Hospital Costs > In Georgia > Southern 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 | 18 | 73 / 16 | $31.096,30 | 777 / 25 | $8.306,17 | 1031 / 42 | $6.808,17 | 1029 / 44 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 19 | $37.581,70 | 726 / 19 | $11.776,70 | 1161 / 44 | $10.905,70 | 1156 / 49 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 18 | $11.974,00 | 96 / 1 | $7.047,09 | 837 / 30 | $6.144,82 | 833 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 35 | $19.619,70 | 1027 / 35 | $6.721,50 | 1686 / 59 | $5.422,00 | 1681 / 58 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 28 | $32.230,70 | 1057 / 30 | $9.077,05 | 1411 / 43 | $8.355,20 | 1408 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 32 | $14.573,80 | 937 / 36 | $5.163,62 | 1668 / 51 | $3.993,69 | 1662 / 54 |
| Cellulitis W/O Mcc | 17 | 172 / 40 | $19.945,50 | 1475 / 47 | $6.871,24 | 2102 / 67 | $5.816,18 | 2094 / 71 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 29 | $46.413,80 | 294 / 14 | $15.124,80 | 630 / 25 | $13.912,00 | 627 / 32 |
| Chest Pain | 28 | 123 / 25 | $16.445,50 | 628 / 18 | $5.279,29 | 1333 / 47 | $4.396,82 | 1326 / 50 |
| Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 30 | $20.196,50 | 1021 / 29 | $7.381,71 | 1948 / 70 | $6.523,12 | 1941 / 70 |
| Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 30 | $24.268,10 | 1067 / 38 | $8.747,60 | 1961 / 68 | $7.845,28 | 1953 / 72 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 26 | $14.452,80 | 721 / 27 | $6.137,45 | 1703 / 62 | $4.944,90 | 1692 / 61 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 21 | 72 / 12 | $35.538,10 | 95 / 4 | $14.221,30 | 576 / 23 | $13.475,30 | 570 / 25 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 37 | 151 / 26 | $29.220,90 | 478 / 14 | $8.323,73 | 1116 / 44 | $6.752,51 | 1113 / 41 |
| Diabetes W Cc | 26 | 66 / 17 | $21.427,70 | 790 / 31 | $6.674,69 | 1203 / 42 | $5.756,62 | 1198 / 46 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 7 | $17.858,40 | 138 / 4 | $7.395,79 | 399 / 12 | $6.933,57 | 399 / 13 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 13 | $17.657,50 | 214 / 2 | $7.346,09 | 726 / 22 | $6.322,27 | 723 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 22 | $28.034,30 | 568 / 17 | $8.966,60 | 1007 / 42 | $8.188,20 | 1002 / 43 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 44 | $19.888,00 | 1375 / 52 | $6.298,43 | 2244 / 82 | $5.361,14 | 2229 / 84 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 16 | $41.008,40 | 649 / 23 | $8.170,00 | 705 / 26 | $6.587,00 | 702 / 26 |
| G.I. Hemorrhage W Cc | 67 | 151 / 16 | $25.411,80 | 1233 / 42 | $7.740,39 | 1820 / 64 | $6.702,10 | 1816 / 64 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 29 | $40.326,00 | 701 / 24 | $12.362,20 | 1099 / 36 | $11.705,50 | 1091 / 41 |
| G.I. Obstruction W Cc | 11 | 81 / 26 | $21.708,60 | 770 / 17 | $7.088,45 | 1380 / 45 | $6.162,45 | 1375 / 49 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 15 | $14.733,20 | 510 / 10 | $5.613,67 | 1049 / 30 | $4.131,25 | 1046 / 31 |
| Heart Failure & Shock W Cc | 79 | 199 / 25 | $18.639,90 | 1007 / 35 | $7.749,61 | 2144 / 77 | $6.838,28 | 2138 / 78 |
| Heart Failure & Shock W Mcc | 98 | 186 / 20 | $30.189,30 | 1097 / 36 | $10.835,70 | 1853 / 71 | $9.887,72 | 1848 / 71 |
| Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 20 | $14.943,00 | 850 / 32 | $5.900,40 | 1688 / 50 | $5.028,20 | 1675 / 51 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 36 | $46.273,60 | 897 / 30 | $13.576,60 | 1403 / 53 | $12.386,70 | 1385 / 55 |
| Hiv W Major Related Condition W Mcc | 16 | 21 / 4 | $46.168,80 | 15 / 2 | $17.450,60 | 19 / 2 | $16.774,00 | 19 / 3 |
| Hypertension W/O Mcc | 14 | 51 / 8 | $17.061,90 | 303 / 10 | $5.572,93 | 617 / 15 | $4.520,21 | 615 / 18 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 26 | $104.318,00 | 544 / 12 | $33.550,20 | 613 / 23 | $30.527,20 | 607 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 82 | 100 / 10 | $33.400,80 | 1301 / 47 | $8.237,00 | 1591 / 56 | $7.170,90 | 1588 / 56 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 58 | 110 / 10 | $48.047,80 | 918 / 36 | $12.338,80 | 986 / 41 | $10.983,70 | 981 / 40 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 19 | $24.350,60 | 870 / 27 | $6.404,45 | 1318 / 42 | $5.276,50 | 1314 / 42 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 27 | $29.846,80 | 1164 / 49 | $8.784,76 | 1548 / 59 | $7.806,71 | 1544 / 60 |
| Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 37 | $19.557,20 | 1521 / 58 | $6.468,59 | 2234 / 76 | $5.535,46 | 2223 / 79 |
