Hospital Costs > In Alabama > Lake Martin Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 27 | $5.411,27 | 2 / 1 | $5.507,73 | 469 / 17 | $4.621,69 | 466 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 45 | $4.986,25 | 3 / 1 | $4.382,79 | 463 / 20 | $3.371,64 | 461 / 30 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 32 | $3.828,50 | 1 / 1 | $4.283,50 | 553 / 25 | $3.368,35 | 552 / 36 |
| Cellulitis W/O Mcc | 17 | 172 / 39 | $5.428,41 | 9 / 1 | $4.864,12 | 443 / 18 | $3.828,71 | 440 / 37 |
| Renal Failure W Cc | 12 | 209 / 37 | $7.139,75 | 7 / 1 | $5.769,75 | 501 / 28 | $4.759,08 | 497 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 12 | 504 / 49 | $9.148,58 | 7 / 1 | $9.756,25 | 403 / 17 | $9.353,58 | 403 / 36 |
| Heart Failure & Shock W Cc | 12 | 266 / 50 | $4.038,25 | 1 / 1 | $4.922,50 | 32 / 4 | $4.114,50 | 32 / 7 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 29 | $5.843,82 | 16 / 1 | $4.341,73 | 883 / 24 | $3.576,64 | 879 / 42 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 31 | $4.909,82 | 1 / 1 | $4.899,09 | 750 / 28 | $4.241,64 | 745 / 41 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 34 | $5.516,27 | 1 / 1 | $6.907,91 | 417 / 20 | $6.247,55 | 417 / 29 | Total 10 procedures | 179 | 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.