Hospital Costs > In Alabama > Cullman Regional 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 Mcc | 14 | 111 / 19 | $34.728,80 | 610 / 6 | $11.140,90 | 1017 / 26 | $10.363,70 | 1014 / 28 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 5 | $20.054,70 | 299 / 4 | $4.806,00 | 365 / 11 | $3.910,89 | 362 / 12 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 13 | $16.300,60 | 245 / 10 | $5.645,93 | 352 / 20 | $4.450,80 | 348 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 18 | $13.750,10 | 396 / 13 | $5.042,11 | 1126 / 34 | $4.421,31 | 1122 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 19 | $20.888,70 | 383 / 8 | $7.752,16 | 757 / 26 | $6.739,68 | 754 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 24 | $11.226,40 | 488 / 14 | $3.571,48 | 450 / 20 | $2.400,07 | 447 / 20 |
| Cellulitis W/O Mcc | 43 | 146 / 20 | $13.929,60 | 716 / 25 | $5.596,65 | 819 / 51 | $4.139,19 | 814 / 50 |
| Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 28 | $17.276,80 | 735 / 25 | $6.227,03 | 777 / 58 | $4.778,79 | 775 / 48 |
| Chronic Obstructive Pulmonary Disease W Mcc | 82 | 120 / 11 | $21.406,80 | 849 / 23 | $7.525,29 | 1405 / 52 | $6.715,13 | 1399 / 60 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 32 | $14.065,90 | 670 / 31 | $4.779,75 | 307 / 50 | $3.145,85 | 307 / 25 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 14 | $48.815,80 | 299 / 7 | $13.441,40 | 299 / 18 | $11.520,70 | 294 / 18 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 23 | $26.149,60 | 340 / 8 | $7.034,65 | 634 / 27 | $5.634,25 | 632 / 27 |
| Diabetes W Cc | 25 | 67 / 11 | $16.249,90 | 421 / 15 | $5.390,72 | 408 / 28 | $4.160,84 | 408 / 23 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 7 | $16.380,20 | 115 / 3 | $5.947,17 | 178 / 4 | $5.215,17 | 178 / 6 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 12 | $17.527,10 | 208 / 5 | $5.884,58 | 277 / 10 | $4.681,92 | 276 / 15 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 5 | $12.218,30 | 77 / 4 | $4.149,15 | 121 / 8 | $3.034,08 | 121 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 13 | $24.044,40 | 393 / 8 | $9.881,88 | 385 / 31 | $6.403,94 | 383 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 32 | $14.496,20 | 686 / 27 | $4.804,55 | 872 / 47 | $3.675,18 | 867 / 50 |
| G.I. Hemorrhage W Cc | 56 | 162 / 19 | $15.223,80 | 321 / 12 | $6.525,25 | 1049 / 45 | $5.409,09 | 1047 / 45 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 24 | $26.843,50 | 221 / 4 | $11.278,70 | 865 / 27 | $10.722,40 | 860 / 28 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 16 | $9.932,55 | 99 / 5 | $4.459,45 | 302 / 20 | $3.362,73 | 299 / 21 |
| G.I. Obstruction W Cc | 19 | 73 / 16 | $17.847,20 | 500 / 8 | $5.681,74 | 723 / 26 | $4.728,47 | 722 / 26 |
| G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 6 | $11.130,00 | 208 / 6 | $4.758,68 | 179 / 22 | $2.502,56 | 179 / 10 |
| Heart Failure & Shock W Cc | 78 | 200 / 20 | $17.201,30 | 835 / 32 | $6.366,38 | 1291 / 53 | $5.543,41 | 1287 / 58 |
| Heart Failure & Shock W Mcc | 108 | 176 / 9 | $25.136,60 | 747 / 18 | $9.710,89 | 1308 / 50 | $8.726,18 | 1305 / 48 |
| Heart Failure & Shock W/O Cc/Mcc | 42 | 68 / 10 | $12.117,30 | 485 / 19 | $4.523,29 | 519 / 38 | $3.320,86 | 517 / 25 |
| Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 16 | $44.656,40 | 830 / 18 | $12.629,60 | 1171 / 33 | $11.550,00 | 1157 / 33 |
| Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 5 | $54.021,50 | 227 / 7 | $19.636,40 | 536 / 19 | $18.661,20 | 533 / 19 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 20 | $88.050,00 | 334 / 6 | $34.580,50 | 897 / 27 | $33.873,90 | 891 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 21 | $24.644,20 | 771 / 20 | $7.170,09 | 883 / 42 | $5.668,62 | 881 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 20 | $33.133,40 | 444 / 11 | $11.103,80 | 847 / 23 | $10.397,90 | 845 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 26 | $15.569,40 | 294 / 6 | $4.846,14 | 727 / 23 | $3.895,29 | 723 / 28 |
| Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 10 | $17.143,00 | 376 / 9 | $7.215,74 | 1002 / 37 | $6.400,68 | 999 / 40 |
