Hospital Costs > In Alabama > Decatur Morgan Hospital-Decatur Campus, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 209 | 355 / 17 | $41.965,30 | 867 / 18 | $10.854,70 | 79 / 7 | $9.230,49 | 79 / 5 |
| Psychoses | 183 | 130 / 5 | $11.677,60 | 105 / 4 | $5.489,44 | 32 / 1 | $4.655,25 | 32 / 4 |
| Heart Failure & Shock W Mcc | 180 | 104 / 4 | $15.931,20 | 188 / 6 | $7.602,78 | 97 / 5 | $6.951,85 | 97 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 146 | 370 / 15 | $25.502,10 | 562 / 14 | $9.872,96 | 105 / 23 | $8.644,86 | 105 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 137 | 68 / 3 | $17.334,60 | 229 / 7 | $7.728,15 | 150 / 9 | $6.699,16 | 150 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 123 | 79 / 4 | $13.903,50 | 246 / 10 | $6.297,57 | 128 / 11 | $5.235,34 | 128 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 116 | 159 / 11 | $10.838,70 | 274 / 22 | $4.496,97 | 170 / 26 | $3.061,70 | 170 / 13 |
| Heart Failure & Shock W Cc | 97 | 181 / 12 | $10.936,90 | 189 / 13 | $5.405,65 | 146 / 17 | $4.444,46 | 146 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 94 | 109 / 9 | $12.583,20 | 309 / 14 | $5.359,36 | 148 / 10 | $4.227,42 | 148 / 13 |
| Renal Failure W Cc | 81 | 140 / 8 | $12.473,90 | 252 / 9 | $5.650,65 | 113 / 25 | $4.219,22 | 113 / 11 |
| G.I. Hemorrhage W Cc | 78 | 140 / 11 | $13.943,80 | 219 / 9 | $5.472,83 | 188 / 14 | $4.542,37 | 188 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 74 | 105 / 9 | $10.511,50 | 126 / 7 | $5.077,82 | 139 / 10 | $4.078,91 | 139 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 73 | 160 / 13 | $12.357,80 | 555 / 22 | $5.175,78 | 406 / 58 | $3.550,19 | 406 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 72 | 94 / 8 | $9.417,76 | 255 / 18 | $4.106,15 | 173 / 23 | $2.965,81 | 173 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 70 | 112 / 11 | $14.406,60 | 122 / 4 | $5.855,03 | 97 / 15 | $4.575,57 | 97 / 9 |
| Renal Failure W Mcc | 68 | 127 / 10 | $16.563,00 | 117 / 2 | $8.620,76 | 71 / 25 | $7.125,37 | 71 / 9 |
| Cellulitis W/O Mcc | 66 | 123 / 10 | $10.282,20 | 268 / 14 | $4.943,59 | 142 / 21 | $3.462,56 | 142 / 20 |
| Syncope & Collapse | 59 | 110 / 8 | $11.520,50 | 173 / 10 | $4.533,14 | 266 / 24 | $3.291,64 | 264 / 20 |
| Transient Ischemia | 57 | 68 / 4 | $10.929,90 | 97 / 4 | $4.167,53 | 121 / 13 | $2.847,60 | 121 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 56 | 88 / 4 | $13.651,80 | 173 / 3 | $6.029,84 | 156 / 10 | $5.166,98 | 156 / 13 |
| Respiratory Infections & Inflammations W Mcc | 55 | 81 / 7 | $22.470,10 | 159 / 3 | $10.353,20 | 25 / 6 | $8.815,31 | 25 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 54 | 107 / 8 | $10.505,40 | 139 / 5 | $4.624,35 | 67 / 20 | $3.216,46 | 67 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 51 | 92 / 11 | $33.558,00 | 363 / 11 | $9.918,45 | 44 / 3 | $8.873,75 | 44 / 8 |
| Pulmonary Edema & Respiratory Failure | 51 | 152 / 12 | $13.336,50 | 84 / 3 | $6.457,41 | 141 / 9 | $5.786,35 | 141 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 50 | 100 / 11 | $7.614,26 | 118 / 5 | $3.358,92 | 333 / 11 | $2.298,22 | 331 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 50 | 138 / 17 | $17.396,30 | 61 / 1 | $5.972,74 | 45 / 8 | $4.533,78 | 45 / 7 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 45 | 75 / 14 | $8.699,27 | 127 / 13 | $4.090,33 | 199 / 14 | $3.015,13 | 199 / 16 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 44 | 28 / 2 | $15.362,00 | 34 / 3 | $7.374,00 | 25 / 4 | $6.265,48 | 25 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 43 | 83 / 6 | $15.319,40 | 163 / 6 | $5.979,19 | 63 / 6 | $5.136,77 | 63 / 9 |
| Chest Pain | 43 | 108 / 10 | $9.304,00 | 117 / 5 | $3.546,56 | 228 / 10 | $2.591,02 | 227 / 10 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 42 | 82 / 5 | $4.507,43 | 11 / 2 | $3.945,71 | 55 / 5 | $2.994,86 | 55 / 3 |
