Hospital Costs > In South Carolina > Piedmont Medical Center, 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 | 164 | 400 / 20 | $42.403,30 | 886 / 5 | $13.453,20 | 1020 / 24 | $11.083,10 | 998 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 159 | 76 / 3 | $19.147,10 | 1473 / 21 | $5.278,18 | 1144 / 29 | $4.052,05 | 1136 / 29 |
| Chronic Obstructive Pulmonary Disease W Mcc | 119 | 83 / 3 | $26.942,80 | 1269 / 16 | $7.313,55 | 1139 / 21 | $6.381,66 | 1134 / 30 |
| Simple Pneumonia & Pleurisy W Mcc | 117 | 88 / 5 | $36.869,50 | 1445 / 24 | $9.304,62 | 889 / 27 | $7.749,15 | 889 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 110 | 406 / 27 | $43.679,50 | 1510 / 25 | $11.593,10 | 1059 / 32 | $10.270,20 | 1046 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 105 | 170 / 8 | $18.522,70 | 1213 / 12 | $4.940,36 | 1378 / 20 | $4.027,25 | 1367 / 37 |
| Simple Pneumonia & Pleurisy W Cc | 103 | 100 / 5 | $26.094,50 | 1705 / 28 | $6.401,80 | 1346 / 27 | $5.355,37 | 1341 / 36 |
| Heart Failure & Shock W Mcc | 101 | 183 / 14 | $35.786,20 | 1435 / 27 | $9.092,70 | 1155 / 24 | $8.511,71 | 1152 / 32 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 99 | 89 / 7 | $34.626,80 | 740 / 13 | $7.155,77 | 597 / 13 | $5.581,15 | 595 / 13 |
| Heart Failure & Shock W Cc | 97 | 181 / 13 | $20.199,30 | 1207 / 17 | $6.157,41 | 1282 / 21 | $5.532,75 | 1278 / 34 |
| Pulmonary Edema & Respiratory Failure | 89 | 114 / 8 | $29.812,50 | 1035 / 23 | $8.086,04 | 942 / 29 | $6.859,34 | 942 / 26 |
| Renal Failure W Cc | 81 | 140 / 13 | $20.478,70 | 1023 / 17 | $6.310,32 | 859 / 28 | $5.050,41 | 852 / 25 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 81 | 115 / 9 | $66.553,40 | 606 / 8 | $14.530,50 | 348 / 12 | $10.266,40 | 348 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 79 | 100 / 6 | $19.832,60 | 984 / 11 | $5.911,96 | 1089 / 18 | $5.045,33 | 1085 / 26 |
| G.I. Hemorrhage W Cc | 74 | 144 / 15 | $22.164,20 | 954 / 16 | $6.422,70 | 994 / 23 | $5.358,57 | 992 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 66 | 116 / 12 | $26.900,80 | 918 / 19 | $7.041,41 | 862 / 22 | $5.637,77 | 860 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 65 | 101 / 11 | $16.680,20 | 1163 / 14 | $4.671,31 | 1305 / 21 | $3.889,52 | 1301 / 32 |
| Red Blood Cell Disorders W/O Mcc | 63 | 80 / 8 | $13.935,80 | 345 / 5 | $5.315,10 | 896 / 19 | $4.405,94 | 891 / 21 |
| Cellulitis W/O Mcc | 62 | 127 / 7 | $22.954,90 | 1730 / 31 | $5.428,71 | 1282 / 22 | $4.513,61 | 1276 / 34 |
| Syncope & Collapse | 62 | 107 / 8 | $17.891,80 | 666 / 12 | $4.863,98 | 921 / 16 | $3.964,89 | 916 / 21 |
| Diabetes W Cc | 57 | 35 / 3 | $20.964,00 | 760 / 12 | $5.484,44 | 571 / 11 | $4.358,98 | 571 / 15 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 53 | 67 / 6 | $15.836,40 | 884 / 14 | $4.769,64 | 1007 / 23 | $3.740,19 | 998 / 28 |
| Kidney & Urinary Tract Infections W Mcc | 51 | 93 / 10 | $26.175,10 | 987 / 16 | $6.950,24 | 748 / 15 | $6.026,63 | 747 / 18 |
| Transient Ischemia | 50 | 75 / 9 | $16.935,70 | 414 / 5 | $4.667,42 | 813 / 14 | $3.724,70 | 809 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 48 | 54 / 4 | $19.644,00 | 551 / 15 | $5.099,54 | 762 / 17 | $3.948,56 | 758 / 22 |
| Heart Failure & Shock W/O Cc/Mcc | 48 | 62 / 7 | $14.405,90 | 778 / 10 | $4.751,98 | 882 / 22 | $3.623,75 | 876 / 21 |
