Hospital Costs > In Georgia > Phoebe Sumter Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 54 | 462 / 56 | $23.284,10 | 433 / 17 | $10.201,20 | 252 / 9 | $9.062,26 | 252 / 4 |
| Renal Failure W Cc | 46 | 175 / 34 | $13.945,10 | 380 / 5 | $5.825,11 | 439 / 18 | $4.688,24 | 436 / 10 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 36 | $17.600,20 | 260 / 5 | $7.052,59 | 399 / 8 | $6.220,59 | 399 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 56 | $31.198,80 | 276 / 10 | $12.140,50 | 606 / 7 | $10.472,90 | 599 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 33 | $15.763,70 | 194 / 4 | $5.618,04 | 105 / 2 | $4.591,67 | 105 / 1 |
| G.I. Hemorrhage W Cc | 26 | 192 / 44 | $18.222,50 | 587 / 12 | $6.077,42 | 764 / 14 | $5.146,96 | 762 / 22 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 43 | $16.715,00 | 763 / 19 | $5.515,38 | 105 / 4 | $4.151,92 | 105 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 38 | $13.182,00 | 227 / 7 | $5.586,85 | 118 / 2 | $4.678,05 | 118 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 51 | $9.993,58 | 297 / 10 | $4.634,95 | 415 / 14 | $3.558,74 | 415 / 11 |
| Heart Failure & Shock W Cc | 18 | 260 / 56 | $12.202,50 | 285 / 6 | $5.484,56 | 372 / 1 | $4.752,11 | 372 / 6 |
| Heart Failure & Shock W Mcc | 18 | 266 / 59 | $18.433,60 | 336 / 9 | $8.128,94 | 211 / 2 | $7.257,83 | 211 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 50 | $22.286,60 | 527 / 14 | $8.080,33 | 291 / 4 | $7.010,11 | 291 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 47 | $13.926,30 | 247 / 3 | $6.569,53 | 427 / 4 | $5.722,47 | 426 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 39 | $11.610,70 | 499 / 15 | $4.247,69 | 770 / 12 | $3.499,69 | 767 / 26 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 34 | $35.527,60 | 432 / 12 | $10.844,70 | 368 / 8 | $9.864,69 | 367 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 28 | $32.474,90 | 160 / 2 | $12.496,20 | 261 / 4 | $11.797,20 | 259 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 38 | $12.870,40 | 305 / 7 | $4.706,47 | 403 / 7 | $3.735,80 | 403 / 11 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 36 | $12.631,20 | 255 / 4 | $4.833,27 | 704 / 8 | $4.186,87 | 699 / 19 |
| Renal Failure W Mcc | 13 | 182 / 49 | $21.830,40 | 311 / 10 | $8.369,69 | 342 / 2 | $7.813,31 | 342 / 7 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 28 | $10.937,90 | 358 / 10 | $4.109,08 | 301 / 6 | $3.101,08 | 299 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 56 | $15.168,00 | 780 / 28 | $4.530,00 | 632 / 11 | $3.516,67 | 628 / 16 |
| Cellulitis W/O Mcc | 11 | 178 / 46 | $15.614,20 | 934 / 27 | $5.431,64 | 1216 / 29 | $4.442,55 | 1210 / 45 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 35 | $12.603,40 | 507 / 15 | $4.385,09 | 605 / 7 | $3.407,64 | 604 / 13 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 16 | $11.202,70 | 167 / 4 | $3.906,45 | 253 / 2 | $3.027,91 | 252 / 5 | Total 24 procedures | 499 | 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.