Hospital Costs > In Alabama > George H. Lanier Memorial Hospital, 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 | 12 | 263 / 56 | $6.498,42 | 32 / 4 | $4.672,08 | 725 / 40 | $3.584,08 | 721 / 46 |
Heart Failure & Shock W Cc | 20 | 258 / 43 | $10.811,70 | 176 / 12 | $5.898,95 | 561 / 44 | $4.950,15 | 561 / 39 |
Heart Failure & Shock W Mcc | 13 | 271 / 37 | $8.862,77 | 7 / 1 | $8.770,23 | 174 / 38 | $7.190,69 | 174 / 23 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 31 | $7.066,27 | 62 / 3 | $4.312,91 | 549 / 33 | $3.341,27 | 547 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 17 | 499 / 46 | $10.945,50 | 13 / 2 | $10.214,80 | 456 / 29 | $9.444,94 | 456 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 36 | $8.489,27 | 26 / 1 | $6.138,82 | 561 / 21 | $5.277,73 | 559 / 35 | Total 6 procedures | 84 | 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.