| Renal Failure W Mcc | 45 | 150 / 19 | $43.009,70 | 1383 / 28 | $10.558,40 | 1131 / 28 | $9.204,51 | 1131 / 31 |
| Respiratory Infections & Inflammations W Mcc | 45 | 91 / 7 | $49.069,70 | 1053 / 17 | $13.019,90 | 600 / 22 | $10.673,00 | 592 / 14 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 42 | 89 / 10 | $58.145,90 | 872 / 15 | $13.701,60 | 697 / 14 | $12.955,70 | 689 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 42 | 84 / 10 | $30.527,80 | 985 / 20 | $7.039,19 | 702 / 12 | $6.393,45 | 699 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 38 | 130 / 13 | $45.878,10 | 856 / 13 | $10.203,60 | 392 / 8 | $9.064,79 | 391 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 14 | $44.319,30 | 816 / 5 | $12.584,00 | 624 / 25 | $10.289,90 | 621 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 24 | $30.521,80 | 1657 / 32 | $6.738,11 | 1228 / 23 | $5.914,11 | 1223 / 35 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 16 | $18.147,60 | 873 / 13 | $5.656,47 | 809 / 26 | $4.115,28 | 806 / 19 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 36 | 37 / 1 | $23.482,50 | 418 / 3 | $7.161,42 | 437 / 6 | $6.496,97 | 436 / 10 |
| Extracranial Procedures W/O Cc/Mcc | 35 | 63 / 8 | $33.044,70 | 501 / 7 | $7.064,06 | 407 / 12 | $5.493,89 | 406 / 10 |
| Other Digestive System Diagnoses W Cc | 33 | 64 / 4 | $19.349,90 | 370 / 5 | $6.164,45 | 669 / 9 | $5.505,06 | 665 / 15 |
| Chest Pain | 33 | 118 / 9 | $18.843,30 | 829 / 13 | $4.135,09 | 798 / 15 | $3.253,64 | 793 / 19 |
| Signs & Symptoms W/O Mcc | 33 | 58 / 6 | $18.555,60 | 576 / 4 | $4.825,39 | 390 / 12 | $3.516,48 | 389 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 7 | $18.385,50 | 1063 / 18 | $4.694,34 | 699 / 15 | $3.416,69 | 695 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 10 | $38.951,20 | 765 / 13 | $10.180,50 | 445 / 16 | $8.872,03 | 445 / 15 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 31 | 30 / 3 | $22.713,40 | 590 / 11 | $5.413,16 | 462 / 13 | $3.766,26 | 461 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 19 | $13.301,40 | 761 / 8 | $4.025,41 | 833 / 22 | $2.694,90 | 829 / 22 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 29 | 62 / 8 | $35.114,40 | 909 / 17 | $7.795,21 | 501 / 21 | $5.467,10 | 500 / 14 |
| Peripheral Vascular Disorders W Cc | 28 | 56 / 3 | $21.838,80 | 491 / 6 | $6.222,29 | 436 / 8 | $5.165,82 | 434 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 27 | 73 / 6 | $92.940,20 | 413 / 7 | $22.701,60 | 91 / 10 | $16.276,90 | 91 / 3 |
| Pulmonary Embolism W/O Mcc | 26 | 48 / 8 | $41.961,50 | 1080 / 23 | $8.215,58 | 991 / 21 | $6.513,65 | 988 / 22 |
| Seizures W/O Mcc | 25 | 83 / 11 | $22.103,80 | 653 / 8 | $5.149,68 | 643 / 11 | $4.376,56 | 640 / 14 |
| Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 21 | $68.663,50 | 350 / 5 | $25.873,70 | 267 / 14 | $20.288,90 | 266 / 6 |
| Medical Back Problems W/O Mcc | 25 | 96 / 9 | $19.523,70 | 482 / 5 | $5.425,72 | 745 / 11 | $4.650,64 | 742 / 18 |
| Degenerative Nervous System Disorders W/O Mcc | 24 | 54 / 4 | $21.576,40 | 280 / 2 | $6.134,58 | 286 / 4 | $5.226,58 | 286 / 5 |
| G.I. Hemorrhage W Mcc | 24 | 97 / 16 | $34.217,10 | 471 / 8 | $10.797,80 | 681 / 16 | $10.155,80 | 682 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 9 | $26.755,50 | 512 / 7 | $7.420,54 | 421 / 10 | $6.461,88 | 419 / 12 |