| Diabetes W Cc | 41 | 51 / 6 | $10.895,70 | 114 / 10 | $5.477,10 | 87 / 30 | $3.576,68 | 87 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 37 | 86 / 13 | $13.711,80 | 83 / 2 | $6.468,92 | 136 / 4 | $5.717,35 | 136 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 8 | $9.982,35 | 215 / 8 | $4.030,08 | 270 / 13 | $3.016,46 | 268 / 17 |
| Other Digestive System Diagnoses W Cc | 35 | 62 / 7 | $17.892,60 | 281 / 8 | $5.242,63 | 139 / 5 | $4.517,60 | 138 / 11 |
| Red Blood Cell Disorders W/O Mcc | 35 | 108 / 16 | $8.293,26 | 43 / 5 | $4.501,49 | 198 / 11 | $3.623,31 | 198 / 18 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 13 | $7.156,33 | 69 / 4 | $3.896,82 | 211 / 13 | $2.979,48 | 209 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 18 | $16.025,90 | 440 / 11 | $5.795,21 | 239 / 8 | $4.915,70 | 238 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 32 | 136 / 13 | $19.979,30 | 93 / 2 | $8.780,53 | 35 / 3 | $7.715,44 | 35 / 4 |
| Respiratory Infections & Inflammations W Cc | 28 | 60 / 5 | $14.569,80 | 88 / 1 | $7.113,79 | 52 / 3 | $6.247,50 | 52 / 5 |
| Other Circulatory System Diagnoses W Mcc | 27 | 89 / 9 | $31.173,80 | 244 / 6 | $10.712,80 | 279 / 10 | $9.904,52 | 279 / 15 |
| G.I. Obstruction W Cc | 27 | 65 / 10 | $13.645,10 | 200 / 4 | $4.937,70 | 166 / 7 | $3.991,67 | 165 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 11 | $18.182,90 | 109 / 2 | $8.033,46 | 39 / 1 | $7.317,77 | 39 / 2 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 15 | $44.749,00 | 288 / 11 | $13.029,20 | 43 / 5 | $11.373,40 | 43 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 16 | $27.463,20 | 92 / 2 | $11.147,90 | 26 / 1 | $10.287,20 | 26 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 8 | $8.918,35 | 36 / 2 | $4.837,87 | 95 / 5 | $3.787,43 | 95 / 11 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 8 | $10.151,50 | 143 / 4 | $3.689,32 | 94 / 7 | $2.316,73 | 94 / 5 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 17 | $29.811,90 | 321 / 8 | $9.135,00 | 23 / 7 | $8.046,32 | 23 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 11 | $12.317,30 | 68 / 1 | $4.699,29 | 1 / 1 | $3.719,48 | 1 / 1 |
| Seizures W/O Mcc | 21 | 87 / 14 | $13.789,60 | 199 / 3 | $4.220,76 | 138 / 2 | $3.411,62 | 137 / 11 |
| Medical Back Problems W/O Mcc | 20 | 101 / 16 | $11.711,80 | 94 / 3 | $5.244,90 | 22 / 19 | $3.268,50 | 22 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 20 | 36 / 6 | $29.018,20 | 75 / 3 | $9.218,15 | 8 / 13 | $6.839,30 | 8 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 20 | 27 / 3 | $26.651,70 | 106 / 4 | $6.830,45 | 16 / 4 | $4.942,10 | 16 / 3 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 9 | $10.465,50 | 38 / 1 | $5.334,26 | 69 / 5 | $4.215,63 | 69 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 7 | $14.519,40 | 99 / 3 | $6.248,95 | 80 / 7 | $5.491,05 | 80 / 7 |
| Depressive Neuroses | 19 | 31 / 3 | $5.952,47 | 12 / 2 | $3.720,05 | 16 / 2 | $3.046,84 | 16 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 22 | $11.156,10 | 71 / 2 | $4.331,50 | 152 / 10 | $3.112,06 | 150 / 9 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 11 | $9.147,94 | 72 / 3 | $3.692,50 | 127 / 3 | $2.987,39 | 127 / 11 |
| Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 8 | $47.703,50 | 123 / 4 | $15.288,80 | 32 / 4 | $14.284,30 | 32 / 5 |
| Peripheral Vascular Disorders W Cc | 18 | 66 / 12 | $10.158,10 | 43 / 1 | $5.246,06 | 25 / 7 | $3.962,50 | 25 / 5 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 18 | 46 / 11 | $39.527,50 | 290 / 7 | $8.537,50 | 76 / 1 | $7.392,61 | 76 / 9 |
| Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 5 | $8.201,28 | 38 / 2 | $3.883,22 | 121 / 5 | $3.013,89 | 122 / 12 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 17 | 56 / 5 | $86.666,70 | 348 / 11 | $12.158,00 | 348 / 11 | $10.949,40 | 348 / 11 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 15 | $23.533,80 | 240 / 10 | $5.846,47 | 4 / 10 | $3.990,35 | 4 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 14 | $13.389,10 | 54 / 4 | $6.939,12 | 40 / 13 | $5.371,19 | 40 / 6 |
