Hospital Costs > In Georgia > Redmond Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 8 | $45.399,70 | 1121 / 42 | $6.315,04 | 70 / 10 | $4.591,69 | 70 / 1 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 64 | 61 / 4 | $48.364,40 | 1095 / 35 | $9.763,44 | 268 / 15 | $8.465,09 | 268 / 12 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 9 | $32.982,40 | 633 / 19 | $4.172,00 | 50 / 1 | $3.068,00 | 50 / 1 |
Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 3 | $64.387,70 | 139 / 3 | $9.413,58 | 6 / 1 | $8.306,92 | 6 / 1 |
Atherosclerosis W/O Mcc | 21 | 37 / 3 | $20.964,60 | 334 / 10 | $3.432,29 | / 2 | $2.366,52 | / |
Cardiac Arrhythmia & Conduction Disorders W Cc | 43 | 118 / 15 | $24.224,30 | 1365 / 49 | $4.395,67 | 64 / 2 | $3.204,84 | 64 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 47 | 76 / 9 | $29.216,40 | 916 / 23 | $6.806,06 | 137 / 3 | $5.719,77 | 137 / 1 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 42 | 108 / 13 | $15.931,60 | 1093 / 41 | $3.131,31 | 159 / 1 | $2.054,90 | 159 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 16 | 102 / 11 | $207.869,00 | 425 / 13 | $30.151,60 | 138 / 2 | $29.469,60 | 138 / 5 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 20 | 96 / 8 | $240.581,00 | 291 / 9 | $43.574,30 | 25 / 2 | $40.418,60 | 25 / 1 |
Cellulitis W/O Mcc | 36 | 153 / 23 | $22.000,70 | 1659 / 57 | $4.700,75 | 90 / 1 | $3.375,14 | 90 / 2 |
Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 17 | $55.147,20 | 411 / 21 | $13.021,10 | 82 / 9 | $10.260,80 | 82 / 3 |
Chest Pain | 82 | 69 / 2 | $23.212,80 | 1126 / 37 | $3.433,12 | 43 / 2 | $2.199,84 | 43 / 1 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 29 | $28.201,90 | 1633 / 67 | $5.071,63 | 114 / 1 | $4.035,74 | 114 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 66 | 136 / 17 | $29.867,40 | 1469 / 56 | $6.984,50 | 90 / 21 | $5.121,74 | 90 / 1 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 62 | 33 / 2 | $54.913,90 | 403 / 21 | $11.498,70 | 83 / 1 | $10.318,80 | 82 / 1 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 198 | 22 / 2 | $42.037,60 | 1005 / 39 | $6.159,36 | 98 / 2 | $4.733,95 | 98 / 1 |
Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 9 | $217.441,00 | 272 / 10 | $41.971,60 | 8 / 3 | $31.142,50 | 8 / 1 |
Coronary Bypass W Cardiac Cath W/O Mcc | 32 | 44 / 6 | $197.568,00 | 492 / 15 | $26.745,20 | 236 / 3 | $25.687,20 | 236 / 7 |
Coronary Bypass W/O Cardiac Cath W Mcc | 20 | 39 / 6 | $213.395,00 | 180 / 10 | $34.404,50 | 44 / 4 | $30.610,80 | 44 / 1 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 36 | 52 / 6 | $159.959,00 | 492 / 17 | $22.752,90 | 117 / 6 | $19.007,40 | 116 / 3 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 12 | $25.893,80 | 413 / 14 | $5.427,75 | 85 / 1 | $4.447,75 | 85 / 2 |
Diabetes W Cc | 20 | 72 / 20 | $21.893,70 | 812 / 33 | $5.224,90 | 11 / 12 | $3.120,05 | 11 / 2 |
