Dysequilibrium - costs for treatment in Georgia

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Dysequilibrium - costs for treatment in Georgia


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Wellstar Kennestone HospitalMarietta28$21,473.20$4,224.29$3,058.79
Northside Hospital ForsythCumming16$34,947.90$4,098.31$3,036.19
St Francis Hospital, IncColumbus14$11,797.70$3,723.71$2,680.86
Gwinnett Medical CenterLawrenceville13$19,860.60$4,885.00$3,772.38
Memorial Health Univ Med Cen, IncSavannah13$15,506.30$5,354.38$4,320.54
St Joseph's Hospital SavannahSavannah13$14,636.00$3,731.38$2,254.46
Wellstar Cobb HospitalAustell13$24,727.10$4,796.15$3,868.15
Wellstar Douglas HospitalDouglasville13$25,538.90$4,061.15$3,039.62
Piedmont HospitalAtlanta12$23,734.20$3,657.00$2,392.58
Saint Joseph's Hospital Of Atlanta, IncAtlanta11$18,949.90$3,402.18$2,507.36
Total 10 hospitals146

DATA

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.





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