Hospital Costs > In Georgia > Washington County Regional Medical Center, 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 | 27 | 489 / 68 | $12.429,20 | 24 / 2 | $11.661,40 | 1334 / 55 | $10.704,20 | 1310 / 62 |
Respiratory Infections & Inflammations W Mcc | 21 | 115 / 19 | $11.983,80 | 7 / 2 | $12.650,50 | 1008 / 43 | $11.715,50 | 995 / 47 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 51 | $12.191,40 | 34 / 2 | $9.162,88 | 1317 / 50 | $8.345,12 | 1317 / 58 |
Cellulitis W/O Mcc | 15 | 174 / 42 | $6.420,80 | 20 / 1 | $5.930,20 | 1717 / 52 | $5.004,20 | 1710 / 59 | Total 4 procedures | 79 | 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.