Hospital Costs > In Georgia > Northside Hospital Forsyth, 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 | 203 | 361 / 19 | $67.584,10 | 1932 / 66 | $11.789,30 | 44 / 2 | $9.005,20 | 44 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 128 | 105 / 5 | $30.596,00 | 2245 / 81 | $5.046,20 | 1213 / 37 | $4.096,12 | 1204 / 41 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 124 | 392 / 35 | $77.616,60 | 2397 / 86 | $14.270,60 | 1817 / 83 | $11.787,80 | 1782 / 76 |
| Heart Failure & Shock W Cc | 115 | 163 / 15 | $32.438,00 | 2074 / 78 | $6.425,10 | 1099 / 50 | $5.370,40 | 1097 / 46 |
| Chronic Obstructive Pulmonary Disease W Cc | 100 | 79 / 5 | $37.076,00 | 1989 / 74 | $5.925,38 | 1048 / 29 | $5.000,01 | 1044 / 45 |
| Heart Failure & Shock W Mcc | 85 | 199 / 27 | $51.649,80 | 2027 / 72 | $9.586,32 | 1373 / 52 | $8.832,52 | 1370 / 54 |
| Chronic Obstructive Pulmonary Disease W Mcc | 85 | 117 / 12 | $42.983,60 | 2018 / 74 | $8.359,92 | 743 / 65 | $6.004,22 | 738 / 31 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 83 | 192 / 17 | $28.003,80 | 2065 / 83 | $5.065,45 | 858 / 44 | $3.667,43 | 853 / 29 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 75 | 45 / 2 | $26.288,40 | 1588 / 57 | $5.667,03 | 612 / 55 | $3.413,00 | 611 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 71 | 132 / 17 | $35.036,50 | 2184 / 79 | $7.037,25 | 389 / 71 | $4.555,49 | 386 / 11 |
| Renal Failure W Cc | 65 | 156 / 25 | $38.182,50 | 1990 / 73 | $7.032,45 | 1144 / 63 | $5.322,46 | 1136 / 50 |
| Simple Pneumonia & Pleurisy W Mcc | 64 | 141 / 20 | $54.804,60 | 2012 / 75 | $9.665,11 | 954 / 59 | $7.830,20 | 954 / 40 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 53 | 129 / 18 | $46.274,00 | 1659 / 60 | $6.764,28 | 962 / 29 | $5.775,70 | 959 / 45 |
| G.I. Hemorrhage W Cc | 48 | 170 / 28 | $38.810,20 | 1919 / 67 | $6.863,48 | 1358 / 54 | $5.764,54 | 1355 / 55 |
| Cellulitis W/O Mcc | 47 | 142 / 18 | $30.444,40 | 2143 / 72 | $6.287,34 | 589 / 59 | $3.958,04 | 586 / 15 |
| Syncope & Collapse | 42 | 127 / 15 | $31.808,40 | 1499 / 46 | $5.945,02 | 447 / 42 | $3.495,69 | 445 / 6 |
| Pulmonary Edema & Respiratory Failure | 41 | 162 / 30 | $48.882,20 | 1736 / 66 | $11.746,30 | 419 / 69 | $6.249,29 | 419 / 12 |
| Renal Failure W Mcc | 40 | 155 / 34 | $61.548,80 | 1778 / 67 | $10.167,80 | 1104 / 48 | $9.147,35 | 1104 / 48 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 21 | $25.247,90 | 1902 / 68 | $4.588,67 | 943 / 29 | $3.613,85 | 940 / 37 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 38 | 150 / 25 | $54.075,50 | 1295 / 49 | $8.485,29 | 491 / 46 | $5.431,03 | 489 / 18 |
| Respiratory Infections & Inflammations W Mcc | 38 | 98 / 8 | $70.169,60 | 1408 / 57 | $11.928,30 | 737 / 34 | $10.998,60 | 729 / 35 |
| Major Small & Large Bowel Procedures W Cc | 37 | 71 / 12 | $80.559,90 | 1010 / 40 | $15.849,70 | 806 / 24 | $14.768,40 | 798 / 33 |
| Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 16 | $45.559,80 | 1615 / 63 | $6.829,14 | 531 / 21 | $5.748,14 | 530 / 19 |
| Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 18 | $62.419,30 | 1416 / 50 | $11.611,10 | 722 / 25 | $10.460,60 | 716 / 24 |
| Chest Pain | 33 | 118 / 22 | $26.699,50 | 1282 / 47 | $4.226,15 | 383 / 26 | $2.797,21 | 382 / 10 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 12 | $22.194,00 | 1409 / 47 | $4.474,70 | 714 / 22 | $3.484,88 | 710 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 22 | $30.303,20 | 1638 / 57 | $5.282,91 | 633 / 34 | $3.951,55 | 630 / 15 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 7 | $23.924,80 | 1403 / 49 | $4.822,09 | 733 / 31 | $3.442,69 | 729 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 32 | $43.332,90 | 2125 / 75 | $7.253,12 | 915 / 60 | $5.589,97 | 913 / 35 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 16 | $90.802,10 | 1644 / 57 | $20.378,50 | 1081 / 57 | $10.577,40 | 1076 / 45 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 31 | 137 / 21 | $57.720,00 | 1102 / 43 | $13.666,30 | 826 / 44 | $10.309,10 | 824 / 33 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 25 | $87.444,00 | 1013 / 40 | $12.368,30 | 317 / 13 | $10.189,50 | 317 / 10 |
