Hospital Costs > In Georgia > Ty Cobb Regional Medical Center, Llc, 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 | 16 | 173 / 41 | $13.104,40 | 603 / 15 | $5.966,88 | 1775 / 53 | $5.113,19 | 1767 / 61 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 49 | $15.143,40 | 322 / 7 | $7.380,86 | 1112 / 39 | $6.352,71 | 1107 / 46 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 34 | $15.086,20 | 790 / 30 | $5.436,17 | 1441 / 49 | $4.307,67 | 1430 / 51 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 54 | $11.602,50 | 338 / 9 | $5.435,71 | 1792 / 67 | $4.465,29 | 1779 / 72 |
| G.I. Hemorrhage W Cc | 15 | 203 / 51 | $19.106,10 | 671 / 18 | $7.016,60 | 1367 / 55 | $5.779,53 | 1364 / 56 |
| Heart Failure & Shock W Cc | 29 | 249 / 48 | $12.353,20 | 300 / 7 | $6.828,97 | 1540 / 64 | $5.815,83 | 1535 / 64 |
| Heart Failure & Shock W Mcc | 18 | 266 / 59 | $23.927,40 | 658 / 15 | $9.704,72 | 1484 / 55 | $9.007,28 | 1480 / 60 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 36 | $13.345,40 | 161 / 3 | $7.356,42 | 1077 / 41 | $6.531,33 | 1074 / 48 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 57 | $9.892,62 | 286 / 9 | $5.791,23 | 1853 / 68 | $4.754,54 | 1842 / 68 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 13 | 551 / 70 | $41.000,80 | 808 / 24 | $13.843,80 | 1753 / 50 | $12.703,50 | 1713 / 71 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 38 | $12.923,90 | 87 / 2 | $7.619,93 | 836 / 43 | $6.659,36 | 833 / 38 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 40 | $10.351,80 | 350 / 7 | $5.329,20 | 1290 / 61 | $3.879,07 | 1286 / 49 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 39 | $20.369,00 | 428 / 10 | $8.212,52 | 1277 / 47 | $7.364,35 | 1274 / 53 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 24 | $25.154,40 | 238 / 9 | $12.390,20 | 953 / 40 | $11.566,20 | 943 / 45 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 55 | 461 / 55 | $21.632,50 | 348 / 12 | $11.883,70 | 1563 / 61 | $11.136,10 | 1531 / 67 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 36 | $16.990,80 | 514 / 17 | $7.425,45 | 1629 / 65 | $6.468,73 | 1622 / 66 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 41 | $15.285,60 | 593 / 14 | $6.678,22 | 1696 / 62 | $5.716,85 | 1689 / 67 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 46 | $23.241,20 | 583 / 16 | $9.621,42 | 1589 / 57 | $8.893,12 | 1589 / 67 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 18 | $12.697,90 | 478 / 6 | $5.227,47 | 1404 / 40 | $4.215,82 | 1396 / 46 | Total 19 procedures | 368 | 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.