Hospital Costs > In Alabama > Rmc Jacksonville, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 178 | 20 / 1 | $11.592,30 | 184 / 4 | $4.333,56 | 108 / 6 | $3.248,33 | 108 / 6 |
Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 41 | $27.126,90 | 1276 / 33 | $6.329,73 | 150 / 14 | $5.286,53 | 150 / 19 |
Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 52 | $19.423,00 | 1510 / 49 | $4.656,31 | 394 / 33 | $3.538,77 | 394 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 36 | $21.921,50 | 1715 / 54 | $4.537,47 | 540 / 46 | $3.335,00 | 538 / 34 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 14 | 502 / 48 | $45.947,40 | 1619 / 37 | $8.867,71 | 90 / 5 | $8.590,57 | 90 / 12 |
Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 43 | $24.033,40 | 1544 / 44 | $5.494,40 | 501 / 15 | $4.646,40 | 498 / 34 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 28 | $16.989,40 | 928 / 29 | $4.264,83 | 566 / 20 | $3.290,17 | 564 / 36 | Total 7 procedures | 267 | 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.