| Transient Ischemia | 31 | 94 / 15 | $32.456,80 | 1255 / 44 | $4.526,16 | 512 / 10 | $3.387,42 | 510 / 16 |
| Respiratory Infections & Inflammations W Cc | 30 | 58 / 8 | $49.158,50 | 1139 / 42 | $8.444,47 | 770 / 25 | $7.895,70 | 765 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 20 | $35.953,40 | 1192 / 35 | $7.394,34 | 619 / 13 | $6.555,07 | 616 / 19 |
| Other Vascular Procedures W Mcc | 27 | 70 / 14 | $95.977,70 | 554 / 25 | $19.868,00 | 92 / 13 | $16.870,80 | 92 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 20 | $20.153,60 | 1401 / 55 | $3.882,30 | 650 / 23 | $2.556,89 | 646 / 17 |
| Signs & Symptoms W/O Mcc | 26 | 65 / 7 | $26.750,60 | 950 / 35 | $4.781,88 | 433 / 21 | $3.565,65 | 432 / 15 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 25 | 44 / 9 | $92.442,90 | 391 / 16 | $15.846,60 | 38 / 4 | $12.718,00 | 38 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 24 | 44 / 6 | $27.503,20 | 763 / 24 | $5.257,17 | 235 / 21 | $3.243,50 | 233 / 5 |
| Major Small & Large Bowel Procedures W Mcc | 24 | 61 / 12 | $198.986,00 | 1040 / 35 | $39.601,80 | 983 / 32 | $37.205,70 | 981 / 36 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 20 | $235.732,00 | 1375 / 44 | $45.857,90 | 1337 / 43 | $43.089,70 | 1327 / 42 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 23 | 50 / 8 | $55.891,50 | 993 / 28 | $9.765,83 | 612 / 26 | $7.024,70 | 610 / 21 |
| Spinal Fusion Except Cervical W/O Mcc | 22 | 172 / 31 | $162.276,00 | 1165 / 43 | $30.433,20 | 1095 / 42 | $27.990,50 | 1090 / 45 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 10 | $44.695,40 | 1200 / 38 | $6.016,91 | 380 / 14 | $5.011,41 | 377 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 19 | $30.838,40 | 1133 / 39 | $5.581,55 | 473 / 31 | $3.597,73 | 470 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 31 | $37.324,20 | 1235 / 51 | $6.847,05 | 536 / 20 | $6.076,00 | 533 / 20 |
| Major Cardiovasc Procedures W/O Mcc | 21 | 80 / 12 | $119.013,00 | 732 / 25 | $20.865,00 | 440 / 12 | $19.767,70 | 440 / 19 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 8 | $32.599,10 | 769 / 33 | $8.498,81 | 122 / 34 | $3.862,71 | 121 / 5 |
| Red Blood Cell Disorders W/O Mcc | 21 | 122 / 31 | $41.615,50 | 1789 / 66 | $5.603,67 | 1228 / 42 | $4.853,14 | 1220 / 50 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 10 | $52.646,90 | 623 / 28 | $9.592,90 | 273 / 10 | $8.386,55 | 272 / 12 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 19 | 45 / 13 | $50.013,90 | 460 / 24 | $10.268,30 | 38 / 15 | $7.041,00 | 38 / 2 |
| G.I. Obstruction W Cc | 19 | 73 / 18 | $30.779,60 | 1225 / 43 | $5.570,16 | 680 / 14 | $4.673,42 | 679 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 18 | $71.887,60 | 1377 / 49 | $10.537,50 | 1263 / 45 | $9.889,79 | 1258 / 46 |
| Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 19 | 13 / 1 | $79.607,60 | 89 / 2 | $17.502,70 | 15 / 2 | $11.065,90 | 15 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 14 | $36.840,40 | 584 / 19 | $6.395,72 | 295 / 7 | $5.204,28 | 295 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 26 | $93.277,80 | 1441 / 54 | $15.488,20 | 1125 / 36 | $14.706,00 | 1113 / 42 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 23 | $78.277,90 | 1134 / 51 | $13.698,50 | 918 / 42 | $12.848,40 | 912 / 43 |
| Other Vascular Procedures W Cc | 18 | 84 / 14 | $82.307,50 | 675 / 29 | $17.455,40 | 310 / 26 | $13.977,80 | 308 / 10 |
