Hospital Costs > In Alabama > Pickens County Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 17 | 172 / 39 | $10.470,80 | 295 / 15 | $7.443,71 | 2279 / 64 | $6.453,59 | 2271 / 65 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 32 | $14.000,40 | 662 / 30 | $6.281,40 | 1754 / 66 | $5.180,10 | 1743 / 66 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 57 | $10.655,20 | 261 / 20 | $6.553,09 | 2310 / 69 | $5.564,00 | 2295 / 70 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 24 | $10.397,90 | 301 / 15 | $5.965,17 | 1704 / 51 | $5.091,83 | 1691 / 52 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 47 | $9.638,65 | 260 / 15 | $6.819,75 | 2352 / 69 | $5.970,15 | 2341 / 70 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 39 | $7.761,50 | 121 / 6 | $6.190,83 | 2209 / 66 | $5.590,83 | 2201 / 67 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 27 | $9.488,13 | 85 / 8 | $7.080,87 | 1680 / 51 | $6.236,07 | 1671 / 52 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 36 | $19.778,80 | 764 / 14 | $9.314,09 | 2270 / 51 | $8.435,55 | 2261 / 52 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 40 | $18.887,70 | 1012 / 29 | $9.084,30 | 2567 / 73 | $8.189,70 | 2558 / 74 | Total 9 procedures | 147 | 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.