Hospital Costs > In Georgia > Spalding Regional Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 105 | 411 / 42 | $69.447,20 | 2272 / 83 | $11.339,40 | 1211 / 45 | $10.495,40 | 1192 / 53 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 87 | 477 / 40 | $53.117,90 | 1426 / 49 | $12.855,50 | 1203 / 28 | $11.393,90 | 1174 / 53 |
Kidney & Urinary Tract Infections W/O Mcc | 84 | 149 / 15 | $29.379,80 | 2189 / 80 | $5.095,63 | 1312 / 43 | $4.178,30 | 1303 / 50 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 82 | 193 / 18 | $27.618,40 | 2043 / 81 | $5.023,65 | 1244 / 41 | $3.922,41 | 1233 / 50 |
Simple Pneumonia & Pleurisy W Cc | 81 | 122 / 13 | $38.476,90 | 2285 / 83 | $6.389,75 | 1425 / 52 | $5.444,49 | 1419 / 59 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 80 | 40 / 1 | $25.870,20 | 1572 / 56 | $4.802,99 | 1038 / 25 | $3.772,20 | 1029 / 31 |
Pulmonary Edema & Respiratory Failure | 76 | 127 / 12 | $47.410,70 | 1702 / 64 | $8.068,93 | 1057 / 44 | $7.032,03 | 1055 / 46 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 70 | 96 / 7 | $25.809,80 | 1928 / 70 | $5.025,11 | 1218 / 52 | $3.824,04 | 1214 / 47 |
Heart Failure & Shock W Cc | 62 | 216 / 32 | $29.099,70 | 1913 / 70 | $6.483,13 | 1180 / 53 | $5.433,16 | 1177 / 51 |
Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 25 | $60.748,30 | 2107 / 76 | $8.748,40 | 1106 / 30 | $7.997,56 | 1106 / 46 |
Heart Failure & Shock W/O Cc/Mcc | 52 | 58 / 6 | $23.830,10 | 1501 / 49 | $4.533,02 | 935 / 27 | $3.673,33 | 928 / 27 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 27 | $42.041,90 | 1989 / 72 | $7.439,02 | 1194 / 41 | $6.455,71 | 1188 / 50 |
Cellulitis W/O Mcc | 50 | 139 / 15 | $26.372,60 | 1955 / 68 | $5.989,88 | 976 / 54 | $4.252,90 | 970 / 26 |
Chronic Obstructive Pulmonary Disease W Cc | 47 | 132 / 20 | $33.924,20 | 1881 / 71 | $6.640,92 | 792 / 61 | $4.790,38 | 790 / 31 |
Renal Failure W Cc | 47 | 174 / 33 | $31.070,80 | 1755 / 68 | $6.084,72 | 908 / 34 | $5.090,11 | 900 / 33 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 11 | $17.782,20 | 1252 / 47 | $3.901,63 | 970 / 24 | $2.798,33 | 965 / 33 |
G.I. Hemorrhage W Cc | 45 | 173 / 31 | $26.672,80 | 1336 / 48 | $6.660,20 | 833 / 45 | $5.203,76 | 831 / 28 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 42 | 154 / 20 | $86.846,00 | 1002 / 38 | $12.346,60 | 690 / 11 | $11.198,40 | 686 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 41 | 120 / 17 | $28.216,00 | 1553 / 55 | $5.232,76 | 1021 / 31 | $4.321,15 | 1017 / 37 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 40 | 53 / 4 | $25.912,80 | 1499 / 51 | $5.426,75 | 469 / 45 | $3.210,38 | 467 / 10 |
Transient Ischemia | 40 | 85 / 9 | $26.652,00 | 1037 / 36 | $5.286,27 | 518 / 36 | $3.394,50 | 516 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 29 | $37.713,40 | 1956 / 73 | $6.782,36 | 1190 / 44 | $5.862,15 | 1185 / 51 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 38 | 150 / 25 | $46.326,20 | 1106 / 45 | $7.351,55 | 558 / 32 | $5.531,47 | 556 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 27 | $33.358,00 | 1298 / 45 | $6.702,45 | 834 / 28 | $5.590,87 | 832 / 38 |
Red Blood Cell Disorders W/O Mcc | 37 | 106 / 22 | $24.966,90 | 1253 / 54 | $5.299,14 | 907 / 30 | $4.416,11 | 902 / 35 |
Heart Failure & Shock W Mcc | 36 | 248 / 47 | $57.294,80 | 2153 / 75 | $9.897,03 | 1464 / 58 | $8.975,08 | 1460 / 59 |
Syncope & Collapse | 30 | 139 / 23 | $26.745,80 | 1305 / 36 | $4.872,67 | 819 / 21 | $3.870,00 | 815 / 21 |
Diabetes W Cc | 27 | 65 / 16 | $23.333,50 | 911 / 42 | $5.450,15 | 743 / 27 | $4.599,19 | 741 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 14 | $31.817,90 | 1159 / 41 | $5.271,70 | 751 / 25 | $3.934,15 | 747 / 22 |
Chest Pain | 27 | 124 / 26 | $26.124,20 | 1254 / 45 | $4.172,74 | 668 / 22 | $3.101,33 | 664 / 25 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 24 | 32 / 7 | $43.378,20 | 470 / 23 | $10.019,30 | 439 / 21 | $8.960,67 | 437 / 24 |
Renal Failure W Mcc | 23 | 172 / 41 | $36.657,90 | 1133 / 47 | $9.162,70 | 911 / 19 | $8.741,13 | 911 / 41 |
