Hospital Costs > In Alabama > Shelby Baptist Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 135 | 381 / 16 | $53.310,20 | 1900 / 44 | $10.394,40 | 381 / 33 | $9.316,31 | 381 / 33 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 101 | 463 / 30 | $49.540,60 | 1263 / 26 | $11.919,30 | 376 / 27 | $10.125,70 | 375 / 26 |
| Heart Failure & Shock W Cc | 79 | 199 / 19 | $27.236,90 | 1818 / 54 | $6.398,84 | 356 / 54 | $4.732,42 | 356 / 33 |
| Renal Failure W Cc | 68 | 153 / 12 | $27.561,50 | 1583 / 42 | $6.145,74 | 376 / 38 | $4.628,69 | 373 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 68 | 207 / 24 | $23.160,90 | 1734 / 56 | $4.899,26 | 351 / 52 | $3.290,01 | 350 / 26 |
| G.I. Hemorrhage W Cc | 64 | 154 / 16 | $30.100,50 | 1563 / 39 | $6.114,98 | 436 / 39 | $4.847,97 | 435 / 31 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 57 | 131 / 16 | $46.175,90 | 1103 / 25 | $6.451,75 | 281 / 18 | $5.115,72 | 281 / 20 |
| Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 24 | $20.450,50 | 1621 / 51 | $4.914,82 | 414 / 48 | $3.558,48 | 414 / 30 |
| Cellulitis W/O Mcc | 53 | 136 / 15 | $23.294,60 | 1759 / 54 | $5.920,91 | 296 / 57 | $3.687,92 | 293 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 17 | $35.036,40 | 1355 / 28 | $8.419,52 | 492 / 34 | $7.314,35 | 492 / 27 |
| Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 23 | $30.907,20 | 1995 / 59 | $5.844,73 | 441 / 40 | $4.602,02 | 438 / 32 |
| Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 20 | $23.651,00 | 1359 / 45 | $5.707,76 | 470 / 41 | $4.511,69 | 469 / 35 |
| Renal Failure W Mcc | 47 | 148 / 17 | $44.147,70 | 1417 / 36 | $8.436,36 | 263 / 19 | $7.654,74 | 263 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 10 | $27.386,90 | 1516 / 34 | $5.370,55 | 532 / 39 | $3.844,83 | 530 / 27 |
| Pulmonary Edema & Respiratory Failure | 46 | 157 / 13 | $39.650,50 | 1492 / 32 | $7.399,30 | 306 / 32 | $6.094,41 | 306 / 26 |
| Red Blood Cell Disorders W/O Mcc | 46 | 97 / 10 | $20.218,00 | 911 / 31 | $6.078,09 | 58 / 47 | $3.294,46 | 58 / 6 |
| Transient Ischemia | 44 | 81 / 9 | $26.110,20 | 1014 / 22 | $4.554,73 | 268 / 23 | $3.116,68 | 268 / 20 |
| Heart Failure & Shock W Mcc | 42 | 242 / 24 | $36.281,60 | 1469 / 33 | $8.403,43 | 492 / 30 | $7.683,43 | 492 / 35 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 42 | 154 / 17 | $95.873,00 | 1115 / 17 | $11.239,80 | 111 / 15 | $9.476,76 | 111 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 21 | $20.382,30 | 1594 / 51 | $4.512,54 | 744 / 43 | $3.482,85 | 742 / 43 |
| Major Small & Large Bowel Procedures W Cc | 38 | 70 / 8 | $70.847,80 | 871 / 18 | $14.011,60 | 344 / 19 | $13.024,70 | 341 / 25 |
| Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 16 | $48.923,90 | 1009 / 22 | $10.989,30 | 394 / 23 | $9.907,24 | 393 / 25 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 29 | $35.309,10 | 1759 / 50 | $7.754,86 | 88 / 57 | $5.116,42 | 88 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 19 | $19.209,00 | 1354 / 31 | $4.156,23 | 465 / 33 | $2.413,20 | 462 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 21 | $28.201,10 | 1024 / 29 | $6.476,09 | 182 / 33 | $4.792,21 | 182 / 18 |
