Hospital Costs > In Alabama > Monroe County 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 | 41 | 162 / 28 | $12.280,20 | 274 / 13 | $5.734,02 | 623 / 32 | $4.757,83 | 620 / 42 |
| Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 41 | $11.175,60 | 420 / 20 | $4.677,44 | 737 / 36 | $3.783,81 | 732 / 44 |
| Red Blood Cell Disorders W/O Mcc | 27 | 116 / 20 | $9.816,15 | 101 / 10 | $4.816,04 | 190 / 23 | $3.613,22 | 190 / 16 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 22 | $11.608,50 | 382 / 14 | $4.398,48 | 1040 / 27 | $3.709,71 | 1034 / 44 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 50 | $11.290,50 | 314 / 23 | $4.642,57 | 482 / 37 | $3.389,71 | 480 / 33 |
| Cellulitis W/O Mcc | 18 | 171 / 38 | $8.740,83 | 146 / 8 | $5.038,94 | 938 / 27 | $4.231,83 | 932 / 53 |
| Heart Failure & Shock W Cc | 18 | 260 / 45 | $12.904,70 | 362 / 23 | $5.976,00 | 729 / 47 | $5.088,00 | 728 / 45 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 27 | $9.724,47 | 237 / 12 | $4.232,07 | 651 / 29 | $3.429,93 | 649 / 32 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 37 | $10.116,40 | 255 / 16 | $4.446,93 | 1072 / 34 | $3.800,53 | 1063 / 53 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 14 | 502 / 48 | $12.977,90 | 29 / 3 | $10.322,50 | 464 / 31 | $9.458,50 | 464 / 38 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 34 | $12.103,10 | 155 / 6 | $6.227,64 | 408 / 24 | $5.107,64 | 406 / 30 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 39 | $10.539,60 | 377 / 23 | $4.480,33 | 190 / 39 | $2.991,83 | 190 / 14 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 15 | $10.160,40 | 108 / 6 | $4.307,25 | 211 / 18 | $3.200,58 | 209 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 43 | $16.111,40 | 401 / 12 | $6.862,75 | 1016 / 35 | $6.260,08 | 1011 / 53 |
| G.I. Hemorrhage W Cc | 11 | 207 / 38 | $10.467,30 | 63 / 4 | $6.091,82 | 722 / 38 | $5.111,45 | 721 / 39 | Total 15 procedures | 278 | 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.