Hospital Costs > In Georgia > Midtown 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 Mcc | 17 | 108 / 26 | $33.283,60 | 557 / 11 | $13.686,90 | 1419 / 51 | $12.208,10 | 1407 / 51 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 26 | 63 / 7 | $17.393,20 | 62 / 1 | $9.761,58 | 686 / 20 | $8.543,73 | 685 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 38 | $15.088,30 | 533 / 11 | $8.265,67 | 1927 / 61 | $6.434,73 | 1922 / 61 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 31 | $40.102,00 | 1329 / 42 | $12.469,40 | 1806 / 53 | $11.454,20 | 1803 / 53 |
| Cellulitis W Mcc | 13 | 45 / 10 | $25.388,40 | 256 / 8 | $11.970,90 | 786 / 18 | $10.801,50 | 784 / 19 |
| Cellulitis W/O Mcc | 34 | 155 / 25 | $15.451,00 | 913 / 26 | $8.447,82 | 2409 / 73 | $7.191,56 | 2401 / 73 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 29 | $35.578,00 | 132 / 5 | $16.380,30 | 708 / 32 | $15.142,70 | 705 / 36 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 36 | 55 / 2 | $27.784,80 | 140 / 5 | $13.875,10 | 276 / 10 | $8.864,03 | 276 / 8 |
| Chest Pain | 20 | 131 / 30 | $11.081,00 | 194 / 3 | $6.794,40 | 1548 / 50 | $5.631,30 | 1539 / 51 |
| Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 33 | $19.687,70 | 964 / 27 | $8.953,71 | 2215 / 74 | $7.819,61 | 2208 / 74 |
| Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 41 | $22.003,90 | 904 / 28 | $9.831,41 | 2184 / 74 | $8.741,26 | 2176 / 75 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 12 | $68.556,60 | 50 / 1 | $29.072,40 | 238 / 7 | $27.935,40 | 238 / 9 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 16 | 58 / 4 | $34.021,30 | 13 / 1 | $16.451,50 | 164 / 5 | $15.298,20 | 163 / 6 |
| Diabetes W Cc | 15 | 77 / 24 | $13.733,00 | 253 / 4 | $8.213,07 | 1430 / 49 | $7.083,80 | 1425 / 49 |
| Diabetes W Mcc | 12 | 45 / 14 | $24.043,80 | 156 / 3 | $11.631,70 | 600 / 25 | $10.724,00 | 599 / 26 |
| Digestive Malignancy W Cc | 20 | 27 / 1 | $26.126,10 | 97 / 3 | $10.776,30 | 311 / 8 | $9.630,45 | 309 / 8 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 13 | $20.554,40 | 317 / 6 | $9.015,64 | 806 / 25 | $6.941,55 | 803 / 26 |
| Disorders Of Pancreas Except Malignancy W Mcc | 17 | 29 / 1 | $21.514,20 | 18 / 1 | $13.299,50 | 159 / 10 | $10.966,00 | 159 / 8 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 17 | 64 / 11 | $211.555,00 | 18 / 1 | $85.719,50 | 52 / 1 | $83.124,20 | 52 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 25 | $36.679,80 | 862 / 36 | $13.714,80 | 1412 / 49 | $12.833,20 | 1407 / 49 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 57 | 218 / 30 | $19.143,00 | 1295 / 50 | $7.930,68 | 2532 / 86 | $6.754,56 | 2517 / 87 |
| G.I. Hemorrhage W Cc | 44 | 174 / 32 | $23.111,80 | 1041 / 34 | $9.404,64 | 2182 / 69 | $8.253,05 | 2178 / 69 |
| G.I. Hemorrhage W Mcc | 37 | 84 / 13 | $33.375,70 | 438 / 13 | $13.658,80 | 1248 / 44 | $12.577,20 | 1240 / 45 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 13 | $17.334,40 | 441 / 17 | $7.597,43 | 931 / 26 | $6.287,21 | 927 / 26 |
| G.I. Obstruction W Cc | 13 | 79 / 24 | $18.469,50 | 546 / 9 | $8.717,46 | 1528 / 50 | $6.876,54 | 1523 / 52 |
| Heart Failure & Shock W Cc | 54 | 224 / 37 | $17.979,50 | 926 / 30 | $9.183,24 | 2472 / 80 | $8.103,81 | 2466 / 80 |
