Hospital Costs > In Georgia > Southeast Georgia Health System- Brunswick Campus, 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 | 241 | 323 / 16 | $38.623,50 | 680 / 22 | $16.706,40 | 2103 / 76 | $14.055,40 | 2061 / 77 |
Heart Failure & Shock W Cc | 121 | 157 / 14 | $19.792,10 | 1155 / 42 | $7.731,57 | 1973 / 76 | $6.483,61 | 1968 / 72 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 98 | 418 / 43 | $40.273,00 | 1332 / 50 | $14.685,10 | 2296 / 84 | $13.638,70 | 2255 / 86 |
Chronic Obstructive Pulmonary Disease W Mcc | 92 | 110 / 11 | $26.818,00 | 1262 / 43 | $9.021,60 | 1946 / 72 | $7.808,97 | 1938 / 71 |
Kidney & Urinary Tract Infections W/O Mcc | 85 | 148 / 14 | $15.248,40 | 974 / 31 | $5.836,53 | 1793 / 70 | $4.680,73 | 1782 / 65 |
Renal Failure W Cc | 83 | 138 / 15 | $19.479,80 | 925 / 28 | $7.485,29 | 1791 / 67 | $6.383,18 | 1781 / 69 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 77 | 111 / 9 | $22.910,20 | 194 / 3 | $8.182,23 | 1216 / 42 | $7.071,19 | 1213 / 47 |
Heart Failure & Shock W/O Cc/Mcc | 74 | 36 / 2 | $15.283,90 | 881 / 34 | $5.609,38 | 1205 / 46 | $3.978,05 | 1195 / 39 |
Heart Failure & Shock W Mcc | 69 | 215 / 32 | $28.917,40 | 1018 / 32 | $11.581,00 | 2114 / 74 | $10.827,00 | 2104 / 74 |
Chronic Obstructive Pulmonary Disease W Cc | 69 | 110 / 10 | $24.546,40 | 1423 / 56 | $7.014,71 | 1819 / 64 | $6.150,93 | 1812 / 69 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 68 | 52 / 4 | $16.044,10 | 909 / 32 | $5.471,90 | 1367 / 50 | $4.192,57 | 1356 / 48 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 29 | $14.145,70 | 635 / 20 | $5.573,22 | 1857 / 71 | $4.560,52 | 1843 / 74 |
Spinal Fusion Except Cervical W/O Mcc | 57 | 137 / 21 | $82.020,70 | 554 / 19 | $33.375,50 | 1038 / 45 | $27.023,80 | 1033 / 43 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 57 | 150 / 17 | $25.879,90 | 1324 / 50 | $8.631,72 | 2098 / 75 | $7.618,84 | 2090 / 76 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 53 | 129 / 18 | $21.164,40 | 545 / 14 | $8.177,30 | 1513 / 55 | $6.922,92 | 1510 / 54 |
Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 29 | $22.041,40 | 1353 / 46 | $7.518,60 | 2016 / 80 | $6.198,48 | 2008 / 79 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 48 | 102 / 9 | $13.595,90 | 809 / 28 | $4.380,00 | 1205 / 43 | $3.028,77 | 1200 / 44 |
Cellulitis W/O Mcc | 47 | 142 / 18 | $18.850,00 | 1344 / 43 | $6.313,51 | 1862 / 60 | $5.266,34 | 1854 / 65 |
G.I. Hemorrhage W Cc | 47 | 171 / 29 | $18.894,60 | 651 / 17 | $7.514,30 | 1828 / 60 | $6.713,64 | 1824 / 65 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 16 | $12.414,80 | 597 / 20 | $5.316,91 | 1618 / 59 | $4.212,83 | 1613 / 60 |
Red Blood Cell Disorders W/O Mcc | 45 | 98 / 17 | $20.427,10 | 931 / 37 | $6.581,62 | 1477 / 57 | $5.413,00 | 1468 / 57 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 14 | $16.088,50 | 633 / 16 | $5.901,22 | 1527 / 49 | $5.039,27 | 1522 / 51 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 44 | 58 / 4 | $15.511,50 | 290 / 6 | $5.949,61 | 995 / 35 | $4.332,95 | 991 / 31 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 42 | 51 / 3 | $14.859,90 | 720 / 16 | $6.205,62 | 1240 / 53 | $3.956,88 | 1234 / 41 |
Chest Pain | 39 | 112 / 17 | $13.077,00 | 319 / 7 | $4.613,23 | 900 / 37 | $3.397,38 | 895 / 39 |
Renal Failure W Mcc | 38 | 157 / 35 | $26.754,20 | 562 / 20 | $11.780,90 | 1665 / 63 | $10.955,50 | 1663 / 63 |
Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 38 | $35.580,90 | 1389 / 55 | $11.162,80 | 2013 / 75 | $10.187,00 | 2012 / 77 |
Syncope & Collapse | 34 | 135 / 20 | $14.402,80 | 353 / 4 | $5.426,18 | 1238 / 36 | $4.463,59 | 1231 / 38 |
Acute Myocardial Infarction, Discharged Alive W Cc | 34 | 57 / 4 | $23.966,80 | 471 / 9 | $8.175,62 | 999 / 41 | $6.699,53 | 997 / 42 |
Renal Failure W/O Cc/Mcc | 33 | 23 / 3 | $9.915,33 | 112 / 1 | $4.919,70 | 422 / 19 | $3.362,18 | 421 / 15 |
