Hospital Costs > In Alabama > Clay County Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 277 | 3 / 1 | $4.569,77 | 3 / 2 | $6.710,44 | 12 / 1 | $6.118,96 | 12 / 1 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 16 | 33 / 2 | $2.213,25 | 3 / 1 | $2.781,00 | 7 / 1 | $2.120,50 | 7 / 1 |
| Cellulitis W/O Mcc | 16 | 173 / 40 | $7.554,88 | 73 / 5 | $4.952,38 | 75 / 22 | $3.352,31 | 75 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 41 | $9.398,00 | 67 / 5 | $5.458,27 | 704 / 30 | $4.730,80 | 702 / 44 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 42 | $10.567,50 | 56 / 2 | $6.650,69 | 437 / 27 | $5.730,08 | 436 / 36 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 43 | $7.034,10 | 56 / 7 | $4.308,40 | 238 / 17 | $3.155,80 | 238 / 18 |
| Heart Failure & Shock W Cc | 12 | 266 / 50 | $7.937,08 | 33 / 4 | $5.644,75 | 200 / 30 | $4.532,75 | 200 / 23 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 45 | $8.747,64 | 174 / 12 | $4.539,14 | 353 / 26 | $3.496,23 | 353 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 38 | $5.407,54 | 15 / 1 | $4.077,92 | 212 / 20 | $3.022,54 | 212 / 16 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 17 | $6.282,62 | 14 / 3 | $3.983,85 | 60 / 9 | $2.863,85 | 60 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 36 | $12.858,90 | 342 / 15 | $5.692,35 | 580 / 26 | $4.719,97 | 577 / 37 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 38 | $15.309,50 | 133 / 5 | $8.146,00 | 644 / 23 | $7.491,45 | 644 / 37 | Total 12 procedures | 469 | 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.