Diabetes W Mcc | 11 | 46 / 15 | $25.512,80 | 185 / 4 | $7.614,55 | 79 / 1 | $6.846,55 | 79 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 15 | 61 / 7 | $42.645,70 | 238 / 12 | $10.207,70 | 38 / 2 | $9.103,00 | 38 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 23 | 38 / 2 | $28.940,00 | 592 / 21 | $5.055,04 | 78 / 1 | $4.057,48 | 78 / 2 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 12 | $406.919,00 | 182 / 7 | $89.702,50 | 79 / 2 | $88.820,90 | 79 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 21 | $33.333,60 | 755 / 27 | $7.199,44 | 12 / 8 | $5.109,62 | 12 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 90 | 185 / 15 | $27.292,50 | 2022 / 80 | $4.323,08 | 95 / 4 | $2.933,10 | 95 / 1 |
Extracranial Procedures W Cc | 15 | 31 / 6 | $43.184,90 | 182 / 4 | $8.488,67 | 20 / 1 | $7.238,33 | 20 / 1 |
Extracranial Procedures W/O Cc/Mcc | 41 | 57 / 5 | $32.500,80 | 492 / 14 | $6.062,02 | 84 / 3 | $4.597,90 | 84 / 3 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 11 | $23.762,50 | 622 / 20 | $3.817,46 | 59 / 1 | $2.795,92 | 59 / 2 |
G.I. Hemorrhage W Cc | 65 | 153 / 17 | $27.241,10 | 1385 / 49 | $5.476,92 | 176 / 1 | $4.527,43 | 176 / 3 |
G.I. Hemorrhage W Mcc | 32 | 89 / 17 | $35.808,10 | 543 / 20 | $9.541,78 | 145 / 1 | $8.673,78 | 145 / 2 |
G.I. Obstruction W Cc | 19 | 73 / 18 | $28.165,20 | 1128 / 39 | $4.885,79 | 125 / 2 | $3.871,89 | 124 / 4 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 12 | $22.126,30 | 915 / 30 | $3.342,60 | 176 / 1 | $2.499,00 | 176 / 3 |
Heart Failure & Shock W Cc | 101 | 177 / 18 | $26.419,10 | 1773 / 68 | $5.513,74 | 135 / 2 | $4.420,03 | 135 / 1 |
Heart Failure & Shock W Mcc | 183 | 101 / 6 | $35.144,80 | 1404 / 51 | $8.474,85 | 200 / 11 | $7.237,22 | 200 / 1 |
Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 17 | $26.410,50 | 1608 / 51 | $5.085,62 | 777 / 41 | $3.534,21 | 773 / 20 |
Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 18 | $62.722,20 | 1422 / 52 | $10.597,40 | 215 / 5 | $9.518,95 | 214 / 6 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 10 | $98.217,60 | 682 / 21 | $16.961,80 | 219 / 6 | $15.995,40 | 218 / 8 |
Hypertension W/O Mcc | 17 | 48 / 6 | $23.244,90 | 500 / 13 | $3.489,41 | 21 / 1 | $2.230,35 | 21 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 12 | $153.100,00 | 1041 / 33 | $38.645,10 | 109 / 34 | $25.780,40 | 109 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 62 | 120 / 14 | $34.382,70 | 1335 / 48 | $5.778,44 | 125 / 3 | $4.649,82 | 125 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 50 | 118 / 11 | $49.880,10 | 961 / 37 | $9.600,46 | 271 / 4 | $8.707,68 | 270 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 24 | $25.376,10 | 921 / 30 | $4.220,27 | 31 / 2 | $2.772,80 | 31 / 1 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 28 | $29.191,20 | 1142 / 47 | $6.090,90 | 162 / 1 | $5.185,30 | 162 / 1 |
Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 31 | $25.363,00 | 1988 / 74 | $4.305,94 | 105 / 3 | $3.121,60 | 105 / 2 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 7 | $56.784,90 | 376 / 8 | $8.308,09 | 90 / 1 | $7.106,64 | 90 / 1 |
Major Cardiovasc Procedures W/O Mcc | 42 | 59 / 5 | $102.617,00 | 605 / 21 | $18.729,20 | 81 / 4 | $16.778,80 | 81 / 4 |
Major Chest Procedures W Cc | 19 | 55 / 8 | $64.563,70 | 230 / 9 | $14.894,90 | 12 / 2 | $11.457,40 | 12 / 1 |