Transient Ischemia | 33 | 92 / 13 | $15.815,50 | 344 / 5 | $5.450,82 | 1053 / 38 | $4.140,73 | 1048 / 38 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 33 | 38 / 4 | $87.673,00 | 162 / 5 | $41.558,60 | 754 / 35 | $38.808,80 | 753 / 37 |
Respiratory Infections & Inflammations W Cc | 32 | 56 / 6 | $31.005,80 | 722 / 25 | $11.705,20 | 1267 / 45 | $10.164,50 | 1262 / 44 |
Cervical Spinal Fusion W/O Cc/Mcc | 32 | 72 / 13 | $39.421,50 | 184 / 7 | $17.613,10 | 681 / 37 | $14.633,50 | 678 / 34 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 32 | 99 / 15 | $37.523,80 | 263 / 5 | $17.148,50 | 1373 / 49 | $16.235,90 | 1359 / 52 |
Atherosclerosis W/O Mcc | 31 | 27 / 1 | $10.801,20 | 60 / 2 | $4.537,39 | / 11 | $3.303,65 | / |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 27 | $49.254,80 | 211 / 3 | $15.281,00 | 1219 / 42 | $14.322,90 | 1212 / 45 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 17 | $37.446,70 | 717 / 18 | $13.381,00 | 1468 / 50 | $12.584,60 | 1456 / 52 |
Signs & Symptoms W/O Mcc | 26 | 65 / 7 | $12.004,70 | 188 / 2 | $5.173,42 | 899 / 29 | $4.521,19 | 896 / 32 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 28 | $39.357,00 | 607 / 18 | $14.765,60 | 1666 / 57 | $13.793,20 | 1647 / 58 |
G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 5 | $10.444,00 | 166 / 2 | $4.546,33 | 798 / 21 | $3.437,54 | 795 / 22 |
Other Vascular Procedures W Mcc | 24 | 73 / 15 | $61.595,20 | 173 / 8 | $23.993,40 | 665 / 29 | $23.080,60 | 662 / 29 |
G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 7 | $15.612,00 | 363 / 12 | $5.207,91 | 653 / 17 | $4.207,52 | 649 / 21 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 25 | $24.040,50 | 865 / 30 | $8.463,91 | 1509 / 57 | $7.643,78 | 1505 / 59 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 29 | $16.391,70 | 214 / 6 | $8.200,04 | 1124 / 49 | $7.393,04 | 1121 / 51 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 23 | 46 / 10 | $43.063,00 | 62 / 4 | $21.346,30 | 403 / 17 | $18.770,80 | 402 / 16 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 23 | 66 / 9 | $33.449,10 | 353 / 12 | $8.171,13 | 560 / 17 | $7.015,78 | 559 / 18 |
Pulmonary Embolism W/O Mcc | 23 | 51 / 11 | $19.400,10 | 355 / 6 | $7.422,78 | 942 / 33 | $6.287,83 | 939 / 33 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 40 | $21.700,70 | 518 / 13 | $9.430,09 | 1368 / 61 | $7.522,50 | 1364 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 24 | $33.558,40 | 467 / 10 | $13.330,90 | 1270 / 42 | $12.719,00 | 1264 / 45 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 21 | 35 / 9 | $34.520,80 | 294 / 11 | $12.219,00 | 732 / 31 | $11.066,80 | 729 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 27 | $18.782,90 | 277 / 5 | $9.058,10 | 1389 / 42 | $8.248,00 | 1386 / 44 |
G.I. Hemorrhage W Mcc | 20 | 101 / 27 | $27.839,00 | 258 / 7 | $13.182,30 | 1215 / 41 | $12.329,30 | 1207 / 44 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 20 | 43 / 9 | $81.165,50 | 107 / 6 | $44.115,50 | 538 / 23 | $34.530,20 | 538 / 21 |
Seizures W/O Mcc | 20 | 88 / 13 | $18.330,60 | 452 / 15 | $6.468,50 | 490 / 35 | $4.038,85 | 487 / 20 |
Other Circulatory System O.R. Procedures | 20 | 35 / 7 | $45.434,90 | 84 / 4 | $20.481,20 | 290 / 18 | $19.467,50 | 290 / 18 |
Respiratory Neoplasms W Cc | 19 | 28 / 2 | $22.178,50 | 87 / 3 | $9.221,89 | 293 / 11 | $7.493,26 | 292 / 9 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 19 | 45 / 7 | $209.573,00 | 168 / 5 | $91.590,70 | 479 / 16 | $90.416,40 | 478 / 16 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 24 | $107.754,00 | 585 / 14 | $45.814,80 | 1391 / 42 | $45.102,60 | 1381 / 44 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 19 | 45 / 13 | $28.376,80 | 106 / 3 | $13.178,40 | 502 / 25 | $9.958,05 | 502 / 26 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 7 | $12.965,70 | 212 / 3 | $4.760,50 | 579 / 14 | $4.150,72 | 578 / 17 |
