Hospital Costs > In Georgia > Union General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 54 | 510 / 47 | $30.969,20 | 259 / 9 | $12.555,70 | 1161 / 20 | $11.311,10 | 1133 / 50 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 39 | 477 / 60 | $19.798,10 | 260 / 9 | $10.929,50 | 843 / 28 | $9.984,23 | 842 / 28 |
| Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 36 | $15.887,60 | 163 / 3 | $8.756,47 | 1003 / 32 | $7.875,69 | 1003 / 44 |
| Respiratory Infections & Inflammations W Mcc | 32 | 104 / 11 | $20.307,20 | 110 / 6 | $11.651,80 | 717 / 29 | $10.960,60 | 709 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 39 | $11.831,30 | 242 / 1 | $6.121,43 | 821 / 31 | $4.926,70 | 818 / 29 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 42 | $13.965,00 | 251 / 4 | $7.531,38 | 570 / 46 | $5.840,73 | 569 / 15 |
| Renal Failure W Cc | 26 | 195 / 44 | $9.668,31 | 75 / 2 | $6.028,92 | 955 / 31 | $5.139,50 | 947 / 37 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 47 | $14.912,50 | 743 / 27 | $4.759,46 | 967 / 24 | $3.741,79 | 959 / 34 |
| G.I. Hemorrhage W Cc | 23 | 195 / 46 | $10.954,30 | 82 / 1 | $6.131,35 | 861 / 16 | $5.229,87 | 859 / 31 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 39 | $11.247,00 | 23 / 1 | $7.384,96 | 747 / 17 | $6.646,35 | 747 / 28 |
| Heart Failure & Shock W Cc | 21 | 257 / 54 | $11.790,60 | 254 / 4 | $6.075,62 | 962 / 26 | $5.265,52 | 961 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 34 | $9.585,86 | 272 / 4 | $4.546,86 | 774 / 27 | $3.502,81 | 771 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 38 | $12.590,90 | 184 / 5 | $6.515,35 | 580 / 23 | $5.297,05 | 578 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 27 | $9.433,44 | 289 / 3 | $3.992,50 | 646 / 33 | $2.554,89 | 642 / 15 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 57 | $11.089,90 | 402 / 14 | $4.957,85 | 1094 / 28 | $4.019,46 | 1086 / 30 |
| Heart Failure & Shock W Mcc | 13 | 271 / 62 | $13.483,40 | 95 / 2 | $8.821,92 | 974 / 22 | $8.256,62 | 973 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 42 | $13.716,30 | 99 / 2 | $6.599,15 | 819 / 24 | $5.570,38 | 817 / 35 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 38 | $27.792,70 | 155 / 3 | $11.759,70 | 920 / 33 | $10.832,60 | 907 / 40 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 29 | $9.173,91 | 192 / 1 | $4.276,09 | 581 / 9 | $3.374,91 | 579 / 12 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 18 | $21.089,80 | 40 / 1 | $9.641,45 | 315 / 12 | $8.526,09 | 314 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 41 | $9.908,91 | 105 / 1 | $5.089,27 | 1016 / 21 | $4.315,27 | 1012 / 36 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 24 | $10.614,30 | 279 / 3 | $4.607,36 | 794 / 15 | $3.499,09 | 790 / 27 |
| Renal Failure W Mcc | 11 | 184 / 50 | $16.052,10 | 97 / 2 | $9.226,82 | 749 / 23 | $8.448,36 | 749 / 28 | Total 23 procedures | 499 | 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.