Hospital Costs > In Georgia > Oconee Regional 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 | 12 | 177 / 45 | $12.238,20 | 506 / 11 | $5.089,58 | 1017 / 10 | $4.282,92 | 1011 / 33 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 43 | $13.896,60 | 397 / 11 | $5.534,19 | 782 / 11 | $4.781,44 | 780 / 28 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 38 | $18.799,30 | 628 / 16 | $6.680,39 | 597 / 5 | $5.860,06 | 595 / 17 |
| Diabetes W Cc | 11 | 81 / 28 | $20.071,30 | 699 / 25 | $5.073,18 | 431 / 7 | $4.195,27 | 431 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 48 | $16.621,20 | 952 / 33 | $4.651,45 | 677 / 16 | $3.552,45 | 673 / 21 |
| G.I. Hemorrhage W Cc | 15 | 203 / 51 | $24.750,90 | 1183 / 40 | $5.838,00 | 379 / 7 | $4.785,93 | 379 / 9 |
| Heart Failure & Shock W Cc | 25 | 253 / 51 | $17.120,90 | 820 / 27 | $5.827,48 | 568 / 11 | $4.956,88 | 568 / 13 |
| Heart Failure & Shock W Mcc | 27 | 257 / 52 | $21.471,40 | 503 / 11 | $8.339,41 | 378 / 6 | $7.527,93 | 378 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 31 | $66.109,90 | 147 / 3 | $26.328,80 | 88 / 1 | $25.385,60 | 88 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 44 | $23.192,50 | 674 / 19 | $6.277,18 | 373 / 11 | $5.070,73 | 372 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 49 | $16.511,60 | 1144 / 42 | $4.799,05 | 700 / 18 | $3.753,09 | 696 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 19 | 545 / 66 | $26.787,80 | 122 / 2 | $11.773,90 | 277 / 1 | $9.911,32 | 277 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 29 | $26.982,80 | 814 / 38 | $7.061,48 | 666 / 28 | $6.326,09 | 663 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 39 | $13.031,40 | 682 / 22 | $4.444,38 | 711 / 20 | $3.458,88 | 709 / 20 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 45 | $25.169,80 | 742 / 21 | $7.044,41 | 495 / 7 | $6.331,24 | 495 / 16 |
| Red Blood Cell Disorders W/O Mcc | 20 | 123 / 32 | $12.661,70 | 258 / 6 | $4.933,45 | 865 / 10 | $4.372,40 | 860 / 33 |
| Renal Failure W Cc | 33 | 188 / 41 | $14.980,60 | 464 / 7 | $5.778,30 | 671 / 13 | $4.896,67 | 664 / 19 |
| Renal Failure W Mcc | 15 | 180 / 47 | $21.766,50 | 309 / 9 | $8.207,47 | 205 / 1 | $7.558,40 | 205 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 63 | 453 / 52 | $28.260,00 | 707 / 25 | $9.894,67 | 188 / 3 | $8.903,13 | 188 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 39 | $16.087,40 | 445 / 12 | $6.209,47 | 681 / 12 | $5.374,58 | 679 / 27 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 37 | $21.420,90 | 1292 / 43 | $5.942,26 | 1045 / 21 | $5.119,38 | 1042 / 37 |
| Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 35 | $28.837,70 | 964 / 30 | $8.150,49 | 358 / 9 | $7.124,51 | 358 / 10 | Total 22 procedures | 500 | 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.