Hospital Costs > In Alabama > Gadsden 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 Adjustment Reaction & Psychosocial Dysfunction | 12 | 18 / 2 | $41.104,70 | 76 / 2 | $4.429,92 | 24 / 1 | $3.528,58 | 24 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 16 | $57.714,20 | 1278 / 22 | $6.486,25 | 507 / 16 | $5.475,58 | 506 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 15 | $136.400,00 | 1794 / 29 | $10.862,70 | 868 / 25 | $9.909,47 | 867 / 25 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 17 | 107 / 12 | $42.046,80 | 794 / 17 | $4.577,12 | 324 / 12 | $3.863,71 | 324 / 14 |
| Atherosclerosis W/O Mcc | 21 | 37 / 1 | $47.381,60 | 533 / 8 | $4.241,57 | / 6 | $3.377,57 | / |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 42 | 24 / 1 | $89.673,40 | 499 / 10 | $10.594,50 | 78 / 4 | $9.186,29 | 78 / 5 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 10 | $79.073,10 | 732 / 13 | $6.578,42 | 187 / 9 | $5.169,92 | 187 / 12 |
| Bronchitis & Asthma W Cc/Mcc | 30 | 46 / 4 | $59.896,10 | 1051 / 29 | $6.630,67 | 240 / 28 | $4.199,43 | 237 / 20 |
| Bronchitis & Asthma W/O Cc/Mcc | 17 | 28 / 8 | $47.171,00 | 375 / 20 | $4.431,00 | 187 / 15 | $3.504,88 | 187 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 61 | 100 / 6 | $61.149,50 | 2125 / 45 | $5.287,90 | 1161 / 37 | $4.459,54 | 1157 / 41 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 15 | $91.142,50 | 1881 / 32 | $7.456,16 | 631 / 21 | $6.570,16 | 628 / 24 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 15 | $38.077,00 | 1901 / 39 | $3.963,39 | 1087 / 31 | $2.896,39 | 1082 / 34 |
| Cellulitis W/O Mcc | 58 | 131 / 11 | $56.137,60 | 2600 / 66 | $5.486,88 | 1149 / 47 | $4.388,88 | 1143 / 58 |
| Cervical Spinal Fusion W/O Cc/Mcc | 50 | 54 / 10 | $70.362,30 | 583 / 16 | $12.234,90 | 172 / 10 | $10.920,50 | 172 / 10 |
| Chest Pain | 66 | 85 / 3 | $36.826,70 | 1539 / 36 | $4.239,61 | 820 / 32 | $3.275,62 | 815 / 33 |
| Chronic Obstructive Pulmonary Disease W Cc | 80 | 99 / 8 | $58.299,50 | 2348 / 63 | $5.994,77 | 1070 / 52 | $5.028,38 | 1066 / 56 |
| Chronic Obstructive Pulmonary Disease W Mcc | 95 | 107 / 8 | $83.611,80 | 2519 / 61 | $7.571,78 | 853 / 55 | $6.101,86 | 848 / 51 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 58 | 62 / 8 | $48.542,60 | 2041 / 64 | $5.054,31 | 956 / 56 | $3.698,02 | 947 / 50 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 16 | $113.334,00 | 816 / 19 | $12.227,10 | 242 / 10 | $11.235,10 | 237 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 108 | 80 / 4 | $66.167,80 | 1459 / 31 | $6.958,03 | 618 / 26 | $5.613,31 | 616 / 26 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 28 | 48 / 8 | $284.357,00 | 579 / 20 | $25.776,30 | 74 / 15 | $22.623,00 | 74 / 14 |
| Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 10 | $68.224,90 | 851 / 15 | $5.906,06 | 207 / 11 | $5.004,88 | 207 / 11 |
| Depressive Neuroses | 11 | 39 / 6 | $33.824,70 | 128 / 6 | $4.512,27 | 50 / 5 | $3.523,18 | 50 / 6 |
| Diabetes W Cc | 24 | 68 / 12 | $65.847,30 | 1602 / 36 | $5.466,29 | 724 / 29 | $4.559,67 | 722 / 32 |
