10 | $12.830,20 | 192 / 10 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 18 | 78 / 14 | $71.328,80 | 600 / 16 | $20.083,20 | 477 / 23 | $12.630,20 | 474 / 15 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 10 | $18.798,90 | 770 / 24 | $7.954,44 | 1289 / 32 | $6.494,11 | 1286 / 32 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 11 | $42.097,60 | 857 / 27 | $11.136,20 | 1040 / 27 | $10.240,80 | 1038 / 28 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 18 | 73 / 5 | $65.680,70 | 360 / 10 | $12.634,30 | 373 / 9 | $12.005,30 | 373 / 10 |
| Cervical Spinal Fusion W/O Cc/Mcc | 18 | 86 / 24 | $85.916,80 | 703 / 35 | $17.467,00 | 711 / 36 | $15.227,80 | 708 / 37 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 18 | $150.264,00 | 809 / 30 | $33.384,10 | 713 / 21 | $32.461,60 | 711 / 29 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 18 | $21.924,10 | 1305 / 45 | $8.957,29 | 1892 / 56 | $6.573,71 | 1884 / 54 |
| Malignancy, Female Reproductive System W Cc | 16 | 3 / 1 | $55.875,40 | 13 / 1 | $11.767,40 | 9 / 1 | $9.160,56 | 9 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 43 | $47.159,00 | 2204 / 77 | $9.826,25 | 2344 / 77 | $9.067,19 | 2337 / 78 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 46 | $167.417,00 | 2246 / 73 | $33.720,80 | 2245 / 73 | $32.426,80 | 2239 / 73 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 16 | 57 / 6 | $49.242,40 | 237 / 7 | $11.882,50 | 343 / 9 | $10.667,10 | 343 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 23 | $25.419,10 | 923 / 31 | $8.758,81 | 1550 / 46 | $7.702,12 | 1546 / 47 |
| Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc | 15 | 13 / 1 | $57.617,10 | 31 / 2 | $13.732,10 | 30 / 2 | $11.661,70 | 30 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 32 | $41.556,00 | 1363 / 44 | $11.114,50 | 1699 / 50 | $9.916,87 | 1696 / 50 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 32 | $70.843,80 | 1353 / 47 | $15.582,00 | 1472 / 49 | $14.766,60 | 1462 / 51 |
| Diabetes W Cc | 14 | 78 / 25 | $33.539,80 | 1277 / 50 | $9.518,79 | 1461 / 51 | $7.422,79 | 1456 / 50 |
| Other Vascular Procedures W Cc | 14 | 88 / 17 | $89.752,30 | 751 / 30 | $26.066,10 | 502 / 35 | $14.961,50 | 499 / 22 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 11 | $96.076,40 | 676 / 20 | $20.678,40 | 485 / 22 | $18.127,60 | 482 / 19 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 14 | 182 / 37 | $87.160,60 | 1007 / 39 | $16.182,40 | 1188 / 44 | $13.918,80 | 1181 / 44 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 15 | $26.336,40 | 621 / 29 | $9.540,07 | 1011 / 35 | $8.148,36 | 1007 / 35 |
| Respiratory Neoplasms W Cc | 14 | 33 / 5 | $37.285,40 | 284 / 14 | $11.194,70 | 441 / 14 | $10.066,10 | 440 / 15 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 3 | $37.126,40 | 169 / 3 | $10.091,70 | 228 / 5 | $8.406,15 | 228 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 33 | $26.841,50 | 1607 / 58 | $9.052,31 | 2021 / 65 | $7.038,00 | 2009 / 65 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 16 | $50.477,60 | 587 / 27 | $13.809,20 | 825 / 32 | $12.788,30 | 822 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 32 | $13.713,70 | 835 / 31 | $7.707,08 | 1911 / 57 | $5.672,08 | 1905 / 56 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 30 | $180.683,00 | 1178 / 37 | $40.478,20 | 1087 / 39 | $36.795,90 | 1080 / 37 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 18 | $40.407,60 | 308 / 14 | $13.859,00 | 674 / 26 | $12.648,50 | 674 / 27 |
| Syncope & Collapse | 13 | 156 / 35 | $28.135,70 | 1355 / 42 | $8.617,92 | 1842 / 50 | $7.682,00 | 1834 / 51 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 11 | $18.565,50 | 462 / 13 | $8.546,38 | 898 / 22 | $7.329,38 | 897 / 23 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 20 | $40.317,90 | 1062 / 40 | $10.757,30 | 1209 / 39 | $8.593,67 | 1206 / 39 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 9 | $61.454,80 | 462 / 17 | $14.005,90 | 517 / 18 | $12.794,10 | 514 / 18 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 12 | 39 / 6 | $44.815,60 | 119 / 6 | $14.984,90 | 217 / 6 | $13.627,80 | 217 / 6 |
| Medical Back Problems W/O Mcc | 12 | 109 / 20 | $23.748,30 | 765 / 23 | $9.328,42 | 1425 / 38 | $8.314,25 | 1420 / 39 |
| Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc | 12 | 14 / 2 | $56.980,80 | 31 / 1 | $16.109,30 | 37 / 2 | $14.993,30 | 37 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 13 | $55.058,30 | 522 / 17 | $13.322,20 | 675 / 22 | $10.895,80 | 673 / 23 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 19 | $35.392,80 | 1032 / 35 | $9.852,92 | 1322 / 40 | $8.733,08 | 1318 / 40 |
| Acute Leukemia W/O Major O.R. Procedure W Cc | 12 | 8 / 1 | $192.084,00 | 16 / 1 | $46.286,90 | 12 / 1 | $28.985,80 | 12 / 1 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 13 | $57.746,90 | 334 / 16 | $15.020,40 | 417 / 16 | $12.965,20 | 414 / 18 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 14 | $32.600,20 | 510 / 24 | $9.453,55 | 672 / 24 | $7.938,64 | 672 / 25 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 12 | $76.277,00 | 569 / 22 | $19.103,60 | 638 / 22 | $18.436,80 | 637 / 22 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 14 | $84.205,50 | 355 / 15 | $19.797,40 | 405 / 13 | $18.923,60 | 404 / 17 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 7 | $34.281,50 | 222 / 8 | $10.437,50 | 503 / 15 | $8.590,64 | 502 / 15 |
| Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 11 | 17 / 2 | $75.346,00 | 90 / 3 | $13.631,00 | 87 / 3 | $12.530,50 | 87 / 3 | Total 80 procedures | 1.957 | 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.