| G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 5 | $14.608,60 | 308 / 3 | $4.939,00 | 254 / 10 | $3.281,09 | 252 / 5 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 8 | $36.857,40 | 896 / 12 | $8.404,48 | 635 / 10 | $7.640,65 | 632 / 17 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 7 | $45.009,80 | 721 / 8 | $10.501,50 | 597 / 7 | $9.514,27 | 595 / 10 |
| Diabetes W/O Cc/Mcc | 22 | 16 / 1 | $14.129,10 | 109 / 1 | $3.966,36 | 87 / 2 | $2.975,82 | 87 / 3 |
| Major Small & Large Bowel Procedures W Cc | 22 | 86 / 14 | $56.040,80 | 555 / 6 | $16.289,90 | 246 / 9 | $12.628,10 | 244 / 7 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 22 | 74 / 9 | $42.934,00 | 220 / 3 | $14.919,40 | 180 / 10 | $10.955,00 | 178 / 7 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 22 | 31 / 4 | $28.415,10 | 542 / 10 | $5.372,68 | 312 / 12 | $3.809,82 | 309 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 16 | $31.488,50 | 1028 / 14 | $7.520,29 | 739 / 14 | $6.714,19 | 736 / 18 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 21 | 50 / 5 | $121.096,00 | 390 / 3 | $30.477,40 | 275 / 4 | $28.831,70 | 275 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 15 | $130.244,00 | 839 / 12 | $31.516,60 | 542 / 10 | $29.849,30 | 538 / 10 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 20 | 72 / 8 | $108.951,00 | 243 / 2 | $33.706,00 | 290 / 4 | $33.040,40 | 289 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 20 | 83 / 5 | $36.183,40 | 613 / 9 | $6.298,05 | 312 / 4 | $5.532,45 | 312 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 11 | $60.459,90 | 354 / 3 | $17.193,60 | 270 / 9 | $14.430,20 | 269 / 8 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 19 | 38 / 7 | $49.589,30 | 284 / 4 | $14.159,90 | 163 / 6 | $11.120,30 | 162 / 5 |
| Other Vascular Procedures W Mcc | 19 | 78 / 10 | $54.153,10 | 108 / 2 | $18.297,80 | 119 / 4 | $17.166,90 | 119 / 5 |
| G.I. Obstruction W Cc | 19 | 73 / 13 | $23.185,80 | 877 / 11 | $6.575,63 | 770 / 19 | $4.780,89 | 768 / 17 |
| Hypertension W/O Mcc | 18 | 47 / 8 | $14.620,90 | 203 / 2 | $4.241,17 | 304 / 8 | $3.165,61 | 302 / 11 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 10 | $55.606,70 | 779 / 20 | $11.122,90 | 759 / 17 | $10.383,30 | 757 / 18 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 7 | $44.230,10 | 349 / 6 | $10.626,00 | 112 / 7 | $7.895,94 | 112 / 4 |
| Diabetes W Mcc | 17 | 40 / 8 | $34.643,00 | 370 / 10 | $9.477,65 | 181 / 13 | $7.468,06 | 181 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 17 | 12 / 1 | $18.670,10 | 53 / 1 | $5.139,76 | 68 / 1 | $4.571,29 | 68 / 1 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 5 | $15.147,00 | 198 / 1 | $4.815,25 | 351 / 1 | $4.061,25 | 351 / 5 |
| Bronchitis & Asthma W/O Cc/Mcc | 16 | 29 / 3 | $13.266,20 | 98 / 1 | $4.358,50 | 160 / 3 | $3.378,50 | 160 / 6 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 10 | $13.603,40 | 413 / 4 | $4.167,19 | 664 / 13 | $3.185,19 | 662 / 20 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 9 | $19.039,60 | 271 / 3 | $5.937,25 | 185 / 7 | $4.464,44 | 185 / 8 |
| Cellulitis W Mcc | 16 | 42 / 6 | $45.011,40 | 684 / 8 | $9.450,75 | 447 / 7 | $8.476,75 | 445 / 12 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 9 | $46.738,90 | 413 / 7 | $13.716,80 | 57 / 19 | $7.239,88 | 57 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 7 | $19.396,10 | 474 / 2 | $4.787,00 | 141 / 5 | $3.373,00 | 141 / 4 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 14 | $29.336,30 | 438 / 9 | $7.734,13 | 455 / 6 | $7.335,20 | 453 / 16 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 11 | $14.238,40 | 323 / 4 | $4.159,47 | 504 / 7 | $3.596,27 | 503 / 15 |
