Hospital Costs > In Georgia > Wellstar Douglas Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 19 | $37.176,00 | 969 / 36 | $7.054,92 | 149 / 32 | $4.831,85 | 149 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 31 | $59.798,50 | 1322 / 47 | $10.917,80 | 939 / 38 | $10.117,80 | 937 / 41 |
Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 6 | $23.772,50 | 545 / 20 | $5.543,96 | 221 / 8 | $4.153,96 | 218 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 26 | $24.877,60 | 1393 / 50 | $4.953,31 | 813 / 14 | $4.118,00 | 810 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 24 | $40.000,30 | 1327 / 41 | $7.954,08 | 406 / 25 | $6.229,58 | 404 / 10 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 32 | $17.118,60 | 1208 / 46 | $3.685,31 | 911 / 10 | $2.754,85 | 906 / 30 |
Cellulitis W/O Mcc | 28 | 161 / 31 | $21.693,80 | 1638 / 56 | $5.216,86 | 1165 / 15 | $4.403,14 | 1159 / 43 |
Chest Pain | 47 | 104 / 11 | $28.227,10 | 1329 / 49 | $4.117,30 | 541 / 19 | $2.969,38 | 537 / 17 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 28 | $21.764,20 | 1187 / 40 | $5.922,28 | 659 / 28 | $4.686,72 | 657 / 19 |
Chronic Obstructive Pulmonary Disease W Mcc | 61 | 141 / 19 | $30.726,30 | 1523 / 58 | $7.382,57 | 865 / 40 | $6.114,43 | 860 / 36 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 33 | $44.674,10 | 1063 / 42 | $6.710,28 | 337 / 11 | $5.201,48 | 337 / 9 |
Diabetes W Cc | 18 | 74 / 21 | $17.032,70 | 481 / 15 | $5.513,00 | 324 / 28 | $4.047,17 | 324 / 10 |
Dysequilibrium | 13 | 52 / 4 | $25.538,90 | 355 / 9 | $4.061,15 | 164 / 5 | $3.039,62 | 164 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 17 | $35.270,60 | 808 / 33 | $7.228,95 | 540 / 9 | $6.707,81 | 535 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 35 | $22.345,70 | 1663 / 65 | $5.462,02 | 411 / 69 | $3.333,81 | 409 / 9 |
G.I. Hemorrhage W Cc | 39 | 179 / 36 | $25.514,30 | 1242 / 43 | $6.168,82 | 649 / 19 | $5.048,15 | 648 / 17 |
G.I. Hemorrhage W Mcc | 19 | 102 / 28 | $46.577,10 | 909 / 36 | $10.145,90 | 293 / 10 | $9.133,74 | 293 / 6 |
G.I. Obstruction W Cc | 13 | 79 / 24 | $31.609,30 | 1250 / 44 | $5.544,77 | 545 / 11 | $4.523,23 | 544 / 18 |
Heart Failure & Shock W Cc | 50 | 228 / 40 | $30.595,90 | 1983 / 73 | $6.218,12 | 797 / 36 | $5.136,94 | 796 / 28 |
Heart Failure & Shock W Mcc | 47 | 237 / 42 | $40.314,10 | 1675 / 63 | $8.903,28 | 947 / 26 | $8.213,92 | 946 / 33 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 26 | $21.045,40 | 1364 / 46 | $4.356,43 | 730 / 16 | $3.494,71 | 726 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 36 | $56.323,50 | 1253 / 44 | $11.588,10 | 666 / 23 | $10.379,00 | 663 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 35 | $30.917,40 | 1207 / 43 | $7.046,48 | 565 / 40 | $5.294,30 | 564 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 30 | $56.849,30 | 1083 / 41 | $9.998,00 | 482 / 15 | $9.312,21 | 481 / 19 |
Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 14 | $26.564,20 | 1008 / 38 | $6.776,45 | 710 / 19 | $5.962,85 | 709 / 25 |
Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 42 | $18.875,70 | 1445 / 53 | $4.896,19 | 1173 / 22 | $4.067,19 | 1165 / 37 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 6 | $41.065,30 | 324 / 14 | $7.913,50 | 112 / 9 | $5.710,42 | 112 / 4 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 12 | $29.884,50 | 138 / 5 | $12.368,70 | 43 / 13 | $9.225,55 | 43 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 67 | 497 / 45 | $50.763,60 | 1329 / 41 | $13.080,70 | 420 / 33 | $10.206,00 | 418 / 16 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 24 | $61.848,70 | 677 / 21 | $15.147,60 | 628 / 16 | $14.075,60 | 622 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 25 | $32.576,00 | 1071 / 43 | $6.794,29 | 574 / 17 | $6.142,86 | 571 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 30 | $20.615,10 | 1613 / 61 | $5.217,04 | 279 / 57 | $3.105,65 | 279 / 5 |
Nonspecific Cerebrovascular Disorders W Cc | 17 | 39 / 4 | $30.564,60 | 302 / 10 | $7.623,35 | 10 / 10 | $4.090,35 | 10 / 1 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 8 | $46.338,70 | 238 / 6 | $9.357,55 | 102 / 2 | $8.918,27 | 102 / 5 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 23 | $53.265,80 | 819 / 37 | $11.021,90 | 409 / 11 | $10.417,50 | 408 / 17 |
Other Disorders Of Nervous System W Cc | 12 | 44 / 11 | $27.208,50 | 326 / 11 | $6.162,17 | 108 / 10 | $4.389,17 | 108 / 4 |
Other Disorders Of Nervous System W Mcc | 13 | 27 / 6 | $50.916,10 | 212 / 6 | $9.082,00 | 33 / 2 | $7.807,54 | 33 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 28 | $68.739,80 | 647 / 25 | $13.425,90 | 162 / 23 | $9.679,64 | 162 / 4 |
Poisoning & Toxic Effects Of Drugs W Mcc | 21 | 51 / 8 | $48.959,60 | 696 / 24 | $10.145,70 | 230 / 22 | $7.418,05 | 229 / 9 |
Pulmonary Edema & Respiratory Failure | 39 | 164 / 31 | $41.128,10 | 1539 / 58 | $7.422,08 | 782 / 21 | $6.688,10 | 782 / 31 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 20 | $24.637,00 | 632 / 19 | $6.603,50 | 257 / 23 | $4.718,67 | 257 / 8 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 16 | $43.044,30 | 727 / 31 | $8.003,40 | 403 / 18 | $7.126,60 | 401 / 19 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 32 | $20.883,30 | 977 / 41 | $6.256,25 | 345 / 52 | $3.807,90 | 344 / 7 |
Renal Failure W Cc | 39 | 182 / 39 | $23.020,20 | 1273 / 51 | $6.838,28 | 378 / 59 | $4.631,77 | 375 / 8 |
Renal Failure W Mcc | 47 | 148 / 31 | $46.318,70 | 1486 / 60 | $9.836,81 | 1115 / 41 | $9.170,92 | 1115 / 50 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 28 | $43.694,50 | 896 / 36 | $12.304,80 | 158 / 38 | $9.593,64 | 158 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 38 | 93 / 10 | $73.087,10 | 1202 / 44 | $14.178,90 | 704 / 22 | $12.983,90 | 696 / 28 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 13 | $159.971,00 | 582 / 22 | $34.533,80 | 213 / 8 | $31.938,80 | 213 / 6 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 123 | 393 / 36 | $49.511,50 | 1764 / 69 | $11.179,20 | 870 / 33 | $10.024,60 | 869 / 30 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 33 | $27.388,00 | 1454 / 55 | $6.761,64 | 612 / 42 | $5.326,52 | 610 / 22 |
Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 24 | $23.159,70 | 1464 / 54 | $6.770,72 | 743 / 65 | $4.854,02 | 740 / 26 |
Simple Pneumonia & Pleurisy W Mcc | 70 | 135 / 16 | $41.284,40 | 1607 / 64 | $9.902,59 | 460 / 65 | $7.269,29 | 460 / 12 |
Syncope & Collapse | 37 | 132 / 19 | $27.453,20 | 1327 / 39 | $4.870,22 | 458 / 20 | $3.506,81 | 456 / 7 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 14 | $260.979,00 | 268 / 7 | $64.829,50 | 83 / 6 | $51.560,80 | 83 / 1 |
Transient Ischemia | 26 | 99 / 19 | $27.199,90 | 1063 / 37 | $4.765,81 | 499 / 25 | $3.374,27 | 497 / 14 | Total 55 procedures | 1.586 | 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.