Medical Back Problems W/O Mcc | 18 | 103 / 14 | $16.430,00 | 300 / 4 | $6.347,94 | 1030 / 26 | $5.339,50 | 1027 / 33 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 4 | $16.780,10 | 197 / 4 | $5.657,83 | 628 / 20 | $4.855,94 | 624 / 24 |
Diabetes W Cc | 18 | 74 / 21 | $18.300,10 | 582 / 19 | $6.180,83 | 1145 / 38 | $5.523,44 | 1140 / 44 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 24 | $29.198,60 | 199 / 5 | $14.172,80 | 984 / 44 | $13.487,40 | 977 / 46 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 16 | $48.833,20 | 311 / 6 | $16.699,40 | 684 / 17 | $15.484,60 | 680 / 22 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 8 | $54.773,00 | 338 / 13 | $19.724,30 | 436 / 16 | $13.050,10 | 435 / 16 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 16 | $96.323,10 | 160 / 2 | $46.004,90 | 803 / 29 | $43.275,90 | 802 / 30 |
G.I. Obstruction W Cc | 15 | 77 / 22 | $13.775,00 | 213 / 2 | $6.718,20 | 1237 / 40 | $5.675,47 | 1233 / 44 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 15 | $24.797,40 | 581 / 25 | $6.510,64 | 748 / 24 | $5.705,57 | 744 / 31 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 25 | $35.236,30 | 598 / 16 | $15.109,10 | 1504 / 56 | $14.239,40 | 1488 / 56 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 27 | $50.977,50 | 441 / 16 | $21.967,30 | 1131 / 45 | $16.823,80 | 1118 / 41 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 15 | $17.379,00 | 288 / 9 | $7.240,50 | 844 / 27 | $6.373,71 | 841 / 32 |
Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 5 | $12.600,20 | 83 / 3 | $4.592,00 | 170 / 6 | $3.414,54 | 170 / 6 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 20 | $35.139,30 | 89 / 2 | $16.366,50 | 719 / 29 | $15.706,20 | 712 / 29 |
Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 17 | $51.797,30 | 66 / 1 | $25.105,30 | 781 / 24 | $24.180,40 | 780 / 27 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 5 | $23.120,80 | 64 / 1 | $9.176,69 | 465 / 12 | $8.058,23 | 464 / 14 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 21 | $73.016,40 | 147 / 4 | $39.721,10 | 860 / 33 | $34.606,20 | 858 / 34 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 6 | $30.809,30 | 124 / 4 | $11.297,30 | 410 / 9 | $10.079,90 | 410 / 9 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 12 | $16.677,80 | 129 / 4 | $7.373,58 | 574 / 19 | $6.560,67 | 574 / 22 |
Other Circulatory System Diagnoses W Cc | 12 | 54 / 11 | $16.698,40 | 114 / 4 | $7.133,42 | 454 / 14 | $6.428,58 | 453 / 17 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 7 | $61.512,30 | 131 / 4 | $23.213,00 | 268 / 7 | $18.509,20 | 266 / 8 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 11 | 21 / 5 | $54.201,50 | 73 / 4 | $20.080,30 | 131 / 7 | $19.294,40 | 131 / 7 |
Seizures W Mcc | 11 | 55 / 16 | $42.548,80 | 389 / 12 | $13.849,20 | 633 / 18 | $12.958,30 | 633 / 19 |
Other Resp System O.R. Procedures W Cc | 11 | 36 / 7 | $33.150,20 | 35 / 1 | $14.875,40 | 248 / 7 | $13.880,20 | 248 / 8 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 13 | $13.091,50 | 202 / 3 | $5.317,27 | 627 / 18 | $4.318,45 | 627 / 18 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 12 | $34.897,70 | 217 / 10 | $14.428,50 | 466 / 21 | $13.064,60 | 465 / 21 |
Major Chest Procedures W Cc | 11 | 63 / 11 | $34.090,80 | 26 / 2 | $19.504,00 | 387 / 14 | $18.403,40 | 385 / 15 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 13 | $37.944,30 | 140 / 7 | $15.918,60 | 368 / 18 | $12.056,60 | 365 / 15 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 13 | $77.791,40 | 196 / 6 | $40.096,20 | 467 / 20 | $27.275,60 | 466 / 18 |
Pulmonary Embolism W Mcc | 11 | 32 / 10 | $31.057,70 | 181 / 4 | $11.497,80 | 471 / 16 | $10.616,00 | 470 / 16 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 8 | $37.882,30 | 117 / 2 | $15.016,50 | 509 / 12 | $14.132,70 | 505 / 12 |
Major Chest Procedures W/O Cc/Mcc | 11 | 48 / 7 | $29.127,20 | 26 / 1 | $14.972,00 | 129 / 9 | $11.125,30 | 129 / 8 | Total 93 procedures | 3.096 | 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.