| Kidney & Urinary Tract Infections W/O Mcc | 59 | 174 / 21 | $14.651,30 | 886 / 32 | $4.969,29 | 1011 / 49 | $3.969,03 | 1003 / 53 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 9 | $56.785,90 | 205 / 7 | $21.432,50 | 503 / 18 | $19.342,90 | 500 / 18 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 172 | 392 / 21 | $49.523,20 | 1260 / 25 | $13.703,60 | 1605 / 43 | $12.339,00 | 1568 / 43 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 17 | $99.010,10 | 369 / 6 | $32.887,40 | 679 / 23 | $31.980,70 | 677 / 24 |
| Medical Back Problems W/O Mcc | 11 | 110 / 22 | $18.268,30 | 402 / 9 | $5.438,09 | 500 / 21 | $4.227,91 | 500 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 53 | 73 / 5 | $20.011,10 | 408 / 10 | $7.114,06 | 646 / 22 | $6.294,74 | 643 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 61 | 105 / 12 | $10.097,50 | 321 / 20 | $4.551,23 | 422 / 47 | $3.260,49 | 422 / 28 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 19 | $14.634,60 | 140 / 4 | $8.041,27 | 289 / 27 | $4.843,45 | 286 / 20 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 19 | 84 / 6 | $15.996,60 | 126 / 2 | $6.343,37 | 242 / 7 | $5.321,05 | 242 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 8 | $27.190,50 | 309 / 4 | $10.018,20 | 480 / 13 | $9.042,19 | 479 / 15 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 24 | $64.466,90 | 551 / 9 | $12.281,80 | 422 / 23 | $10.454,70 | 421 / 22 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 9 | $19.314,60 | 97 / 5 | $9.181,65 | 254 / 20 | $7.493,06 | 253 / 17 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 13 | $10.098,80 | 101 / 7 | $4.075,31 | 223 / 16 | $3.171,31 | 222 / 18 |
| Pulmonary Edema & Respiratory Failure | 34 | 169 / 19 | $26.826,50 | 845 / 19 | $8.196,91 | 723 / 42 | $6.621,03 | 723 / 38 |
| Pulmonary Embolism W Mcc | 13 | 30 / 6 | $36.049,70 | 262 / 6 | $10.993,30 | 208 / 11 | $8.334,69 | 208 / 9 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 10 | $15.727,60 | 177 / 6 | $6.345,24 | 631 / 22 | $5.419,12 | 628 / 27 |
| Red Blood Cell Disorders W Mcc | 23 | 48 / 8 | $19.051,20 | 137 / 5 | $8.004,70 | 414 / 16 | $7.162,96 | 412 / 20 |
| Red Blood Cell Disorders W/O Mcc | 40 | 103 / 13 | $12.286,10 | 231 / 17 | $5.120,88 | 949 / 35 | $4.465,08 | 943 / 44 |
| Renal Failure W Cc | 45 | 176 / 22 | $13.056,40 | 289 / 12 | $6.301,84 | 901 / 44 | $5.086,51 | 893 / 38 |
| Renal Failure W Mcc | 49 | 146 / 16 | $25.191,10 | 472 / 9 | $9.849,96 | 1060 / 40 | $9.036,90 | 1060 / 41 |
| Respiratory Infections & Inflammations W Cc | 20 | 68 / 10 | $27.551,60 | 591 / 9 | $8.980,50 | 731 / 27 | $7.814,05 | 726 / 27 |
| Respiratory Infections & Inflammations W Mcc | 39 | 97 / 9 | $34.756,50 | 585 / 9 | $12.754,60 | 1085 / 29 | $12.012,00 | 1071 / 32 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 18 | $34.482,80 | 194 / 7 | $14.948,20 | 540 / 32 | $12.542,40 | 532 / 25 |
| Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 12 | $109.142,00 | 492 / 12 | $21.174,60 | 317 / 15 | $19.618,80 | 316 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 239 | 277 / 5 | $32.997,40 | 942 / 20 | $11.885,60 | 1477 / 53 | $10.984,20 | 1448 / 57 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 68 | 139 / 8 | $18.632,00 | 646 / 13 | $6.980,06 | 1212 / 44 | $5.892,41 | 1207 / 47 |
| Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 32 | $20.772,10 | 1210 / 33 | $6.262,11 | 1098 / 53 | $5.154,56 | 1094 / 58 |
| Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 18 | $32.268,90 | 1185 / 21 | $9.325,47 | 1240 / 45 | $8.208,39 | 1240 / 49 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 22 | $15.163,80 | 752 / 23 | $4.772,00 | 287 / 42 | $3.032,43 | 285 / 19 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 20 | $70.878,20 | 386 / 11 | $24.622,90 | 451 / 23 | $21.531,30 | 448 / 23 |
| Syncope & Collapse | 17 | 152 / 29 | $12.453,70 | 223 / 12 | $4.644,88 | 527 / 31 | $3.577,59 | 525 / 31 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 13 | 29 / 2 | $15.552,00 | 76 / 2 | $5.342,00 | 97 / 5 | $4.224,46 | 97 / 4 |
| Transient Ischemia | 14 | 111 / 25 | $17.803,90 | 479 / 12 | $4.689,93 | 263 / 26 | $3.112,36 | 263 / 19 | Total 66 procedures | 2.264 | 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.