| Diabetes W/O Cc/Mcc | 12 | 26 / 7 | $46.058,90 | 287 / 10 | $4.839,75 | 119 / 11 | $3.221,33 | 119 / 10 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 5 | $130.419,00 | 551 / 8 | $11.160,00 | 132 / 6 | $10.278,60 | 132 / 6 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 11 | $81.074,70 | 952 / 19 | $8.515,77 | 9 / 20 | $3.437,77 | 9 / 2 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 14 | 67 / 6 | $690.625,00 | 373 / 10 | $88.166,40 | 68 / 3 | $86.894,40 | 68 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 16 | $100.479,00 | 1449 / 32 | $7.359,86 | 341 / 16 | $6.324,43 | 339 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 164 | 111 / 5 | $56.571,30 | 2685 / 71 | $5.380,43 | 1049 / 64 | $3.788,79 | 1041 / 55 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 11 | $231.605,00 | 680 / 15 | $25.515,50 | 79 / 5 | $24.750,40 | 79 / 7 |
| Extracranial Procedures W/O Cc/Mcc | 24 | 74 / 13 | $74.675,80 | 878 / 19 | $6.589,92 | 444 / 18 | $5.583,25 | 443 / 19 |
| Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 4 | $48.238,60 | 901 / 20 | $4.759,05 | 224 / 17 | $3.292,65 | 225 / 16 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 6 | $49.200,50 | 779 / 11 | $5.566,81 | 298 / 10 | $3.887,88 | 298 / 8 |
| G.I. Hemorrhage W Cc | 66 | 152 / 15 | $70.533,40 | 2383 / 52 | $6.523,85 | 926 / 44 | $5.299,97 | 924 / 43 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 18 | $163.248,00 | 1665 / 30 | $11.737,60 | 942 / 28 | $10.992,50 | 936 / 29 |
| G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 7 | $40.200,80 | 923 / 27 | $4.951,68 | 407 / 27 | $3.574,82 | 403 / 23 |
| G.I. Obstruction W Cc | 23 | 69 / 13 | $73.290,20 | 1712 / 33 | $5.674,74 | 764 / 24 | $4.772,13 | 762 / 27 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 15 | $45.011,50 | 1270 / 25 | $4.252,69 | 575 / 18 | $3.051,46 | 574 / 21 |
| Heart Failure & Shock W Cc | 94 | 184 / 14 | $62.947,00 | 2687 / 66 | $6.271,52 | 1053 / 51 | $5.327,84 | 1051 / 53 |
| Heart Failure & Shock W Mcc | 100 | 184 / 11 | $118.190,00 | 2598 / 52 | $9.621,73 | 1348 / 49 | $8.786,14 | 1345 / 49 |
| Heart Failure & Shock W/O Cc/Mcc | 41 | 69 / 11 | $43.738,60 | 1937 / 51 | $4.583,71 | 1153 / 40 | $3.905,46 | 1144 / 44 |
| Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 14 | $110.184,00 | 1950 / 33 | $11.333,20 | 639 / 27 | $10.328,80 | 636 / 28 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 11 | $185.379,00 | 936 / 20 | $17.068,90 | 247 / 15 | $16.207,10 | 245 / 16 |
| Hypertension W/O Mcc | 16 | 49 / 8 | $43.385,20 | 755 / 22 | $4.319,12 | 372 / 15 | $3.339,12 | 370 / 17 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 36 | 88 / 6 | $320.736,00 | 1528 / 27 | $32.203,40 | 502 / 23 | $29.497,30 | 498 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 64 | 118 / 12 | $82.413,60 | 2042 / 45 | $6.748,42 | 954 / 35 | $5.766,42 | 951 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 12 | $119.180,00 | 1574 / 30 | $11.403,40 | 357 / 25 | $8.983,82 | 356 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 39 | 63 / 11 | $58.037,50 | 1550 / 34 | $5.016,21 | 800 / 24 | $3.996,31 | 796 / 29 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 15 | $89.279,80 | 1936 / 41 | $6.998,96 | 961 / 31 | $6.321,84 | 958 / 39 |
| Kidney & Urinary Tract Infections W/O Mcc | 122 | 111 / 5 | $58.172,10 | 2682 / 70 | $5.176,95 | 1119 / 59 | $4.032,68 | 1111 / 54 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 11 | $114.722,00 | 833 / 21 | $9.824,00 | 318 / 19 | $8.714,67 | 318 / 20 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 5 | $194.627,00 | 453 / 8 | $16.188,30 | 265 / 8 | $15.381,90 | 264 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 17 | 30 / 5 | $87.187,20 | 555 / 14 | $7.617,00 | 213 / 10 | $6.171,94 | 213 / 14 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 21 | 34 / 4 | $112.423,00 | 602 / 16 | $11.792,80 | 88 / 13 | $9.737,10 | 88 / 9 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 19 | 28 / 4 | $70.467,90 | 449 / 12 | $8.777,00 | 86 / 10 | $7.084,95 | 86 / 9 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 19 | $126.251,00 | 770 / 18 | $18.562,80 | 197 / 12 | $17.790,20 | 197 / 18 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 7 | $93.327,50 | 1097 / 22 | $7.251,21 | 624 / 17 | $7.062,58 | 622 / 22 |
| Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 12 | 17 / 2 | $52.582,00 | 125 / 3 | $5.343,83 | 48 / 2 | $4.333,17 | 48 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 9 | $98.095,10 | 748 / 16 | $12.481,80 | 181 / 13 | $10.959,60 | 179 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 14 | $156.390,00 | 852 / 18 | $18.061,10 | 208 / 13 | $16.859,60 | 207 / 13 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 204 | 360 / 19 | $100.773,00 | 2490 / 42 | $12.689,10 | 705 / 38 | $10.633,50 | 695 / 31 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 16 | $128.438,00 | 1382 / 30 | $13.887,60 | 333 / 17 | $12.994,40 | 331 / 24 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 13 | $276.220,00 | 1212 / 24 | $27.862,40 | 260 / 10 | $26.994,90 | 258 / 13 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 20 | 44 / 10 | $90.707,00 | 710 / 19 | $9.925,80 | 147 / 16 | $7.804,20 | 147 / 14 |
| Medical Back Problems W/O Mcc | 36 | 85 / 6 | $57.629,50 | 1455 / 28 | $5.555,19 | 646 / 22 | $4.474,08 | 644 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 68 | 98 / 9 | $56.435,00 | 2510 / 67 | $5.253,97 | 728 / 59 | $3.473,37 | 726 / 42 |
| Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 8 | $142.118,00 | 411 / 10 | $9.710,36 | 69 / 6 | $8.505,91 | 69 / 7 |
| Organic Disturbances & Mental Retardation | 17 | 42 / 7 | $53.740,80 | 516 / 14 | $6.141,94 | 147 / 10 | $5.344,76 | 147 / 13 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 11 | $55.738,90 | 623 / 14 | $6.098,92 | 232 / 10 | $5.264,46 | 231 / 11 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 17 | $92.777,50 | 1228 / 21 | $10.937,20 | 415 / 11 | $10.433,20 | 414 / 19 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 14 | $74.401,70 | 1411 / 28 | $6.299,61 | 251 / 23 | $4.765,72 | 248 / 18 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 8 | $51.534,80 | 562 / 9 | $5.938,91 | 62 / 7 | $4.156,64 | 62 / 4 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 10 | $181.136,00 | 530 / 11 | $20.388,70 | 148 / 5 | $19.882,00 | 148 / 5 |
| Other Vascular Procedures W Cc | 11 | 91 / 19 | $144.572,00 | 1048 / 24 | $14.404,30 | 208 / 14 | $13.418,10 | 208 / 18 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 11 | $83.890,00 | 490 / 14 | $10.070,10 | 203 / 11 | $9.158,09 | 202 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 42 | 154 / 17 | $124.640,00 | 1346 / 23 | $11.811,50 | 369 / 18 | $10.320,60 | 369 / 21 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 16 | $57.587,80 | 1203 / 30 | $6.003,93 | 492 / 24 | $5.309,07 | 490 / 26 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 10 | $114.566,00 | 841 / 17 | $14.846,10 | 162 / 11 | $13.775,10 | 162 / 15 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 8 | $88.188,00 | 622 / 14 | $12.511,30 | 252 / 13 | $11.649,60 | 251 / 13 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 32 | 29 / 5 | $50.602,80 | 896 / 27 | $4.397,78 | 187 / 25 | $3.097,91 | 186 / 16 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 8 | $51.680,70 | 418 / 9 | $5.957,82 | 150 / 6 | $5.626,18 | 150 / 8 |
