Hospital Costs > In Alabama > Jackson Hospital & Clinic Inc, 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 | 202 | 362 / 20 | $50.041,50 | 1289 / 27 | $11.225,90 | 127 / 17 | $9.467,16 | 127 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 164 | 352 / 11 | $39.158,80 | 1282 / 29 | $10.270,10 | 216 / 30 | $8.972,11 | 216 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 114 | 161 / 12 | $18.158,20 | 1155 / 38 | $4.708,49 | 264 / 41 | $3.191,07 | 264 / 20 |
Heart Failure & Shock W Cc | 106 | 172 / 11 | $21.886,50 | 1389 / 46 | $5.859,88 | 545 / 39 | $4.938,87 | 545 / 36 |
Heart Failure & Shock W Mcc | 102 | 182 / 10 | $33.513,60 | 1314 / 29 | $8.411,36 | 455 / 31 | $7.622,27 | 455 / 33 |
Simple Pneumonia & Pleurisy W Mcc | 87 | 118 / 12 | $36.060,00 | 1410 / 30 | $8.210,37 | 260 / 29 | $6.954,63 | 260 / 21 |
Simple Pneumonia & Pleurisy W Cc | 86 | 117 / 12 | $26.933,40 | 1763 / 53 | $5.685,38 | 712 / 25 | $4.826,95 | 709 / 45 |
G.I. Hemorrhage W Cc | 80 | 138 / 10 | $24.008,60 | 1123 / 29 | $5.907,27 | 280 / 32 | $4.679,21 | 280 / 22 |
Renal Failure W Mcc | 80 | 115 / 7 | $31.057,50 | 821 / 18 | $8.647,21 | 366 / 26 | $7.856,41 | 366 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 78 | 104 / 7 | $25.293,40 | 813 / 23 | $6.333,13 | 205 / 26 | $4.833,54 | 205 / 19 |
Kidney & Urinary Tract Infections W/O Mcc | 74 | 159 / 12 | $18.248,60 | 1377 / 44 | $4.807,97 | 413 / 40 | $3.557,46 | 413 / 29 |
Chronic Obstructive Pulmonary Disease W Cc | 67 | 112 / 11 | $22.750,70 | 1277 / 43 | $5.379,57 | 414 / 25 | $4.442,49 | 413 / 33 |
Renal Failure W Cc | 67 | 154 / 13 | $20.565,00 | 1033 / 26 | $5.829,98 | 175 / 30 | $4.333,63 | 174 / 15 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 64 | 86 / 6 | $11.428,90 | 514 / 15 | $3.673,97 | 394 / 24 | $2.350,00 | 391 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 63 | 103 / 10 | $18.189,30 | 1349 / 43 | $4.217,59 | 420 / 29 | $3.260,13 | 420 / 27 |
Hip & Femur Procedures Except Major Joint W Cc | 56 | 87 / 9 | $47.931,50 | 967 / 20 | $10.344,10 | 131 / 14 | $9.308,12 | 130 / 16 |
Cervical Spinal Fusion W/O Cc/Mcc | 54 | 50 / 8 | $42.199,60 | 233 / 9 | $11.742,40 | 114 / 8 | $10.483,10 | 114 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 10 | $26.956,80 | 1422 / 30 | $6.270,90 | 403 / 27 | $5.104,33 | 401 / 29 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 49 | 71 / 11 | $16.534,00 | 971 / 39 | $4.806,41 | 228 / 51 | $3.052,39 | 228 / 18 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 46 | 142 / 19 | $28.973,60 | 467 / 14 | $6.236,61 | 76 / 13 | $4.674,83 | 76 / 10 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 24 | $27.784,40 | 1330 / 37 | $7.189,31 | 282 / 42 | $5.548,00 | 281 / 28 |
G.I. Obstruction W Cc | 45 | 47 / 5 | $20.679,00 | 697 / 14 | $5.121,33 | 355 / 10 | $4.283,29 | 354 / 21 |
Spinal Fusion Except Cervical W/O Mcc | 44 | 150 / 16 | $99.843,30 | 732 / 19 | $20.494,70 | 83 / 8 | $18.688,80 | 82 / 9 |
Pulmonary Edema & Respiratory Failure | 40 | 163 / 16 | $25.994,50 | 788 / 16 | $7.309,90 | 149 / 29 | $5.803,20 | 149 / 20 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 40 | 48 / 5 | $83.335,80 | 152 / 7 | $18.871,50 | 13 / 4 | $16.527,70 | 13 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 39 | 157 / 18 | $78.525,20 | 845 / 15 | $11.196,40 | 281 / 13 | $10.080,50 | 281 / 18 |
