Hospital Costs > In Alabama > St Vincent's East, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 435 | 34 / 1 | $31.543,80 | 490 / 13 | $6.708,75 | 192 / 14 | $5.496,75 | 192 / 13 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 172 | 392 / 21 | $31.375,30 | 285 / 6 | $11.991,30 | 332 / 30 | $10.033,90 | 331 / 24 |
Simple Pneumonia & Pleurisy W Mcc | 94 | 111 / 9 | $42.335,80 | 1645 / 35 | $8.784,06 | 706 / 39 | $7.568,52 | 706 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 93 | 423 / 24 | $47.899,30 | 1705 / 39 | $11.050,90 | 783 / 41 | $9.888,04 | 782 / 43 |
Heart Failure & Shock W Mcc | 87 | 197 / 14 | $38.169,80 | 1563 / 36 | $8.732,05 | 698 / 37 | $7.927,80 | 698 / 41 |
G.I. Hemorrhage W Cc | 77 | 141 / 12 | $26.008,90 | 1289 / 33 | $6.091,21 | 748 / 37 | $5.134,29 | 746 / 40 |
Kidney & Urinary Tract Infections W/O Mcc | 77 | 156 / 11 | $20.314,10 | 1608 / 50 | $5.043,92 | 822 / 54 | $3.838,70 | 817 / 49 |
Pulmonary Edema & Respiratory Failure | 75 | 128 / 8 | $35.960,60 | 1332 / 28 | $7.785,19 | 580 / 39 | $6.425,53 | 580 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 25 | $22.933,90 | 1711 / 54 | $4.917,39 | 710 / 54 | $3.572,88 | 706 / 44 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 65 | 123 / 13 | $42.427,40 | 1012 / 21 | $6.546,29 | 457 / 21 | $5.371,37 | 455 / 23 |
Respiratory Infections & Inflammations W Mcc | 65 | 71 / 5 | $51.765,40 | 1114 / 21 | $12.067,50 | 447 / 26 | $10.367,90 | 444 / 21 |
Heart Failure & Shock W Cc | 62 | 216 / 26 | $25.105,70 | 1674 / 52 | $6.451,69 | 832 / 57 | $5.162,21 | 831 / 49 |
Hip & Femur Procedures Except Major Joint W Cc | 57 | 86 / 8 | $32.216,80 | 306 / 9 | $11.090,50 | 357 / 25 | $9.842,72 | 356 / 23 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 53 | 143 / 15 | $108.139,00 | 1238 / 19 | $13.015,10 | 722 / 26 | $11.305,70 | 718 / 26 |
Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 21 | $35.774,60 | 1786 / 52 | $7.032,62 | 400 / 39 | $5.684,40 | 399 / 31 |
Cellulitis W/O Mcc | 51 | 138 / 17 | $16.566,30 | 1062 / 36 | $5.367,16 | 649 / 42 | $4.012,00 | 646 / 46 |
Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 24 | $27.645,10 | 1821 / 55 | $6.509,94 | 333 / 62 | $4.487,98 | 331 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 48 | 75 / 7 | $35.622,90 | 1180 / 24 | $7.953,77 | 478 / 29 | $6.348,40 | 475 / 20 |
Renal Failure W Cc | 48 | 173 / 21 | $23.202,70 | 1291 / 32 | $6.545,60 | 570 / 49 | $4.820,04 | 566 / 32 |
Renal Failure W Mcc | 46 | 149 / 18 | $39.414,00 | 1266 / 33 | $9.078,61 | 372 / 31 | $7.864,65 | 372 / 29 |
Spinal Fusion Except Cervical W/O Mcc | 44 | 150 / 16 | $35.708,30 | 26 / 3 | $21.460,30 | 219 / 17 | $20.031,00 | 218 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 18 | $43.360,90 | 1599 / 40 | $6.462,54 | 380 / 32 | $5.077,00 | 379 / 26 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 17 | $23.213,10 | 1300 / 30 | $4.989,76 | 773 / 31 | $4.090,30 | 770 / 35 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 5 | $57.906,30 | 1286 / 23 | $10.296,90 | 528 / 18 | $9.054,17 | 527 / 20 |
Syncope & Collapse | 36 | 133 / 17 | $26.183,00 | 1278 / 35 | $4.654,33 | 563 / 32 | $3.610,78 | 560 / 33 |
Kidney & Urinary Tract Infections W Mcc | 33 | 111 / 11 | $23.699,00 | 831 / 16 | $7.079,06 | 285 / 34 | $5.399,03 | 284 / 21 |
Red Blood Cell Disorders W/O Mcc | 32 | 111 / 17 | $20.555,50 | 948 / 32 | $5.920,09 | 587 / 46 | $4.067,72 | 584 / 36 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 23 | $12.159,50 | 608 / 17 | $3.868,58 | 497 / 28 | $2.438,29 | 493 / 23 |
Major Small & Large Bowel Procedures W Mcc | 30 | 55 / 7 | $90.968,20 | 302 / 5 | $27.933,90 | 144 / 12 | $25.693,60 | 144 / 5 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 28 | 60 / 6 | $69.326,10 | 68 / 4 | $20.579,50 | 82 / 11 | $18.493,90 | 82 / 12 |
Major Cardiovasc Procedures W/O Mcc | 27 | 74 / 12 | $56.447,20 | 101 / 4 | $17.085,00 | 6 / 2 | $14.995,10 | 6 / 2 |
