Hospital Costs > In Alabama > Evergreen Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 102 | 173 / 15 | $7.441,14 | 68 / 8 | $4.257,91 | 357 / 14 | $3.292,36 | 356 / 28 |
| Chronic Obstructive Pulmonary Disease W Mcc | 62 | 140 / 17 | $10.206,80 | 42 / 1 | $6.269,18 | 83 / 10 | $5.102,40 | 83 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 23 | $8.549,58 | 36 / 3 | $5.224,93 | 361 / 17 | $4.383,26 | 360 / 29 |
| Heart Failure & Shock W Cc | 40 | 238 / 31 | $8.743,97 | 66 / 6 | $5.469,55 | 116 / 21 | $4.381,95 | 116 / 14 |
| Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 22 | $12.466,70 | 43 / 2 | $7.539,73 | 58 / 5 | $6.451,33 | 58 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 16 | $7.001,46 | 42 / 4 | $4.216,41 | 252 / 20 | $3.093,92 | 252 / 20 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 35 | $8.035,42 | 117 / 6 | $4.363,13 | 393 / 15 | $3.538,71 | 393 / 24 |
| Cellulitis W/O Mcc | 31 | 158 / 27 | $7.051,81 | 43 / 3 | $4.721,35 | 436 / 10 | $3.824,32 | 433 / 36 |
| G.I. Hemorrhage W Cc | 22 | 196 / 31 | $10.481,50 | 64 / 5 | $5.531,41 | 76 / 16 | $4.286,50 | 76 / 7 |
| Syncope & Collapse | 19 | 150 / 27 | $6.942,11 | 15 / 2 | $4.164,37 | 253 / 13 | $3.270,05 | 251 / 19 |
| Chest Pain | 19 | 132 / 25 | $5.061,47 | 7 / 1 | $3.527,42 | 312 / 9 | $2.697,11 | 311 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 18 | 498 / 45 | $14.490,20 | 60 / 4 | $9.827,61 | 229 / 20 | $9.005,83 | 229 / 28 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 12 | $6.195,72 | 12 / 2 | $3.944,22 | 224 / 8 | $3.275,78 | 223 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 26 | $7.508,35 | 2 / 1 | $5.825,35 | 140 / 14 | $4.692,18 | 140 / 14 |
| Transient Ischemia | 15 | 110 / 24 | $5.890,40 | 5 / 1 | $4.078,73 | 98 / 10 | $2.786,53 | 98 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 16 | $9.425,86 | 12 / 1 | $6.100,21 | 44 / 3 | $5.409,93 | 44 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 48 | $10.477,80 | 139 / 8 | $5.476,29 | 218 / 13 | $4.356,29 | 218 / 20 |
| Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 15 | $7.084,85 | 12 / 1 | $4.914,15 | 99 / 7 | $3.799,08 | 99 / 12 |
| Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 13 | $4.778,83 | 1 / 1 | $3.619,17 | 14 / 3 | $2.321,67 | 14 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 36 | $12.319,30 | 170 / 7 | $5.880,64 | 589 / 9 | $5.303,91 | 587 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 40 | $6.763,45 | 63 / 5 | $4.044,64 | 233 / 17 | $3.055,55 | 233 / 17 |
| Diabetes W Cc | 11 | 81 / 21 | $6.667,18 | 11 / 1 | $4.553,18 | 374 / 7 | $4.116,82 | 374 / 22 |
| Heart Failure & Shock W Mcc | 11 | 273 / 38 | $14.877,80 | 139 / 5 | $7.895,00 | 255 / 12 | $7.342,27 | 255 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 33 | $6.988,64 | 19 / 2 | $4.394,91 | 311 / 12 | $3.621,09 | 311 / 20 | Total 24 procedures | 631 | 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.