Hospital Costs > In Alabama > Lawrence Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 42 | 474 / 32 | $20.399,60 | 279 / 10 | $10.837,50 | 923 / 39 | $10.090,00 | 920 / 45 |
Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 38 | $14.205,10 | 466 / 19 | $6.239,26 | 1017 / 52 | $5.092,89 | 1014 / 55 |
Respiratory Infections & Inflammations W Cc | 22 | 66 / 8 | $20.537,50 | 283 / 8 | $8.613,05 | 690 / 24 | $7.737,45 | 685 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 52 | $12.957,10 | 500 / 26 | $4.882,79 | 968 / 50 | $3.742,58 | 960 / 53 |
Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 38 | $24.425,30 | 1410 / 46 | $5.901,22 | 1008 / 49 | $4.960,78 | 1005 / 51 |
G.I. Hemorrhage W Cc | 17 | 201 / 34 | $18.994,00 | 661 / 18 | $6.457,41 | 1395 / 43 | $5.817,41 | 1392 / 51 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 35 | $13.130,10 | 706 / 28 | $4.599,19 | 1067 / 48 | $3.693,19 | 1064 / 55 |
Renal Failure W Cc | 15 | 206 / 35 | $12.203,50 | 230 / 7 | $6.077,53 | 1170 / 36 | $5.350,07 | 1162 / 47 |
Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 51 | $14.393,20 | 843 / 28 | $5.054,64 | 1426 / 55 | $4.275,21 | 1417 / 63 |
Cellulitis W/O Mcc | 13 | 176 / 43 | $15.920,20 | 986 / 33 | $5.568,92 | 915 / 50 | $4.211,23 | 909 / 52 |
Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 44 | $16.710,00 | 453 / 13 | $7.413,64 | 1086 / 48 | $6.322,73 | 1081 / 54 |
Heart Failure & Shock W Mcc | 11 | 273 / 38 | $17.195,10 | 253 / 8 | $8.251,45 | 436 / 26 | $7.596,91 | 436 / 32 |
Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 38 | $19.163,90 | 334 / 9 | $9.403,91 | 736 / 46 | $7.600,82 | 736 / 41 | Total 13 procedures | 236 | 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.