Hospital Costs > In Georgia > Piedmont Fayette Hospital, 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 Cc | 24 | 67 / 10 | $25.388,50 | 537 / 14 | $6.263,58 | 363 / 9 | $5.251,58 | 362 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 17 | $40.764,90 | 840 / 24 | $9.867,31 | 477 / 16 | $8.950,34 | 477 / 20 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 2 | $24.534,90 | 433 / 11 | $4.818,05 | 330 / 7 | $3.844,33 | 327 / 12 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 18 | $17.562,70 | 294 / 10 | $5.477,36 | 320 / 7 | $4.371,91 | 316 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 28 | $21.618,90 | 1173 / 42 | $4.993,31 | 642 / 17 | $3.957,38 | 639 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 12 | $25.459,60 | 685 / 14 | $7.372,26 | 697 / 12 | $6.653,02 | 694 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 17 | $14.745,10 | 957 / 37 | $3.743,50 | 566 / 16 | $2.491,92 | 562 / 12 |
| Cellulitis W/O Mcc | 31 | 158 / 28 | $27.956,60 | 2046 / 70 | $5.880,16 | 985 / 51 | $4.260,35 | 979 / 28 |
| Chest Pain | 20 | 131 / 30 | $18.845,40 | 831 / 28 | $4.079,95 | 392 / 15 | $2.812,55 | 391 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 43 | $21.880,40 | 1194 / 41 | $5.962,88 | 262 / 32 | $4.272,31 | 262 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 57 | 145 / 22 | $25.597,50 | 1174 / 40 | $7.074,42 | 730 / 25 | $5.996,33 | 725 / 30 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 21 | $41.911,10 | 189 / 12 | $12.394,90 | 272 / 10 | $11.386,90 | 267 / 12 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 31 | $31.286,00 | 576 / 23 | $6.595,96 | 489 / 6 | $5.426,61 | 487 / 17 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 13 | $18.816,40 | 187 / 6 | $5.962,73 | 199 / 5 | $4.976,55 | 199 / 7 |
| Diabetes W Cc | 39 | 53 / 7 | $20.420,70 | 721 / 27 | $5.194,92 | 627 / 10 | $4.422,82 | 626 / 23 |
| Diabetes W Mcc | 11 | 46 / 15 | $33.642,00 | 348 / 14 | $8.343,00 | 266 / 5 | $7.900,82 | 266 / 12 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 13 | $25.181,30 | 482 / 17 | $5.741,91 | 382 / 7 | $4.979,73 | 381 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 24 | $33.214,60 | 749 / 26 | $7.273,15 | 542 / 10 | $6.714,38 | 537 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 31 | $23.037,10 | 1718 / 70 | $4.761,36 | 1024 / 26 | $3.775,18 | 1016 / 38 |
| Extracranial Procedures W/O Cc/Mcc | 24 | 74 / 12 | $33.107,50 | 502 / 15 | $6.570,92 | 251 / 9 | $5.091,88 | 251 / 7 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 8 | $18.033,50 | 435 / 8 | $4.597,00 | 267 / 6 | $3.385,00 | 268 / 7 |
| G.I. Hemorrhage W Cc | 95 | 123 / 8 | $25.987,10 | 1288 / 46 | $6.206,56 | 844 / 21 | $5.211,13 | 842 / 30 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 24 | $36.908,20 | 586 / 23 | $10.316,50 | 455 / 14 | $9.540,80 | 456 / 18 |
| G.I. Obstruction W Cc | 31 | 61 / 8 | $22.647,50 | 834 / 23 | $5.569,71 | 779 / 13 | $4.792,42 | 777 / 28 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 14 | $22.295,80 | 920 / 31 | $3.972,15 | 287 / 6 | $2.677,23 | 287 / 9 |
| Heart Failure & Shock W Cc | 77 | 201 / 26 | $19.967,80 | 1182 / 43 | $6.023,26 | 680 / 23 | $5.046,81 | 679 / 23 |
| Heart Failure & Shock W Mcc | 167 | 117 / 9 | $32.515,30 | 1248 / 44 | $8.809,69 | 697 / 20 | $7.927,32 | 697 / 22 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 17 | $13.848,10 | 711 / 25 | $4.344,29 | 900 / 14 | $3.641,62 | 893 / 25 |
