Hospital Costs > In Alabama > Helen Keller Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 206 | 358 / 18 | $32.666,00 | 339 / 7 | $11.142,30 | 212 / 14 | $9.758,25 | 212 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 169 | 347 / 10 | $30.732,40 | 816 / 18 | $9.773,53 | 254 / 18 | $9.064,83 | 254 / 29 |
Heart Failure & Shock W Cc | 96 | 182 / 13 | $21.396,50 | 1342 / 45 | $5.597,36 | 273 / 29 | $4.652,70 | 273 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 75 | 200 / 21 | $18.085,30 | 1143 / 37 | $4.397,55 | 401 / 21 | $3.327,85 | 399 / 29 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 70 | 50 / 2 | $13.735,60 | 634 / 28 | $4.454,81 | 267 / 35 | $3.106,83 | 267 / 22 |
Chronic Obstructive Pulmonary Disease W Cc | 70 | 109 / 10 | $16.679,70 | 675 / 21 | $5.289,91 | 374 / 21 | $4.395,06 | 373 / 30 |
G.I. Hemorrhage W Cc | 66 | 152 / 15 | $21.386,20 | 888 / 23 | $5.654,52 | 160 / 23 | $4.487,41 | 160 / 16 |
Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 17 | $22.371,10 | 1390 / 40 | $5.697,80 | 245 / 27 | $4.396,06 | 245 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 62 | 104 / 11 | $15.819,30 | 1066 / 38 | $4.096,60 | 340 / 21 | $3.179,44 | 340 / 23 |
Chronic Obstructive Pulmonary Disease W Mcc | 61 | 141 / 18 | $20.199,10 | 732 / 20 | $6.455,82 | 208 / 21 | $5.430,15 | 207 / 25 |
Heart Failure & Shock W Mcc | 60 | 224 / 19 | $29.759,80 | 1067 / 25 | $8.334,22 | 183 / 27 | $7.207,03 | 183 / 25 |
Renal Failure W Cc | 52 | 169 / 19 | $21.852,70 | 1167 / 28 | $5.465,06 | 475 / 16 | $4.725,37 | 471 / 27 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 51 | 156 / 11 | $22.021,70 | 976 / 19 | $6.002,39 | 373 / 16 | $5.065,78 | 372 / 27 |
Kidney & Urinary Tract Infections W/O Mcc | 49 | 184 / 27 | $15.985,80 | 1072 / 36 | $4.426,63 | 405 / 19 | $3.548,80 | 405 / 26 |
Simple Pneumonia & Pleurisy W Mcc | 45 | 160 / 20 | $27.734,40 | 885 / 16 | $8.012,31 | 127 / 19 | $6.659,98 | 127 / 12 |
Pulmonary Edema & Respiratory Failure | 45 | 158 / 14 | $20.389,20 | 429 / 9 | $6.720,53 | 198 / 15 | $5.906,51 | 198 / 23 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 36 | 57 / 9 | $15.032,00 | 737 / 22 | $4.214,56 | 265 / 16 | $3.011,81 | 263 / 16 |
Cellulitis W/O Mcc | 35 | 154 / 25 | $14.459,00 | 785 / 26 | $5.462,06 | 280 / 46 | $3.661,17 | 278 / 25 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 21 | $13.712,90 | 834 / 23 | $3.391,67 | 372 / 15 | $2.330,82 | 369 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 19 | $30.252,90 | 231 / 7 | $10.288,70 | 103 / 13 | $9.229,69 | 102 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 22 | $22.002,30 | 596 / 15 | $5.910,03 | 284 / 16 | $4.948,03 | 283 / 23 |
Renal Failure W Mcc | 31 | 164 / 23 | $30.275,00 | 779 / 17 | $8.184,48 | 153 / 14 | $7.446,42 | 153 / 18 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 21 | $16.670,00 | 712 / 20 | $4.494,00 | 353 / 17 | $3.674,39 | 353 / 23 |
Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 18 | $14.892,40 | 843 / 27 | $3.984,19 | 479 / 16 | $3.291,27 | 477 / 22 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 13 | $78.265,70 | 240 / 3 | $24.739,20 | 30 / 1 | $23.744,60 | 30 / 1 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 22 | 74 / 8 | $33.712,10 | 80 / 4 | $11.734,60 | 118 / 10 | $10.582,60 | 118 / 13 |
Syncope & Collapse | 21 | 148 / 25 | $16.000,50 | 481 / 22 | $4.450,71 | 173 / 23 | $3.122,24 | 172 / 13 |
Red Blood Cell Disorders W/O Mcc | 21 | 122 / 23 | $20.827,00 | 966 / 33 | $4.619,05 | 348 / 16 | $3.814,48 | 347 / 27 |
Major Small & Large Bowel Procedures W Cc | 21 | 87 / 17 | $41.861,20 | 236 / 9 | $13.235,60 | 168 / 6 | $12.316,70 | 167 / 17 |
