Hospital Costs > In Georgia > Piedmont Mountainside Hospital Inc, 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 | 107 | 409 / 40 | $39.420,30 | 1293 / 46 | $10.712,70 | 791 / 19 | $9.899,58 | 790 / 26 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 97 | 467 / 38 | $78.366,40 | 2175 / 75 | $12.760,30 | 929 / 24 | $10.938,40 | 910 / 34 |
| Simple Pneumonia & Pleurisy W Cc | 61 | 142 / 21 | $22.739,90 | 1421 / 50 | $5.859,44 | 842 / 17 | $4.941,64 | 839 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 50 | 157 / 21 | $28.793,90 | 1543 / 59 | $6.407,38 | 502 / 18 | $5.209,82 | 500 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 39 | $23.026,70 | 1846 / 71 | $4.797,32 | 1137 / 17 | $4.044,03 | 1129 / 31 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 34 | $25.925,10 | 1192 / 41 | $6.941,11 | 703 / 18 | $5.972,22 | 698 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 41 | $21.408,40 | 1544 / 59 | $5.444,47 | 639 / 68 | $3.522,62 | 635 / 17 |
| G.I. Hemorrhage W Cc | 32 | 186 / 40 | $24.826,50 | 1184 / 41 | $6.339,81 | 376 / 31 | $4.779,66 | 376 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 40 | $33.028,60 | 1229 / 46 | $8.612,53 | 922 / 24 | $7.783,53 | 922 / 37 |
| Renal Failure W Cc | 30 | 191 / 42 | $17.467,40 | 726 / 22 | $5.636,50 | 644 / 5 | $4.873,83 | 638 / 16 |
| Heart Failure & Shock W Cc | 29 | 249 / 48 | $22.189,00 | 1416 / 55 | $5.946,69 | 883 / 18 | $5.194,14 | 882 / 30 |
| Heart Failure & Shock W Mcc | 28 | 256 / 51 | $27.324,10 | 927 / 25 | $8.925,50 | 760 / 28 | $8.007,57 | 760 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 29 | $22.270,70 | 1228 / 45 | $4.966,08 | 414 / 15 | $3.745,68 | 414 / 12 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 42 | $28.445,30 | 934 / 29 | $7.378,85 | 751 / 16 | $6.652,45 | 751 / 29 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 26 | $19.146,70 | 1195 / 48 | $4.484,45 | 599 / 9 | $3.404,45 | 598 / 12 |
| Cellulitis W/O Mcc | 19 | 170 / 38 | $21.446,10 | 1621 / 55 | $5.304,79 | 356 / 21 | $3.756,95 | 353 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 26 | $16.290,70 | 1128 / 43 | $3.741,47 | 507 / 15 | $2.447,21 | 503 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 33 | $58.055,30 | 1305 / 45 | $11.483,60 | 646 / 18 | $10.342,90 | 643 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 43 | $17.206,50 | 722 / 22 | $5.732,25 | 652 / 18 | $4.680,25 | 650 / 18 |
| Renal Failure W Mcc | 15 | 180 / 47 | $36.373,20 | 1118 / 46 | $9.016,33 | 700 / 15 | $8.370,00 | 700 / 24 |
| G.I. Obstruction W Cc | 14 | 78 / 23 | $22.724,70 | 842 / 25 | $5.427,14 | 310 / 7 | $4.215,71 | 309 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 29 | $33.981,60 | 578 / 13 | $9.323,21 | 194 / 6 | $8.285,50 | 194 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 42 | $13.983,60 | 833 / 31 | $4.412,62 | 631 / 18 | $3.400,92 | 629 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 33 | $29.836,90 | 945 / 25 | $7.276,92 | 608 / 10 | $6.538,46 | 605 / 18 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 19 | $21.903,90 | 373 / 5 | $6.236,23 | 455 / 7 | $5.404,23 | 454 / 16 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 38 | $20.326,30 | 924 / 35 | $4.966,46 | 645 / 11 | $4.136,92 | 641 / 15 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 13 | $22.175,50 | 377 / 10 | $5.428,82 | 180 / 5 | $4.442,64 | 180 / 8 | Total 27 procedures | 813 | 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.