Hospital Costs > In Georgia > Jefferson Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Cc | 15 | 263 / 59 | $7.299,40 | 14 / 1 | $6.373,07 | 1279 / 47 | $5.530,73 | 1275 / 57 |
| Heart Failure & Shock W Mcc | 16 | 268 / 61 | $8.215,44 | 2 / 1 | $9.156,31 | 1260 / 34 | $8.666,62 | 1257 / 51 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 35 | $7.213,23 | 5 / 1 | $7.357,85 | 744 / 42 | $6.019,92 | 743 / 30 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 35 | $7.300,29 | 1 / 1 | $7.114,53 | 592 / 29 | $6.186,53 | 589 / 24 |
| Renal Failure W Cc | 17 | 204 / 49 | $6.589,82 | 4 / 1 | $6.290,18 | 1340 / 46 | $5.546,24 | 1332 / 57 |
| Renal Failure W Mcc | 18 | 177 / 45 | $7.201,56 | 1 / 1 | $9.399,39 | 793 / 28 | $8.523,89 | 793 / 34 |
| Respiratory Infections & Inflammations W Mcc | 21 | 115 / 19 | $11.729,90 | 5 / 1 | $11.377,10 | 592 / 16 | $10.658,60 | 584 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 23 | 493 / 69 | $8.181,43 | 6 / 1 | $11.095,20 | 1104 / 30 | $10.332,50 | 1090 / 48 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 46 | $7.093,27 | 7 / 1 | $6.854,82 | 1460 / 48 | $6.191,55 | 1454 / 61 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 54 | $9.332,67 | 6 / 1 | $9.272,75 | 1326 / 54 | $8.364,25 | 1326 / 59 | Total 10 procedures | 163 | 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.