Hospital Costs > In Georgia > South Georgia 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 | 203 | 361 / 19 | $55.929,20 | 1543 / 52 | $13.622,20 | 344 / 43 | $10.050,90 | 343 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 139 | 377 / 28 | $39.188,20 | 1284 / 45 | $11.279,30 | 897 / 41 | $10.046,80 | 894 / 35 |
Heart Failure & Shock W Cc | 113 | 165 / 16 | $19.388,50 | 1105 / 37 | $5.883,30 | 599 / 13 | $4.985,37 | 599 / 16 |
Simple Pneumonia & Pleurisy W Cc | 94 | 109 / 7 | $25.176,20 | 1635 / 66 | $5.844,90 | 504 / 16 | $4.646,56 | 501 / 16 |
Spinal Fusion Except Cervical W/O Mcc | 92 | 102 / 8 | $79.387,20 | 516 / 17 | $24.624,10 | 263 / 21 | $20.276,60 | 262 / 11 |
Kidney & Urinary Tract Infections W/O Mcc | 92 | 141 / 13 | $18.186,30 | 1370 / 52 | $4.780,25 | 562 / 16 | $3.669,90 | 561 / 14 |
Heart Failure & Shock W Mcc | 89 | 195 / 24 | $27.003,50 | 896 / 24 | $8.599,16 | 445 / 14 | $7.614,42 | 445 / 12 |
Renal Failure W Mcc | 84 | 111 / 16 | $31.205,30 | 828 / 32 | $9.243,76 | 765 / 25 | $8.484,86 | 765 / 29 |
Renal Failure W Cc | 83 | 138 / 15 | $20.259,70 | 1004 / 34 | $6.702,59 | 1086 / 56 | $5.271,96 | 1078 / 47 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 81 | 107 / 6 | $24.371,80 | 259 / 5 | $6.412,81 | 304 / 3 | $5.147,38 | 304 / 6 |
Chronic Obstructive Pulmonary Disease W Mcc | 75 | 127 / 13 | $23.178,70 | 995 / 33 | $6.797,83 | 524 / 12 | $5.802,69 | 523 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 22 | $18.193,00 | 1161 / 40 | $4.623,36 | 583 / 15 | $3.472,47 | 581 / 15 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 71 | 49 / 3 | $18.084,60 | 1118 / 45 | $4.522,76 | 463 / 13 | $3.291,27 | 462 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 70 | 126 / 11 | $54.030,80 | 310 / 10 | $11.980,20 | 277 / 6 | $10.074,80 | 277 / 7 |
Red Blood Cell Disorders W/O Mcc | 69 | 74 / 6 | $17.139,40 | 635 / 23 | $4.845,42 | 434 / 9 | $3.907,57 | 433 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 69 | 97 / 8 | $14.809,20 | 936 / 34 | $4.319,01 | 729 / 13 | $3.473,46 | 727 / 21 |
Cellulitis W/O Mcc | 66 | 123 / 7 | $15.615,50 | 935 / 28 | $5.307,03 | 580 / 22 | $3.952,80 | 577 / 14 |
Chronic Obstructive Pulmonary Disease W Cc | 65 | 114 / 12 | $24.717,80 | 1430 / 57 | $5.766,66 | 621 / 21 | $4.650,17 | 619 / 16 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 64 | 86 / 5 | $11.702,90 | 554 / 15 | $3.599,11 | 746 / 8 | $2.627,92 | 742 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 61 | 121 / 15 | $22.226,20 | 614 / 16 | $6.467,97 | 316 / 19 | $4.997,41 | 315 / 8 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 58 | 35 / 2 | $24.332,50 | 1422 / 50 | $4.445,41 | 719 / 9 | $3.434,41 | 715 / 19 |
G.I. Hemorrhage W Cc | 53 | 165 / 26 | $24.220,00 | 1141 / 37 | $5.895,17 | 542 / 9 | $4.950,13 | 541 / 13 |
Pulmonary Edema & Respiratory Failure | 50 | 153 / 25 | $24.587,60 | 703 / 19 | $7.142,54 | 550 / 12 | $6.392,62 | 550 / 19 |
Simple Pneumonia & Pleurisy W Mcc | 49 | 156 / 29 | $34.848,60 | 1339 / 53 | $8.590,88 | 699 / 22 | $7.556,16 | 699 / 24 |