G.I. Hemorrhage W/O Cc/Mcc | 20 | 48 / 9 | $17.112,90 | 430 / 14 | $4.101,35 | 105 / 10 | $2.954,15 | 105 / 8 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 18 | $20.266,40 | 592 / 13 | $5.917,75 | 67 / 6 | $4.917,75 | 67 / 8 |
Chest Pain | 19 | 132 / 25 | $16.874,90 | 679 / 19 | $3.863,00 | 198 / 19 | $2.546,68 | 197 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 22 | $21.660,20 | 431 / 12 | $6.659,16 | 157 / 9 | $5.768,21 | 157 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 23 | $18.692,40 | 488 / 12 | $4.310,82 | 168 / 8 | $3.152,47 | 166 / 10 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 10 | $22.986,40 | 549 / 12 | $5.565,24 | 289 / 10 | $4.782,18 | 289 / 16 |
G.I. Obstruction W Cc | 17 | 75 / 18 | $19.307,10 | 604 / 11 | $5.210,29 | 104 / 14 | $3.788,88 | 103 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 14 | $28.471,90 | 582 / 15 | $6.556,50 | 216 / 7 | $6.030,50 | 215 / 17 |
Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 12 | $14.044,60 | 163 / 8 | $4.963,12 | 109 / 8 | $3.827,12 | 108 / 13 |
Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 19 | $40.992,80 | 48 / 6 | $20.672,20 | 167 / 12 | $19.610,20 | 166 / 16 |
Medical Back Problems W/O Mcc | 15 | 106 / 20 | $17.627,00 | 365 / 7 | $4.817,93 | 84 / 11 | $3.498,13 | 84 / 10 |
Bronchitis & Asthma W/O Cc/Mcc | 15 | 30 / 10 | $11.485,00 | 67 / 7 | $3.826,27 | 77 / 6 | $2.789,47 | 77 / 11 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 15 | $19.096,30 | 366 / 12 | $5.460,13 | 104 / 13 | $4.414,80 | 104 / 14 |
Signs & Symptoms W/O Mcc | 15 | 76 / 15 | $16.404,30 | 437 / 19 | $4.031,60 | 101 / 12 | $2.982,00 | 101 / 6 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 15 | $12.035,50 | 171 / 8 | $3.781,64 | 105 / 7 | $2.917,64 | 105 / 7 |
G.I. Hemorrhage W Mcc | 14 | 107 / 23 | $28.128,60 | 268 / 7 | $9.098,64 | 105 / 5 | $8.492,93 | 105 / 11 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 7 | $48.153,70 | 396 / 8 | $9.982,79 | 19 / 1 | $8.909,64 | 19 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 23 | $45.000,50 | 482 / 12 | $11.735,50 | 11 / 7 | $9.718,54 | 11 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 21 | $18.832,40 | 350 / 9 | $6.665,00 | 17 / 15 | $4.759,77 | 17 / 5 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 8 | $16.536,50 | 355 / 9 | $4.178,62 | 137 / 9 | $3.066,00 | 138 / 14 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 18 | $24.791,80 | 669 / 15 | $5.449,42 | 233 / 10 | $4.740,08 | 231 / 16 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 25 | $33.279,50 | 529 / 8 | $10.326,20 | 186 / 5 | $9.695,58 | 186 / 15 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 9 | $29.450,90 | 192 / 5 | $6.564,33 | 78 / 3 | $6.057,67 | 78 / 8 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 17 | $30.292,00 | 222 / 5 | $9.755,50 | 108 / 6 | $9.180,17 | 108 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 23 | $30.279,80 | 347 / 9 | $8.942,33 | 63 / 6 | $7.937,00 | 63 / 6 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 11 | $19.170,50 | 116 / 4 | $5.442,64 | 64 / 5 | $4.671,73 | 64 / 7 |
Transient Ischemia | 11 | 114 / 27 | $20.111,00 | 677 / 19 | $4.103,91 | 199 / 11 | $3.010,09 | 199 / 15 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 13 | $20.414,20 | 244 / 5 | $5.546,91 | 24 / 4 | $4.090,00 | 24 / 3 |
Other Circulatory System Diagnoses W Cc | 11 | 55 / 13 | $30.247,50 | 414 / 9 | $5.382,09 | 133 / 4 | $4.832,27 | 132 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 12 | $31.161,60 | 111 / 7 | $8.882,09 | 92 / 9 | $7.779,55 | 92 / 12 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 13 | $19.235,70 | 279 / 7 | $5.196,18 | 32 / 4 | $3.764,18 | 32 / 3 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 7 | $37.948,90 | 42 / 2 | $13.820,50 | 69 / 5 | $12.624,90 | 69 / 5 | Total 61 procedures | 2.064 | 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.