| Hip & Femur Procedures Except Major Joint W Cc | 52 | 91 / 12 | $52.363,50 | 1126 / 38 | $11.504,80 | 694 / 20 | $10.412,50 | 689 / 22 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 13 | $70.754,30 | 424 / 8 | $16.849,70 | 177 / 5 | $15.737,60 | 176 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 22 | 14 / 1 | $60.404,80 | 170 / 2 | $17.590,20 | 48 / 3 | $12.305,80 | 48 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 37 | 87 / 10 | $107.830,00 | 586 / 15 | $29.664,90 | 441 / 11 | $28.970,10 | 437 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 26 | $26.544,40 | 896 / 31 | $6.303,35 | 606 / 12 | $5.336,15 | 605 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 30 | $37.280,10 | 596 / 14 | $9.742,07 | 175 / 8 | $8.417,93 | 174 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 13 | $26.938,30 | 981 / 34 | $4.819,43 | 404 / 7 | $3.515,00 | 401 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 27 | $29.458,40 | 1151 / 48 | $6.844,76 | 424 / 22 | $5.599,10 | 423 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 77 | 156 / 19 | $17.917,90 | 1342 / 50 | $5.154,04 | 684 / 50 | $3.743,78 | 680 / 16 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 27 | 29 / 3 | $56.013,60 | 537 / 18 | $9.926,04 | 254 / 5 | $8.510,81 | 254 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 5 | $89.575,90 | 320 / 11 | $17.959,40 | 352 / 10 | $16.917,10 | 351 / 11 |
| Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 15 | $77.465,20 | 348 / 10 | $18.564,60 | 172 / 3 | $17.508,60 | 172 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 15 | $32.247,40 | 705 / 23 | $7.173,50 | 464 / 10 | $6.576,17 | 462 / 15 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 26 | 70 / 8 | $66.187,40 | 550 / 13 | $13.232,10 | 270 / 6 | $11.414,30 | 267 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 9 | $77.278,90 | 465 / 12 | $18.785,70 | 295 / 10 | $17.573,20 | 293 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 320 | 251 / 11 | $63.978,50 | 1835 / 62 | $14.034,80 | 869 / 55 | $10.851,80 | 851 / 27 |
| Major Small & Large Bowel Procedures W Cc | 63 | 45 / 2 | $58.803,60 | 606 / 18 | $14.559,10 | 509 / 7 | $13.641,20 | 504 / 19 |
| Major Small & Large Bowel Procedures W Mcc | 38 | 47 / 2 | $116.063,00 | 527 / 15 | $31.099,80 | 330 / 14 | $27.855,60 | 328 / 12 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 19 | $42.695,60 | 343 / 15 | $9.776,25 | 335 / 10 | $8.770,92 | 335 / 17 |
| Medical Back Problems W/O Mcc | 12 | 109 / 20 | $30.234,20 | 1019 / 35 | $5.360,25 | 571 / 13 | $4.352,25 | 569 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 34 | 92 / 21 | $29.076,70 | 921 / 40 | $6.717,94 | 595 / 13 | $6.187,12 | 592 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 19 | $17.525,40 | 1268 / 50 | $4.493,42 | 522 / 23 | $3.324,09 | 520 / 10 |
| Organic Disturbances & Mental Retardation | 13 | 46 / 6 | $19.918,20 | 175 / 3 | $5.592,77 | 60 / 1 | $4.851,85 | 60 / 2 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 20 | $56.701,80 | 875 / 40 | $12.437,80 | 731 / 37 | $11.750,60 | 729 / 36 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 3 | $18.019,80 | 128 / 2 | $4.350,64 | 151 / 1 | $3.579,73 | 151 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 9 | $29.681,90 | 376 / 9 | $8.643,59 | 68 / 3 | $7.400,05 | 68 / 2 |
