Hospital Costs > In Georgia > Wellstar Paulding 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 | 46 | 518 / 51 | $52.207,80 | 1387 / 48 | $14.018,50 | 1293 / 54 | $11.570,80 | 1261 / 57 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 45 | 471 / 59 | $38.862,60 | 1266 / 44 | $11.916,30 | 255 / 62 | $9.067,18 | 255 / 5 |
Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 35 | $22.864,50 | 1441 / 52 | $6.137,45 | 1157 / 32 | $5.200,21 | 1153 / 45 |
Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 24 | $22.567,60 | 1259 / 47 | $6.228,24 | 1111 / 49 | $5.065,07 | 1107 / 47 |
Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 38 | $18.146,70 | 1364 / 51 | $5.106,08 | 978 / 44 | $3.948,45 | 971 / 26 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 39 | $22.507,50 | 1674 / 66 | $5.142,19 | 722 / 52 | $3.581,97 | 718 / 24 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 35 | $29.419,50 | 1437 / 52 | $7.900,83 | 856 / 56 | $6.103,03 | 851 / 35 |
Heart Failure & Shock W Cc | 32 | 246 / 47 | $25.727,50 | 1724 / 65 | $6.395,44 | 1373 / 49 | $5.617,88 | 1368 / 61 |
Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 43 | $45.042,30 | 1758 / 70 | $10.283,60 | 1551 / 70 | $8.794,39 | 1551 / 64 |
Cellulitis W/O Mcc | 27 | 162 / 32 | $16.935,90 | 1118 / 37 | $6.876,59 | 128 / 68 | $3.447,81 | 128 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 32 | $15.313,50 | 994 / 39 | $4.489,48 | 905 / 22 | $3.578,09 | 902 / 33 |
Syncope & Collapse | 21 | 148 / 29 | $21.981,40 | 1040 / 30 | $4.742,67 | 638 / 10 | $3.684,19 | 635 / 14 |
G.I. Hemorrhage W Cc | 21 | 197 / 48 | $24.374,60 | 1154 / 39 | $6.102,62 | 659 / 15 | $5.053,48 | 658 / 18 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 42 | $36.366,80 | 1357 / 52 | $7.764,70 | 741 / 33 | $6.643,60 | 741 / 27 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 38 | $24.666,80 | 1222 / 46 | $6.424,75 | 944 / 20 | $5.615,65 | 941 / 36 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 33 | $21.520,20 | 1166 / 40 | $5.065,75 | 841 / 19 | $4.147,05 | 838 / 27 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 17 | $19.567,70 | 1170 / 42 | $4.872,68 | 455 / 32 | $3.199,42 | 453 / 8 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 26 | $13.356,90 | 769 / 25 | $3.690,21 | 867 / 11 | $2.722,74 | 863 / 29 |
Diabetes W Cc | 18 | 74 / 21 | $17.030,20 | 480 / 14 | $5.655,72 | 310 / 33 | $4.023,61 | 310 / 9 |
Chest Pain | 17 | 134 / 33 | $15.366,60 | 531 / 16 | $3.960,18 | 451 / 11 | $2.882,88 | 449 / 13 |
G.I. Obstruction W Cc | 17 | 75 / 20 | $22.378,00 | 819 / 22 | $5.969,65 | 428 / 30 | $4.386,35 | 427 / 13 |
Renal Failure W Cc | 16 | 205 / 50 | $20.876,50 | 1066 / 38 | $6.217,31 | 1027 / 40 | $5.212,19 | 1019 / 43 |
Heart Failure & Shock W Mcc | 16 | 268 / 61 | $37.743,40 | 1544 / 57 | $8.894,44 | 848 / 25 | $8.104,44 | 848 / 27 |
Renal Failure W Mcc | 14 | 181 / 48 | $27.590,90 | 620 / 22 | $8.566,79 | 159 / 6 | $7.463,93 | 159 / 3 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 32 | $18.420,80 | 1152 / 46 | $4.846,36 | 565 / 29 | $3.377,79 | 564 / 11 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 27 | $16.017,60 | 958 / 36 | $4.281,77 | 761 / 10 | $3.521,00 | 757 / 19 |
Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 38 | $51.217,10 | 1088 / 35 | $12.358,00 | 1106 / 42 | $11.319,20 | 1092 / 46 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 40 | $16.976,50 | 622 / 22 | $5.734,00 | 362 / 45 | $3.833,27 | 361 / 9 | Total 28 procedures | 681 | 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.