Hospital Costs > In Alabama > Jack Hughston Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 16 | $40.532,90 | 209 / 8 | $11.323,80 | 64 / 3 | $10.113,80 | 64 / 5 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 17 | 30 / 1 | $93.228,20 | 19 / 2 | $31.663,00 | 12 / 2 | $30.450,80 | 12 / 2 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 27 | $39.820,00 | 631 / 14 | $10.077,20 | 2 / 10 | $8.250,47 | 2 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 6 | $27.425,20 | 136 / 6 | $8.010,55 | 8 / 2 | $6.848,25 | 8 / 5 |
Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 23 | 2 / 1 | $23.270,30 | 11 / 1 | $6.542,26 | 4 / 1 | $4.942,65 | 4 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 605 | 81 / 3 | $36.771,10 | 577 / 14 | $11.028,90 | 91 / 13 | $9.294,62 | 91 / 9 |
Revision Of Hip Or Knee Replacement W Cc | 37 | 49 / 4 | $55.227,50 | 109 / 7 | $17.448,40 | 18 / 7 | $14.899,80 | 18 / 5 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 65 | 12 / 1 | $52.536,20 | 129 / 5 | $14.027,40 | 26 / 4 | $12.437,20 | 26 / 4 |
Spinal Fusion Except Cervical W/O Mcc | 62 | 132 / 13 | $77.883,40 | 499 / 13 | $20.792,70 | 113 / 13 | $19.068,80 | 112 / 11 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 15 | 28 / 2 | $49.574,30 | 16 / 1 | $15.253,80 | 19 / 1 | $14.346,20 | 19 / 2 | Total 10 procedures | 875 | 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.