Hospital Costs > In Alabama > Baptist Medical Center East, procedure costs
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 Mcc | 100 | 416 / 21 | $49.260,50 | 1758 / 41 | $11.258,00 | 1016 / 45 | $10.205,70 | 1006 / 48 |
Heart Failure & Shock W Mcc | 73 | 211 / 17 | $29.396,00 | 1046 / 23 | $9.131,67 | 735 / 42 | $7.979,34 | 735 / 42 |
Heart Failure & Shock W Cc | 73 | 205 / 22 | $18.476,40 | 985 / 36 | $7.202,70 | 1127 / 65 | $5.391,34 | 1125 / 54 |
G.I. Hemorrhage W Cc | 67 | 151 / 14 | $19.728,40 | 727 / 20 | $6.930,76 | 1370 / 50 | $5.784,31 | 1367 / 50 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 29 | $18.639,10 | 1233 / 40 | $6.191,71 | 1635 / 68 | $4.266,31 | 1622 / 66 |
Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 26 | $16.913,90 | 1215 / 41 | $5.657,35 | 1780 / 66 | $4.661,59 | 1769 / 68 |
Renal Failure W Cc | 49 | 172 / 20 | $19.426,10 | 920 / 23 | $6.835,29 | 1167 / 50 | $5.342,14 | 1159 / 46 |
Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 26 | $20.603,80 | 1195 / 32 | $6.758,83 | 1555 / 68 | $5.571,57 | 1549 / 67 |
Renal Failure W Mcc | 43 | 152 / 20 | $32.673,60 | 931 / 22 | $9.463,58 | 808 / 37 | $8.565,35 | 808 / 37 |
Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 27 | $26.851,60 | 1265 / 32 | $8.186,72 | 1236 / 61 | $6.503,56 | 1230 / 57 |
Cellulitis W/O Mcc | 39 | 150 / 22 | $21.164,10 | 1592 / 51 | $6.273,92 | 1505 / 61 | $4.731,97 | 1498 / 60 |
Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 26 | $25.410,30 | 731 / 15 | $8.553,66 | 568 / 36 | $7.402,59 | 568 / 34 |
Red Blood Cell Disorders W/O Mcc | 32 | 111 / 17 | $19.334,80 | 839 / 28 | $5.816,09 | 1328 / 44 | $5.053,78 | 1319 / 49 |
Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 29 | $20.564,30 | 1055 / 32 | $6.912,03 | 1216 / 61 | $5.181,58 | 1211 / 60 |
G.I. Hemorrhage W Mcc | 31 | 90 / 10 | $32.353,00 | 404 / 10 | $11.220,00 | 253 / 26 | $9.027,84 | 253 / 15 |
Pulmonary Edema & Respiratory Failure | 29 | 174 / 21 | $37.878,00 | 1425 / 30 | $8.930,14 | 685 / 43 | $6.575,21 | 685 / 37 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 23 | $15.415,80 | 559 / 17 | $5.908,50 | 1332 / 43 | $4.707,07 | 1327 / 43 |
Syncope & Collapse | 26 | 143 / 23 | $14.606,30 | 361 / 15 | $5.546,85 | 1213 / 46 | $4.409,27 | 1206 / 46 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 23 | $27.542,80 | 1466 / 32 | $7.751,08 | 880 / 49 | $5.555,23 | 878 / 43 |
Major Small & Large Bowel Procedures W Cc | 26 | 82 / 13 | $50.857,50 | 437 / 13 | $14.310,60 | 130 / 23 | $12.079,30 | 130 / 13 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 15 | $44.275,40 | 916 / 18 | $11.505,80 | 532 / 23 | $10.551,60 | 526 / 23 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 25 | $9.238,42 | 255 / 9 | $4.758,25 | 1411 / 37 | $3.309,88 | 1405 / 37 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 30 | $14.841,00 | 942 / 34 | $5.898,96 | 1075 / 65 | $3.697,46 | 1072 / 57 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 16 | $27.810,70 | 1088 / 26 | $7.602,26 | 902 / 40 | $6.228,39 | 900 / 35 |