| Other Digestive System Diagnoses W Mcc | 16 | 46 / 7 | $18.736,80 | 26 / 1 | $8.618,50 | 16 / 3 | $7.790,50 | 16 / 3 |
| Pulmonary Embolism W Mcc | 16 | 27 / 3 | $18.630,90 | 35 / 1 | $7.781,06 | 33 / 2 | $7.025,06 | 33 / 5 |
| Respiratory Neoplasms W Mcc | 16 | 36 / 9 | $31.881,40 | 135 / 4 | $9.012,69 | 20 / 4 | $8.030,69 | 20 / 4 |
| Transurethral Procedures W Cc | 16 | 25 / 3 | $31.514,00 | 136 / 4 | $7.052,38 | 2 / 5 | $5.113,75 | 2 / 2 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 7 | $9.141,33 | 48 / 1 | $4.210,00 | 57 / 3 | $3.083,60 | 57 / 4 |
| G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 12 | $9.488,33 | 83 / 4 | $4.001,73 | 102 / 6 | $2.952,13 | 102 / 7 |
| Atherosclerosis W/O Mcc | 15 | 43 / 3 | $9.195,87 | 30 / 1 | $3.568,67 | / 2 | $2.519,07 | / |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 8 | $10.265,90 | 52 / 1 | $4.604,40 | 36 / 9 | $2.980,20 | 36 / 2 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 10 | $93.325,50 | 202 / 5 | $27.920,30 | 167 / 10 | $27.433,90 | 167 / 17 |
| Seizures W Mcc | 15 | 51 / 8 | $16.579,40 | 28 / 1 | $7.931,87 | 40 / 2 | $7.212,93 | 40 / 2 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 15 | 54 / 5 | $72.749,30 | 296 / 8 | $13.389,20 | 48 / 3 | $12.260,70 | 48 / 3 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 14 | 15 / 2 | $10.979,00 | 9 / 1 | $5.279,21 | 10 / 1 | $4.502,07 | 10 / 2 |
| Disorders Of The Biliary Tract W Cc | 14 | 40 / 4 | $12.583,10 | 18 / 1 | $5.690,07 | 1 / 2 | $4.112,21 | 1 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 11 | $77.229,40 | 74 / 2 | $29.958,50 | 12 / 4 | $26.641,40 | 12 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 12 | $9.770,29 | 26 / 2 | $5.570,86 | 79 / 5 | $4.426,29 | 79 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 11 | $64.573,20 | 526 / 11 | $11.437,50 | 75 / 8 | $10.228,40 | 75 / 10 |
| Other Disorders Of Nervous System W Cc | 13 | 43 / 6 | $9.100,77 | 21 / 1 | $4.918,77 | 24 / 2 | $3.783,77 | 24 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 16 | $103.130,00 | 410 / 9 | $30.616,70 | 363 / 20 | $28.191,50 | 361 / 19 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 13 | 40 / 4 | $26.247,00 | 20 / 1 | $9.262,31 | 1 / 2 | $7.028,62 | 1 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 11 | $13.473,00 | 82 / 3 | $5.015,46 | 48 / 3 | $3.900,38 | 48 / 6 |
| Cellulitis W Mcc | 13 | 45 / 7 | $15.503,40 | 45 / 2 | $7.677,77 | 90 / 5 | $6.936,85 | 90 / 6 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 12 | $8.453,17 | 19 / 1 | $4.886,58 | 59 / 4 | $3.987,92 | 59 / 6 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 3 | $7.097,83 | 6 / 1 | $4.712,92 | 16 / 1 | $3.332,08 | 16 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 13 | $57.896,00 | 220 / 8 | $16.907,90 | 100 / 10 | $15.899,90 | 100 / 10 |
| Diabetes W Mcc | 12 | 45 / 11 | $21.671,70 | 107 / 4 | $7.050,08 | 8 / 2 | $5.884,75 | 8 / 2 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 6 | $10.973,60 | 51 / 3 | $3.768,58 | 71 / 4 | $2.763,25 | 71 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 20 | $48.701,40 | 45 / 1 | $25.921,80 | 71 / 2 | $25.113,80 | 71 / 2 |
| Other Vascular Procedures W Cc | 12 | 90 / 18 | $49.905,70 | 206 / 8 | $14.264,80 | 197 / 13 | $13.355,40 | 197 / 16 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 18 | $9.088,17 | 65 / 7 | $3.984,00 | 65 / 10 | $2.874,67 | 65 / 5 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 14 | $8.027,27 | 30 / 5 | $4.309,73 | 34 / 13 | $2.518,36 | 34 / 6 |
| Endocrine Disorders W Mcc | 11 | 15 / 2 | $16.479,80 | 3 / 1 | $8.158,82 | 2 / 1 | $6.951,55 | 2 / 1 |
| Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 5 | $24.646,50 | 30 / 2 | $8.928,09 | 10 / 2 | $8.160,09 | 10 / 3 |
| Tendonitis, Myositis & Bursitis W Mcc | 11 | 3 / 1 | $19.460,60 | 1 / 1 | $7.604,82 | 1 / 1 | $6.513,91 | 1 / 1 | Total 98 procedures | 3.834 | 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.