Heart Failure & Shock W/O Cc/Mcc | 39 | 71 / 12 | $14.697,60 | 818 / 26 | $4.122,87 | 335 / 21 | $3.144,41 | 333 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 39 | 84 / 11 | $23.726,00 | 567 / 15 | $7.352,10 | 113 / 20 | $5.657,23 | 113 / 7 |
Syncope & Collapse | 39 | 130 / 15 | $15.874,70 | 471 / 20 | $4.305,49 | 284 / 19 | $3.316,03 | 282 / 21 |
Chest Pain | 37 | 114 / 13 | $9.443,46 | 128 / 6 | $3.724,89 | 294 / 15 | $2.682,73 | 293 / 16 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 17 | $15.394,70 | 556 / 16 | $4.653,70 | 343 / 21 | $3.658,24 | 343 / 21 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 10 | $41.057,40 | 725 / 16 | $9.415,19 | 201 / 13 | $8.492,84 | 200 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 12 | $17.089,60 | 374 / 10 | $4.701,42 | 364 / 21 | $3.447,08 | 361 / 19 |
Cellulitis W/O Mcc | 36 | 153 / 24 | $19.297,10 | 1400 / 44 | $4.912,50 | 474 / 20 | $3.859,61 | 471 / 40 |
G.I. Hemorrhage W Mcc | 34 | 87 / 9 | $31.986,00 | 390 / 9 | $9.410,88 | 109 / 11 | $8.507,35 | 109 / 12 |
Major Small & Large Bowel Procedures W Cc | 32 | 76 / 10 | $54.105,90 | 506 / 14 | $13.301,10 | 160 / 8 | $12.279,10 | 159 / 15 |
Coronary Bypass W Cardiac Cath W/O Mcc | 32 | 44 / 5 | $102.503,00 | 137 / 8 | $23.474,30 | 3 / 4 | $19.079,60 | 3 / 1 |
Bronchitis & Asthma W Cc/Mcc | 32 | 44 / 3 | $20.974,20 | 421 / 19 | $5.938,22 | 27 / 23 | $3.510,03 | 27 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 10 | $103.225,00 | 528 / 8 | $28.124,40 | 100 / 11 | $25.553,20 | 100 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 31 | 65 / 8 | $26.152,80 | 486 / 10 | $6.463,52 | 56 / 5 | $5.516,74 | 56 / 9 |
Respiratory Infections & Inflammations W Cc | 31 | 57 / 4 | $33.094,00 | 795 / 14 | $8.237,06 | 153 / 19 | $6.656,16 | 153 / 13 |
Transient Ischemia | 31 | 94 / 16 | $18.257,90 | 528 / 13 | $4.187,58 | 495 / 14 | $3.372,10 | 493 / 25 |
Other Circulatory System Diagnoses W Mcc | 29 | 87 / 7 | $32.610,20 | 278 / 8 | $10.360,10 | 92 / 9 | $9.086,00 | 92 / 9 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 29 | 63 / 5 | $111.379,00 | 267 / 5 | $30.501,10 | 98 / 6 | $29.972,80 | 98 / 9 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 8 | $40.557,20 | 826 / 10 | $9.764,31 | 220 / 14 | $8.362,00 | 220 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 12 | $25.831,20 | 758 / 17 | $6.290,32 | 181 / 11 | $5.491,46 | 179 / 16 |
Major Small & Large Bowel Procedures W Mcc | 26 | 59 / 8 | $115.961,00 | 525 / 12 | $27.574,20 | 253 / 7 | $26.968,70 | 251 / 12 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 25 | 56 / 2 | $280.850,00 | 64 / 4 | $79.888,40 | 36 / 1 | $78.694,50 | 36 / 1 |
Other Vascular Procedures W Mcc | 25 | 72 / 7 | $72.061,70 | 287 / 9 | $17.803,60 | 96 / 11 | $16.887,10 | 96 / 12 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 15 | $56.488,40 | 818 / 16 | $12.191,30 | 58 / 9 | $10.837,40 | 58 / 7 |
Signs & Symptoms W/O Mcc | 25 | 66 / 9 | $14.143,20 | 280 / 14 | $4.142,24 | 225 / 14 | $3.276,96 | 224 / 16 |
Diabetes W Cc | 25 | 67 / 11 | $27.478,80 | 1095 / 28 | $6.138,04 | 448 / 35 | $4.216,40 | 448 / 24 |
Medical Back Problems W/O Mcc | 25 | 96 / 13 | $18.686,80 | 435 / 10 | $4.933,92 | 206 / 12 | $3.763,68 | 206 / 14 |
