Hospital Costs > In Georgia > Piedmont Henry Hospital, 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 | 245 | 319 / 15 | $81.692,00 | 2237 / 76 | $14.217,60 | 1067 / 58 | $11.168,40 | 1044 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 239 | 277 / 13 | $37.623,70 | 1190 / 40 | $11.259,30 | 950 / 37 | $10.123,80 | 945 / 40 |
| Heart Failure & Shock W Mcc | 170 | 114 / 8 | $27.664,40 | 953 / 28 | $9.043,33 | 1003 / 30 | $8.302,05 | 1002 / 39 |
| Pulmonary Edema & Respiratory Failure | 114 | 89 / 6 | $23.358,20 | 620 / 17 | $7.810,71 | 695 / 35 | $6.584,71 | 695 / 23 |
| Renal Failure W Mcc | 104 | 91 / 8 | $25.399,50 | 484 / 18 | $9.407,90 | 899 / 29 | $8.720,23 | 899 / 39 |
| Renal Failure W Cc | 96 | 125 / 12 | $21.624,00 | 1142 / 41 | $6.205,89 | 958 / 39 | $5.143,67 | 950 / 38 |
| Simple Pneumonia & Pleurisy W Mcc | 91 | 114 / 10 | $28.958,30 | 974 / 31 | $8.828,08 | 845 / 36 | $7.710,76 | 845 / 29 |
| Heart Failure & Shock W Cc | 80 | 198 / 24 | $16.606,70 | 760 / 23 | $6.381,51 | 1294 / 48 | $5.543,79 | 1290 / 58 |
| G.I. Hemorrhage W Cc | 67 | 151 / 16 | $23.398,50 | 1071 / 36 | $6.513,19 | 1034 / 40 | $5.397,70 | 1032 / 42 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 61 | 214 / 28 | $21.654,70 | 1578 / 62 | $5.075,98 | 1137 / 47 | $3.850,07 | 1129 / 44 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 47 | 135 / 22 | $28.388,70 | 1037 / 37 | $6.798,51 | 951 / 31 | $5.762,34 | 948 / 44 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 23 | $23.248,60 | 1095 / 35 | $6.781,64 | 1129 / 43 | $5.787,68 | 1125 / 47 |
| Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 22 | $19.740,10 | 970 / 28 | $6.121,78 | 1162 / 37 | $5.109,53 | 1158 / 50 |
| G.I. Hemorrhage W Mcc | 43 | 78 / 11 | $28.751,40 | 287 / 9 | $10.798,70 | 617 / 24 | $9.981,74 | 618 / 28 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 41 | 90 / 9 | $55.267,60 | 775 / 27 | $14.601,20 | 560 / 27 | $12.609,80 | 552 / 18 |
| Red Blood Cell Disorders W/O Mcc | 41 | 102 / 21 | $19.037,80 | 807 / 30 | $5.400,05 | 1041 / 34 | $4.563,66 | 1034 / 43 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 39 | 87 / 18 | $22.097,70 | 530 / 24 | $7.020,05 | 652 / 26 | $6.303,72 | 649 / 31 |
| Transient Ischemia | 39 | 86 / 10 | $22.285,30 | 818 / 26 | $4.782,36 | 769 / 26 | $3.670,36 | 765 / 30 |
| Kidney & Urinary Tract Infections W Mcc | 38 | 106 / 15 | $21.044,20 | 638 / 21 | $7.142,18 | 879 / 34 | $6.189,53 | 877 / 36 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 15 | $29.767,90 | 941 / 24 | $7.682,00 | 803 / 19 | $6.820,47 | 800 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 18 | $38.248,30 | 636 / 20 | $10.814,50 | 483 / 27 | $9.313,41 | 482 / 20 |
| Cellulitis W/O Mcc | 37 | 152 / 22 | $19.066,80 | 1377 / 46 | $5.540,92 | 1520 / 36 | $4.753,95 | 1513 / 54 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 34 | $21.922,90 | 895 / 27 | $7.647,00 | 801 / 51 | $6.044,03 | 796 / 32 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 20 | $54.530,10 | 1194 / 42 | $11.686,40 | 798 / 29 | $10.611,50 | 789 / 28 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 23 | $12.342,40 | 589 / 19 | $4.783,23 | 1123 / 42 | $3.743,63 | 1120 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 20 | $18.878,90 | 940 / 29 | $5.339,20 | 1069 / 36 | $4.369,63 | 1065 / 40 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 37 | $22.298,90 | 1383 / 48 | $6.213,82 | 1262 / 36 | $5.266,65 | 1258 / 50 |
| Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 41 | $15.676,90 | 1030 / 33 | $5.143,97 | 1280 / 49 | $4.152,06 | 1271 / 47 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 30 | $30.598,40 | 548 / 18 | $6.840,40 | 704 / 17 | $5.749,80 | 702 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 20 | $13.456,00 | 789 / 26 | $3.984,30 | 994 / 32 | $2.817,07 | 989 / 34 |
| Other Circulatory System Diagnoses W Mcc | 25 | 91 / 17 | $36.915,90 | 395 / 18 | $11.383,40 | 450 / 16 | $10.558,60 | 449 / 19 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 18 | $124.479,00 | 782 / 26 | $33.344,00 | 278 / 22 | $27.756,10 | 278 / 10 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 31 | $62.854,80 | 519 / 17 | $12.821,50 | 566 / 19 | $10.814,80 | 562 / 26 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 20 | $95.033,80 | 1171 / 42 | $17.063,30 | 325 / 32 | $12.974,80 | 323 / 8 |
| G.I. Obstruction W Cc | 23 | 69 / 15 | $23.769,80 | 911 / 32 | $5.766,39 | 810 / 24 | $4.820,22 | 808 / 33 |
