Hospital Costs > In Georgia > Stephens County 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 | 114 | 402 / 38 | $21.136,70 | 314 / 10 | $10.109,00 | 387 / 7 | $9.325,13 | 387 / 10 |
| Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 26 | $18.878,00 | 321 / 5 | $8.134,98 | 438 / 7 | $7.234,87 | 438 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 30 | $17.840,40 | 897 / 24 | $5.950,89 | 571 / 22 | $4.705,55 | 568 / 19 |
| Heart Failure & Shock W Mcc | 35 | 249 / 48 | $18.425,70 | 335 / 8 | $8.352,80 | 535 / 7 | $7.727,14 | 535 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 58 | $28.468,10 | 171 / 5 | $12.265,10 | 394 / 9 | $10.160,90 | 393 / 14 |
| Pulmonary Edema & Respiratory Failure | 30 | 173 / 38 | $22.144,40 | 548 / 14 | $8.291,33 | 1406 / 49 | $7.602,20 | 1402 / 57 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 23 | $14.575,80 | 218 / 5 | $6.501,04 | 514 / 10 | $5.722,32 | 513 / 17 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 45 | $14.166,20 | 260 / 5 | $6.558,24 | 462 / 3 | $5.752,43 | 461 / 9 |
| Cellulitis W/O Mcc | 20 | 169 / 37 | $13.209,70 | 618 / 16 | $5.347,55 | 543 / 24 | $3.923,75 | 540 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 51 | $12.427,60 | 566 / 19 | $4.980,63 | 337 / 32 | $3.479,74 | 337 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 19 | $13.544,80 | 559 / 11 | $4.609,75 | 642 / 16 | $3.358,62 | 639 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 54 | $9.559,43 | 176 / 4 | $4.542,71 | 737 / 12 | $3.590,93 | 733 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 31 | $9.789,57 | 329 / 7 | $3.698,43 | 673 / 13 | $2.571,14 | 669 / 18 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 18 | $22.485,40 | 371 / 10 | $7.790,93 | 194 / 5 | $6.753,43 | 193 / 6 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 25 | $24.981,20 | 232 / 8 | $11.000,10 | 420 / 11 | $10.301,40 | 419 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 42 | $11.989,20 | 547 / 17 | $4.374,62 | 681 / 15 | $3.440,31 | 679 / 19 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 34 | $17.827,20 | 48 / 1 | $9.852,23 | 314 / 4 | $9.195,69 | 314 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 44 | $13.012,30 | 215 / 6 | $6.042,31 | 577 / 7 | $5.294,85 | 575 / 18 |
| Heart Failure & Shock W Cc | 13 | 265 / 61 | $18.215,30 | 954 / 34 | $5.558,00 | 421 / 5 | $4.812,69 | 421 / 9 |
| G.I. Hemorrhage W Cc | 11 | 207 / 54 | $18.626,30 | 629 / 14 | $6.717,73 | 80 / 47 | $4.317,09 | 80 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 32 | $16.612,60 | 81 / 2 | $9.242,64 | 361 / 4 | $8.687,09 | 361 / 15 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 29 | $16.045,50 | 18 / 1 | $9.967,73 | 189 / 1 | $9.555,82 | 189 / 6 | Total 22 procedures | 552 | 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.