| Major Small & Large Bowel Procedures W Mcc | 33 | 52 / 5 | $131.765,00 | 670 / 14 | $27.736,70 | 245 / 9 | $26.862,10 | 243 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 14 | $22.428,70 | 1418 / 43 | $4.199,19 | 578 / 26 | $3.373,19 | 576 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 32 | 136 / 13 | $39.724,30 | 686 / 13 | $9.193,34 | 104 / 10 | $8.117,34 | 104 / 10 |
| Syncope & Collapse | 32 | 137 / 20 | $22.818,70 | 1090 / 31 | $5.370,22 | 191 / 45 | $3.166,72 | 190 / 14 |
| Chest Pain | 30 | 121 / 17 | $21.529,30 | 1020 / 25 | $3.869,53 | 542 / 20 | $2.969,80 | 538 / 25 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 13 | $69.592,00 | 1138 / 25 | $13.388,40 | 84 / 20 | $11.027,40 | 84 / 13 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 29 | 43 / 4 | $30.604,90 | 364 / 9 | $8.302,90 | 117 / 12 | $6.905,79 | 117 / 10 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 11 | $135.869,00 | 888 / 20 | $28.605,10 | 244 / 13 | $27.335,90 | 244 / 14 |
| G.I. Hemorrhage W Mcc | 28 | 93 / 13 | $55.057,50 | 1112 / 24 | $9.843,43 | 258 / 14 | $9.034,57 | 258 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 17 | $41.244,20 | 1358 / 27 | $7.204,74 | 578 / 17 | $6.490,07 | 575 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 13 | $25.702,40 | 747 / 16 | $6.264,85 | 146 / 10 | $5.412,70 | 145 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 26 | $20.718,40 | 1310 / 52 | $4.417,27 | 752 / 31 | $3.534,81 | 749 / 46 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 18 | $21.615,30 | 1288 / 40 | $4.494,68 | 528 / 34 | $3.259,28 | 526 / 34 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 9 | $31.494,40 | 916 / 19 | $5.832,32 | 165 / 19 | $4.590,80 | 163 / 13 |
| Seizures W/O Mcc | 24 | 84 / 11 | $24.784,20 | 765 / 16 | $4.861,58 | 147 / 16 | $3.442,62 | 146 / 12 |
| Medical Back Problems W/O Mcc | 24 | 97 / 14 | $26.752,80 | 906 / 17 | $6.156,29 | 68 / 25 | $3.447,96 | 68 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 16 | $26.613,00 | 1013 / 24 | $6.246,48 | 359 / 15 | $5.513,26 | 358 / 22 |
| Extracranial Procedures W/O Cc/Mcc | 21 | 77 / 14 | $47.583,60 | 747 / 18 | $6.384,00 | 61 / 16 | $4.493,81 | 61 / 9 |
| Other Vascular Procedures W Mcc | 21 | 76 / 10 | $98.779,10 | 591 / 17 | $16.771,50 | 25 / 1 | $15.979,00 | 25 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 12 | $42.048,30 | 1001 / 22 | $6.952,76 | 194 / 14 | $5.977,52 | 193 / 16 |
| Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 15 | $77.532,10 | 351 / 12 | $17.725,00 | 51 / 6 | $16.290,70 | 51 / 9 |
| Other Vascular Procedures W Cc | 19 | 83 / 13 | $68.080,40 | 487 / 14 | $15.143,60 | 49 / 21 | $12.247,20 | 49 / 10 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 11 | $16.880,70 | 392 / 18 | $4.038,89 | 118 / 14 | $2.942,17 | 118 / 8 |
| Seizures W Mcc | 18 | 48 / 7 | $44.050,30 | 412 / 10 | $8.557,50 | 51 / 7 | $7.322,78 | 51 / 4 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 17 | 52 / 6 | $108.018,00 | 509 / 10 | $10.721,20 | 38 / 9 | $8.454,00 | 38 / 5 |
| Hypertension W/O Mcc | 16 | 49 / 8 | $24.978,00 | 538 / 17 | $3.966,94 | 236 / 10 | $2.980,94 | 234 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 32 | $35.382,80 | 1880 / 41 | $6.026,44 | 490 / 18 | $5.190,44 | 488 / 33 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 18 | $42.400,60 | 913 / 14 | $9.503,07 | 198 / 10 | $8.295,73 | 198 / 9 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 5 | $85.790,00 | 311 / 6 | $15.827,10 | 20 / 7 | $11.773,80 | 20 / 2 |
