Hospital Costs > In Georgia > Upson Regional Medical Center, procedure costs

Upson Regional Medical Center, procedure costs

801 W Gordon Street, Thomaston, GA 30286,

Procedure Costs @ Upson Regional Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc52464 / 57$27.555,10671 / 23$11.419,101280 / 48$10.600,301259 / 58
G.I. Hemorrhage W Cc29189 / 43$18.878,60649 / 16$6.551,211351 / 41$5.757,071348 / 54
Simple Pneumonia & Pleurisy W Cc25178 / 42$21.875,501338 / 45$6.505,001288 / 56$5.291,321284 / 52
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc24540 / 63$62.546,701789 / 59$14.628,001274 / 63$11.531,801243 / 55
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc23143 / 32$10.987,10425 / 11$4.810,781491 / 43$4.058,961486 / 53
Simple Pneumonia & Pleurisy W Mcc23182 / 47$23.980,00632 / 17$9.230,70949 / 53$7.823,65949 / 39
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc22253 / 48$15.670,10842 / 29$5.121,181703 / 49$4.347,271690 / 68
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc22185 / 36$15.460,10387 / 11$6.954,411328 / 52$6.019,591323 / 57
Respiratory Infections & Inflammations W Cc2167 / 12$24.403,40445 / 15$8.817,14766 / 29$7.893,81761 / 30
Pulmonary Edema & Respiratory Failure20183 / 42$17.828,40273 / 6$7.849,651080 / 38$7.066,701078 / 47
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc19101 / 27$12.558,50501 / 14$4.965,001341 / 36$4.137,161330 / 47
Renal Failure W Cc18203 / 48$25.710,301473 / 60$6.313,221239 / 47$5.435,001231 / 54
Cellulitis W/O Mcc18171 / 39$16.857,601109 / 36$5.631,501528 / 41$4.759,391521 / 55
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs17165 / 39$19.882,90467 / 11$6.983,881144 / 36$6.058,001141 / 47
Chronic Obstructive Pulmonary Disease W Cc17162 / 42$15.769,80584 / 18$6.130,591179 / 39$5.133,651175 / 51
Heart Failure & Shock W Cc17261 / 57$18.009,10928 / 31$6.442,761265 / 51$5.515,181261 / 55
Heart Failure & Shock W Mcc17267 / 60$24.106,00674 / 18$9.480,821340 / 47$8.769,411337 / 52
Respiratory Infections & Inflammations W Mcc17119 / 22$19.943,50101 / 5$12.173,70897 / 37$11.388,60887 / 41
Simple Pneumonia & Pleurisy W/O Cc/Mcc1677 / 19$18.147,201038 / 33$5.092,81837 / 37$3.538,25833 / 28
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc16110 / 36$16.623,80230 / 7$7.240,69672 / 33$6.331,00669 / 33
Renal Failure W Mcc16179 / 46$21.192,80284 / 7$9.688,19845 / 38$8.633,56845 / 35
Hip & Femur Procedures Except Major Joint W Cc13130 / 37$41.162,90689 / 22$12.107,90979 / 41$10.983,50966 / 42
Chronic Obstructive Pulmonary Disease W Mcc13189 / 50$17.193,20492 / 13$7.515,461312 / 44$6.586,691306 / 55
Heart Failure & Shock W/O Cc/Mcc1298 / 28$13.184,10628 / 18$4.736,671245 / 34$4.024,671235 / 40
Kidney & Urinary Tract Infections W Mcc11133 / 37$12.495,00128 / 2$6.978,73544 / 30$5.765,64543 / 20
Red Blood Cell Disorders W/O Mcc11132 / 40$13.971,40350 / 11$5.456,091121 / 40$4.688,911114 / 46
Major Small & Large Bowel Procedures W Cc1197 / 30$79.848,701001 / 39$17.074,501019 / 33$15.964,701008 / 40
Total 27 procedures520discharges

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.