Hospital Costs > In Georgia > Trinity Hospital Of Augusta, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 15 | 174 / 42 | $22.065,90 | 1661 / 58 | $4.973,13 | 635 / 8 | $4.001,20 | 632 / 16 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 42 | $29.798,60 | 1708 / 69 | $5.496,47 | 635 / 9 | $4.664,82 | 633 / 17 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 20 | $22.819,80 | 1445 / 54 | $4.490,81 | 664 / 10 | $3.452,22 | 662 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 43 | $26.945,80 | 2001 / 79 | $4.970,48 | 572 / 39 | $3.464,24 | 570 / 14 |
| G.I. Hemorrhage W Cc | 11 | 207 / 54 | $22.748,30 | 1007 / 32 | $5.977,09 | 824 / 10 | $5.196,64 | 822 / 26 |
| G.I. Obstruction W Cc | 12 | 80 / 25 | $38.647,80 | 1432 / 54 | $5.249,83 | 18 / 5 | $3.413,17 | 18 / 1 |
| Heart Failure & Shock W Mcc | 13 | 271 / 62 | $28.176,50 | 986 / 31 | $7.957,38 | 234 / 1 | $7.296,00 | 234 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 28 | $16.772,00 | 1038 / 38 | $4.097,67 | 294 / 5 | $3.087,00 | 292 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 37 | $29.992,80 | 1173 / 50 | $6.603,82 | 724 / 15 | $5.983,73 | 723 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 52 | $20.227,50 | 1601 / 64 | $4.589,44 | 731 / 11 | $3.776,06 | 726 / 21 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 83 | 481 / 41 | $63.265,00 | 1814 / 61 | $12.531,90 | 486 / 18 | $10.292,60 | 483 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 41 | $19.333,80 | 373 / 15 | $6.566,09 | 170 / 10 | $5.469,64 | 168 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 32 | $17.984,50 | 1320 / 54 | $4.224,13 | 733 / 10 | $3.476,61 | 731 / 22 |
| O.R. Procedures For Obesity W Cc | 11 | 23 / 4 | $65.453,80 | 81 / 5 | $11.051,80 | 25 / 1 | $9.833,73 | 25 / 3 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 64 | 16 / 1 | $55.232,80 | 299 / 9 | $9.487,98 | 70 / 1 | $7.652,06 | 70 / 2 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 49 | $24.255,50 | 676 / 18 | $7.094,75 | 334 / 9 | $6.127,50 | 334 / 8 |
| Renal Failure W Cc | 26 | 195 / 44 | $25.471,40 | 1463 / 59 | $5.770,23 | 440 / 11 | $4.689,23 | 437 / 11 |
| Renal Failure W Mcc | 11 | 184 / 50 | $33.862,60 | 992 / 37 | $9.135,91 | 496 / 18 | $8.050,27 | 496 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 29 | 487 / 67 | $38.622,90 | 1251 / 43 | $10.301,70 | 363 / 10 | $9.290,52 | 363 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 42 | $27.773,90 | 1489 / 57 | $6.645,13 | 413 / 31 | $5.111,60 | 411 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 40 | $24.714,80 | 1605 / 64 | $5.686,17 | 635 / 11 | $4.763,41 | 632 / 22 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 52 | $31.006,80 | 1102 / 41 | $8.470,79 | 655 / 20 | $7.508,29 | 655 / 21 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 15 | $17.836,40 | 1002 / 32 | $4.288,77 | 504 / 7 | $3.239,64 | 502 / 12 | Total 23 procedures | 515 | 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.