| Revision Of Hip Or Knee Replacement W Cc | 17 | 69 / 9 | $132.547,00 | 579 / 19 | $23.834,40 | 124 / 15 | $17.264,20 | 124 / 6 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 30 | $94.302,90 | 1530 / 52 | $15.763,80 | 1494 / 50 | $15.115,10 | 1484 / 52 |
| Dysequilibrium | 16 | 49 / 2 | $34.947,90 | 465 / 10 | $4.098,31 | 161 / 6 | $3.036,19 | 161 / 5 |
| Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 8 | $47.913,50 | 755 / 25 | $10.091,10 | 47 / 23 | $4.254,81 | 47 / 1 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 5 | $36.965,60 | 686 / 21 | $5.124,25 | 105 / 16 | $3.331,06 | 105 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 9 | $36.073,30 | 735 / 25 | $6.128,60 | 168 / 14 | $4.403,27 | 168 / 6 |
| Diabetes W Cc | 15 | 77 / 24 | $39.617,00 | 1397 / 53 | $7.322,93 | 308 / 48 | $4.021,47 | 308 / 8 |
| Other Digestive System Diagnoses W Mcc | 15 | 47 / 9 | $51.332,80 | 477 / 13 | $10.470,20 | 94 / 9 | $8.785,67 | 94 / 4 |
| Medical Back Problems W/O Mcc | 15 | 106 / 17 | $37.393,70 | 1196 / 37 | $11.657,80 | 245 / 41 | $3.855,33 | 245 / 7 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 13 | $150.895,00 | 479 / 20 | $28.625,80 | 191 / 8 | $27.113,00 | 191 / 8 |
| Extracranial Procedures W Cc | 14 | 32 / 7 | $54.215,10 | 259 / 11 | $9.918,14 | 171 / 4 | $8.877,93 | 171 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 18 | $41.356,60 | 1061 / 38 | $6.388,21 | 574 / 13 | $5.608,79 | 573 / 25 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 18 | $40.304,00 | 1061 / 39 | $6.563,43 | 389 / 22 | $4.970,64 | 389 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 9 | $68.236,10 | 545 / 20 | $11.588,00 | 132 / 8 | $10.086,20 | 132 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 27 | $86.158,90 | 709 / 36 | $13.191,60 | 370 / 11 | $11.981,10 | 369 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 14 | $110.969,00 | 707 / 21 | $19.692,50 | 455 / 17 | $18.849,50 | 452 / 22 |
| Seizures W/O Mcc | 13 | 95 / 18 | $32.421,40 | 1010 / 37 | $4.859,69 | 341 / 13 | $3.829,00 | 339 / 15 |
| Cellulitis W Mcc | 13 | 45 / 10 | $68.341,80 | 861 / 21 | $10.011,20 | 567 / 14 | $9.164,15 | 565 / 15 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 11 | $23.476,50 | 612 / 19 | $4.604,46 | 423 / 7 | $3.760,62 | 423 / 11 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 12 | $149.491,00 | 480 / 21 | $26.028,80 | 342 / 16 | $23.503,80 | 341 / 14 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 7 | $30.875,80 | 619 / 14 | $4.859,58 | 349 / 4 | $4.051,42 | 349 / 9 |
| Diabetes W Mcc | 12 | 45 / 14 | $47.861,20 | 535 / 22 | $8.351,00 | 254 / 6 | $7.843,08 | 254 / 11 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 14 | $224.884,00 | 553 / 16 | $39.222,20 | 456 / 15 | $38.302,50 | 455 / 15 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 14 | $89.465,10 | 699 / 21 | $15.557,80 | 306 / 9 | $14.653,80 | 305 / 11 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 17 | $49.895,60 | 793 / 23 | $9.319,82 | 430 / 9 | $8.873,45 | 429 / 14 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 8 | $25.061,20 | 274 / 12 | $6.250,36 | 135 / 4 | $5.250,55 | 135 / 4 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 7 | $111.913,00 | 310 / 10 | $15.224,70 | 258 / 8 | $14.233,90 | 258 / 9 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 11 | 27 / 3 | $74.245,60 | 126 / 3 | $12.087,20 | 67 / 1 | $11.638,70 | 67 / 2 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 10 | $69.576,90 | 494 / 18 | $10.581,60 | 98 / 10 | $8.798,91 | 98 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 14 | $32.888,30 | 566 / 14 | $6.148,27 | 265 / 2 | $5.374,73 | 265 / 7 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 7 | $19.665,20 | 204 / 8 | $4.230,45 | 155 / 1 | $3.351,64 | 155 / 4 | Total 90 procedures | 2.973 | 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.