Cervical Spinal Fusion W/O Cc/Mcc | 49 | 55 / 8 | $40.362,20 | 204 / 9 | $13.404,60 | 135 / 12 | $10.641,20 | 135 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 47 | 84 / 7 | $46.569,20 | 526 / 13 | $13.238,90 | 544 / 8 | $12.565,10 | 536 / 16 |
Chest Pain | 44 | 107 / 14 | $12.554,30 | 276 / 6 | $3.822,73 | 379 / 8 | $2.793,14 | 378 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 26 | $25.852,60 | 1318 / 49 | $6.716,42 | 1227 / 37 | $5.911,42 | 1222 / 55 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 43 | 118 / 15 | $17.511,10 | 816 / 21 | $4.786,21 | 465 / 8 | $3.787,44 | 465 / 13 |
Syncope & Collapse | 41 | 128 / 16 | $15.047,80 | 395 / 6 | $4.456,27 | 474 / 7 | $3.533,32 | 472 / 9 |
Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 14 | $23.480,40 | 817 / 26 | $6.529,12 | 373 / 12 | $5.528,12 | 372 / 8 |
Diabetes W Cc | 38 | 54 / 8 | $14.424,40 | 298 / 6 | $4.905,42 | 349 / 6 | $4.082,21 | 349 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 7 | $18.527,40 | 473 / 13 | $4.589,25 | 432 / 5 | $3.546,81 | 429 / 10 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 34 | 62 / 10 | $32.951,40 | 740 / 24 | $8.814,35 | 462 / 39 | $6.549,88 | 459 / 18 |
G.I. Hemorrhage W/O Cc/Mcc | 33 | 35 / 2 | $14.073,40 | 280 / 7 | $4.588,64 | 165 / 7 | $3.107,36 | 165 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 33 | 93 / 22 | $22.819,10 | 577 / 26 | $6.387,30 | 196 / 7 | $5.529,27 | 194 / 8 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 32 | 24 / 3 | $37.662,60 | 355 / 15 | $9.124,06 | 132 / 4 | $7.877,75 | 132 / 5 |
Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 23 | $45.290,20 | 852 / 29 | $10.670,50 | 205 / 6 | $9.495,97 | 204 / 5 |
Transient Ischemia | 29 | 96 / 17 | $16.418,80 | 376 / 7 | $4.650,69 | 183 / 21 | $2.978,69 | 183 / 6 |
Major Small & Large Bowel Procedures W Cc | 29 | 79 / 16 | $46.230,10 | 315 / 7 | $15.218,70 | 224 / 18 | $12.573,00 | 222 / 4 |
G.I. Obstruction W/O Cc/Mcc | 28 | 43 / 3 | $16.618,20 | 636 / 18 | $4.215,36 | 289 / 11 | $2.679,32 | 289 / 10 |
Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 14 | $13.811,70 | 702 / 24 | $4.283,14 | 410 / 11 | $3.223,29 | 408 / 9 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 28 | 72 / 11 | $74.503,60 | 221 / 7 | $21.113,40 | 142 / 15 | $16.732,00 | 142 / 7 |
Other Circulatory System Diagnoses W Mcc | 27 | 89 / 15 | $34.076,40 | 318 / 13 | $11.747,90 | 327 / 26 | $10.089,00 | 326 / 12 |
G.I. Hemorrhage W Mcc | 25 | 96 / 24 | $36.307,50 | 559 / 21 | $10.470,30 | 484 / 17 | $9.614,80 | 485 / 21 |
Other Digestive System Diagnoses W Cc | 25 | 72 / 8 | $22.296,30 | 530 / 16 | $5.703,20 | 231 / 5 | $4.736,52 | 229 / 7 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 24 | 7 / 1 | $34.667,90 | 10 / 1 | $11.406,70 | 3 / 1 | $8.508,38 | 3 / 1 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 10 | $84.435,50 | 143 / 4 | $29.375,20 | 237 / 5 | $28.372,20 | 237 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 25 | $38.694,00 | 1280 / 38 | $7.944,35 | 854 / 24 | $6.899,30 | 851 / 26 |
Renal Failure W/O Cc/Mcc | 23 | 33 / 6 | $13.945,70 | 303 / 7 | $4.037,78 | 172 / 3 | $2.869,30 | 171 / 2 |
Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 13 | $84.001,00 | 227 / 7 | $28.109,60 | 274 / 5 | $27.146,20 | 272 / 10 |
G.I. Obstruction W Cc | 23 | 69 / 15 | $22.684,00 | 836 / 24 | $5.447,43 | 331 / 8 | $4.248,13 | 330 / 11 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 22 | $122.890,00 | 770 / 24 | $37.955,30 | 1088 / 33 | $36.807,20 | 1081 / 38 |
Pulmonary Embolism W/O Mcc | 21 | 53 / 13 | $22.441,00 | 516 / 13 | $5.780,29 | 296 / 6 | $4.796,95 | 296 / 10 |
Bronchitis & Asthma W/O Cc/Mcc | 20 | 25 / 2 | $13.260,80 | 96 / 5 | $4.570,50 | 71 / 5 | $2.739,85 | 71 / 1 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 15 | $22.735,10 | 408 / 6 | $6.526,26 | 244 / 18 | $5.039,89 | 244 / 10 |
Signs & Symptoms W/O Mcc | 19 | 72 / 12 | $18.794,20 | 587 / 23 | $4.244,58 | 242 / 8 | $3.288,89 | 241 / 8 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 19 | 69 / 12 | $81.739,60 | 148 / 2 | $22.668,50 | 98 / 5 | $18.740,80 | 98 / 2 |
Diabetes W Mcc | 18 | 39 / 10 | $34.321,30 | 365 / 16 | $9.920,78 | 188 / 19 | $7.500,22 | 188 / 8 |
Medical Back Problems W/O Mcc | 18 | 103 / 14 | $17.879,00 | 384 / 7 | $5.097,44 | 307 / 6 | $3.964,67 | 307 / 9 |
Other Vascular Procedures W Mcc | 18 | 79 / 18 | $57.268,20 | 133 / 5 | $17.587,30 | 86 / 5 | $16.817,40 | 86 / 5 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 13 | $24.753,30 | 300 / 8 | $7.250,28 | 65 / 5 | $5.920,50 | 65 / 2 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 17 | 51 / 8 | $24.866,50 | 354 / 19 | $7.310,59 | 463 / 21 | $5.768,47 | 463 / 21 |
Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 11 | $45.217,80 | 141 / 4 | $14.706,10 | 133 / 3 | $13.566,50 | 133 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 26 | $39.130,90 | 776 / 22 | $10.127,60 | 592 / 23 | $9.204,18 | 591 / 28 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 11 | $25.839,40 | 238 / 6 | $8.257,00 | 231 / 7 | $7.418,38 | 230 / 10 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 13 | $25.823,90 | 668 / 26 | $6.326,69 | 600 / 17 | $5.562,44 | 597 / 20 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 16 | 50 / 10 | $33.754,90 | 94 / 4 | $12.115,30 | 37 / 7 | $8.715,12 | 37 / 2 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 16 | $26.474,80 | 76 / 1 | $9.156,31 | 226 / 4 | $8.172,75 | 226 / 10 |
Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 13 | $15.468,60 | 211 / 7 | $5.201,12 | 281 / 4 | $4.293,25 | 278 / 9 |
Peripheral Vascular Disorders W/O Cc/Mcc | 16 | 29 / 3 | $13.972,20 | 112 / 6 | $4.230,38 | 41 / 2 | $2.874,31 | 41 / 2 |
Other Kidney & Urinary Tract Procedures W Mcc | 15 | 23 / 5 | $68.250,30 | 71 / 7 | $20.730,10 | 104 / 9 | $19.988,50 | 103 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 29 | $25.582,90 | 221 / 5 | $9.602,40 | 191 / 5 | $8.471,60 | 190 / 6 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 18 | $38.372,00 | 132 / 8 | $11.551,90 | 153 / 2 | $10.821,60 | 150 / 3 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 9 | $20.260,90 | 199 / 10 | $5.615,14 | 146 / 2 | $4.894,86 | 145 / 7 |
Seizures W/O Mcc | 14 | 94 / 17 | $21.314,70 | 619 / 24 | $4.634,57 | 223 / 7 | $3.599,64 | 222 / 10 |
