Hospital Costs > In Alabama > Highlands Medical Center Scottsboro, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 6 | $12.862,00 | 123 / 6 | $5.295,68 | 326 / 14 | $4.381,76 | 322 / 21 |
Bronchitis & Asthma W/O Cc/Mcc | 16 | 29 / 9 | $6.433,94 | 15 / 3 | $4.098,62 | 116 / 8 | $3.046,62 | 116 / 17 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 28 | $5.794,44 | 32 / 1 | $3.633,38 | 977 / 22 | $2.801,38 | 972 / 30 |
Cellulitis W/O Mcc | 57 | 132 / 12 | $11.357,70 | 400 / 20 | $5.118,16 | 636 / 33 | $4.002,46 | 633 / 44 |
Chronic Obstructive Pulmonary Disease W Cc | 63 | 116 / 14 | $12.178,30 | 251 / 12 | $5.588,78 | 663 / 36 | $4.690,75 | 661 / 43 |
Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 19 | $13.820,10 | 240 / 8 | $6.927,17 | 540 / 36 | $5.810,86 | 539 / 42 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 55 | 65 / 9 | $10.346,30 | 276 / 17 | $4.445,89 | 642 / 33 | $3.438,71 | 641 / 42 |
Diabetes W Cc | 19 | 73 / 15 | $9.948,79 | 81 / 5 | $4.995,74 | 365 / 17 | $4.106,47 | 365 / 21 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 74 | 201 / 22 | $9.572,72 | 178 / 13 | $4.596,86 | 687 / 33 | $3.560,09 | 683 / 42 |
G.I. Hemorrhage W Cc | 27 | 191 / 28 | $14.345,10 | 252 / 10 | $5.757,07 | 686 / 25 | $5.076,22 | 685 / 38 |
G.I. Obstruction W Cc | 12 | 80 / 23 | $15.125,70 | 299 / 5 | $5.521,92 | 188 / 22 | $4.038,17 | 187 / 12 |
Heart Failure & Shock W Cc | 37 | 241 / 32 | $12.574,40 | 326 / 21 | $5.703,84 | 686 / 33 | $5.051,73 | 685 / 42 |
Heart Failure & Shock W Mcc | 28 | 256 / 30 | $17.812,30 | 297 / 9 | $8.230,21 | 458 / 25 | $7.626,79 | 458 / 34 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 25 | $9.045,12 | 184 / 10 | $4.270,35 | 555 / 30 | $3.349,88 | 553 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 31 | $14.583,80 | 131 / 5 | $6.398,00 | 662 / 29 | $5.392,67 | 661 / 31 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 22 | $16.010,90 | 309 / 6 | $7.009,71 | 908 / 32 | $6.232,57 | 905 / 36 |
Kidney & Urinary Tract Infections W/O Mcc | 66 | 167 / 17 | $10.136,40 | 309 / 17 | $4.792,27 | 870 / 39 | $3.871,24 | 864 / 52 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 33 | 531 / 35 | $40.022,70 | 756 / 15 | $11.997,00 | 824 / 31 | $10.794,60 | 810 / 35 |
Medical Back Problems W/O Mcc | 17 | 104 / 18 | $10.755,10 | 66 / 2 | $4.989,06 | 374 / 13 | $4.068,59 | 374 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 19 | $17.257,10 | 260 / 8 | $6.721,35 | 364 / 16 | $5.816,41 | 361 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 61 | 105 / 12 | $8.393,34 | 177 / 10 | $4.372,41 | 1035 / 35 | $3.677,33 | 1032 / 54 |
Otitis Media & Uri W/O Mcc | 13 | 31 / 4 | $8.388,23 | 11 / 1 | $4.119,54 | 55 / 2 | $3.286,77 | 55 / 3 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 15 | $13.166,10 | 113 / 3 | $5.813,33 | 328 / 20 | $4.930,13 | 326 / 23 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 11 | $9.169,00 | 73 / 4 | $4.068,61 | 299 / 15 | $3.330,83 | 298 / 23 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 33 | $14.810,20 | 142 / 4 | $6.871,08 | 367 / 19 | $6.175,08 | 367 / 27 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 22 | $11.288,40 | 177 / 14 | $4.960,57 | 400 / 31 | $3.866,13 | 399 / 29 |
Renal Failure W Cc | 12 | 209 / 37 | $10.663,60 | 136 / 4 | $5.336,25 | 385 / 10 | $4.640,25 | 382 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 24 | 492 / 41 | $19.246,30 | 231 / 9 | $10.040,10 | 306 / 26 | $9.181,46 | 306 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 30 | $14.199,20 | 291 / 10 | $6.213,26 | 249 / 23 | $4.933,79 | 248 / 21 |
Simple Pneumonia & Pleurisy W Cc | 67 | 136 / 16 | $14.205,60 | 467 / 20 | $5.712,73 | 621 / 30 | $4.755,84 | 618 / 41 |
Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 22 | $18.749,30 | 310 / 8 | $8.314,30 | 674 / 30 | $7.530,30 | 674 / 39 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 12 | $10.845,50 | 299 / 11 | $4.419,06 | 514 / 29 | $3.247,06 | 512 / 32 |
Skin Ulcers W Cc | 14 | 5 / 1 | $11.358,90 | 1 / 1 | $5.919,71 | 2 / 1 | $4.628,29 | 2 / 1 |
Syncope & Collapse | 15 | 154 / 31 | $8.956,20 | 70 / 6 | $4.535,80 | 525 / 25 | $3.575,80 | 523 / 30 |
Transient Ischemia | 16 | 109 / 23 | $10.322,20 | 69 / 3 | $4.389,50 | 532 / 21 | $3.407,50 | 529 / 26 | Total 35 procedures | 1.045 | 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.