Hospital Costs > In Alabama > Medical West, An Affiliate Of Uab Health System, 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 | 98 | 418 / 22 | $54.570,40 | 1935 / 46 | $11.143,70 | 824 / 44 | $9.949,77 | 823 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 54 | 221 / 33 | $19.193,60 | 1300 / 44 | $5.172,17 | 650 / 61 | $3.528,07 | 646 / 40 |
Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 21 | $43.409,00 | 1696 / 38 | $8.779,45 | 509 / 38 | $7.336,68 | 509 / 28 |
Pulmonary Edema & Respiratory Failure | 43 | 160 / 15 | $43.505,80 | 1620 / 38 | $7.623,86 | 791 / 35 | $6.695,12 | 791 / 39 |
Heart Failure & Shock W Mcc | 39 | 245 / 25 | $36.752,40 | 1492 / 34 | $8.628,72 | 354 / 36 | $7.489,95 | 354 / 29 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 37 | 527 / 34 | $44.751,80 | 1014 / 19 | $11.707,90 | 329 / 24 | $10.024,60 | 328 / 23 |
Renal Failure W Cc | 36 | 185 / 25 | $24.473,70 | 1385 / 37 | $7.069,50 | 183 / 51 | $4.346,25 | 182 / 16 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 21 | $25.478,80 | 303 / 6 | $6.463,62 | 365 / 19 | $5.252,82 | 364 / 21 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 37 | $27.342,60 | 1797 / 54 | $7.057,10 | 665 / 70 | $4.792,62 | 662 / 44 |
Heart Failure & Shock W Cc | 26 | 252 / 39 | $30.946,00 | 2006 / 56 | $6.755,69 | 876 / 62 | $5.191,38 | 875 / 50 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 42 | $21.310,50 | 1709 / 56 | $4.914,08 | 765 / 47 | $3.801,65 | 760 / 46 |
Renal Failure W Mcc | 25 | 170 / 25 | $38.283,60 | 1213 / 30 | $8.794,04 | 51 / 29 | $6.978,32 | 51 / 8 |
G.I. Hemorrhage W Cc | 25 | 193 / 30 | $24.921,60 | 1188 / 31 | $6.593,68 | 527 / 46 | $4.931,48 | 526 / 34 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 25 | $27.605,60 | 1473 / 33 | $6.400,58 | 704 / 29 | $5.392,58 | 702 / 41 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 24 | $48.265,40 | 982 / 21 | $11.119,70 | 408 / 26 | $9.937,00 | 407 / 26 |
Syncope & Collapse | 21 | 148 / 25 | $21.968,50 | 1037 / 30 | $4.716,52 | 519 / 35 | $3.566,05 | 517 / 29 |
Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 39 | $43.987,70 | 2042 / 54 | $7.694,60 | 691 / 56 | $5.966,65 | 687 / 44 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 18 | $71.303,30 | 1161 / 27 | $12.388,50 | 269 / 11 | $11.819,30 | 267 / 16 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 25 | $24.634,80 | 1228 / 38 | $5.108,67 | 692 / 34 | $4.175,33 | 687 / 40 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 17 | $109.736,00 | 610 / 11 | $29.002,40 | 200 / 15 | $26.901,70 | 200 / 13 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 20 | $62.508,20 | 1313 / 27 | $11.363,90 | 620 / 20 | $10.725,80 | 612 / 25 |
Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 40 | $28.493,60 | 1653 / 52 | $5.819,44 | 950 / 46 | $4.915,44 | 947 / 50 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 28 | $24.434,10 | 753 / 19 | $6.519,80 | 737 / 34 | $5.470,20 | 736 / 35 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 10 | $158.201,00 | 572 / 12 | $33.780,60 | 196 / 14 | $31.719,70 | 196 / 11 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 37 | $21.178,70 | 1345 / 54 | $4.655,87 | 951 / 47 | $3.693,73 | 942 / 48 |
Transient Ischemia | 15 | 110 / 24 | $26.574,60 | 1032 / 24 | $4.570,40 | 489 / 24 | $3.362,93 | 487 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 37 | $19.891,90 | 1546 / 48 | $5.053,21 | 746 / 58 | $3.483,79 | 744 / 44 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 20 | $79.057,90 | 990 / 24 | $14.017,60 | 366 / 20 | $13.087,20 | 363 / 28 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 16 | $103.058,00 | 409 / 8 | $27.289,00 | 201 / 5 | $26.365,90 | 200 / 7 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 9 | $33.230,20 | 206 / 7 | $8.358,58 | 6 / 15 | $4.695,17 | 6 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 12 | $41.215,80 | 591 / 16 | $8.312,50 | 187 / 13 | $7.205,83 | 186 / 13 |
Cellulitis W/O Mcc | 11 | 178 / 45 | $21.455,40 | 1623 / 53 | $6.450,82 | 5 / 62 | $2.809,27 | 5 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 29 | $18.352,00 | 1061 / 34 | $4.587,82 | 1133 / 37 | $3.816,91 | 1127 / 47 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 14 | $188.041,00 | 705 / 18 | $31.564,90 | 346 / 18 | $29.785,20 | 346 / 21 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 21 | $49.138,30 | 1116 / 17 | $10.659,60 | 225 / 22 | $8.371,27 | 225 / 12 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 31 | $16.593,60 | 1025 / 37 | $4.446,45 | 811 / 37 | $3.562,09 | 807 / 36 |
Chest Pain | 11 | 140 / 30 | $20.192,50 | 934 / 24 | $4.046,55 | 328 / 28 | $2.726,27 | 327 / 19 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 23 | $34.046,40 | 1335 / 32 | $6.804,64 | 756 / 26 | $6.036,64 | 755 / 31 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 18 | $15.801,30 | 337 / 14 | $4.248,82 | 318 / 21 | $3.370,27 | 317 / 25 | Total 39 procedures | 904 | 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.