G.I. Hemorrhage W Mcc | 27 | 94 / 14 | $48.601,10 | 966 / 18 | $10.352,30 | 509 / 18 | $9.678,48 | 510 / 22 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 22 | $25.830,30 | 1316 / 27 | $6.481,78 | 487 / 32 | $5.186,89 | 485 / 32 |
Organic Disturbances & Mental Retardation | 26 | 33 / 3 | $25.105,50 | 277 / 10 | $6.249,46 | 59 / 12 | $4.841,12 | 59 / 10 |
Disorders Of Pancreas Except Malignancy W Cc | 26 | 35 / 4 | $20.805,80 | 326 / 8 | $5.939,27 | 97 / 12 | $4.147,31 | 97 / 11 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 25 | 44 / 4 | $77.859,40 | 403 / 7 | $10.557,20 | 135 / 7 | $9.166,32 | 135 / 10 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 25 | 48 / 4 | $37.252,20 | 781 / 17 | $7.149,00 | 205 / 16 | $5.905,88 | 205 / 14 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 24 | 69 / 10 | $59.754,60 | 460 / 14 | $12.085,70 | 268 / 9 | $11.383,10 | 263 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 11 | $145.070,00 | 798 / 15 | $20.977,80 | 545 / 17 | $20.124,50 | 541 / 18 |
O.R. Procedures For Obesity W/O Cc/Mcc | 24 | 53 / 5 | $22.241,60 | 31 / 1 | $8.968,04 | 57 / 5 | $7.407,75 | 57 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 14 | $131.259,00 | 852 / 19 | $30.884,50 | 302 / 20 | $28.035,00 | 302 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 19 | $31.554,80 | 1151 / 27 | $5.139,87 | 428 / 29 | $3.540,57 | 425 / 23 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 22 | 34 / 4 | $42.532,60 | 310 / 11 | $9.583,32 | 277 / 16 | $8.594,23 | 277 / 18 |
Major Small & Large Bowel Procedures W Cc | 21 | 87 / 17 | $44.276,20 | 279 / 10 | $13.966,10 | 139 / 18 | $12.131,00 | 139 / 14 |
G.I. Obstruction W Cc | 20 | 72 / 15 | $21.732,10 | 774 / 18 | $6.049,20 | 206 / 28 | $4.057,15 | 205 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 19 | $62.397,10 | 1172 / 25 | $10.472,70 | 567 / 20 | $9.512,65 | 566 / 26 |
Transient Ischemia | 20 | 105 / 22 | $30.838,90 | 1205 / 28 | $4.633,35 | 187 / 25 | $2.986,55 | 187 / 13 |
Chest Pain | 20 | 131 / 24 | $22.181,20 | 1066 / 26 | $3.998,90 | 547 / 26 | $2.970,10 | 543 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 32 | $18.931,70 | 1443 / 46 | $4.529,45 | 776 / 45 | $3.505,45 | 773 / 47 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 17 | $60.054,00 | 908 / 18 | $13.990,30 | 399 / 28 | $12.145,80 | 395 / 19 |
Other Vascular Procedures W Mcc | 20 | 77 / 11 | $100.743,00 | 608 / 18 | $18.102,00 | 148 / 14 | $17.436,40 | 148 / 15 |
Other Vascular Procedures W Cc | 19 | 83 / 13 | $64.677,40 | 439 / 11 | $14.496,40 | 250 / 15 | $13.674,50 | 249 / 20 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 11 | $37.030,50 | 901 / 18 | $7.963,68 | 327 / 16 | $7.025,58 | 324 / 19 |
Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 7 | $74.232,20 | 465 / 14 | $17.273,50 | 273 / 16 | $16.387,60 | 271 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 18 | $27.530,80 | 834 / 19 | $6.729,89 | 392 / 17 | $5.858,67 | 389 / 21 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 8 | $55.470,90 | 186 / 6 | $17.501,20 | 158 / 12 | $16.423,90 | 158 / 12 |
Extracranial Procedures W Cc | 18 | 28 / 5 | $27.673,80 | 63 / 3 | $8.995,11 | 64 / 5 | $7.855,11 | 64 / 5 |
Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 9 | $76.891,70 | 585 / 13 | $15.209,10 | 56 / 14 | $12.987,70 | 56 / 9 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 9 | $146.334,00 | 538 / 14 | $34.144,10 | 163 / 23 | $27.392,10 | 163 / 16 |
Carotid Artery Stent Procedure W/O Cc/Mcc | 17 | 15 / 3 | $33.879,50 | 23 / 1 | $9.869,76 | 9 / 3 | $7.991,18 | 9 / 3 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 17 | 107 / 12 | $18.310,00 | 451 / 9 | $4.438,06 | 196 / 9 | $3.513,82 | 196 / 9 |
Other Resp System O.R. Procedures W Mcc | 17 | 46 / 8 | $69.404,80 | 148 / 3 | $20.091,40 | 36 / 3 | $17.770,30 | 36 / 2 |
Major Cardiovasc Procedures W Mcc | 17 | 51 / 7 | $156.387,00 | 374 / 12 | $33.326,00 | 269 / 13 | $32.095,80 | 269 / 14 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 16 | $35.955,40 | 1044 / 21 | $5.936,31 | 388 / 20 | $5.026,31 | 385 / 24 |
