Hospital Costs > In Alabama > Prattville Baptist Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 24 | $15.135,20 | 539 / 15 | $4.047,67 | 12 / 3 | $2.953,59 | 12 / 2 |
| Cellulitis W/O Mcc | 24 | 165 / 32 | $21.231,40 | 1600 / 52 | $5.568,67 | 6 / 49 | $2.852,67 | 6 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 24 | $21.459,80 | 1157 / 36 | $4.756,12 | 19 / 1 | $3.597,02 | 19 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 36 | $28.205,00 | 1358 / 38 | $5.870,57 | 11 / 3 | $4.580,61 | 11 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 39 | $15.582,80 | 855 / 38 | $3.709,58 | 9 / 2 | $2.405,33 | 9 / 1 |
| Diabetes W Cc | 11 | 81 / 21 | $17.133,50 | 484 / 16 | $4.224,18 | 48 / 2 | $3.453,27 | 48 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 17 | $34.313,70 | 779 / 20 | $7.635,00 | 3 / 18 | $4.663,54 | 3 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 41 | $19.133,50 | 1293 / 43 | $3.872,38 | 33 / 3 | $2.774,51 | 33 / 2 |
| G.I. Hemorrhage W Cc | 18 | 200 / 33 | $18.098,60 | 578 / 15 | $4.941,44 | 28 / 2 | $4.068,56 | 28 / 4 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 24 | $26.852,10 | 222 / 5 | $7.921,15 | 7 / 1 | $7.362,38 | 7 / 1 |
| Heart Failure & Shock W Cc | 32 | 246 / 35 | $17.272,00 | 843 / 34 | $5.894,34 | 8 / 43 | $3.883,69 | 8 / 2 |
| Heart Failure & Shock W Mcc | 27 | 257 / 31 | $22.933,90 | 599 / 15 | $7.024,56 | 8 / 1 | $6.065,70 | 8 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 27 | $18.521,40 | 389 / 10 | $5.248,75 | 6 / 2 | $4.040,75 | 6 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 24 | $22.452,50 | 139 / 5 | $7.165,27 | 2 / 1 | $6.615,45 | 2 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 17 | $24.369,90 | 880 / 18 | $6.155,24 | 4 / 12 | $4.358,71 | 4 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 48 | $18.224,80 | 1373 / 43 | $4.566,84 | 7 / 28 | $2.657,95 | 7 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 30 | $14.270,70 | 870 / 32 | $3.560,46 | 10 / 2 | $2.434,29 | 10 / 2 |
| Pulmonary Edema & Respiratory Failure | 46 | 157 / 13 | $31.733,50 | 1134 / 25 | $5.981,04 | 2 / 1 | $4.846,80 | 2 / 1 |
| Renal Failure W Cc | 36 | 185 / 25 | $19.467,20 | 923 / 24 | $4.785,44 | 24 / 2 | $3.944,56 | 24 / 4 |
| Renal Failure W Mcc | 26 | 169 / 24 | $31.297,60 | 832 / 19 | $7.576,85 | 32 / 1 | $6.834,69 | 32 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 53 | 463 / 28 | $48.412,20 | 1732 / 40 | $8.791,53 | 19 / 2 | $8.002,09 | 19 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 29 | $28.606,40 | 1875 / 57 | $4.947,90 | 77 / 3 | $4.078,97 | 77 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 28 | $37.868,80 | 1481 / 32 | $6.880,97 | 19 / 1 | $6.090,90 | 19 / 3 | Total 23 procedures | 597 | 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.