Hospital Costs > In Alabama > Elmore Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 92 | 43 / 2 | $2.930,43 | 1 / 1 | $4.550,93 | 322 / 11 | $3.861,46 | 322 / 12 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 78 | 27 / 5 | $4.130,10 | 1 / 1 | $6.994,82 | 16 / 3 | $6.355,64 | 16 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 36 | $7.729,88 | 80 / 10 | $4.754,81 | 954 / 48 | $3.696,81 | 945 / 49 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 48 | $9.290,36 | 76 / 3 | $6.296,43 | 1245 / 54 | $5.258,71 | 1241 / 61 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 44 | $7.501,33 | 15 / 1 | $5.961,33 | 1200 / 51 | $5.153,33 | 1196 / 57 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 57 | $7.634,36 | 75 / 9 | $4.915,45 | 1091 / 53 | $3.818,73 | 1083 / 56 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 54 | $7.733,91 | 96 / 5 | $5.035,64 | 1136 / 53 | $4.043,64 | 1128 / 55 | Total 7 procedures | 234 | 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.