Hospital Costs > In Georgia > Rockdale 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 | 16 | 75 / 17 | $23.060,60 | 430 / 7 | $7.135,00 | 810 / 33 | $6.150,38 | 808 / 36 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 32 | $30.208,40 | 448 / 9 | $9.885,73 | 207 / 18 | $8.326,55 | 207 / 9 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 8 | $19.184,20 | 269 / 6 | $5.709,00 | 597 / 21 | $4.680,62 | 593 / 23 |
| Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 11 | $21.228,00 | 430 / 14 | $7.056,78 | 556 / 31 | $4.948,67 | 552 / 25 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 7 | $13.214,00 | 93 / 4 | $4.809,82 | 210 / 9 | $3.664,91 | 210 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 25 | $18.469,30 | 898 / 27 | $6.193,73 | 1249 / 52 | $4.566,03 | 1244 / 45 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 26 | $22.405,40 | 484 / 9 | $8.209,14 | 1073 / 32 | $7.273,50 | 1070 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 26 | $13.629,50 | 816 / 29 | $4.600,47 | 1591 / 47 | $3.707,58 | 1585 / 52 |
| Cellulitis W/O Mcc | 33 | 156 / 26 | $16.644,60 | 1071 / 34 | $6.444,91 | 1690 / 61 | $4.965,30 | 1683 / 58 |
| Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 22 | $79.997,80 | 671 / 34 | $14.463,00 | 558 / 20 | $13.251,80 | 555 / 27 |
| Chest Pain | 24 | 127 / 28 | $16.741,30 | 666 / 20 | $4.882,46 | 1141 / 42 | $3.824,88 | 1134 / 43 |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 17 | $20.617,70 | 1066 / 33 | $6.910,55 | 1504 / 63 | $5.515,67 | 1498 / 59 |
| Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 26 | $21.719,20 | 878 / 26 | $8.062,54 | 1634 / 58 | $7.054,06 | 1626 / 65 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 50 | 70 / 10 | $14.366,50 | 708 / 25 | $5.538,60 | 1541 / 53 | $4.526,48 | 1530 / 55 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 41 | $31.844,00 | 605 / 26 | $7.538,75 | 1111 / 35 | $6.732,83 | 1108 / 40 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 14 | $24.560,50 | 340 / 16 | $7.335,09 | 240 / 22 | $4.815,91 | 240 / 12 |
| Diabetes W Cc | 22 | 70 / 18 | $20.249,40 | 711 / 26 | $6.193,91 | 1127 / 39 | $5.473,45 | 1123 / 43 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 12 | $23.882,20 | 436 / 14 | $6.731,08 | 595 / 19 | $5.619,42 | 592 / 21 |
| Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 5 | $26.802,90 | 44 / 2 | $11.409,30 | 116 / 5 | $10.399,30 | 116 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 17 | $22.386,90 | 311 / 10 | $8.319,43 | 812 / 34 | $7.453,33 | 807 / 37 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 25 | $18.788,10 | 1248 / 46 | $5.946,30 | 1934 / 77 | $4.658,85 | 1920 / 76 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 5 | $17.291,60 | 269 / 5 | $5.782,43 | 536 / 12 | $4.740,86 | 534 / 13 |
| G.I. Hemorrhage W Cc | 35 | 183 / 38 | $20.258,90 | 770 / 19 | $7.212,43 | 1726 / 59 | $6.415,29 | 1722 / 60 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 35 | $36.772,70 | 579 / 22 | $11.654,80 | 859 / 31 | $10.714,90 | 855 / 34 |
| G.I. Obstruction W Cc | 17 | 75 / 20 | $24.266,10 | 947 / 34 | $6.462,76 | 1156 / 38 | $5.443,41 | 1153 / 40 |
| Heart Failure & Shock W Cc | 69 | 209 / 28 | $21.066,50 | 1302 / 50 | $7.170,33 | 1835 / 70 | $6.213,68 | 1830 / 70 |
| Heart Failure & Shock W Mcc | 51 | 233 / 40 | $27.669,10 | 954 / 29 | $10.091,20 | 1672 / 60 | $9.417,04 | 1667 / 63 |
| Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 15 | $14.687,80 | 816 / 31 | $5.271,44 | 1493 / 43 | $4.419,96 | 1481 / 46 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 33 | $42.128,10 | 728 / 23 | $12.815,60 | 1278 / 47 | $11.888,40 | 1261 / 51 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 16 | $38.643,80 | 376 / 17 | $10.795,30 | 611 / 25 | $9.865,46 | 609 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 35 | 147 / 29 | $28.518,10 | 1048 / 38 | $7.488,83 | 1344 / 48 | $6.449,66 | 1341 / 49 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 17 | $23.814,80 | 824 / 25 | $5.903,29 | 1091 / 34 | $4.550,75 | 1087 / 33 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 29 | $20.160,40 | 585 / 16 | $7.920,63 | 1329 / 50 | $7.075,68 | 1325 / 52 |