Major Chest Procedures W Mcc | 16 | 33 / 5 | $80.196,50 | 50 / 2 | $26.648,60 | 14 / 2 | $23.484,50 | 14 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 14 | $48.532,90 | 1130 / 25 | $8.331,44 | 844 / 25 | $7.573,50 | 839 / 30 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 11 | $18.288,60 | 478 / 15 | $4.500,62 | 334 / 21 | $3.446,62 | 331 / 22 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 14 | $23.363,10 | 558 / 17 | $5.799,44 | 338 / 19 | $4.969,44 | 336 / 24 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 15 | 30 / 4 | $114.325,00 | 193 / 4 | $18.110,50 | 20 / 5 | $14.795,90 | 20 / 1 |
Diabetes W Cc | 15 | 77 / 18 | $23.175,20 | 901 / 24 | $5.192,53 | 597 / 24 | $4.390,40 | 596 / 30 |
Depressive Neuroses | 15 | 35 / 4 | $11.735,40 | 74 / 4 | $4.285,93 | 47 / 4 | $3.483,80 | 47 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 6 | $36.909,30 | 245 / 3 | $10.428,60 | 62 / 4 | $9.391,27 | 62 / 5 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 12 | $26.642,80 | 712 / 17 | $6.316,13 | 214 / 20 | $4.628,93 | 214 / 15 |
Major Male Pelvic Procedures W/O Cc/Mcc | 15 | 58 / 7 | $23.854,10 | 34 / 1 | $7.645,13 | 112 / 7 | $6.126,00 | 112 / 7 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 15 | $38.321,10 | 996 / 18 | $6.267,14 | 404 / 15 | $5.318,57 | 403 / 15 |
Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 42 | $25.940,00 | 1508 / 48 | $6.810,43 | 209 / 60 | $4.199,07 | 209 / 21 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 14 | $18.688,90 | 335 / 13 | $5.421,43 | 361 / 17 | $4.470,57 | 357 / 24 |
Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 16 | $15.765,40 | 64 / 4 | $5.898,86 | 44 / 11 | $4.439,86 | 44 / 7 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 6 | $30.535,10 | 383 / 8 | $5.418,38 | 122 / 6 | $4.485,46 | 122 / 8 |
Pulmonary Embolism W Mcc | 13 | 30 / 6 | $44.813,30 | 378 / 10 | $8.883,00 | 144 / 6 | $7.957,46 | 144 / 7 |
Major Chest Procedures W Cc | 13 | 61 / 8 | $46.965,80 | 90 / 5 | $15.212,30 | 56 / 10 | $12.673,90 | 56 / 4 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 13 | 78 / 5 | $20.147,10 | 70 / 3 | $6.669,69 | 82 / 4 | $6.485,08 | 82 / 4 |
Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 10 | $26.443,20 | 252 / 8 | $5.979,54 | 58 / 10 | $4.650,46 | 58 / 5 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 16 | $23.847,60 | 49 / 3 | $9.805,92 | 62 / 12 | $7.283,38 | 62 / 7 |
Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 10 | $34.482,80 | 107 / 6 | $9.404,77 | 60 / 6 | $8.172,38 | 60 / 7 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 5 | $23.129,80 | 303 / 9 | $5.643,69 | 6 / 13 | $2.204,23 | 6 / 1 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 16 | $20.531,50 | 533 / 21 | $4.109,92 | 194 / 18 | $3.115,15 | 193 / 17 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 10 | $167.748,00 | 539 / 12 | $33.202,60 | 438 / 16 | $31.714,60 | 438 / 17 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 7 | $57.347,50 | 299 / 8 | $10.071,90 | 159 / 8 | $9.643,92 | 159 / 9 |
Cellulitis W Mcc | 12 | 46 / 8 | $33.894,50 | 463 / 11 | $8.303,83 | 164 / 7 | $7.294,50 | 164 / 12 |
Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 16 | $103.022,00 | 141 / 9 | $25.288,10 | 89 / 11 | $22.961,50 | 89 / 16 |
Diabetes W Mcc | 11 | 46 / 12 | $34.941,80 | 379 / 11 | $8.174,45 | 190 / 9 | $7.511,18 | 190 / 11 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 31 | $18.780,10 | 1207 / 42 | $5.093,82 | 650 / 47 | $3.429,82 | 648 / 31 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 11 | $30.018,80 | 41 / 1 | $11.403,50 | 184 / 10 | $10.417,40 | 184 / 14 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 16 | $29.689,30 | 450 / 13 | $7.435,18 | 240 / 13 | $6.667,18 | 240 / 15 | Total 95 procedures | 3.254 | 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.