Extracranial Procedures W/O Cc/Mcc | 24 | 74 / 13 | $26.884,60 | 336 / 11 | $5.752,83 | 42 / 8 | $4.431,21 | 42 / 6 |
G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 7 | $17.156,50 | 677 / 13 | $3.988,92 | 151 / 13 | $2.432,88 | 151 / 7 |
Seizures W/O Mcc | 24 | 84 / 11 | $19.727,20 | 541 / 13 | $4.669,46 | 167 / 11 | $3.479,17 | 166 / 14 |
G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 6 | $13.158,50 | 230 / 9 | $4.192,70 | 95 / 13 | $2.925,13 | 95 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 20 | $19.588,00 | 1171 / 37 | $4.222,17 | 376 / 18 | $3.120,26 | 374 / 27 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 23 | 48 / 5 | $93.152,20 | 201 / 4 | $26.832,70 | 76 / 4 | $25.995,10 | 76 / 9 |
Acute Myocardial Infarction, Discharged Alive W Cc | 22 | 69 / 10 | $28.447,80 | 676 / 9 | $5.979,27 | 249 / 10 | $5.051,27 | 249 / 12 |
Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 6 | $87.319,50 | 679 / 15 | $13.742,30 | 22 / 5 | $12.481,00 | 22 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 21 | 26 / 3 | $39.950,00 | 222 / 8 | $7.950,43 | 51 / 3 | $6.791,57 | 51 / 8 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 13 | $21.911,50 | 512 / 11 | $5.539,00 | 122 / 13 | $4.467,80 | 121 / 9 |
Renal Failure W/O Cc/Mcc | 20 | 36 / 5 | $14.939,20 | 364 / 5 | $3.831,45 | 232 / 6 | $2.988,25 | 231 / 10 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 18 | $22.447,10 | 740 / 14 | $6.758,65 | 210 / 25 | $5.273,50 | 210 / 19 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 6 | $38.892,20 | 612 / 10 | $10.129,20 | 137 / 14 | $7.724,00 | 137 / 8 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 24 | $15.502,80 | 494 / 21 | $4.769,80 | 350 / 21 | $3.815,60 | 349 / 28 |
Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 7 | $20.699,80 | 269 / 5 | $5.647,33 | 119 / 2 | $4.906,00 | 119 / 4 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 12 | $48.054,70 | 438 / 11 | $9.830,18 | 27 / 13 | $6.903,59 | 27 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 17 | 38 / 6 | $43.818,50 | 191 / 9 | $10.397,90 | 35 / 5 | $9.328,76 | 35 / 7 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 21 | $41.731,10 | 850 / 15 | $12.795,80 | 69 / 30 | $9.215,50 | 69 / 5 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 16 | 50 / 7 | $42.412,40 | 188 / 5 | $10.621,10 | 114 / 5 | $9.495,12 | 114 / 6 |
Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 8 | $24.604,40 | 460 / 10 | $5.286,38 | 139 / 5 | $4.306,38 | 139 / 13 |
Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 18 | $64.924,90 | 182 / 7 | $17.493,70 | 62 / 5 | $16.513,70 | 62 / 10 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 5 | $44.230,60 | 362 / 7 | $10.039,60 | 92 / 2 | $9.737,62 | 92 / 6 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 12 | $23.071,70 | 554 / 13 | $6.151,07 | 70 / 19 | $4.219,13 | 70 / 7 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 9 | $24.026,00 | 165 / 5 | $6.372,13 | 67 / 7 | $4.607,53 | 67 / 5 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 6 | $60.566,60 | 209 / 7 | $13.832,10 | 76 / 6 | $12.707,60 | 76 / 6 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 11 | $69.796,40 | 376 / 11 | $16.622,20 | 75 / 7 | $15.586,80 | 75 / 6 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 17 | $24.092,00 | 591 / 18 | $5.545,54 | 208 / 15 | $4.664,31 | 207 / 21 |
