Hospital Costs > In Georgia > Northside Hospital Cherokee, 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 | 122 | 442 / 33 | $64.022,40 | 1836 / 63 | $13.295,70 | 856 / 37 | $10.834,00 | 840 / 26 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 74 | 442 / 48 | $66.197,40 | 2229 / 81 | $11.295,60 | 1230 / 42 | $10.522,90 | 1209 / 55 |
| Simple Pneumonia & Pleurisy W Mcc | 61 | 144 / 21 | $47.904,90 | 1840 / 73 | $9.006,51 | 1119 / 44 | $8.018,20 | 1119 / 47 |
| Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 23 | $37.148,70 | 2252 / 82 | $6.674,02 | 1110 / 61 | $5.160,71 | 1106 / 40 |
| Kidney & Urinary Tract Infections W/O Mcc | 50 | 183 / 30 | $31.648,10 | 2268 / 82 | $4.971,32 | 1211 / 31 | $4.094,44 | 1202 / 40 |
| Spinal Fusion Except Cervical W/O Mcc | 40 | 154 / 26 | $172.345,00 | 1203 / 45 | $27.790,20 | 1017 / 34 | $26.640,10 | 1012 / 42 |
| Heart Failure & Shock W Mcc | 40 | 244 / 46 | $39.627,40 | 1638 / 60 | $9.422,35 | 1152 / 45 | $8.505,97 | 1149 / 45 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 34 | $35.594,60 | 1778 / 65 | $6.896,75 | 615 / 16 | $5.880,08 | 613 / 20 |
| Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 29 | $31.026,70 | 1770 / 70 | $6.177,94 | 837 / 46 | $4.832,69 | 834 / 33 |
| Heart Failure & Shock W Cc | 33 | 245 / 46 | $33.854,40 | 2134 / 80 | $6.092,48 | 1032 / 28 | $5.314,79 | 1030 / 40 |
| Renal Failure W Cc | 33 | 188 / 41 | $32.098,50 | 1793 / 70 | $6.124,48 | 1121 / 36 | $5.309,03 | 1113 / 49 |
| Renal Failure W Mcc | 31 | 164 / 38 | $46.015,40 | 1479 / 59 | $10.089,60 | 516 / 45 | $8.085,42 | 516 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 42 | $30.665,70 | 2201 / 86 | $5.409,60 | 840 / 66 | $3.657,47 | 835 / 28 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 20 | $42.372,70 | 1549 / 60 | $7.263,20 | 751 / 39 | $6.029,33 | 750 / 31 |
| Cellulitis W/O Mcc | 29 | 160 / 30 | $29.490,60 | 2105 / 71 | $5.488,45 | 1061 / 33 | $4.317,00 | 1055 / 39 |
| Respiratory Infections & Inflammations W Mcc | 26 | 110 / 15 | $49.978,80 | 1073 / 42 | $11.200,50 | 505 / 15 | $10.489,30 | 500 / 19 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 25 | 48 / 4 | $48.003,30 | 234 / 6 | $7.719,64 | 133 / 2 | $6.354,20 | 133 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 21 | $46.061,80 | 1031 / 31 | $9.583,04 | 429 / 10 | $8.839,04 | 429 / 18 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 22 | $93.034,30 | 1436 / 52 | $17.183,10 | 866 / 50 | $13.584,30 | 858 / 33 |
| Pulmonary Embolism W/O Mcc | 23 | 51 / 11 | $31.838,40 | 892 / 34 | $6.281,39 | 570 / 15 | $5.300,43 | 567 / 22 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 30 | $62.644,20 | 1420 / 51 | $11.748,80 | 903 / 32 | $10.801,30 | 890 / 39 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 38 | $51.638,40 | 2291 / 80 | $7.027,40 | 1590 / 55 | $6.410,50 | 1583 / 65 |
| Syncope & Collapse | 20 | 149 / 30 | $33.743,90 | 1548 / 48 | $4.824,20 | 970 / 18 | $4.026,20 | 964 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 37 | $40.722,50 | 1532 / 56 | $7.283,00 | 472 / 46 | $5.195,25 | 471 / 14 |
| Transient Ischemia | 20 | 105 / 24 | $40.293,40 | 1444 / 49 | $4.735,05 | 684 / 24 | $3.564,35 | 680 / 26 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 19 | 177 / 34 | $73.010,30 | 739 / 33 | $12.591,90 | 433 / 17 | $10.485,20 | 432 / 18 |
| Pulmonary Edema & Respiratory Failure | 18 | 185 / 44 | $57.569,20 | 1885 / 69 | $9.538,39 | 1737 / 62 | $8.639,28 | 1732 / 65 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 29 | $54.510,70 | 1097 / 41 | $10.641,20 | 566 / 19 | $9.827,83 | 567 / 24 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 24 | $85.181,60 | 1059 / 41 | $15.047,30 | 649 / 13 | $14.152,40 | 643 / 28 |
