Hospital Costs > In Alabama > Riverview Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 123 | 441 / 26 | $151.843,00 | 2661 / 44 | $10.946,00 | 188 / 11 | $9.675,92 | 188 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 89 | 427 / 25 | $144.165,00 | 2799 / 57 | $11.491,90 | 561 / 49 | $9.611,00 | 560 / 39 |
| Heart Failure & Shock W Cc | 84 | 194 / 17 | $66.687,00 | 2712 / 68 | $5.333,99 | 108 / 10 | $4.360,31 | 108 / 12 |
| Renal Failure W Cc | 79 | 142 / 10 | $65.469,50 | 2390 / 50 | $6.225,43 | 34 / 42 | $3.989,70 | 34 / 6 |
| Heart Failure & Shock W Mcc | 73 | 211 / 17 | $93.628,50 | 2545 / 49 | $7.879,30 | 116 / 10 | $7.020,51 | 116 / 15 |
| Chronic Obstructive Pulmonary Disease W Mcc | 72 | 130 / 13 | $72.593,10 | 2463 / 60 | $6.233,65 | 87 / 9 | $5.115,88 | 87 / 10 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 72 | 55 / 3 | $18.715,30 | 461 / 10 | $3.752,54 | 29 / 2 | $2.793,88 | 29 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 69 | 164 / 15 | $39.527,20 | 2484 / 68 | $4.174,04 | 160 / 6 | $3.247,90 | 160 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 25 | $42.051,10 | 2518 / 68 | $4.431,49 | 71 / 22 | $2.882,90 | 71 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 66 | 113 / 12 | $57.404,70 | 2340 / 62 | $4.997,55 | 170 / 4 | $4.116,82 | 170 / 16 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 57 | 131 / 16 | $78.594,00 | 1556 / 33 | $5.983,81 | 40 / 9 | $4.515,33 | 40 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 15 | $115.113,00 | 2495 / 49 | $8.513,34 | 630 / 35 | $7.468,16 | 630 / 36 |
| Renal Failure W Mcc | 50 | 145 / 15 | $104.738,00 | 2128 / 42 | $8.520,18 | 273 / 21 | $7.681,30 | 273 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 24 | $55.830,20 | 2655 / 72 | $5.167,52 | 200 / 7 | $4.322,72 | 200 / 18 |
| Chest Pain | 49 | 102 / 7 | $43.977,40 | 1640 / 38 | $3.341,59 | 120 / 4 | $2.396,29 | 120 / 6 |
| Cellulitis W/O Mcc | 41 | 148 / 21 | $45.975,80 | 2512 / 64 | $4.749,44 | 134 / 11 | $3.451,24 | 134 / 19 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 16 | $107.127,00 | 2213 / 44 | $7.231,40 | 622 / 26 | $6.476,15 | 622 / 34 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 16 | $57.956,90 | 2384 / 48 | $5.658,18 | 211 / 5 | $4.864,92 | 210 / 18 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 34 | 86 / 20 | $49.770,80 | 2051 / 65 | $3.896,41 | 242 / 4 | $3.077,59 | 242 / 19 |
| G.I. Hemorrhage W Cc | 33 | 185 / 26 | $49.349,20 | 2151 / 47 | $5.339,48 | 128 / 6 | $4.423,12 | 128 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 20 | $49.497,50 | 2061 / 44 | $5.015,25 | 20 / 32 | $3.035,69 | 20 / 4 |
| Transient Ischemia | 31 | 94 / 16 | $47.132,20 | 1541 / 33 | $4.039,90 | 42 / 8 | $2.634,94 | 42 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 23 | $57.422,50 | 1836 / 43 | $5.642,77 | 90 / 7 | $4.553,70 | 90 / 8 |
| Syncope & Collapse | 30 | 139 / 21 | $50.824,00 | 1840 / 46 | $4.003,20 | 47 / 7 | $2.854,37 | 47 / 3 |
| Red Blood Cell Disorders W/O Mcc | 29 | 114 / 19 | $45.778,00 | 1860 / 49 | $4.662,66 | 288 / 19 | $3.745,66 | 288 / 24 |
| Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 21 | $111.546,00 | 1959 / 34 | $10.057,80 | 73 / 8 | $9.104,61 | 73 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 27 | $43.975,20 | 2429 / 64 | $3.914,74 | 102 / 11 | $2.842,33 | 102 / 7 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 20 | $167.926,00 | 1459 / 27 | $10.593,20 | 46 / 5 | $9.035,84 | 46 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 13 | $282.642,00 | 1485 / 26 | $26.964,30 | 145 / 6 | $26.237,20 | 145 / 10 |
| Seizures W/O Mcc | 24 | 84 / 11 | $36.120,80 | 1077 / 23 | $4.150,88 | 30 / 1 | $2.990,12 | 30 / 5 |
| Other Circulatory System Diagnoses W Mcc | 23 | 93 / 11 | $80.041,80 | 1146 / 20 | $9.276,22 | 61 / 1 | $8.869,26 | 61 / 6 |
| Diabetes W Cc | 23 | 69 / 13 | $45.654,20 | 1497 / 34 | $4.788,17 | 192 / 12 | $3.811,83 | 192 / 14 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 22 | $45.034,70 | 1952 / 52 | $3.700,23 | 136 / 6 | $2.861,68 | 134 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 20 | $72.170,70 | 1794 / 31 | $6.603,64 | 155 / 7 | $5.754,86 | 155 / 13 |
| Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 18 | $74.809,30 | 1910 / 39 | $6.856,45 | 23 / 28 | $4.643,85 | 23 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 23 | $43.744,20 | 1855 / 51 | $4.411,16 | 27 / 28 | $2.484,16 | 27 / 5 |
| Other Vascular Procedures W Mcc | 19 | 78 / 12 | $173.328,00 | 935 / 22 | $16.912,20 | 40 / 2 | $16.262,80 | 40 / 6 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 18 | $113.071,00 | 1308 / 28 | $13.587,30 | 13 / 12 | $10.853,70 | 13 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 27 | $31.827,20 | 1806 / 38 | $3.103,06 | 147 / 3 | $2.039,53 | 147 / 5 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 13 | $75.713,60 | 1373 / 25 | $7.282,06 | 126 / 7 | $6.568,65 | 126 / 11 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 7 | $270.058,00 | 708 / 17 | $27.495,40 | 176 / 8 | $26.815,40 | 176 / 11 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 11 | $107.846,00 | 901 / 19 | $8.782,60 | 7 / 9 | $6.776,47 | 7 / 4 |
| Medical Back Problems W/O Mcc | 14 | 107 / 21 | $55.099,60 | 1447 / 27 | $4.457,07 | 56 / 5 | $3.421,64 | 56 / 8 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 16 | $113.142,00 | 925 / 22 | $5.701,93 | 32 / 3 | $4.345,86 | 32 / 4 |
| Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 9 | $181.032,00 | 643 / 16 | $17.288,70 | 51 / 6 | $16.175,60 | 51 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 22 | $95.606,70 | 1464 / 30 | $11.690,70 | 68 / 6 | $10.920,40 | 68 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 21 | $62.263,10 | 1615 / 32 | $8.429,77 | 14 / 31 | $4.702,15 | 14 / 4 |
| Other Vascular Procedures W Cc | 13 | 89 / 17 | $129.052,00 | 1008 / 22 | $13.171,00 | 11 / 7 | $11.603,30 | 11 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 27 | $39.769,80 | 1357 / 31 | $4.114,46 | 245 / 4 | $3.282,46 | 243 / 16 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 14 | $118.744,00 | 834 / 20 | $10.811,80 | 11 / 3 | $9.466,62 | 11 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 12 | $72.364,20 | 1072 / 21 | $6.098,92 | 65 / 3 | $5.449,08 | 65 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 18 | $70.850,60 | 1367 / 28 | $9.145,83 | 11 / 30 | $5.034,83 | 11 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 11 | $91.939,20 | 780 / 20 | $8.842,17 | 12 / 8 | $6.895,75 | 12 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 16 | $48.566,60 | 995 / 28 | $5.215,33 | 17 / 13 | $3.374,92 | 17 / 2 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 9 | $490.812,00 | 501 / 12 | $56.737,20 | 152 / 4 | $55.835,80 | 152 / 6 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 15 | $56.589,30 | 922 / 22 | $10.660,30 | 2 / 23 | $4.847,58 | 2 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 9 | $108.358,00 | 510 / 14 | $8.284,83 | 168 / 5 | $7.679,58 | 168 / 12 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 13 | $169.181,00 | 914 / 19 | $15.535,20 | 49 / 7 | $14.665,40 | 49 / 8 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 17 | $394.936,00 | 606 / 21 | $29.029,70 | 158 / 20 | $24.292,50 | 158 / 18 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 6 | $255.999,00 | 603 / 11 | $20.351,00 | 115 / 5 | $19.693,50 | 115 / 7 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 14 | $265.515,00 | 883 / 23 | $27.182,80 | 79 / 5 | $26.052,50 | 79 / 10 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 8 | $138.159,00 | 543 / 11 | $9.132,55 | 9 / 1 | $7.591,91 | 9 / 2 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 25 | $109.827,00 | 1597 / 28 | $9.097,00 | 72 / 4 | $8.331,91 | 72 / 7 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 19 | $37.898,10 | 1180 / 30 | $3.781,82 | 158 / 3 | $3.124,36 | 158 / 9 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 19 | $44.498,90 | 1085 / 28 | $4.964,27 | 39 / 4 | $4.085,73 | 39 / 8 | Total 65 procedures | 2.035 | 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.