Hospital Costs > In Alabama > Community Hospital Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 13 | 176 / 43 | $9.335,38 | 190 / 11 | $4.898,46 | 493 / 19 | $3.872,00 | 490 / 41 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 38 | $7.841,11 | 20 / 2 | $5.294,94 | 506 / 22 | $4.551,83 | 504 / 37 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 42 | $11.101,90 | 79 / 3 | $6.631,38 | 114 / 26 | $5.202,85 | 114 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 40 | $7.704,27 | 78 / 9 | $4.310,82 | 486 / 26 | $3.315,91 | 485 / 31 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 50 | $6.544,24 | 33 / 5 | $4.447,57 | 825 / 24 | $3.646,05 | 820 / 47 |
| G.I. Hemorrhage W Cc | 12 | 206 / 37 | $9.666,58 | 40 / 2 | $5.825,92 | 312 / 27 | $4.721,92 | 312 / 24 |
| Heart Failure & Shock W Cc | 30 | 248 / 36 | $8.339,80 | 49 / 5 | $5.555,43 | 329 / 25 | $4.707,43 | 329 / 30 |
| Heart Failure & Shock W Mcc | 25 | 259 / 33 | $12.388,60 | 59 / 2 | $8.058,20 | 173 / 16 | $7.189,08 | 173 / 22 |
| Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 41 | $8.315,81 | 140 / 8 | $4.516,48 | 502 / 24 | $3.624,04 | 502 / 34 |
| Respiratory Infections & Inflammations W Mcc | 24 | 112 / 16 | $24.072,00 | 199 / 4 | $11.126,40 | 187 / 18 | $9.697,12 | 187 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 47 | 469 / 30 | $16.777,00 | 124 / 6 | $9.594,15 | 114 / 12 | $8.678,57 | 114 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 44 | $9.655,74 | 90 / 5 | $5.555,89 | 371 / 19 | $4.538,63 | 369 / 29 |
| Syncope & Collapse | 16 | 153 / 30 | $7.539,19 | 27 / 4 | $4.354,06 | 58 / 20 | $2.894,94 | 58 / 5 | Total 13 procedures | 276 | 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.