Hospital Costs > In Alabama > Marshall Medical Center South, 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 | 170 | 394 / 22 | $31.178,90 | 275 / 5 | $11.491,00 | 338 / 21 | $10.043,10 | 337 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 151 | 124 / 7 | $10.520,40 | 250 / 19 | $4.759,27 | 195 / 45 | $3.108,95 | 195 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 149 | 367 / 14 | $21.743,10 | 353 / 12 | $9.786,54 | 143 / 19 | $8.783,44 | 143 / 19 |
Simple Pneumonia & Pleurisy W Cc | 133 | 71 / 5 | $15.433,90 | 611 / 23 | $5.778,86 | 338 / 33 | $4.497,14 | 336 / 24 |
Simple Pneumonia & Pleurisy W Mcc | 132 | 73 / 4 | $21.846,80 | 498 / 12 | $8.162,31 | 235 / 27 | $6.901,77 | 235 / 20 |
Kidney & Urinary Tract Infections W/O Mcc | 123 | 110 / 4 | $9.376,05 | 223 / 14 | $4.469,50 | 444 / 21 | $3.575,84 | 444 / 31 |
Chronic Obstructive Pulmonary Disease W Mcc | 121 | 81 / 5 | $17.675,60 | 535 / 16 | $6.605,74 | 363 / 24 | $5.628,07 | 362 / 29 |
Pulmonary Edema & Respiratory Failure | 112 | 91 / 4 | $17.408,30 | 249 / 7 | $6.863,04 | 147 / 18 | $5.801,60 | 147 / 19 |
Psychoses | 102 | 190 / 9 | $7.304,85 | 10 / 1 | $5.726,18 | 43 / 5 | $4.752,08 | 43 / 5 |
Cellulitis W/O Mcc | 100 | 89 / 4 | $13.497,00 | 662 / 23 | $4.992,40 | 373 / 26 | $3.773,68 | 370 / 31 |
Heart Failure & Shock W Mcc | 85 | 199 / 15 | $18.742,20 | 355 / 11 | $7.888,92 | 88 / 11 | $6.925,54 | 88 / 8 |
Chronic Obstructive Pulmonary Disease W Cc | 81 | 98 / 7 | $12.789,20 | 303 / 16 | $5.298,35 | 266 / 23 | $4.276,27 | 266 / 24 |
Kidney & Urinary Tract Infections W Mcc | 66 | 78 / 3 | $15.597,30 | 287 / 5 | $6.170,48 | 197 / 13 | $5.252,41 | 197 / 16 |
Heart Failure & Shock W Cc | 60 | 218 / 27 | $14.137,50 | 487 / 25 | $5.375,30 | 168 / 15 | $4.476,52 | 168 / 19 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 59 | 61 / 7 | $10.917,40 | 345 / 21 | $4.181,86 | 386 / 18 | $3.220,78 | 385 / 29 |
G.I. Hemorrhage W Cc | 58 | 160 / 18 | $11.141,40 | 90 / 7 | $5.598,07 | 395 / 21 | $4.805,79 | 395 / 28 |
Respiratory Infections & Inflammations W Mcc | 58 | 78 / 6 | $28.752,10 | 347 / 7 | $10.872,70 | 100 / 16 | $9.388,17 | 100 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 13 | $15.786,10 | 199 / 8 | $5.919,02 | 278 / 17 | $4.940,81 | 277 / 22 |
Renal Failure W Mcc | 55 | 140 / 13 | $17.318,00 | 138 / 4 | $8.139,55 | 92 / 12 | $7.189,47 | 92 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 55 | 152 / 9 | $13.882,90 | 269 / 9 | $6.230,15 | 291 / 25 | $4.981,27 | 290 / 23 |
Renal Failure W Cc | 54 | 167 / 18 | $9.172,37 | 56 / 3 | $5.526,63 | 306 / 18 | $4.540,78 | 304 / 22 |
Extracranial Procedures W/O Cc/Mcc | 50 | 48 / 7 | $16.531,10 | 74 / 5 | $5.928,94 | 219 / 12 | $5.011,18 | 219 / 16 |
Syncope & Collapse | 49 | 120 / 10 | $10.944,50 | 142 / 8 | $4.228,25 | 330 / 16 | $3.366,86 | 328 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 16 | $8.519,50 | 188 / 11 | $4.111,75 | 293 / 24 | $3.120,92 | 293 / 22 |
Hip & Femur Procedures Except Major Joint W Cc | 42 | 101 / 15 | $26.299,00 | 107 / 4 | $10.537,50 | 171 / 17 | $9.414,45 | 170 / 19 |
