Hospital Costs > In Alabama > D W Mcmillan Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 26 | $7.654,11 | 121 / 6 | $3.756,16 | 1173 / 25 | $2.991,53 | 1168 / 35 |
| Cellulitis W/O Mcc | 12 | 177 / 44 | $10.632,50 | 317 / 17 | $5.268,92 | 713 / 40 | $4.055,58 | 709 / 48 |
| Chest Pain | 14 | 137 / 27 | $8.048,14 | 75 / 3 | $4.006,36 | 767 / 27 | $3.226,93 | 762 / 30 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 45 | $11.224,40 | 165 / 8 | $5.749,09 | 1030 / 42 | $4.981,09 | 1027 / 54 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 25 | $7.774,19 | 85 / 11 | $4.595,33 | 961 / 43 | $3.700,52 | 952 / 51 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 45 | $9.942,43 | 209 / 16 | $4.727,46 | 826 / 44 | $3.646,32 | 821 / 48 |
| G.I. Hemorrhage W Cc | 11 | 207 / 38 | $11.555,50 | 102 / 8 | $6.065,18 | 810 / 36 | $5.186,64 | 808 / 42 |
| G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 10 | $8.426,94 | 57 / 3 | $4.641,47 | 161 / 23 | $3.102,88 | 161 / 15 |
| Heart Failure & Shock W Cc | 14 | 264 / 48 | $11.208,60 | 212 / 14 | $5.892,64 | 555 / 42 | $4.946,36 | 555 / 37 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 25 | $8.776,76 | 167 / 9 | $4.389,35 | 696 / 35 | $3.467,00 | 693 / 33 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 45 | $9.173,00 | 211 / 13 | $4.868,09 | 1214 / 44 | $4.097,18 | 1205 / 57 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 21 | $30.489,20 | 56 / 2 | $13.595,40 | 113 / 13 | $11.963,20 | 113 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 31 | $9.384,57 | 250 / 16 | $4.684,05 | 690 / 50 | $3.444,76 | 688 / 39 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 15 | $19.946,10 | 260 / 7 | $8.032,38 | 365 / 17 | $7.104,38 | 362 / 20 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 18 | $9.173,33 | 67 / 8 | $4.341,42 | 335 / 18 | $3.440,08 | 334 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 39 | $16.611,30 | 750 / 25 | $5.926,73 | 955 / 42 | $5.041,81 | 952 / 52 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 35 | $20.140,50 | 399 / 10 | $7.954,13 | 373 / 17 | $7.149,87 | 373 / 24 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 14 | $10.561,80 | 270 / 10 | $4.532,59 | 882 / 36 | $3.575,90 | 878 / 41 |
| Syncope & Collapse | 13 | 156 / 33 | $7.280,92 | 23 / 3 | $4.617,46 | 828 / 29 | $3.876,54 | 824 / 40 | Total 19 procedures | 332 | 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.