Hospital Costs > In Georgia > Fannin Regional Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 35 | $36.466,40 | 1208 / 36 | $8.188,09 | 1031 / 31 | $7.199,00 | 1028 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 32 | $22.037,80 | 1510 / 56 | $4.024,46 | 1099 / 34 | $2.909,38 | 1094 / 39 |
| Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 40 | $44.403,60 | 2057 / 75 | $7.560,72 | 1292 / 47 | $6.565,41 | 1286 / 54 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 28 | $30.018,80 | 1711 / 62 | $4.872,72 | 1066 / 33 | $3.798,94 | 1057 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 49 | $29.742,40 | 2155 / 85 | $5.226,95 | 1572 / 56 | $4.194,95 | 1559 / 66 |
| Heart Failure & Shock W Mcc | 13 | 271 / 62 | $49.387,80 | 1973 / 69 | $9.388,08 | 1434 / 43 | $8.925,31 | 1430 / 58 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 28 | $33.192,20 | 1785 / 53 | $4.708,33 | 1154 / 33 | $3.905,67 | 1145 / 37 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 51 | $28.018,80 | 2131 / 77 | $5.199,42 | 1234 / 54 | $4.113,11 | 1225 / 43 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 11 | 553 / 72 | $130.703,00 | 2629 / 82 | $14.128,80 | 1859 / 57 | $13.040,80 | 1818 / 74 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 21 | 495 / 70 | $51.739,00 | 1846 / 71 | $11.801,10 | 1448 / 59 | $10.938,60 | 1420 / 65 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 40 | $47.875,10 | 2517 / 86 | $6.627,03 | 1798 / 58 | $5.841,38 | 1790 / 71 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 54 | $44.182,70 | 1727 / 69 | $8.427,08 | 768 / 17 | $7.619,08 | 768 / 25 | Total 12 procedures | 208 | 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.