Hospital Costs > In Alabama > Medical Center Enterprise, 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 | 116 | 448 / 27 | $77.361,80 | 2154 / 37 | $10.675,10 | 87 / 3 | $9.273,82 | 87 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 41 | 192 / 32 | $23.477,50 | 1885 / 58 | $4.180,20 | 176 / 7 | $3.268,59 | 176 / 11 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 17 | $23.684,90 | 1485 / 57 | $4.049,50 | 100 / 9 | $2.823,89 | 100 / 6 |
| Heart Failure & Shock W Cc | 37 | 241 / 32 | $36.493,90 | 2229 / 61 | $4.951,08 | 16 / 5 | $3.969,46 | 16 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 23 | $31.513,20 | 2182 / 61 | $3.908,83 | 276 / 9 | $3.100,83 | 276 / 20 |
| Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 27 | $31.771,80 | 1801 / 55 | $4.961,17 | 47 / 3 | $3.834,47 | 47 / 8 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 37 | $43.858,30 | 2430 / 67 | $5.352,93 | 132 / 9 | $4.194,76 | 132 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 44 | $32.579,70 | 2262 / 63 | $4.184,66 | 294 / 7 | $3.225,76 | 293 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 24 | $39.661,00 | 1508 / 37 | $5.519,73 | 103 / 5 | $4.588,04 | 103 / 10 |
| G.I. Hemorrhage W Cc | 26 | 192 / 29 | $39.169,30 | 1926 / 45 | $5.485,85 | 99 / 15 | $4.364,42 | 99 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 25 | $28.441,30 | 1523 / 35 | $5.538,33 | 68 / 2 | $4.533,00 | 68 / 9 |
| Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 21 | $24.020,10 | 1509 / 46 | $3.666,43 | 122 / 5 | $2.824,70 | 121 / 7 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 20 | $30.761,00 | 1636 / 47 | $3.949,39 | 224 / 8 | $2.951,83 | 222 / 14 |
| Renal Failure W Cc | 20 | 201 / 31 | $38.307,60 | 1996 / 46 | $5.459,15 | 81 / 15 | $4.127,35 | 81 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 39 | $40.705,60 | 1944 / 53 | $6.047,55 | 113 / 6 | $5.199,55 | 113 / 13 |
| Cellulitis W/O Mcc | 18 | 171 / 38 | $23.715,60 | 1796 / 55 | $4.393,33 | 130 / 3 | $3.449,33 | 130 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 47 | $55.799,00 | 1979 / 47 | $8.833,00 | 10 / 4 | $7.777,00 | 10 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 30 | $38.607,00 | 1880 / 42 | $4.383,25 | 114 / 10 | $3.327,25 | 114 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 28 | $19.890,50 | 1388 / 32 | $3.260,69 | 236 / 7 | $2.184,25 | 234 / 9 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 31 | $40.677,70 | 1522 / 34 | $6.068,29 | 21 / 3 | $5.291,14 | 21 / 4 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 11 | $85.322,20 | 682 / 14 | $10.756,10 | 20 / 3 | $9.400,36 | 20 / 6 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 14 | $24.357,90 | 692 / 22 | $4.060,46 | 91 / 9 | $2.914,15 | 91 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 27 | $29.737,50 | 1094 / 24 | $4.212,23 | 190 / 6 | $3.188,23 | 188 / 13 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 29 | $32.371,80 | 1592 / 45 | $4.468,31 | 104 / 10 | $3.441,85 | 104 / 13 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 29 | $62.378,80 | 1413 / 26 | $9.693,42 | 28 / 2 | $8.789,42 | 28 / 5 |
| Diabetes W Cc | 11 | 81 / 21 | $38.271,10 | 1369 / 32 | $5.880,09 | 17 / 34 | $3.181,82 | 17 / 1 |
| Syncope & Collapse | 11 | 158 / 35 | $28.629,50 | 1379 / 39 | $4.105,36 | 166 / 10 | $3.113,36 | 165 / 12 | Total 27 procedures | 691 | 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.