Major Chest Procedures W Mcc | 17 | 32 / 4 | $103.086,00 | 102 / 3 | $28.224,50 | 9 / 1 | $22.691,50 | 9 / 1 |
Major Chest Procedures W/O Cc/Mcc | 16 | 43 / 6 | $48.843,10 | 113 / 6 | $9.883,50 | 28 / 1 | $8.753,50 | 28 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 12 | $137.797,00 | 810 / 24 | $20.338,30 | 270 / 21 | $17.373,10 | 268 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 181 | 383 / 26 | $73.927,10 | 2092 / 71 | $12.851,90 | 320 / 27 | $10.009,10 | 319 / 11 |
Major Small & Large Bowel Procedures W Cc | 20 | 88 / 22 | $48.054,60 | 357 / 12 | $12.922,80 | 117 / 1 | $12.018,80 | 117 / 2 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 20 | $124.053,00 | 603 / 21 | $28.926,40 | 146 / 10 | $25.728,40 | 146 / 6 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 18 | $36.470,50 | 240 / 10 | $8.957,85 | 193 / 1 | $8.029,85 | 193 / 8 |
Medical Back Problems W/O Mcc | 16 | 105 / 16 | $24.309,90 | 793 / 26 | $4.344,69 | 102 / 1 | $3.534,12 | 102 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 34 | 92 / 21 | $25.817,70 | 755 / 36 | $6.306,06 | 95 / 4 | $5.263,74 | 94 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 32 | $21.055,00 | 1647 / 63 | $3.816,04 | 73 / 2 | $2.767,00 | 73 / 1 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 26 | $47.552,80 | 686 / 31 | $10.644,70 | 33 / 5 | $8.615,57 | 33 / 2 |
Other Circulatory System O.R. Procedures | 16 | 39 / 10 | $59.762,00 | 157 / 6 | $14.826,60 | 60 / 2 | $14.224,60 | 60 / 4 |
Other Digestive System Diagnoses W Cc | 31 | 66 / 5 | $28.017,60 | 797 / 26 | $5.549,35 | 32 / 4 | $4.123,03 | 32 / 1 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 12 | $31.931,80 | 192 / 7 | $9.114,75 | 63 / 2 | $8.512,08 | 63 / 3 |
Other Resp System O.R. Procedures W Mcc | 15 | 48 / 10 | $95.664,90 | 320 / 17 | $20.009,20 | 104 / 1 | $19.184,70 | 104 / 4 |
Other Vascular Procedures W Cc | 23 | 79 / 11 | $61.562,30 | 389 / 12 | $13.853,20 | 125 / 3 | $12.907,10 | 125 / 6 |
Other Vascular Procedures W Mcc | 17 | 80 / 19 | $67.618,20 | 232 / 11 | $17.317,50 | 51 / 4 | $16.393,30 | 51 / 4 |
Other Vascular Procedures W/O Cc/Mcc | 24 | 32 / 4 | $46.409,30 | 251 / 7 | $9.045,92 | 18 / 1 | $7.619,83 | 18 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 68 | 33 / 3 | $100.958,00 | 501 / 20 | $17.830,70 | 87 / 3 | $16.210,20 | 87 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 131 | 67 / 2 | $77.610,50 | 827 / 36 | $12.916,30 | 78 / 20 | $9.260,56 | 78 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 17 | 28 / 3 | $86.651,50 | 122 / 6 | $17.043,50 | 8 / 2 | $14.272,30 | 8 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 6 | $66.199,20 | 322 / 15 | $10.047,80 | 102 / 3 | $9.002,47 | 102 / 2 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 33 | 62 / 4 | $91.159,50 | 415 / 12 | $11.271,00 | 36 / 2 | $9.267,61 | 35 / 1 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 15 | $23.165,10 | 547 / 22 | $5.514,14 | 11 / 5 | $3.731,57 | 11 / 1 |
Peripheral Vascular Disorders W Mcc | 14 | 35 / 7 | $31.122,70 | 225 / 10 | $7.242,71 | 25 / 1 | $6.266,43 | 25 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 9 | $65.930,30 | 428 / 15 | $15.371,90 | 41 / 6 | $12.810,30 | 41 / 1 |
Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 7 | $79.255,80 | 199 / 6 | $20.624,50 | 110 / 1 | $19.603,00 | 110 / 2 |
Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 9 | $39.480,90 | 568 / 18 | $7.484,15 | 77 / 1 | $6.698,55 | 77 / 3 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 20 | 41 / 5 | $19.730,60 | 505 / 17 | $3.447,75 | 29 / 1 | $2.540,55 | 29 / 2 |
Pulmonary Edema & Respiratory Failure | 71 | 132 / 15 | $34.246,10 | 1258 / 47 | $6.714,79 | 139 / 2 | $5.780,93 | 139 / 3 |
Pulmonary Embolism W Mcc | 14 | 29 / 8 | $47.326,90 | 395 / 14 | $8.301,50 | 76 / 1 | $7.526,64 | 76 / 1 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 21 | $29.585,90 | 821 / 27 | $5.453,45 | 195 / 2 | $4.583,64 | 195 / 7 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 33 | $22.567,70 | 1104 / 46 | $4.405,84 | 147 / 2 | $3.514,89 | 147 / 2 |
Renal Failure W Cc | 102 | 119 / 8 | $27.092,50 | 1552 / 61 | $5.570,37 | 87 / 4 | $4.147,70 | 87 / 1 |
Renal Failure W Mcc | 86 | 109 / 15 | $42.364,40 | 1361 / 53 | $9.274,63 | 110 / 27 | $7.256,84 | 110 / 1 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 17 | $41.118,50 | 986 / 35 | $8.153,20 | 98 / 12 | $6.462,87 | 98 / 1 |
Respiratory Infections & Inflammations W Mcc | 36 | 100 / 10 | $39.905,40 | 782 / 29 | $10.008,20 | 74 / 2 | $9.260,81 | 74 / 2 |
Respiratory Neoplasms W Mcc | 15 | 37 / 6 | $37.538,30 | 218 / 7 | $9.278,53 | 2 / 1 | $7.085,47 | 2 / 1 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 35 | 96 / 13 | $71.938,20 | 1173 / 42 | $12.615,10 | 321 / 5 | $11.941,20 | 317 / 10 |
Seizures W/O Mcc | 12 | 96 / 19 | $27.131,70 | 852 / 33 | $4.224,33 | 8 / 2 | $2.748,00 | 8 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 279 | 239 / 10 | $52.335,00 | 1866 / 72 | $10.594,80 | 420 / 15 | $9.377,43 | 420 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 25 | $33.886,40 | 1809 / 72 | $5.937,05 | 167 / 6 | $4.795,82 | 167 / 3 |
Signs & Symptoms W/O Mcc | 16 | 75 / 15 | $21.156,40 | 708 / 29 | $3.641,50 | 69 / 1 | $2.885,50 | 69 / 3 |
Simple Pneumonia & Pleurisy W Cc | 72 | 131 / 16 | $26.603,90 | 1743 / 69 | $5.407,44 | 131 / 2 | $4.194,38 | 131 / 3 |
Simple Pneumonia & Pleurisy W Mcc | 80 | 125 / 13 | $36.936,70 | 1447 / 58 | $8.239,34 | 241 / 11 | $6.914,96 | 241 / 3 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 17 | $22.928,80 | 1352 / 46 | $3.867,16 | 133 / 2 | $2.787,58 | 132 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 37 | 157 / 27 | $88.619,40 | 619 / 21 | $22.979,00 | 271 / 6 | $20.333,20 | 270 / 12 |
Syncope & Collapse | 43 | 126 / 14 | $27.468,50 | 1330 / 40 | $3.989,37 | 169 / 2 | $3.116,44 | 168 / 3 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 13 | $282.547,00 | 302 / 9 | $57.190,10 | 157 / 2 | $56.136,70 | 157 / 5 |
Transient Ischemia | 23 | 102 / 22 | $31.104,10 | 1217 / 42 | $3.993,04 | 38 / 3 | $2.620,39 | 38 / 1 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 12 | 39 / 6 | $30.562,60 | 41 / 2 | $10.860,70 | 27 / 1 | $10.058,00 | 27 / 1 | Total 102 procedures | 3.900 | 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.