| Heart Failure & Shock W Mcc | 43 | 241 / 44 | $27.494,30 | 942 / 27 | $12.012,50 | 2142 / 75 | $10.974,20 | 2132 / 75 |
| Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 29 | $42.274,90 | 733 / 24 | $14.943,40 | 1659 / 58 | $13.737,10 | 1640 / 57 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 46 | 78 / 7 | $121.332,00 | 750 / 22 | $39.336,20 | 1137 / 36 | $37.538,60 | 1129 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 47 | 135 / 22 | $25.370,90 | 819 / 26 | $9.749,57 | 1840 / 60 | $8.476,36 | 1836 / 60 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 16 | $45.667,90 | 849 / 32 | $14.695,40 | 1312 / 46 | $13.106,20 | 1306 / 47 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 22 | $16.191,60 | 322 / 7 | $7.898,59 | 1475 / 44 | $6.503,82 | 1471 / 44 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 34 | $20.842,40 | 624 / 19 | $9.353,36 | 1643 / 61 | $8.353,93 | 1639 / 63 |
| Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 44 | $17.180,20 | 1246 / 46 | $8.039,34 | 2514 / 81 | $6.830,83 | 2503 / 81 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 7 | $41.975,40 | 168 / 5 | $16.207,80 | 536 / 13 | $14.945,80 | 532 / 13 |
| Major Chest Procedures W Cc | 12 | 62 / 10 | $31.457,20 | 16 / 1 | $15.966,50 | 198 / 6 | $14.587,70 | 198 / 8 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 16 | 37 / 3 | $33.012,10 | 248 / 6 | $10.501,80 | 382 / 8 | $9.545,31 | 382 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 23 | 541 / 64 | $54.131,30 | 1469 / 51 | $15.980,10 | 2219 / 73 | $14.765,60 | 2175 / 78 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 26 | $43.049,30 | 258 / 2 | $18.439,30 | 1139 / 41 | $16.961,70 | 1126 / 42 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 6 | $56.331,00 | 201 / 8 | $15.256,50 | 262 / 8 | $14.149,00 | 263 / 8 |
| Medical Back Problems W/O Mcc | 13 | 108 / 19 | $18.049,50 | 391 / 8 | $8.338,77 | 1336 / 37 | $6.999,46 | 1331 / 38 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 23 | $14.068,50 | 843 / 32 | $7.679,06 | 2328 / 74 | $6.260,11 | 2319 / 73 |
| Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 5 | $26.526,80 | 256 / 7 | $9.518,08 | 386 / 13 | $7.293,38 | 386 / 13 |
| Other Antepartum Diagnoses W Medical Complications | 12 | 13 / 2 | $21.840,80 | 21 / 2 | $9.109,83 | 22 / 2 | $8.136,42 | 22 / 2 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 10 | $19.607,50 | 180 / 9 | $9.066,92 | 557 / 20 | $7.598,23 | 556 / 20 |
| Other Circulatory System Diagnoses W Mcc | 22 | 94 / 19 | $42.174,30 | 544 / 25 | $15.702,20 | 1135 / 47 | $14.895,50 | 1127 / 47 |
| Other Circulatory System O.R. Procedures | 20 | 35 / 7 | $42.316,90 | 69 / 3 | $18.793,90 | 218 / 12 | $17.510,40 | 218 / 11 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 19 | $21.753,30 | 500 / 14 | $9.173,17 | 1285 / 39 | $8.310,67 | 1281 / 39 |
| Other Kidney & Urinary Tract Procedures W Cc | 14 | 12 / 1 | $42.989,10 | 26 / 2 | $17.343,40 | 44 / 3 | $14.009,20 | 44 / 1 |
| Other Kidney & Urinary Tract Procedures W Mcc | 15 | 23 / 5 | $56.214,70 | 42 / 6 | $22.008,60 | 116 / 11 | $20.374,10 | 115 / 11 |
| Other Resp System O.R. Procedures W Mcc | 14 | 49 / 11 | $76.700,30 | 190 / 5 | $25.804,60 | 380 / 15 | $24.460,10 | 379 / 15 |