| Major Cardiovasc Procedures W/O Mcc | 21 | 80 / 12 | $100.145,00 | 582 / 20 | $21.795,00 | 536 / 13 | $20.678,70 | 536 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 44 | 520 / 52 | $51.601,80 | 1364 / 45 | $14.954,40 | 1532 / 68 | $12.134,00 | 1497 / 63 |
| Major Small & Large Bowel Procedures W Cc | 25 | 83 / 19 | $43.078,80 | 259 / 3 | $16.312,70 | 527 / 30 | $13.704,20 | 521 / 22 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 21 | $83.937,40 | 225 / 6 | $28.642,20 | 111 / 8 | $25.200,80 | 111 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 54 | 72 / 12 | $23.289,20 | 612 / 30 | $8.455,11 | 1171 / 51 | $7.567,83 | 1168 / 52 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 31 | $15.380,00 | 1001 / 40 | $6.088,48 | 1993 / 70 | $4.871,88 | 1985 / 70 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 13 | 64 / 10 | $44.590,30 | 217 / 7 | $13.188,20 | 27 / 9 | $6.949,92 | 27 / 1 |
| Other Circulatory System Diagnoses W Mcc | 28 | 88 / 14 | $58.779,70 | 911 / 42 | $14.572,10 | 788 / 46 | $12.015,40 | 784 / 40 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 16 | $20.224,00 | 420 / 9 | $7.347,60 | 831 / 32 | $5.873,00 | 827 / 30 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 11 | $29.034,40 | 355 / 6 | $11.086,40 | 742 / 20 | $10.481,50 | 740 / 22 |
| Other Vascular Procedures W Cc | 12 | 90 / 19 | $79.166,90 | 649 / 26 | $16.914,20 | 414 / 23 | $14.489,70 | 412 / 15 |
| Other Vascular Procedures W Mcc | 19 | 78 / 17 | $83.993,00 | 423 / 18 | $21.513,60 | 498 / 21 | $20.676,00 | 495 / 24 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 32 | $72.785,60 | 734 / 32 | $14.728,00 | 1047 / 38 | $12.836,00 | 1040 / 41 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 16 | $19.943,50 | 411 / 18 | $7.643,00 | 906 / 33 | $6.674,54 | 903 / 34 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 13 | $32.379,50 | 402 / 13 | $10.250,50 | 649 / 24 | $9.455,15 | 647 / 24 |
| Pulmonary Edema & Respiratory Failure | 84 | 119 / 10 | $31.083,90 | 1100 / 38 | $9.144,01 | 1641 / 58 | $8.244,69 | 1636 / 63 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 20 | $31.803,60 | 891 / 33 | $8.546,42 | 901 / 37 | $6.101,42 | 898 / 31 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 17 | $26.671,30 | 360 / 16 | $9.382,86 | 613 / 28 | $7.840,64 | 610 / 27 |
| Red Blood Cell Disorders W/O Mcc | 46 | 97 / 16 | $20.710,70 | 959 / 39 | $6.673,02 | 1607 / 58 | $5.872,02 | 1598 / 61 |
| Renal Failure W Cc | 70 | 151 / 22 | $24.414,30 | 1382 / 55 | $7.617,46 | 1851 / 71 | $6.540,93 | 1841 / 71 |
| Renal Failure W Mcc | 60 | 135 / 22 | $31.741,20 | 862 / 33 | $11.101,30 | 1385 / 57 | $9.908,52 | 1385 / 57 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 24 | $30.107,60 | 387 / 11 | $12.355,90 | 907 / 39 | $11.412,10 | 897 / 42 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 11 | $52.230,40 | 685 / 21 | $15.417,60 | 1090 / 33 | $14.525,10 | 1080 / 40 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 13 | $108.672,00 | 306 / 14 | $31.392,10 | 355 / 17 | $29.969,90 | 355 / 19 |
| Seizures W Mcc | 16 | 50 / 12 | $34.821,20 | 260 / 8 | $10.836,40 | 462 / 13 | $10.104,10 | 462 / 13 |
| Seizures W/O Mcc | 28 | 80 / 8 | $19.402,50 | 519 / 18 | $6.407,04 | 923 / 34 | $5.160,50 | 920 / 36 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 13 | $114.823,00 | 287 / 8 | $36.842,90 | 429 / 15 | $35.471,00 | 428 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 106 | 410 / 41 | $36.392,10 | 1115 / 35 | $12.773,00 | 1853 / 72 | $11.887,40 | 1818 / 79 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 39 | $24.435,40 | 1204 / 43 | $7.977,11 | 1661 / 69 | $6.511,79 | 1654 / 68 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 13 | $17.966,90 | 535 / 16 | $6.002,00 | 1073 / 37 | $5.266,78 | 1070 / 38 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 43 | $22.052,90 | 1356 / 47 | $7.555,29 | 2091 / 81 | $6.363,96 | 2083 / 82 |
| Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 31 | $34.828,40 | 1336 / 52 | $10.265,80 | 1672 / 69 | $9.084,46 | 1672 / 68 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 37 | $59.187,40 | 206 / 7 | $25.576,00 | 825 / 27 | $24.344,80 | 821 / 38 |
| Syncope & Collapse | 31 | 138 / 22 | $23.594,00 | 1140 / 32 | $6.396,13 | 1512 / 47 | $5.192,81 | 1505 / 47 |
| Transient Ischemia | 30 | 95 / 16 | $28.155,00 | 1115 / 39 | $6.412,93 | 1384 / 46 | $5.198,20 | 1377 / 47 | Total 71 procedures | 2.059 | 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.