G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 7 | $24.214,90 | 690 / 22 | $4.709,57 | 425 / 9 | $3.607,65 | 421 / 11 |
Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 12 | $48.458,60 | 1162 / 43 | $6.656,82 | 688 / 22 | $5.837,91 | 686 / 32 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 23 | $76.779,10 | 1262 / 46 | $13.820,90 | 633 / 14 | $12.774,70 | 625 / 24 |
Other Vascular Procedures W/O Cc/Mcc | 22 | 34 / 5 | $70.765,40 | 444 / 14 | $10.418,40 | 249 / 8 | $9.429,27 | 248 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 32 | $39.392,10 | 1292 / 52 | $7.550,20 | 870 / 41 | $6.732,60 | 867 / 40 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 25 | $66.938,20 | 1421 / 51 | $9.303,95 | 245 / 5 | $8.416,37 | 245 / 10 |
Other Digestive System Diagnoses W Cc | 19 | 78 / 13 | $36.522,30 | 1058 / 36 | $6.245,84 | 560 / 17 | $5.310,26 | 557 / 21 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 25 | $187.624,00 | 1208 / 39 | $31.317,90 | 419 / 16 | $28.803,20 | 417 / 17 |
Signs & Symptoms W/O Mcc | 18 | 73 / 13 | $30.843,20 | 1051 / 39 | $4.682,78 | 573 / 17 | $3.806,33 | 572 / 21 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $25.723,70 | 668 / 20 | $4.360,88 | 339 / 9 | $3.436,65 | 338 / 10 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 11 | $19.267,20 | 532 / 19 | $4.299,94 | 313 / 11 | $3.167,94 | 312 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 34 | $53.121,40 | 1152 / 41 | $11.724,40 | 750 / 31 | $10.520,40 | 743 / 26 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 3 | $37.601,90 | 297 / 9 | $8.805,50 | 28 / 6 | $5.505,00 | 28 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 33 | $80.958,80 | 537 / 18 | $23.486,40 | 569 / 11 | $22.282,40 | 566 / 28 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 5 | $37.292,90 | 693 / 22 | $5.043,75 | 395 / 15 | $3.987,75 | 392 / 17 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 24 | $41.672,30 | 527 / 24 | $11.486,10 | 623 / 18 | $11.220,10 | 621 / 31 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 17 | $214.909,00 | 789 / 38 | $32.870,90 | 486 / 24 | $32.226,60 | 485 / 30 |
G.I. Obstruction W Cc | 15 | 77 / 22 | $29.291,60 | 1174 / 41 | $6.398,80 | 142 / 36 | $3.926,20 | 141 / 6 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 17 | $43.035,70 | 1021 / 39 | $11.363,30 | 325 / 42 | $7.019,07 | 322 / 11 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 11 | $26.790,60 | 401 / 21 | $6.171,43 | 121 / 12 | $4.288,79 | 121 / 4 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 13 | $18.500,90 | 751 / 22 | $4.522,57 | 523 / 19 | $2.997,50 | 522 / 14 |
Other Vascular Procedures W Cc | 14 | 88 / 17 | $110.363,00 | 918 / 34 | $15.424,10 | 436 / 11 | $14.567,10 | 433 / 16 |
Other Vascular Procedures W Mcc | 13 | 84 / 22 | $107.932,00 | 648 / 30 | $18.632,80 | 204 / 10 | $17.983,10 | 204 / 11 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 17 | $33.505,00 | 790 / 34 | $5.697,00 | 417 / 13 | $4.587,67 | 413 / 15 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 36 | $51.090,60 | 1697 / 64 | $7.010,83 | 1010 / 33 | $6.410,83 | 1007 / 45 |
Other Respiratory System Diagnoses W/O Mcc | 12 | 34 / 4 | $19.972,90 | 112 / 2 | $5.033,92 | 72 / 1 | $4.107,25 | 72 / 1 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 10 | $55.472,10 | 348 / 14 | $13.024,50 | 312 / 10 | $12.021,80 | 311 / 13 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 18 | $27.387,20 | 722 / 30 | $6.165,91 | 557 / 13 | $5.448,82 | 555 / 19 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 21 | $42.112,00 | 1081 / 41 | $6.379,55 | 673 / 18 | $5.498,09 | 670 / 25 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 22 | $215.981,00 | 1088 / 36 | $31.888,70 | 604 / 16 | $30.786,00 | 602 / 22 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 13 | $49.331,80 | 862 / 27 | $5.752,36 | 434 / 8 | $5.097,82 | 433 / 17 |
Medical Back Problems W/O Mcc | 11 | 110 / 21 | $24.868,80 | 824 / 28 | $5.359,18 | 529 / 12 | $4.259,55 | 527 / 15 | Total 64 procedures | 2.128 | 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.