Hospital Costs > In Alabama > L V Stabler Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 42 | $31.989,60 | 2249 / 62 | $4.527,67 | 585 / 29 | $3.472,64 | 582 / 38 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 33 | 531 / 35 | $91.781,90 | 2384 / 41 | $12.767,20 | 1317 / 40 | $11.626,80 | 1285 / 42 |
Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 43 | $35.913,20 | 2401 / 66 | $4.532,44 | 374 / 25 | $3.514,84 | 374 / 22 |
Heart Failure & Shock W Cc | 22 | 256 / 41 | $49.938,20 | 2542 / 64 | $5.858,82 | 728 / 38 | $5.087,91 | 727 / 44 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 32 | $36.411,10 | 2289 / 63 | $4.250,95 | 256 / 31 | $3.079,05 | 256 / 18 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 33 | $35.313,50 | 1857 / 61 | $4.370,58 | 619 / 30 | $3.422,37 | 618 / 41 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 44 | $42.077,40 | 2385 / 66 | $5.865,95 | 740 / 41 | $4.850,37 | 737 / 48 |
Cellulitis W/O Mcc | 14 | 175 / 42 | $29.758,00 | 2113 / 58 | $5.084,71 | 279 / 31 | $3.660,36 | 277 / 24 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 42 | $56.630,80 | 2306 / 59 | $6.788,38 | 496 / 31 | $5.779,15 | 495 / 40 |
Heart Failure & Shock W Mcc | 13 | 271 / 37 | $56.308,20 | 2131 / 45 | $8.203,46 | 267 / 24 | $7.361,62 | 267 / 28 |
Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 43 | $41.416,20 | 2105 / 59 | $5.664,08 | 176 / 38 | $4.124,31 | 176 / 17 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 31 | $38.350,50 | 1738 / 48 | $4.858,64 | 405 / 26 | $3.875,36 | 404 / 30 | Total 12 procedures | 235 | 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.