Other Digestive System Diagnoses W Cc | 23 | 74 / 10 | $22.275,60 | 529 / 12 | $6.772,00 | 706 / 25 | $5.570,57 | 702 / 27 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 23 | 41 / 8 | $33.736,30 | 198 / 6 | $10.415,60 | 234 / 20 | $8.230,09 | 234 / 17 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 21 | $12.085,10 | 481 / 18 | $5.304,65 | 1199 / 49 | $3.972,35 | 1189 / 46 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 31 | $14.424,60 | 717 / 33 | $5.445,95 | 1496 / 62 | $4.412,81 | 1485 / 62 |
Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 10 | $20.756,80 | 413 / 18 | $6.227,15 | 637 / 26 | $5.218,35 | 633 / 28 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 15 | $24.019,90 | 262 / 3 | $9.724,05 | 49 / 13 | $7.475,68 | 49 / 3 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 6 | $30.632,40 | 169 / 4 | $10.456,00 | 100 / 9 | $8.814,17 | 100 / 8 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 16 | $109.716,00 | 608 / 10 | $27.111,00 | 116 / 7 | $25.849,70 | 116 / 8 |
Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 13 | $17.772,20 | 211 / 2 | $6.623,11 | 614 / 20 | $5.682,67 | 613 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 23 | $23.638,80 | 565 / 14 | $7.778,94 | 776 / 27 | $6.769,17 | 773 / 28 |
G.I. Obstruction W Cc | 18 | 74 / 17 | $18.256,70 | 531 / 9 | $6.187,06 | 991 / 29 | $5.108,39 | 988 / 31 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 15 | $110.674,00 | 483 / 11 | $27.901,50 | 244 / 11 | $26.860,50 | 242 / 10 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 14 | 32 / 5 | $23.767,40 | 72 / 3 | $6.647,86 | 62 / 7 | $4.870,79 | 62 / 6 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 22 | $63.545,50 | 996 / 21 | $13.338,60 | 651 / 19 | $12.822,10 | 643 / 29 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 14 | $14.793,70 | 516 / 9 | $4.905,36 | 1001 / 24 | $3.956,79 | 998 / 25 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 30 | $31.729,50 | 1231 / 32 | $6.910,08 | 1089 / 37 | $5.977,23 | 1086 / 42 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 13 | $136.473,00 | 486 / 11 | $34.234,50 | 27 / 24 | $24.300,00 | 27 / 3 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 14 | $19.603,70 | 367 / 9 | $7.323,92 | 292 / 28 | $4.786,67 | 292 / 17 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 13 | $24.790,10 | 469 / 9 | $7.672,25 | 599 / 21 | $6.970,92 | 597 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 23 | $28.083,50 | 287 / 8 | $10.504,90 | 525 / 21 | $9.400,92 | 524 / 25 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 29 | $15.310,30 | 764 / 24 | $5.505,55 | 1129 / 52 | $3.810,36 | 1123 / 46 |
Hypertension W/O Mcc | 11 | 54 / 13 | $16.168,60 | 262 / 10 | $4.973,36 | 522 / 21 | $3.873,73 | 520 / 21 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 23 | $25.594,60 | 743 / 15 | $7.399,36 | 767 / 29 | $6.520,82 | 764 / 29 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 8 | $34.630,80 | 211 / 2 | $10.797,00 | 140 / 7 | $10.136,60 | 140 / 8 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 13 | $33.934,60 | 703 / 15 | $7.056,91 | 703 / 18 | $6.178,36 | 700 / 19 |
Cellulitis W Mcc | 11 | 47 / 9 | $29.690,80 | 375 / 7 | $9.493,55 | 135 / 15 | $7.191,09 | 135 / 9 | Total 50 procedures | 1.399 | 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.