| Other Vascular Procedures W Mcc | 34 | 63 / 10 | $53.341,20 | 100 / 3 | $23.152,00 | 411 / 27 | $19.738,40 | 409 / 20 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 17 | $26.190,20 | 681 / 27 | $8.973,33 | 1093 / 38 | $8.070,83 | 1090 / 38 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 12 | $27.382,70 | 284 / 9 | $11.586,10 | 758 / 26 | $10.368,10 | 756 / 27 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 43 | $33.632,70 | 1233 / 46 | $10.814,40 | 1967 / 68 | $9.853,21 | 1961 / 69 |
| Red Blood Cell Disorders W Mcc | 23 | 48 / 9 | $26.335,80 | 351 / 14 | $14.180,20 | 837 / 38 | $9.315,22 | 833 / 33 |
| Red Blood Cell Disorders W/O Mcc | 42 | 101 / 20 | $18.356,30 | 743 / 27 | $9.398,14 | 1780 / 63 | $6.820,45 | 1771 / 62 |
| Renal Failure W Cc | 50 | 171 / 32 | $19.953,80 | 980 / 32 | $9.385,82 | 2208 / 74 | $8.127,76 | 2198 / 74 |
| Renal Failure W Mcc | 48 | 147 / 30 | $35.221,30 | 1056 / 40 | $13.496,30 | 1856 / 67 | $12.287,80 | 1852 / 66 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 21 | $22.382,40 | 366 / 9 | $11.513,50 | 1288 / 43 | $10.364,90 | 1283 / 45 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 27 | $35.852,80 | 624 / 18 | $14.766,00 | 1461 / 55 | $13.985,60 | 1446 / 55 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 45 | 86 / 8 | $52.915,90 | 706 / 23 | $18.039,90 | 1403 / 54 | $16.527,50 | 1389 / 53 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 19 | $106.512,00 | 294 / 12 | $37.770,80 | 654 / 33 | $35.985,70 | 653 / 34 |
| Seizures W Mcc | 16 | 50 / 12 | $34.892,70 | 263 / 9 | $12.175,90 | 523 / 14 | $10.818,50 | 523 / 14 |
| Seizures W/O Mcc | 12 | 96 / 19 | $15.021,80 | 260 / 5 | $7.832,33 | 1177 / 38 | $6.871,17 | 1175 / 39 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 17 | $100.738,00 | 187 / 6 | $38.506,00 | 498 / 17 | $36.742,90 | 497 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 180 | 336 / 21 | $43.647,50 | 1507 / 56 | $15.187,70 | 2248 / 85 | $13.370,30 | 2208 / 84 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 42 | 165 / 27 | $26.882,50 | 1413 / 53 | $9.683,29 | 2291 / 78 | $8.577,74 | 2282 / 78 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 15 | $18.077,10 | 542 / 18 | $7.590,81 | 1218 / 40 | $6.467,69 | 1215 / 40 |
| Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 31 | $23.287,90 | 1481 / 55 | $9.099,50 | 2533 / 85 | $7.953,70 | 2524 / 85 |
| Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 39 | $28.100,30 | 914 / 27 | $11.744,10 | 2092 / 77 | $10.586,50 | 2088 / 78 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 21 | $16.748,00 | 905 / 28 | $7.609,57 | 1896 / 54 | $6.655,64 | 1888 / 55 |
| Spinal Fusion Except Cervical W/O Mcc | 23 | 171 / 30 | $78.628,40 | 506 / 16 | $27.393,70 | 812 / 32 | $24.218,50 | 808 / 37 |
| Syncope & Collapse | 19 | 150 / 31 | $16.127,40 | 498 / 10 | $7.757,32 | 1782 / 49 | $6.741,00 | 1774 / 49 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 28 | 36 / 4 | $227.512,00 | 201 / 6 | $75.804,60 | 324 / 13 | $68.614,30 | 324 / 11 |
| Transient Ischemia | 18 | 107 / 26 | $19.805,60 | 654 / 19 | $7.384,67 | 1527 / 48 | $6.147,78 | 1519 / 48 | Total 76 procedures | 1.912 | 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.