Hospital Costs > In Alabama > Andalusia Regional Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 81 | 483 / 31 | $47.958,90 | 1189 / 23 | $11.171,60 | 313 / 16 | $9.995,93 | 313 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 60 | 215 / 27 | $16.127,10 | 885 / 34 | $4.559,17 | 73 / 32 | $2.885,57 | 73 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 21 | $19.347,30 | 1069 / 31 | $5.592,17 | 150 / 21 | $4.229,02 | 150 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 51 | 69 / 10 | $18.321,00 | 1138 / 44 | $4.587,43 | 187 / 42 | $2.994,78 | 187 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 45 | 471 / 31 | $29.360,80 | 753 / 16 | $9.265,98 | 95 / 8 | $8.624,56 | 95 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 25 | $22.590,20 | 942 / 29 | $6.297,59 | 167 / 12 | $5.325,73 | 167 / 22 |
| Heart Failure & Shock W Cc | 40 | 238 / 31 | $19.076,30 | 1056 / 37 | $5.433,77 | 334 / 19 | $4.712,17 | 334 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 15 | $25.084,80 | 1263 / 24 | $5.887,95 | 264 / 10 | $4.943,85 | 263 / 22 |
| Cellulitis W/O Mcc | 38 | 151 / 23 | $12.858,90 | 564 / 21 | $4.833,61 | 316 / 16 | $3.709,71 | 313 / 28 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 22 | $15.262,00 | 989 / 37 | $4.038,86 | 347 / 16 | $3.185,24 | 347 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 35 | 147 / 20 | $25.824,80 | 846 / 24 | $5.785,57 | 179 / 12 | $4.787,40 | 179 / 17 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 12 | $14.587,40 | 689 / 20 | $4.001,03 | 218 / 11 | $2.942,03 | 216 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 39 | $14.647,20 | 885 / 31 | $4.622,00 | 119 / 30 | $3.162,97 | 119 / 7 |
| Chest Pain | 28 | 123 / 19 | $13.795,00 | 385 / 12 | $3.662,75 | 107 / 13 | $2.359,61 | 107 / 5 |
| Transient Ischemia | 27 | 98 / 18 | $18.260,60 | 529 / 14 | $4.044,89 | 119 / 9 | $2.838,37 | 119 / 9 |
| Heart Failure & Shock W Mcc | 26 | 258 / 32 | $30.472,20 | 1110 / 26 | $7.928,19 | 107 / 13 | $6.986,04 | 107 / 14 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 32 | $17.645,20 | 765 / 26 | $5.183,54 | 325 / 14 | $4.349,08 | 324 / 26 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 24 | $27.177,00 | 863 / 20 | $6.445,26 | 145 / 8 | $5.798,87 | 145 / 18 |
| Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 21 | $14.220,80 | 749 / 24 | $3.818,17 | 205 / 10 | $2.976,43 | 203 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 20 | $18.326,20 | 455 / 11 | $4.270,82 | 242 / 7 | $3.280,27 | 240 / 15 |
| G.I. Hemorrhage W Cc | 22 | 196 / 31 | $23.454,80 | 1074 / 26 | $5.424,55 | 306 / 11 | $4.716,18 | 306 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 32 | $32.937,10 | 1224 / 23 | $7.798,00 | 47 / 12 | $6.396,90 | 47 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 26 | $13.445,00 | 362 / 12 | $4.387,05 | 240 / 11 | $3.539,05 | 240 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 26 | $10.436,60 | 389 / 12 | $3.334,84 | 508 / 10 | $2.447,26 | 504 / 24 |
| Diabetes W Cc | 17 | 75 / 16 | $10.118,50 | 88 / 6 | $4.668,65 | 105 / 9 | $3.619,12 | 105 / 9 |
| Signs & Symptoms W/O Mcc | 17 | 74 / 13 | $17.374,30 | 500 / 21 | $3.997,29 | 108 / 11 | $3.001,53 | 108 / 7 |
| Renal Failure W Mcc | 16 | 179 / 28 | $27.800,60 | 636 / 14 | $7.586,69 | 94 / 3 | $7.208,69 | 94 / 14 |
| Renal Failure W Cc | 15 | 206 / 35 | $12.827,90 | 274 / 10 | $5.164,33 | 192 / 7 | $4.357,93 | 191 / 17 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 13 | $12.292,30 | 182 / 8 | $4.016,93 | 147 / 7 | $3.063,79 | 147 / 13 |
| Syncope & Collapse | 14 | 155 / 32 | $15.922,40 | 474 / 21 | $4.180,93 | 230 / 14 | $3.239,21 | 228 / 17 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 5 | $8.256,31 | 23 / 2 | $3.776,77 | 211 / 5 | $3.407,54 | 211 / 12 | Total 31 procedures | 953 | 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.