| G.I. Hemorrhage W Cc | 18 | 200 / 49 | $43.093,00 | 2030 / 69 | $6.649,28 | 1137 / 44 | $5.509,67 | 1135 / 46 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 21 | $37.487,70 | 1296 / 45 | $4.972,50 | 772 / 12 | $3.958,94 | 768 / 24 |
| Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 25 | $77.981,20 | 658 / 33 | $13.765,50 | 264 / 14 | $11.433,00 | 264 / 17 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 15 | $52.704,10 | 1183 / 44 | $10.392,20 | 301 / 40 | $6.981,06 | 299 / 10 |
| G.I. Obstruction W Cc | 16 | 76 / 21 | $35.717,10 | 1363 / 51 | $5.681,75 | 971 / 19 | $5.068,50 | 968 / 35 |
| Other Vascular Procedures W Mcc | 16 | 81 / 20 | $96.637,50 | 562 / 26 | $21.351,10 | 494 / 20 | $20.653,20 | 492 / 23 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 24 | $63.448,40 | 974 / 46 | $11.361,80 | 485 / 15 | $10.709,60 | 484 / 24 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 31 | $31.172,50 | 1745 / 64 | $4.761,60 | 1060 / 22 | $3.793,73 | 1051 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 38 | $31.513,80 | 1685 / 59 | $5.179,47 | 996 / 24 | $4.292,53 | 993 / 35 |
| Chest Pain | 15 | 136 / 35 | $31.102,20 | 1419 / 52 | $4.268,07 | 457 / 29 | $2.890,33 | 455 / 14 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 13 | $38.365,30 | 797 / 25 | $7.643,60 | 200 / 16 | $5.892,20 | 200 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 18 | $49.275,40 | 1177 / 45 | $6.695,57 | 683 / 26 | $5.825,71 | 681 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 41 | $28.706,20 | 2083 / 74 | $4.620,57 | 771 / 31 | $3.500,14 | 768 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 38 | $44.964,10 | 1402 / 58 | $6.956,57 | 677 / 24 | $6.339,71 | 674 / 34 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 12 | $108.697,00 | 743 / 23 | $20.022,20 | 545 / 20 | $18.816,90 | 542 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 34 | $41.620,40 | 1366 / 45 | $7.550,17 | 577 / 17 | $6.486,33 | 574 / 14 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 13 | $59.357,40 | 575 / 20 | $10.050,90 | 366 / 8 | $8.930,75 | 366 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 32 | $85.350,80 | 1406 / 48 | $11.555,50 | 895 / 37 | $10.608,30 | 893 / 37 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 25 | $33.543,70 | 760 / 28 | $7.440,25 | 395 / 19 | $6.422,08 | 393 / 11 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 13 | $28.269,60 | 485 / 12 | $7.252,25 | 202 / 10 | $5.209,17 | 202 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 22 | $128.094,00 | 634 / 25 | $31.553,50 | 424 / 15 | $28.832,90 | 422 / 14 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 42 | $47.855,70 | 1150 / 46 | $7.563,64 | 512 / 36 | $5.461,45 | 510 / 19 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 20 | $47.283,80 | 423 / 22 | $9.632,18 | 267 / 7 | $8.408,73 | 267 / 12 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 8 | $70.743,80 | 245 / 9 | $15.735,00 | 118 / 5 | $13.400,60 | 118 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 24 | $23.411,50 | 1385 / 48 | $4.696,91 | 306 / 23 | $3.056,00 | 304 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 20 | $77.746,80 | 650 / 19 | $14.500,00 | 176 / 12 | $10.947,50 | 174 / 7 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 18 | $62.730,20 | 731 / 30 | $9.910,36 | 430 / 18 | $8.913,82 | 428 / 23 | Total 56 procedures | 1.368 | 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.