Hospital Costs > In Alabama > Grove Hill Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 13 | 176 / 43 | $11.102,60 | 371 / 18 | $4.800,92 | 384 / 14 | $3.782,23 | 381 / 32 |
Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 43 | $11.518,70 | 188 / 10 | $5.389,31 | 343 / 26 | $4.367,77 | 342 / 28 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 34 | $10.112,40 | 254 / 15 | $4.272,44 | 592 / 24 | $3.401,33 | 591 / 38 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 54 | $10.179,50 | 227 / 18 | $4.345,56 | 565 / 18 | $3.454,56 | 563 / 37 |
Heart Failure & Shock W Cc | 16 | 262 / 46 | $12.136,00 | 280 / 17 | $5.168,50 | 214 / 6 | $4.561,50 | 214 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 53 | $8.060,58 | 118 / 7 | $4.600,00 | 605 / 29 | $3.693,33 | 603 / 39 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 30 | $6.173,58 | 5 / 2 | $4.515,92 | 347 / 12 | $3.811,92 | 346 / 26 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 45 | $9.615,67 | 86 / 4 | $5.593,00 | 430 / 22 | $4.590,33 | 427 / 31 | Total 8 procedures | 118 | 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.