Hospital Costs > In Alabama > Dekalb 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 Cc | 11 | 80 / 17 | $29.136,00 | 704 / 10 | $5.497,82 | 21 / 4 | $4.293,82 | 21 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 13 | $76.216,00 | 1521 / 25 | $9.560,55 | 290 / 11 | $8.517,64 | 290 / 15 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 11 | $31.918,60 | 619 / 12 | $4.105,18 | 77 / 2 | $3.223,73 | 77 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 30 | $34.359,70 | 1789 / 38 | $4.337,00 | 171 / 7 | $3.433,00 | 171 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 29 | $24.391,10 | 1603 / 33 | $3.252,14 | 253 / 6 | $2.201,86 | 251 / 11 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 36 | $29.427,20 | 1687 / 53 | $5.008,80 | 191 / 5 | $4.164,00 | 191 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 28 | $35.313,20 | 1760 / 51 | $6.330,21 | 216 / 15 | $5.441,79 | 215 / 26 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 30 | $23.900,10 | 1492 / 58 | $3.963,95 | 134 / 7 | $2.897,05 | 134 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 24 | $44.712,60 | 1066 / 23 | $5.757,74 | 79 / 3 | $4.684,89 | 79 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 42 | $22.621,80 | 1679 / 53 | $4.531,52 | 39 / 30 | $2.789,64 | 39 / 4 |
| G.I. Hemorrhage W Cc | 28 | 190 / 27 | $31.194,40 | 1625 / 41 | $5.375,57 | 68 / 9 | $4.249,86 | 68 / 6 |
| Heart Failure & Shock W Cc | 28 | 250 / 37 | $31.832,10 | 2052 / 58 | $5.298,54 | 193 / 9 | $4.521,39 | 193 / 21 |
| Heart Failure & Shock W Mcc | 29 | 255 / 29 | $44.419,40 | 1832 / 42 | $7.786,38 | 103 / 8 | $6.978,10 | 103 / 13 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 30 | $23.371,30 | 1476 / 45 | $3.782,50 | 207 / 9 | $2.977,17 | 205 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 30 | $23.332,20 | 1875 / 57 | $4.248,66 | 155 / 9 | $3.240,20 | 155 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 23 | $28.888,90 | 911 / 22 | $5.574,27 | 5 / 1 | $4.575,91 | 5 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 24 | $21.122,80 | 1653 / 53 | $3.895,00 | 192 / 8 | $2.995,34 | 192 / 15 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 17 | 179 / 23 | $121.111,00 | 1322 / 21 | $10.638,30 | 36 / 6 | $8.955,06 | 36 / 5 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 16 | $19.317,40 | 493 / 20 | $3.554,31 | 77 / 2 | $2.810,92 | 77 / 5 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 30 | $32.757,80 | 1193 / 26 | $6.404,35 | 70 / 7 | $5.585,53 | 70 / 12 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 26 | $27.060,90 | 1363 / 42 | $4.352,06 | 46 / 6 | $3.215,29 | 46 / 5 |
| Renal Failure W Cc | 21 | 200 / 30 | $26.963,10 | 1546 / 41 | $5.143,62 | 209 / 6 | $4.396,95 | 208 / 18 |
| Renal Failure W Mcc | 13 | 182 / 31 | $34.729,20 | 1039 / 25 | $8.411,69 | 20 / 18 | $6.704,54 | 20 / 4 |
| Respiratory Infections & Inflammations W Cc | 18 | 70 / 12 | $46.901,30 | 1091 / 22 | $7.269,44 | 61 / 6 | $6.317,89 | 61 / 7 |
| Respiratory Infections & Inflammations W Mcc | 21 | 115 / 18 | $54.342,30 | 1162 / 22 | $10.285,70 | 205 / 3 | $9.767,62 | 205 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 37 | 479 / 34 | $53.718,40 | 1912 / 45 | $9.614,05 | 146 / 13 | $8.786,16 | 146 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 21 | $29.855,40 | 1612 / 39 | $5.969,75 | 32 / 15 | $4.367,39 | 32 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 39 | $36.917,90 | 2244 / 65 | $5.666,19 | 154 / 24 | $4.241,38 | 154 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 31 | $58.457,50 | 2073 / 44 | $7.568,09 | 182 / 6 | $6.779,22 | 182 / 16 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 21 | $24.643,00 | 1431 / 44 | $3.919,23 | 193 / 7 | $2.885,05 | 191 / 12 |
| Syncope & Collapse | 11 | 158 / 35 | $24.195,80 | 1177 / 33 | $4.030,27 | 127 / 9 | $3.041,18 | 127 / 10 | Total 31 procedures | 677 | 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.