Hospital Costs > In Alabama > Shoals Hospital, 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 | 24 | 165 / 32 | $15.714,10 | 954 / 32 | $4.456,71 | 47 / 6 | $3.249,54 | 47 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 44 | $17.051,80 | 706 / 23 | $4.795,58 | 64 / 2 | $3.891,58 | 64 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 36 | $19.729,20 | 694 / 19 | $5.686,70 | 30 / 2 | $4.843,57 | 30 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 38 | $13.473,10 | 602 / 27 | $3.723,62 | 177 / 3 | $2.980,23 | 177 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 48 | $23.132,50 | 1731 / 55 | $3.817,21 | 45 / 2 | $2.810,54 | 45 / 6 |
| G.I. Hemorrhage W Cc | 22 | 196 / 31 | $26.591,20 | 1333 / 35 | $5.001,14 | 27 / 3 | $4.065,86 | 27 / 3 |
| Heart Failure & Shock W Cc | 19 | 259 / 44 | $19.869,40 | 1173 / 39 | $4.812,53 | 25 / 2 | $4.047,89 | 25 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 23 | $17.771,80 | 412 / 11 | $6.242,73 | 1 / 14 | $4.222,09 | 1 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 38 | $14.498,60 | 860 / 29 | $4.127,81 | 22 / 4 | $2.869,84 | 22 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 36 | $56.857,30 | 1571 / 31 | $10.776,80 | 178 / 4 | $9.652,53 | 178 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 23 | $13.887,80 | 821 / 30 | $3.668,69 | 132 / 3 | $2.892,25 | 132 / 9 |
| Pulmonary Edema & Respiratory Failure | 18 | 185 / 29 | $22.645,00 | 575 / 11 | $6.150,22 | 80 / 4 | $5.618,67 | 80 / 13 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 22 | $23.145,50 | 1132 / 36 | $4.139,13 | 73 / 4 | $3.338,78 | 73 / 8 |
| Renal Failure W Cc | 17 | 204 / 33 | $19.049,10 | 884 / 20 | $4.883,18 | 128 / 3 | $4.243,18 | 128 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 30 | 486 / 37 | $39.987,90 | 1316 / 30 | $8.874,30 | 27 / 6 | $8.153,23 | 27 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 27 | $25.363,60 | 1285 / 25 | $5.428,41 | 69 / 1 | $4.536,05 | 69 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 35 | $24.170,10 | 1553 / 45 | $4.944,34 | 28 / 2 | $3.895,34 | 28 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 35 | $25.287,50 | 723 / 14 | $7.309,47 | 4 / 2 | $5.719,80 | 4 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 27 | $16.762,80 | 906 / 28 | $3.678,20 | 24 / 3 | $2.477,13 | 24 / 4 | Total 19 procedures | 418 | 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.