Inflammation Of The Male Reproductive System W/O Mcc | 13 | 5 / 2 | $14.866,20 | 6 / 1 | $5.293,00 | 3 / 2 | $3.126,15 | 3 / 2 |
Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 4 | $149.663,00 | 509 / 10 | $24.277,30 | 342 / 11 | $23.342,20 | 342 / 11 |
Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 12 | $13.757,40 | 107 / 9 | $4.580,85 | 50 / 16 | $2.617,69 | 50 / 8 |
Cellulitis W Mcc | 13 | 45 / 7 | $22.046,10 | 168 / 3 | $7.653,08 | 80 / 3 | $6.904,77 | 80 / 5 |
Inflammatory Bowel Disease W Cc | 13 | 19 / 1 | $27.530,80 | 75 / 2 | $7.926,85 | 9 / 2 | $4.393,85 | 9 / 1 |
Fever | 12 | 34 / 4 | $15.673,30 | 49 / 1 | $5.318,42 | 51 / 2 | $4.118,08 | 51 / 4 |
Hypertension W/O Mcc | 12 | 53 / 12 | $11.685,00 | 103 / 5 | $3.813,42 | 157 / 6 | $2.808,08 | 156 / 9 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 10 | $79.694,50 | 578 / 13 | $11.399,90 | 74 / 8 | $10.490,60 | 74 / 9 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 17 | $15.811,10 | 338 / 15 | $3.891,50 | 128 / 10 | $2.987,50 | 128 / 12 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 9 | $136.098,00 | 42 / 1 | $45.524,90 | 25 / 1 | $44.823,60 | 25 / 2 |
Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 8 | $27.299,20 | 57 / 3 | $7.143,67 | 90 / 4 | $5.927,67 | 90 / 4 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 10 | $110.612,00 | 163 / 6 | $28.694,10 | 100 / 7 | $27.886,10 | 100 / 10 |
Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 6 | $124.284,00 | 46 / 3 | $34.264,20 | 9 / 2 | $31.200,80 | 9 / 2 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 12 | 17 / 1 | $13.311,90 | 35 / 1 | $4.019,83 | 24 / 1 | $3.315,83 | 24 / 1 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 12 | $58.326,50 | 455 / 10 | $11.772,20 | 114 / 11 | $10.561,50 | 114 / 12 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 10 | $76.461,70 | 80 / 3 | $26.647,20 | 134 / 7 | $25.915,20 | 134 / 9 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 13 | $39.177,30 | 813 / 18 | $7.272,75 | 163 / 18 | $5.821,75 | 163 / 11 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 12 | $71.291,10 | 434 / 13 | $14.767,40 | 20 / 2 | $13.863,40 | 20 / 3 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 11 | $39.450,70 | 249 / 9 | $9.700,92 | 24 / 17 | $7.192,83 | 24 / 6 |
Cervical Spinal Fusion W Cc | 12 | 41 / 7 | $50.736,90 | 83 / 6 | $14.325,60 | 12 / 1 | $12.987,30 | 12 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 13 | $51.184,50 | 722 / 19 | $9.826,27 | 367 / 21 | $7.975,64 | 366 / 21 |
Cranial & Peripheral Nerve Disorders W Mcc | 11 | 25 / 6 | $25.083,20 | 45 / 3 | $7.342,09 | 8 / 1 | $6.108,64 | 8 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 9 | $235.910,00 | 287 / 9 | $43.854,50 | 55 / 8 | $42.370,00 | 55 / 7 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 16 | $24.392,40 | 283 / 8 | $6.917,18 | 35 / 4 | $5.749,09 | 35 / 7 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 11 | 107 / 9 | $116.710,00 | 150 / 5 | $27.269,50 | 31 / 5 | $26.164,00 | 31 / 6 | Total 105 procedures | 3.597 | 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.