| Disorders Of Pancreas Except Malignancy W Mcc | 15 | 31 / 4 | $52.741,50 | 211 / 8 | $13.505,50 | 215 / 8 | $12.137,20 | 215 / 10 |
| Pulmonary Embolism W Mcc | 15 | 28 / 5 | $42.406,70 | 355 / 7 | $9.346,87 | 224 / 5 | $8.457,27 | 224 / 5 |
| Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 17 | $39.834,80 | 188 / 3 | $13.289,20 | 391 / 7 | $12.083,90 | 390 / 17 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 6 | $210.515,00 | 169 / 2 | $58.471,00 | 181 / 4 | $57.561,10 | 181 / 6 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 14 | 29 / 2 | $13.567,40 | 62 / 1 | $5.087,43 | 68 / 3 | $3.070,57 | 68 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 12 | $46.649,90 | 260 / 4 | $12.507,50 | 294 / 9 | $11.478,90 | 289 / 12 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 8 | $17.195,80 | 144 / 1 | $5.683,43 | 287 / 6 | $4.993,14 | 287 / 8 |
| Atherosclerosis W/O Mcc | 14 | 44 / 6 | $16.300,60 | 218 / 4 | $4.158,07 | / 5 | $3.291,79 | / |
| Organic Disturbances & Mental Retardation | 13 | 46 / 7 | $23.204,60 | 244 / 2 | $6.185,31 | 90 / 3 | $5.046,85 | 90 / 3 |
| Respiratory Neoplasms W Cc | 13 | 34 / 7 | $25.523,70 | 135 / 1 | $7.319,08 | 165 / 3 | $6.487,08 | 164 / 4 |
| Other Vascular Procedures W Cc | 13 | 89 / 12 | $60.205,60 | 365 / 4 | $14.921,50 | 300 / 5 | $13.941,80 | 298 / 8 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 12 | $117.424,00 | 213 / 4 | $25.823,90 | 182 / 2 | $24.620,20 | 182 / 7 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 7 | $17.887,80 | 140 / 1 | $5.963,15 | 149 / 3 | $5.027,77 | 149 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 12 | $34.846,80 | 299 / 4 | $9.862,58 | 458 / 8 | $9.062,58 | 456 / 14 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 5 | $60.159,70 | 90 / 3 | $15.125,90 | 74 / 6 | $14.421,90 | 74 / 7 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 9 | $86.810,20 | 262 / 5 | $23.129,50 | 276 / 7 | $22.028,20 | 275 / 10 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 12 | $15.505,50 | 213 / 2 | $5.845,55 | 209 / 8 | $4.130,27 | 206 / 5 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 12 | $85.555,90 | 166 / 2 | $18.728,00 | 42 / 1 | $17.625,50 | 42 / 3 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 10 | $46.735,10 | 253 / 3 | $10.257,00 | 242 / 5 | $9.384,27 | 241 / 9 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 8 | $14.224,00 | 251 / 4 | $4.506,45 | 372 / 8 | $3.630,82 | 373 / 11 |
| Skin Ulcers W Mcc | 11 | 9 / 1 | $35.520,00 | 13 / 1 | $8.036,09 | 5 / 1 | $7.381,55 | 5 / 1 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 20 | $44.381,20 | 613 / 11 | $12.940,30 | 732 / 17 | $11.754,80 | 730 / 17 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 11 | $23.811,00 | 275 / 5 | $5.932,18 | 182 / 3 | $5.053,64 | 181 / 8 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 8 | $18.107,50 | 209 / 5 | $4.312,09 | 133 / 3 | $3.110,64 | 133 / 5 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 11 | $111.119,00 | 296 / 4 | $28.451,30 | 223 / 4 | $27.622,20 | 223 / 7 | Total 108 procedures | 3.952 | 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.