| Kidney & Urinary Tract Infections W/O Mcc | 78 | 155 / 18 | $16.194,10 | 1103 / 40 | $5.794,31 | 1953 / 69 | $4.922,09 | 1942 / 71 |
| Major Cardiovasc Procedures W/O Mcc | 21 | 80 / 12 | $107.678,00 | 657 / 24 | $23.510,40 | 520 / 21 | $20.512,10 | 520 / 21 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 13 | $28.364,30 | 602 / 20 | $8.147,20 | 676 / 22 | $7.254,13 | 674 / 23 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 8 | $29.736,10 | 198 / 5 | $8.315,00 | 273 / 5 | $7.652,64 | 273 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 53 | $47.380,00 | 1157 / 33 | $13.717,70 | 1701 / 44 | $12.565,70 | 1664 / 68 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 30 | $50.083,40 | 422 / 15 | $16.240,50 | 900 / 27 | $15.246,00 | 892 / 38 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 21 | $106.706,00 | 452 / 13 | $33.692,70 | 736 / 22 | $32.778,80 | 734 / 32 |
| Medical Back Problems W/O Mcc | 13 | 108 / 19 | $24.009,80 | 780 / 24 | $6.300,77 | 1009 / 25 | $5.275,15 | 1006 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 52 | 74 / 13 | $23.206,50 | 609 / 29 | $7.703,27 | 893 / 45 | $6.780,60 | 890 / 42 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 20 | $17.431,20 | 1259 / 49 | $5.490,43 | 1881 / 64 | $4.613,69 | 1875 / 67 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 11 | $15.439,10 | 91 / 3 | $6.466,92 | 149 / 10 | $4.906,00 | 148 / 8 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 21 | $36.537,80 | 387 / 16 | $12.407,30 | 751 / 34 | $11.858,10 | 748 / 37 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 15 | $21.827,40 | 504 / 15 | $7.013,00 | 891 / 27 | $6.104,56 | 887 / 32 |
| Other Vascular Procedures W Cc | 11 | 91 / 20 | $100.365,00 | 844 / 32 | $16.109,10 | 440 / 18 | $14.589,60 | 437 / 17 |
| Other Vascular Procedures W Mcc | 29 | 68 / 12 | $78.509,80 | 360 / 15 | $20.303,10 | 392 / 14 | $19.587,80 | 390 / 18 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 14 | $15.951,50 | 222 / 5 | $6.892,60 | 770 / 25 | $6.082,33 | 767 / 29 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 39 | $24.643,90 | 708 / 20 | $10.105,10 | 518 / 64 | $6.349,91 | 518 / 17 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 18 | $27.452,20 | 746 / 24 | $7.151,21 | 940 / 27 | $6.285,86 | 937 / 32 |
| Red Blood Cell Disorders W/O Mcc | 56 | 87 / 12 | $19.743,70 | 881 / 33 | $6.175,86 | 1325 / 50 | $5.049,77 | 1316 / 51 |
| Renal Failure W Cc | 53 | 168 / 30 | $22.973,30 | 1270 / 50 | $6.952,21 | 1655 / 62 | $6.039,42 | 1646 / 63 |
| Renal Failure W Mcc | 71 | 124 / 20 | $29.476,30 | 730 / 29 | $10.285,90 | 1215 / 51 | $9.469,39 | 1215 / 53 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 18 | $39.111,90 | 749 / 25 | $12.584,90 | 945 / 42 | $11.553,30 | 935 / 43 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 16 | $45.406,60 | 493 / 11 | $14.181,60 | 840 / 23 | $13.466,20 | 832 / 31 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 20 | $110.656,00 | 318 / 17 | $29.622,60 | 251 / 8 | $28.499,60 | 251 / 10 |
| Seizures W/O Mcc | 12 | 96 / 19 | $16.640,80 | 352 / 9 | $5.709,92 | 861 / 29 | $4.929,83 | 858 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 92 | 424 / 44 | $39.850,60 | 1311 / 47 | $12.092,10 | 1418 / 64 | $10.888,70 | 1391 / 63 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 41 | $24.369,50 | 1196 / 42 | $8.513,81 | 1220 / 74 | $5.901,75 | 1215 / 54 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 32 | $21.770,10 | 1329 / 44 | $7.046,71 | 1841 / 72 | $5.918,27 | 1833 / 74 |
| Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 28 | $30.148,80 | 1041 / 36 | $9.699,90 | 1487 / 61 | $8.649,20 | 1487 / 63 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 20 | $13.737,30 | 584 / 13 | $5.213,67 | 1305 / 39 | $4.053,73 | 1298 / 44 |
| Spinal Fusion Except Cervical W/O Mcc | 37 | 157 / 27 | $146.146,00 | 1093 / 42 | $28.473,50 | 1059 / 37 | $27.364,10 | 1054 / 44 |
| Syncope & Collapse | 25 | 144 / 26 | $19.496,70 | 808 / 22 | $5.547,52 | 1225 / 39 | $4.434,08 | 1218 / 37 |
| Transient Ischemia | 24 | 101 / 21 | $20.382,60 | 687 / 21 | $5.479,58 | 1124 / 39 | $4.297,21 | 1118 / 39 | Total 66 procedures | 1.857 | 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.