Hospital Costs > In Georgia > West Georgia Medical Center, 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 | 16 | 75 / 17 | $21.023,00 | 330 / 3 | $6.902,50 | 157 / 30 | $4.851,12 | 157 / 7 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 14 | $30.872,40 | 472 / 10 | $10.278,30 | 329 / 25 | $8.608,70 | 329 / 14 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 8 | $19.792,30 | 290 / 7 | $6.380,92 | 183 / 23 | $3.534,54 | 182 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 12 | $14.999,00 | 516 / 10 | $5.236,96 | 1063 / 32 | $4.363,15 | 1059 / 38 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 12 | $24.011,00 | 592 / 11 | $7.634,24 | 480 / 18 | $6.351,95 | 477 / 12 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 19 | $14.014,50 | 870 / 34 | $3.939,03 | 793 / 27 | $2.668,47 | 789 / 22 |
Cellulitis W/O Mcc | 16 | 173 / 41 | $14.220,10 | 756 / 22 | $5.760,81 | 1048 / 47 | $4.309,00 | 1042 / 36 |
Chest Pain | 15 | 136 / 35 | $12.075,60 | 252 / 5 | $5.106,53 | 499 / 45 | $2.921,93 | 496 / 15 |
Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 33 | $15.474,60 | 560 / 15 | $6.175,48 | 717 / 45 | $4.739,06 | 715 / 23 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 36 | $17.841,50 | 557 / 14 | $7.377,45 | 623 / 37 | $5.888,36 | 620 / 22 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 33 | $12.997,60 | 549 / 16 | $4.814,54 | 1059 / 26 | $3.792,77 | 1050 / 33 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 20 | $37.813,50 | 118 / 6 | $12.404,40 | 292 / 11 | $11.471,60 | 287 / 13 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 27 | $25.151,50 | 291 / 6 | $7.502,12 | 402 / 34 | $5.311,32 | 400 / 11 |
Diabetes W Cc | 22 | 70 / 18 | $16.212,80 | 417 / 12 | $5.617,68 | 379 / 30 | $4.123,82 | 379 / 14 |
Diabetes W Mcc | 15 | 42 / 12 | $18.993,60 | 66 / 1 | $8.658,93 | 311 / 9 | $8.188,80 | 311 / 17 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 24 | $19.913,80 | 203 / 6 | $7.537,69 | 604 / 21 | $6.884,92 | 599 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 39 | $18.447,90 | 1203 / 42 | $5.861,69 | 890 / 75 | $3.685,31 | 885 / 31 |
G.I. Hemorrhage W Cc | 61 | 157 / 20 | $22.899,80 | 1020 / 33 | $6.486,87 | 922 / 38 | $5.293,43 | 920 / 33 |
G.I. Hemorrhage W Mcc | 33 | 88 / 16 | $25.501,80 | 193 / 6 | $10.256,70 | 474 / 13 | $9.593,76 | 475 / 19 |
G.I. Obstruction W Cc | 17 | 75 / 20 | $13.999,60 | 224 / 3 | $5.664,82 | 378 / 18 | $4.324,41 | 377 / 12 |
Heart Failure & Shock W Cc | 43 | 235 / 42 | $16.226,80 | 715 / 20 | $6.566,56 | 625 / 59 | $5.007,95 | 624 / 20 |
Heart Failure & Shock W Mcc | 86 | 198 / 26 | $23.516,80 | 629 / 13 | $9.067,48 | 891 / 32 | $8.150,76 | 891 / 30 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 28 | $11.706,10 | 431 / 11 | $4.587,17 | 828 / 30 | $3.579,92 | 824 / 22 |
Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 18 | $39.627,10 | 621 / 19 | $11.875,10 | 899 / 37 | $10.791,20 | 886 / 38 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 19 | $56.388,30 | 81 / 1 | $27.036,00 | 131 / 2 | $25.993,90 | 131 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 34 | $16.027,50 | 215 / 6 | $6.560,92 | 791 / 22 | $5.536,50 | 789 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 27 | $27.983,20 | 284 / 6 | $10.084,10 | 469 / 16 | $9.273,94 | 468 / 17 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 25 | $17.121,50 | 375 / 9 | $7.227,78 | 481 / 37 | $5.686,04 | 480 / 14 |
Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 55 | $13.665,50 | 747 / 24 | $5.121,60 | 1394 / 46 | $4.241,93 | 1385 / 56 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 12 | $23.542,50 | 66 / 1 | $10.898,00 | 137 / 3 | $10.119,00 | 137 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 49 | $43.621,80 | 958 / 27 | $13.830,10 | 984 / 49 | $11.028,70 | 964 / 39 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 28 | $47.842,00 | 351 / 10 | $14.605,80 | 490 / 8 | $13.580,00 | 485 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 23 | $17.319,00 | 262 / 9 | $7.306,55 | 842 / 35 | $6.676,45 | 839 / 39 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 35 | $15.128,60 | 973 / 38 | $5.107,10 | 1087 / 53 | $3.711,05 | 1084 / 40 |
O.R. Procedures For Obesity W Cc | 11 | 23 / 4 | $34.974,70 | 17 / 1 | $12.361,40 | 24 / 3 | $9.760,64 | 24 / 2 |
O.R. Procedures For Obesity W/O Cc/Mcc | 43 | 34 / 2 | $31.537,50 | 100 / 3 | $9.694,72 | 166 / 3 | $8.457,28 | 166 / 6 |
Other Vascular Procedures W Cc | 11 | 91 / 20 | $48.280,70 | 180 / 5 | $15.123,40 | 369 / 9 | $14.241,20 | 367 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 21 | $79.551,40 | 271 / 10 | $20.024,00 | 461 / 11 | $19.373,50 | 457 / 20 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 24 | $52.721,30 | 275 / 7 | $13.811,80 | 450 / 30 | $10.522,00 | 449 / 21 |
Peripheral Vascular Disorders W Cc | 19 | 65 / 11 | $15.985,60 | 224 / 6 | $6.167,58 | 455 / 14 | $5.212,47 | 453 / 16 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 15 | $42.854,80 | 113 / 3 | $15.350,20 | 253 / 5 | $14.361,20 | 252 / 8 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 15 | $14.944,00 | 27 / 1 | $8.414,73 | 62 / 8 | $6.592,18 | 62 / 2 |
Pulmonary Edema & Respiratory Failure | 69 | 134 / 16 | $22.226,00 | 552 / 15 | $7.813,74 | 815 / 36 | $6.728,64 | 815 / 33 |
Renal Failure W Cc | 41 | 180 / 37 | $16.355,10 | 599 / 14 | $6.131,44 | 1005 / 37 | $5.186,59 | 997 / 40 |
Renal Failure W Mcc | 47 | 148 / 31 | $21.750,20 | 305 / 8 | $9.436,83 | 857 / 30 | $8.661,81 | 857 / 36 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 23 | $32.523,60 | 491 / 13 | $11.548,70 | 581 / 26 | $10.636,80 | 573 / 23 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 16 | $36.130,10 | 234 / 4 | $13.455,30 | 610 / 11 | $12.718,70 | 602 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 248 | 268 / 12 | $28.089,30 | 698 / 24 | $11.118,90 | 1035 / 32 | $10.236,50 | 1023 / 43 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 24 | $16.417,70 | 471 / 16 | $7.002,70 | 663 / 53 | $5.365,83 | 661 / 26 |
Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 46 | $15.752,00 | 649 / 15 | $6.383,48 | 1357 / 50 | $5.366,48 | 1352 / 56 |
Simple Pneumonia & Pleurisy W Mcc | 41 | 164 / 33 | $25.953,00 | 765 / 21 | $9.108,83 | 1140 / 47 | $8.043,71 | 1140 / 48 |
Syncope & Collapse | 19 | 150 / 31 | $16.030,00 | 486 / 9 | $4.898,58 | 733 / 23 | $3.785,21 | 730 / 19 | Total 52 procedures | 1.674 | 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.