| Diabetes W Mcc | 22 | 35 / 7 | $35.582,60 | 389 / 18 | $9.229,68 | 323 / 15 | $8.243,95 | 323 / 18 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 15 | $144.770,00 | 776 / 29 | $33.783,70 | 583 / 23 | $30.512,60 | 581 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 17 | $30.935,50 | 676 / 22 | $7.423,81 | 386 / 18 | $6.408,67 | 384 / 10 |
| G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 8 | $14.939,20 | 327 / 11 | $4.785,71 | 471 / 12 | $3.702,95 | 467 / 13 |
| Seizures W/O Mcc | 20 | 88 / 13 | $17.150,90 | 378 / 11 | $5.088,40 | 556 / 18 | $4.179,85 | 553 / 22 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 11 | $57.467,80 | 644 / 20 | $7.210,71 | 415 / 10 | $6.069,59 | 414 / 14 |
| Red Blood Cell Disorders W Mcc | 17 | 54 / 14 | $29.711,80 | 451 / 21 | $8.162,00 | 380 / 20 | $7.058,35 | 378 / 18 |
| Syncope & Collapse | 17 | 152 / 33 | $17.413,10 | 612 / 14 | $4.948,47 | 836 / 27 | $3.880,53 | 832 / 22 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 22 | $34.761,90 | 586 / 15 | $11.598,30 | 685 / 28 | $10.878,90 | 677 / 31 |
| Other Vascular Procedures W Mcc | 17 | 80 / 19 | $71.849,90 | 284 / 13 | $18.590,70 | 186 / 9 | $17.799,80 | 186 / 10 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 16 | $38.338,60 | 131 / 7 | $12.758,20 | 148 / 14 | $10.794,00 | 145 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 29 | $13.237,40 | 577 / 18 | $4.987,41 | 936 / 38 | $3.680,29 | 927 / 28 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 17 | $29.413,90 | 713 / 23 | $6.693,94 | 663 / 25 | $5.785,81 | 661 / 30 |
| Seizures W Mcc | 16 | 50 / 12 | $29.644,80 | 161 / 3 | $9.244,50 | 262 / 5 | $8.636,62 | 262 / 8 |
| Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 33 | $120.114,00 | 935 / 34 | $23.517,60 | 588 / 12 | $22.385,40 | 584 / 31 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 12 | $14.898,90 | 363 / 11 | $4.372,33 | 491 / 13 | $3.565,00 | 490 / 18 |
| Diabetes W Cc | 15 | 77 / 24 | $22.360,50 | 843 / 34 | $5.423,73 | 587 / 25 | $4.376,07 | 586 / 20 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 17 | $22.830,50 | 543 / 17 | $6.498,73 | 621 / 21 | $5.405,60 | 618 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 24 | $23.285,30 | 800 / 24 | $4.858,60 | 550 / 9 | $3.686,00 | 546 / 16 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 21 | $15.615,60 | 796 / 22 | $4.731,71 | 1023 / 25 | $3.697,21 | 1018 / 33 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 13 | $17.648,90 | 704 / 19 | $4.283,21 | 739 / 13 | $3.327,93 | 736 / 20 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 8 | $39.667,20 | 264 / 11 | $10.462,30 | 216 / 9 | $9.618,54 | 216 / 9 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 16 | $20.771,50 | 445 / 21 | $6.317,15 | 603 / 16 | $5.568,62 | 600 / 21 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 11 | $31.529,50 | 184 / 6 | $10.192,50 | 253 / 5 | $9.821,08 | 253 / 11 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 19 | $107.568,00 | 300 / 13 | $29.308,90 | 235 / 4 | $28.371,30 | 235 / 8 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 13 | $24.726,30 | 350 / 18 | $6.318,58 | 130 / 15 | $4.346,08 | 130 / 5 |
| Complications Of Treatment W Mcc | 12 | 39 / 8 | $39.794,60 | 108 / 3 | $10.557,30 | 70 / 1 | $9.948,92 | 70 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 11 | $42.729,20 | 336 / 14 | $11.558,50 | 234 / 6 | $10.843,90 | 233 / 10 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 11 | $14.314,80 | 69 / 2 | $6.083,33 | 241 / 8 | $5.286,75 | 240 / 11 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 29 | $62.320,20 | 486 / 24 | $17.161,70 | 83 / 34 | $10.262,80 | 83 / 4 |
| Chest Pain | 11 | 140 / 38 | $22.085,40 | 1061 / 35 | $4.450,73 | 563 / 34 | $2.984,00 | 559 / 18 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 20 | $21.347,10 | 478 / 12 | $6.309,91 | 612 / 19 | $5.422,18 | 609 / 27 |
| Pulmonary Embolism W Mcc | 11 | 32 / 10 | $69.361,90 | 519 / 18 | $11.413,30 | 447 / 15 | $10.249,20 | 446 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 16 | $86.652,50 | 549 / 18 | $20.167,30 | 496 / 20 | $19.282,10 | 493 / 24 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 17 | $34.032,00 | 500 / 12 | $9.040,64 | 266 / 6 | $8.260,18 | 266 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 29 | $14.523,60 | 793 / 29 | $4.659,00 | 1135 / 32 | $3.890,73 | 1126 / 36 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 32 | $39.095,90 | 774 / 21 | $10.556,00 | 824 / 34 | $9.785,91 | 823 / 39 | Total 72 procedures | 2.695 | 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.