Hospital Costs > In Georgia > Southeast Georgia Health System- Camden 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 | 29 | 535 / 59 | $35.294,30 | 480 / 17 | $22.451,60 | 2641 / 81 | $21.286,30 | 2595 / 82 |
Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 45 | $20.041,40 | 1138 / 36 | $10.105,90 | 2691 / 87 | $9.222,95 | 2682 / 88 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 36 | $13.539,70 | 763 / 28 | $7.270,74 | 2339 / 73 | $6.317,47 | 2330 / 74 |
Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 56 | $9.747,14 | 271 / 7 | $8.048,57 | 2562 / 82 | $7.186,86 | 2551 / 82 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 51 | $21.588,80 | 866 / 24 | $12.742,60 | 2435 / 79 | $10.629,30 | 2427 / 79 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 12 | 504 / 74 | $25.582,20 | 565 / 21 | $19.264,20 | 2732 / 91 | $18.658,80 | 2687 / 91 |
G.I. Obstruction W Cc | 12 | 80 / 25 | $17.465,80 | 467 / 8 | $11.288,40 | 1258 / 56 | $5.738,75 | 1254 / 45 |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 47 | $21.152,60 | 1126 / 37 | $9.783,25 | 2327 / 76 | $8.876,58 | 2320 / 76 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 35 | $14.773,70 | 754 / 28 | $7.463,18 | 1983 / 63 | $6.578,82 | 1972 / 63 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 57 | $18.211,00 | 1165 / 41 | $7.741,55 | 2547 / 85 | $6.863,00 | 2532 / 88 | Total 10 procedures | 154 | 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.