Hospital Costs > In Alabama > North Baldwin Infirmary, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 45 | $8.274,18 | 111 / 11 | $5.141,21 | 1415 / 60 | $4.058,93 | 1404 / 61 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 44 | $7.732,70 | 95 / 4 | $5.081,52 | 1390 / 56 | $4.239,78 | 1381 / 62 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 37 | $13.838,80 | 242 / 9 | $7.496,45 | 109 / 49 | $5.186,82 | 109 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 41 | $13.460,80 | 392 / 17 | $6.370,64 | 1008 / 57 | $5.086,23 | 1005 / 54 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 20 | 496 / 43 | $21.198,20 | 319 / 11 | $11.112,30 | 1171 / 43 | $10.434,70 | 1153 / 52 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 32 | $10.485,40 | 288 / 19 | $5.046,85 | 1180 / 55 | $3.923,45 | 1171 / 58 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 25 | $8.660,71 | 124 / 6 | $4.850,76 | 1103 / 45 | $3.785,35 | 1097 / 45 |
| Heart Failure & Shock W Cc | 15 | 263 / 47 | $12.855,10 | 355 / 22 | $6.465,40 | 1551 / 58 | $5.825,40 | 1546 / 62 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 38 | $7.805,62 | 125 / 7 | $4.926,08 | 1211 / 55 | $3.819,31 | 1207 / 59 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 43 | $12.215,00 | 256 / 13 | $6.153,31 | 1356 / 54 | $5.323,77 | 1351 / 62 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 15 | $17.395,90 | 169 / 3 | $8.732,00 | 725 / 25 | $7.804,00 | 720 / 26 |
| Renal Failure W Cc | 12 | 209 / 37 | $9.031,75 | 47 / 2 | $5.890,17 | 905 / 31 | $5.087,50 | 897 / 39 | Total 12 procedures | 218 | 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.