Seizures W Mcc | 14 | 52 / 14 | $33.714,20 | 238 / 7 | $8.716,00 | 143 / 2 | $8.017,50 | 143 / 3 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 10 | $29.042,70 | 598 / 22 | $8.245,57 | 108 / 24 | $4.192,36 | 108 / 3 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 3 | $19.058,50 | 233 / 6 | $4.060,79 | 117 / 1 | $3.018,86 | 117 / 2 |
Coronary Bypass W Cardiac Cath W/O Mcc | 14 | 62 / 12 | $123.254,00 | 243 / 6 | $29.856,10 | 402 / 9 | $28.892,00 | 402 / 14 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 18 | $97.264,10 | 163 / 3 | $30.975,20 | 106 / 1 | $30.105,40 | 106 / 3 |
Hypertension W/O Mcc | 13 | 52 / 9 | $10.818,80 | 79 / 1 | $3.919,62 | 156 / 4 | $2.802,15 | 155 / 5 |
Headaches W/O Mcc | 13 | 30 / 1 | $13.907,50 | 35 / 1 | $6.499,08 | 22 / 3 | $2.781,08 | 22 / 1 |
Peripheral Vascular Disorders W Mcc | 13 | 36 / 8 | $22.245,80 | 82 / 2 | $7.754,08 | 72 / 2 | $6.815,69 | 72 / 3 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 26 | $44.798,50 | 928 / 39 | $13.495,90 | 1299 / 51 | $12.929,00 | 1284 / 54 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 5 | $30.464,60 | 163 / 5 | $7.902,15 | 57 / 8 | $5.369,46 | 57 / 2 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 18 | $62.253,20 | 504 / 11 | $12.255,60 | 216 / 3 | $11.142,80 | 214 / 8 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 16 | $39.583,40 | 622 / 16 | $9.191,33 | 380 / 7 | $8.682,00 | 380 / 11 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 11 | $29.254,40 | 127 / 4 | $10.034,80 | 71 / 1 | $9.524,83 | 71 / 3 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 12 | $16.189,30 | 116 / 3 | $5.792,17 | 270 / 4 | $5.191,17 | 270 / 9 |
Respiratory Neoplasms W Cc | 12 | 35 / 6 | $19.962,80 | 63 / 2 | $6.762,67 | 93 / 3 | $6.010,00 | 92 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 13 | $35.914,20 | 183 / 3 | $12.519,80 | 6 / 21 | $6.782,67 | 6 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 8 | $18.104,90 | 144 / 5 | $5.416,08 | 59 / 1 | $4.501,50 | 59 / 1 |
Other Vascular Procedures W Cc | 12 | 90 / 19 | $62.579,70 | 409 / 15 | $16.941,00 | 669 / 24 | $16.134,10 | 666 / 30 |
Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 9 | $23.273,80 | 27 / 1 | $9.477,75 | 109 / 4 | $8.562,92 | 108 / 4 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 7 | $13.213,60 | 133 / 2 | $4.617,75 | 170 / 3 | $3.527,17 | 170 / 3 |
Diabetes W/O Cc/Mcc | 12 | 26 / 4 | $13.357,50 | 94 / 3 | $3.675,25 | 54 / 1 | $2.763,00 | 54 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 15 | $20.397,80 | 299 / 6 | $6.769,67 | 193 / 2 | $5.880,00 | 193 / 4 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 11 | $41.685,50 | 172 / 5 | $12.665,70 | 213 / 5 | $11.408,20 | 212 / 5 |
Cervical Spinal Fusion W Cc | 11 | 42 / 9 | $54.702,10 | 102 / 4 | $15.784,50 | 52 / 4 | $14.575,80 | 52 / 4 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 19 | $21.916,70 | 200 / 2 | $6.108,91 | 265 / 5 | $5.121,45 | 265 / 8 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 14 | $14.559,50 | 280 / 4 | $3.987,00 | 189 / 3 | $3.102,82 | 188 / 5 | Total 102 procedures | 3.599 | 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.