Pulmonary Embolism W Mcc - costs for treatment in Georgia

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Pulmonary Embolism W Mcc - costs for treatment in Georgia


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Athens Regional Medical CenterAthens22$39,739.50$8,890.86$7,773.32
Dekalb Medical CenterDecatur11$29,954.80$10,977.90$10,184.90
Emory University HospitalAtlanta19$39,626.70$12,027.30$10,636.30
Emory University Hospital MidtownAtlanta15$35,667.50$11,933.30$11,161.50
Floyd Medical CenterRome15$37,859.30$10,446.50$9,647.67
Gwinnett Medical CenterLawrenceville15$49,002.50$10,736.00$10,096.00
Houston Medical CenterWarner Robins23$27,234.30$8,574.00$7,690.65
Medical Center Of Central GeorgiaMacon17$26,618.20$10,335.50$9,617.41
Northeast Georgia Medical Center, IncGainesville19$38,082.70$9,307.47$8,510.00
Phoebe Putney Memorial HospitalAlbany13$34,636.80$10,510.50$9,673.23
Piedmont Fayette HospitalFayetteville22$34,837.60$8,761.55$8,101.18
Piedmont Henry HospitalStockbridge11$69,361.90$11,413.30$10,249.20
Piedmont HospitalAtlanta18$43,392.90$8,768.44$7,542.00
Redmond Regional Medical CenterRome14$47,326.90$8,301.50$7,526.64
Southeast Georgia Health System- Brunswick CampusBrunswick11$31,057.70$11,497.80$10,616.00
Tanner Medical Center - CarrolltonCarrollton17$34,831.20$9,057.65$8,179.06
Wellstar Cobb HospitalAustell13$48,848.70$9,604.08$8,949.31
Wellstar Kennestone HospitalMarietta32$50,747.10$10,995.20$8,891.06
Total 18 hospitals307

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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