G.I. Obstruction W Cc | 40 | 52 / 6 | $11.218,20 | 86 / 2 | $5.051,35 | 143 / 9 | $3.926,93 | 142 / 8 |
Diabetes W Cc | 36 | 56 / 7 | $10.214,90 | 91 / 7 | $4.705,75 | 216 / 10 | $3.867,53 | 216 / 16 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 35 | 96 / 9 | $34.471,90 | 193 / 6 | $11.568,60 | 55 / 3 | $10.809,80 | 55 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 10 | $10.450,20 | 260 / 9 | $4.215,26 | 274 / 17 | $3.019,65 | 272 / 18 |
Transient Ischemia | 33 | 92 / 15 | $12.106,00 | 131 / 6 | $4.111,64 | 249 / 12 | $3.086,67 | 249 / 18 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 22 | $7.569,38 | 114 / 4 | $3.365,12 | 435 / 12 | $2.386,12 | 432 / 19 |
Red Blood Cell Disorders W/O Mcc | 31 | 112 / 18 | $9.915,77 | 105 / 11 | $4.596,29 | 280 / 14 | $3.730,87 | 280 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 22 | $11.061,60 | 181 / 7 | $4.754,03 | 208 / 27 | $3.482,10 | 208 / 16 |
Signs & Symptoms W/O Mcc | 30 | 61 / 6 | $10.571,40 | 110 / 10 | $4.046,53 | 179 / 13 | $3.188,67 | 179 / 12 |
Seizures W/O Mcc | 26 | 82 / 10 | $12.657,40 | 158 / 2 | $4.431,31 | 169 / 8 | $3.480,38 | 168 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 17 | $13.655,40 | 159 / 4 | $4.483,44 | 171 / 13 | $3.159,60 | 169 / 11 |
Respiratory Infections & Inflammations W Cc | 25 | 63 / 7 | $18.759,20 | 216 / 5 | $7.372,36 | 96 / 9 | $6.455,88 | 96 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 16 | $22.713,40 | 144 / 6 | $9.280,76 | 209 / 12 | $8.503,80 | 208 / 17 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 24 | 37 / 8 | $5.906,54 | 10 / 1 | $3.738,54 | 72 / 4 | $2.793,67 | 72 / 4 |
Bronchitis & Asthma W Cc/Mcc | 24 | 52 / 7 | $12.157,70 | 103 / 5 | $5.012,71 | 118 / 9 | $3.854,04 | 117 / 14 |
Other Vascular Procedures W Cc | 24 | 78 / 10 | $49.630,10 | 200 / 7 | $14.637,70 | 77 / 17 | $12.593,40 | 77 / 11 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 21 | $9.687,04 | 234 / 11 | $4.307,26 | 327 / 32 | $3.135,09 | 325 / 16 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 22 | 34 / 4 | $21.609,30 | 24 / 2 | $8.586,41 | 15 / 4 | $6.991,50 | 15 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 21 | $18.319,30 | 259 / 4 | $7.251,05 | 109 / 19 | $5.648,67 | 109 / 6 |
G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 9 | $7.876,70 | 59 / 2 | $3.990,85 | 159 / 14 | $2.453,75 | 159 / 8 |
Extracranial Procedures W Cc | 19 | 27 / 4 | $21.275,40 | 27 / 1 | $8.789,53 | 52 / 3 | $7.770,58 | 52 / 3 |
Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 16 | $57.052,50 | 107 / 5 | $17.831,90 | 2 / 7 | $14.393,10 | 2 / 1 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 9 | $13.161,50 | 98 / 3 | $5.456,74 | 312 / 7 | $4.823,47 | 312 / 18 |
Organic Disturbances & Mental Retardation | 19 | 40 / 6 | $11.882,20 | 46 / 2 | $5.384,74 | 17 / 5 | $4.303,47 | 17 / 5 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 25 | $28.040,50 | 429 / 11 | $6.628,33 | 59 / 23 | $4.599,56 | 59 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 22 | $48.410,90 | 195 / 4 | $10.885,50 | 62 / 10 | $9.176,11 | 62 / 8 |
Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 7 | $13.460,70 | 81 / 2 | $6.614,94 | 35 / 17 | $3.791,94 | 35 / 4 |
Nonspecific Cerebrovascular Disorders W Cc | 17 | 39 / 6 | $11.669,90 | 16 / 2 | $5.319,76 | 43 / 4 | $4.534,82 | 43 / 4 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 19 | $40.178,90 | 192 / 7 | $13.485,90 | 249 / 11 | $12.635,10 | 247 / 21 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 10 | $15.340,70 | 33 / 2 | $7.746,00 | 192 / 6 | $7.220,00 | 191 / 14 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 16 | $12.943,50 | 87 / 2 | $5.510,56 | 242 / 12 | $4.754,56 | 239 / 17 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 6 | $11.464,20 | 90 / 2 | $4.228,88 | 18 / 4 | $2.882,00 | 18 / 1 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 10 | $38.502,20 | 47 / 2 | $15.894,20 | 61 / 10 | $14.840,20 | 61 / 10 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 13 | $17.812,30 | 110 / 4 | $6.985,20 | 90 / 6 | $6.102,00 | 90 / 10 |
G.I. Hemorrhage W Mcc | 15 | 106 / 22 | $21.827,10 | 108 / 3 | $9.325,27 | 76 / 9 | $8.361,00 | 76 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 15 | $21.744,90 | 289 / 6 | $6.681,40 | 144 / 9 | $5.804,60 | 144 / 15 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 9 | $8.611,60 | 73 / 3 | $3.856,47 | 61 / 7 | $2.547,53 | 60 / 3 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 10 | $13.759,40 | 27 / 1 | $8.484,86 | 92 / 6 | $7.534,00 | 92 / 5 |
Chest Pain | 13 | 138 / 28 | $13.127,20 | 323 / 10 | $3.613,92 | 274 / 12 | $2.655,15 | 273 / 13 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 14 | $5.844,54 | 9 / 1 | $4.059,85 | 138 / 8 | $3.033,38 | 138 / 12 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 8 | $7.713,23 | 32 / 1 | $3.901,00 | 106 / 6 | $2.970,54 | 107 / 9 |
Diabetes W/O Cc/Mcc | 12 | 26 / 7 | $8.797,50 | 28 / 2 | $3.447,25 | 9 / 3 | $2.340,58 | 9 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 6 | $38.328,50 | 36 / 1 | $13.367,80 | 63 / 3 | $12.562,50 | 63 / 5 |
Seizures W Mcc | 12 | 54 / 11 | $17.421,60 | 34 / 2 | $7.973,42 | 59 / 3 | $7.370,75 | 59 / 5 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 17 | $55.389,30 | 51 / 2 | $25.844,10 | 81 / 2 | $24.636,10 | 81 / 2 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 13 | $15.234,90 | 124 / 4 | $7.447,00 | 9 / 20 | $4.801,67 | 9 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 13 | $19.465,20 | 32 / 2 | $8.786,09 | 80 / 10 | $7.575,91 | 80 / 12 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 19 | $16.136,60 | 228 / 8 | $5.519,55 | 195 / 14 | $4.635,18 | 195 / 20 |
Diabetes W Mcc | 11 | 46 / 12 | $12.205,90 | 14 / 2 | $6.935,82 | 6 / 1 | $5.842,00 | 6 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 8 | $14.172,30 | 71 / 2 | $6.157,18 | 18 / 6 | $4.064,64 | 18 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 23 | $10.543,10 | 38 / 2 | $6.174,82 | 107 / 7 | $5.299,18 | 106 / 11 | Total 76 procedures | 3.186 | 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.