| Diabetes W Cc | 15 | 77 / 18 | $22.432,30 | 847 / 23 | $5.043,07 | 534 / 19 | $4.317,73 | 534 / 28 |
| Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 8 | $25.175,10 | 226 / 7 | $5.799,80 | 80 / 9 | $4.754,47 | 80 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 25 | $24.440,90 | 873 / 21 | $4.693,07 | 514 / 20 | $3.649,87 | 510 / 25 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 14 | 31 / 5 | $125.068,00 | 210 / 5 | $16.661,20 | 39 / 2 | $15.799,50 | 39 / 4 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 9 | $54.131,70 | 291 / 12 | $12.386,10 | 2 / 15 | $7.913,43 | 2 / 2 |
| Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 10 | $56.927,20 | 359 / 8 | $9.719,08 | 13 / 8 | $7.410,69 | 13 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 12 | $139.956,00 | 507 / 12 | $27.953,40 | 114 / 11 | $26.620,50 | 114 / 13 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 8 | $17.931,10 | 433 / 12 | $4.582,92 | 109 / 15 | $2.989,69 | 110 / 10 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 10 | $44.131,40 | 347 / 12 | $9.104,85 | 3 / 11 | $6.554,77 | 3 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 15 | $89.008,70 | 695 / 16 | $18.672,00 | 75 / 19 | $13.143,60 | 75 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 11 | $51.011,80 | 807 / 15 | $8.726,42 | 257 / 8 | $8.225,08 | 257 / 12 |
| Major Chest Procedures W Cc | 12 | 62 / 9 | $78.556,20 | 321 / 9 | $14.031,00 | 72 / 7 | $12.927,00 | 72 / 8 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 16 | $185.831,00 | 469 / 17 | $25.991,50 | 77 / 16 | $22.674,40 | 77 / 15 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 13 | $208.679,00 | 775 / 16 | $45.629,80 | 252 / 18 | $32.391,80 | 251 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 13 | $83.735,30 | 517 / 14 | $18.662,20 | 275 / 15 | $17.454,20 | 273 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 15 | $83.445,50 | 684 / 16 | $13.724,70 | 376 / 20 | $12.010,70 | 371 / 20 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 9 | $33.164,30 | 204 / 6 | $7.714,25 | 32 / 11 | $5.147,17 | 32 / 4 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 16 | $20.568,60 | 845 / 18 | $3.901,67 | 374 / 10 | $2.797,67 | 374 / 17 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 17 | $55.167,50 | 522 / 14 | $9.633,25 | 7 / 11 | $6.382,92 | 7 / 2 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 8 | $22.910,50 | 120 / 4 | $6.439,00 | 89 / 5 | $5.557,55 | 89 / 6 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 15 | $32.815,80 | 914 / 24 | $5.906,36 | 362 / 18 | $4.920,18 | 362 / 21 |
| G.I. Obstruction W Cc | 11 | 81 / 24 | $29.474,40 | 1183 / 25 | $6.682,64 | 200 / 31 | $4.050,18 | 199 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 18 | $146.227,00 | 805 / 16 | $19.557,60 | 382 / 15 | $18.565,60 | 380 / 17 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 16 | $35.818,60 | 599 / 16 | $7.249,09 | 249 / 10 | $6.702,18 | 249 / 16 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 18 | $55.859,00 | 861 / 17 | $11.041,50 | 63 / 14 | $8.900,55 | 63 / 7 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 11 | $124.053,00 | 361 / 8 | $27.709,70 | 159 / 9 | $26.507,50 | 159 / 10 | Total 80 procedures | 2.382 | 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.