| Other Resp System O.R. Procedures W Mcc | 18 | 45 / 8 | $60.239,20 | 105 / 3 | $20.072,60 | 107 / 2 | $19.269,00 | 107 / 5 |
| Other Vascular Procedures W Cc | 20 | 82 / 13 | $60.359,30 | 368 / 10 | $14.748,80 | 348 / 7 | $14.148,80 | 346 / 12 |
| Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 8 | $48.468,80 | 275 / 9 | $10.133,70 | 194 / 6 | $9.107,23 | 193 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 21 | $60.301,50 | 456 / 14 | $12.378,60 | 435 / 14 | $10.487,90 | 434 / 19 |
| Peritoneal Adhesiolysis W Cc | 11 | 28 / 3 | $74.075,80 | 181 / 5 | $14.945,50 | 133 / 4 | $13.845,80 | 133 / 4 |
| Pleural Effusion W Mcc | 11 | 19 / 4 | $31.966,00 | 54 / 3 | $8.952,09 | 29 / 2 | $8.067,73 | 29 / 3 |
| Pulmonary Edema & Respiratory Failure | 85 | 118 / 9 | $29.925,30 | 1042 / 35 | $7.416,86 | 633 / 20 | $6.490,36 | 633 / 20 |
| Pulmonary Embolism W Mcc | 22 | 21 / 3 | $34.837,60 | 244 / 7 | $8.761,55 | 173 / 3 | $8.101,18 | 173 / 5 |
| Pulmonary Embolism W/O Mcc | 33 | 41 / 7 | $25.556,70 | 666 / 20 | $6.021,24 | 419 / 9 | $5.029,94 | 418 / 14 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 17 | $32.237,40 | 516 / 24 | $7.591,50 | 302 / 12 | $6.821,21 | 302 / 11 |
| Red Blood Cell Disorders W/O Mcc | 33 | 110 / 25 | $19.090,10 | 816 / 31 | $5.060,45 | 770 / 14 | $4.263,00 | 765 / 25 |
| Renal Failure W Cc | 74 | 147 / 20 | $19.530,40 | 935 / 29 | $5.777,58 | 717 / 12 | $4.928,28 | 710 / 21 |
| Renal Failure W Mcc | 40 | 155 / 34 | $32.290,30 | 908 / 35 | $9.253,12 | 720 / 26 | $8.405,12 | 720 / 26 |
| Respiratory Infections & Inflammations W Mcc | 27 | 109 / 14 | $42.161,70 | 859 / 35 | $11.388,30 | 598 / 17 | $10.672,40 | 590 / 25 |
| Respiratory Neoplasms W Mcc | 15 | 37 / 6 | $46.721,10 | 342 / 14 | $10.427,00 | 232 / 8 | $9.710,20 | 232 / 11 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 19 | $75.424,60 | 1241 / 45 | $15.757,80 | 1185 / 40 | $15.017,00 | 1172 / 45 |
| Seizures W/O Mcc | 20 | 88 / 13 | $24.761,20 | 763 / 31 | $4.858,30 | 433 / 12 | $3.949,50 | 431 / 18 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 11 | $140.401,00 | 459 / 18 | $34.735,30 | 321 / 9 | $33.578,70 | 320 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 406 | 134 / 2 | $38.566,60 | 1247 / 42 | $10.737,60 | 737 / 23 | $9.840,23 | 736 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 182 | 33 / 2 | $26.498,40 | 1379 / 52 | $6.536,84 | 861 / 25 | $5.532,37 | 859 / 33 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 16 | $18.864,70 | 594 / 24 | $4.483,07 | 393 / 12 | $3.520,93 | 392 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 61 | 142 / 21 | $22.767,00 | 1426 / 51 | $5.926,56 | 1072 / 20 | $5.136,52 | 1069 / 38 |
| Simple Pneumonia & Pleurisy W Mcc | 133 | 72 / 4 | $27.410,40 | 865 / 25 | $8.433,57 | 647 / 18 | $7.496,59 | 647 / 20 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 21 | $19.428,70 | 1154 / 41 | $4.760,64 | 220 / 29 | $2.943,00 | 218 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 19 | 175 / 32 | $96.231,50 | 698 / 26 | $24.604,20 | 302 / 20 | $20.560,70 | 301 / 13 |
| Syncope & Collapse | 23 | 146 / 27 | $21.380,50 | 975 / 28 | $4.852,00 | 496 / 19 | $3.550,65 | 494 / 11 |
| Transient Ischemia | 46 | 79 / 7 | $21.412,50 | 765 / 24 | $4.583,35 | 487 / 14 | $3.362,00 | 486 / 13 | Total 81 procedures | 3.393 | 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.