| Psychoses | 254 | 82 / 3 | $51.134,40 | 586 / 16 | $6.451,03 | 178 / 10 | $5.412,78 | 178 / 12 |
| Pulmonary Edema & Respiratory Failure | 38 | 165 / 17 | $87.680,40 | 2170 / 43 | $7.734,11 | 946 / 37 | $6.861,82 | 946 / 41 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 9 | $75.792,40 | 1265 / 29 | $6.641,79 | 348 / 25 | $4.888,32 | 348 / 20 |
| Red Blood Cell Disorders W Mcc | 17 | 54 / 11 | $82.002,40 | 1075 / 24 | $7.665,76 | 297 / 14 | $6.814,94 | 297 / 18 |
| Red Blood Cell Disorders W/O Mcc | 54 | 89 / 8 | $50.403,40 | 1910 / 52 | $5.231,33 | 837 / 37 | $4.336,46 | 832 / 42 |
| Renal Failure W Cc | 102 | 119 / 5 | $77.023,40 | 2420 / 52 | $6.416,98 | 1295 / 47 | $5.487,92 | 1287 / 50 |
| Renal Failure W Mcc | 46 | 149 / 18 | $128.579,00 | 2152 / 43 | $9.806,57 | 1072 / 39 | $9.072,63 | 1072 / 42 |
| Renal Failure W/O Cc/Mcc | 22 | 34 / 4 | $45.958,40 | 836 / 17 | $4.303,50 | 480 / 11 | $3.535,50 | 479 / 16 |
| Respiratory Infections & Inflammations W Cc | 27 | 61 / 6 | $111.554,00 | 1475 / 28 | $8.433,04 | 697 / 22 | $7.749,78 | 692 / 25 |
| Respiratory Infections & Inflammations W Mcc | 38 | 98 / 10 | $178.264,00 | 1796 / 33 | $12.607,00 | 989 / 28 | $11.656,40 | 977 / 30 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 11 | $168.242,00 | 1806 / 34 | $13.514,30 | 583 / 24 | $12.645,00 | 575 / 27 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 23 | 48 / 5 | $293.476,00 | 913 / 24 | $29.617,90 | 283 / 15 | $28.987,70 | 283 / 20 |
| Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 12 | $151.064,00 | 615 / 15 | $19.195,70 | 136 / 11 | $17.374,20 | 136 / 11 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 11 | $129.338,00 | 470 / 10 | $14.997,90 | 112 / 8 | $13.705,80 | 112 / 10 |
| Seizures W/O Mcc | 34 | 74 / 7 | $53.630,40 | 1258 / 26 | $5.454,74 | 439 / 23 | $3.960,35 | 437 / 20 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 33 | 59 / 4 | $321.501,00 | 1019 / 19 | $32.756,60 | 197 / 10 | $31.740,90 | 197 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 175 | 341 / 9 | $161.879,00 | 2814 / 59 | $12.223,30 | 1216 / 56 | $10.499,20 | 1196 / 55 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 49 | 158 / 12 | $92.047,40 | 2556 / 50 | $6.969,16 | 920 / 43 | $5.599,39 | 918 / 44 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 16 | $41.917,00 | 1249 / 32 | $4.693,79 | 759 / 25 | $4.172,64 | 756 / 28 |
| Simple Pneumonia & Pleurisy W Cc | 101 | 102 / 7 | $71.975,40 | 2775 / 73 | $6.334,73 | 970 / 56 | $5.053,61 | 967 / 53 |
| Simple Pneumonia & Pleurisy W Mcc | 92 | 113 / 11 | $121.680,00 | 2504 / 51 | $9.544,71 | 947 / 47 | $7.822,25 | 947 / 44 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 38 | 55 / 7 | $52.647,50 | 1921 / 53 | $5.294,55 | 819 / 51 | $3.518,21 | 815 / 38 |
| Spinal Fusion Except Cervical W/O Mcc | 73 | 121 / 11 | $135.043,00 | 1027 / 21 | $21.098,20 | 136 / 15 | $19.351,80 | 135 / 13 |
| Syncope & Collapse | 77 | 92 / 5 | $52.034,00 | 1850 / 47 | $4.926,79 | 892 / 39 | $3.933,68 | 887 / 41 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 8 | $582.430,00 | 537 / 14 | $59.699,60 | 195 / 6 | $58.705,20 | 195 / 9 |
| Transient Ischemia | 56 | 69 / 5 | $61.124,80 | 1634 / 35 | $4.735,95 | 703 / 28 | $3.588,64 | 699 / 29 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 4 | $46.275,40 | 292 / 6 | $4.961,36 | 73 / 5 | $3.748,27 | 73 / 4 | Total 109 procedures | 4.228 | 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.