Hospital Costs > In Alabama > Coosa Valley Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 16 | $19.933,20 | 281 / 4 | $5.332,58 | 110 / 2 | $4.727,25 | 110 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 26 | $21.503,50 | 421 / 10 | $6.731,09 | 133 / 10 | $5.713,18 | 133 / 10 |
Cellulitis W/O Mcc | 22 | 167 / 34 | $18.027,90 | 1246 / 38 | $4.977,59 | 495 / 23 | $3.875,05 | 492 / 42 |
Chest Pain | 13 | 138 / 28 | $28.720,00 | 1344 / 31 | $3.839,62 | 393 / 18 | $2.815,62 | 392 / 22 |
Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 38 | $27.969,10 | 1618 / 51 | $5.506,83 | 525 / 33 | $4.566,39 | 523 / 40 |
Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 44 | $27.492,80 | 1306 / 36 | $6.608,55 | 436 / 25 | $5.730,00 | 435 / 35 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 25 | $19.801,30 | 1248 / 50 | $4.638,96 | 335 / 45 | $3.168,89 | 335 / 27 |
Diabetes W Cc | 13 | 79 / 19 | $16.071,50 | 406 / 14 | $5.187,23 | 306 / 23 | $4.021,08 | 306 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 43 | 232 / 37 | $23.904,80 | 1795 / 58 | $4.557,21 | 537 / 31 | $3.436,70 | 535 / 35 |
G.I. Hemorrhage W Cc | 25 | 193 / 30 | $23.664,20 | 1092 / 27 | $5.811,56 | 481 / 26 | $4.891,24 | 480 / 32 |
G.I. Obstruction W Cc | 13 | 79 / 22 | $23.531,20 | 896 / 19 | $5.145,23 | 440 / 11 | $4.396,92 | 439 / 22 |
Heart Failure & Shock W Cc | 33 | 245 / 34 | $25.325,50 | 1691 / 53 | $5.923,03 | 340 / 45 | $4.718,33 | 340 / 32 |
Heart Failure & Shock W Mcc | 14 | 270 / 36 | $39.005,40 | 1605 / 37 | $7.779,07 | 98 / 7 | $6.956,21 | 98 / 12 |
Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 15 | $15.887,40 | 944 / 33 | $4.147,63 | 551 / 23 | $3.343,37 | 549 / 27 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 32 | $23.024,50 | 664 / 17 | $6.222,18 | 515 / 23 | $5.233,09 | 514 / 27 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 24 | $19.820,10 | 561 / 15 | $4.457,19 | 188 / 12 | $3.184,50 | 186 / 12 |
Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 29 | $18.553,60 | 1411 / 45 | $4.862,46 | 572 / 42 | $3.674,80 | 570 / 36 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 47 | 517 / 33 | $47.554,50 | 1169 / 22 | $11.277,50 | 202 / 18 | $9.729,94 | 202 / 19 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 18 | $76.782,20 | 958 / 22 | $13.735,80 | 169 / 14 | $12.323,40 | 168 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 30 | $18.509,50 | 1379 / 44 | $4.488,88 | 695 / 41 | $3.447,29 | 693 / 40 |
Pulmonary Edema & Respiratory Failure | 21 | 182 / 26 | $41.209,90 | 1543 / 36 | $7.127,33 | 168 / 24 | $5.842,10 | 168 / 21 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 15 | $27.820,40 | 761 / 18 | $5.769,27 | 589 / 12 | $5.330,00 | 586 / 26 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 22 | $22.035,60 | 1072 / 34 | $5.270,26 | 196 / 39 | $3.620,17 | 196 / 17 |
Renal Failure W Cc | 29 | 192 / 27 | $22.397,00 | 1223 / 31 | $5.524,52 | 291 / 17 | $4.527,00 | 289 / 21 |
Renal Failure W Mcc | 13 | 182 / 31 | $34.639,50 | 1033 / 24 | $7.968,92 | 72 / 7 | $7.129,54 | 72 / 10 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 16 | $44.849,60 | 1056 / 21 | $7.789,08 | 317 / 12 | $7.006,42 | 315 / 18 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 17 | $61.139,60 | 927 / 20 | $11.665,60 | 103 / 4 | $11.180,80 | 103 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 39 | 477 / 33 | $45.815,30 | 1613 / 36 | $9.631,69 | 110 / 14 | $8.672,46 | 110 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 19 | $37.202,30 | 1940 / 43 | $6.932,12 | 333 / 42 | $5.028,47 | 332 / 25 |
Simple Pneumonia & Pleurisy W Cc | 69 | 134 / 15 | $30.839,80 | 1990 / 58 | $5.705,25 | 630 / 29 | $4.760,55 | 627 / 43 |
Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 36 | $45.893,90 | 1786 / 40 | $7.982,07 | 417 / 18 | $7.204,93 | 417 / 26 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 28 | $20.842,30 | 1255 / 38 | $4.342,50 | 500 / 25 | $3.235,83 | 498 / 30 | Total 32 procedures | 742 | 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.