Hospital Costs > In Alabama > St Vincent's St Clair, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 17 | $26.801,20 | 1757 / 52 | $5.830,59 | 547 / 38 | $4.683,94 | 544 / 35 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 43 | 50 / 5 | $19.553,00 | 1169 / 36 | $4.698,95 | 352 / 40 | $3.093,60 | 350 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 36 | $16.075,00 | 1081 / 38 | $4.640,22 | 653 / 31 | $3.726,11 | 649 / 41 |
| Heart Failure & Shock W Cc | 36 | 242 / 33 | $20.481,40 | 1233 / 41 | $5.686,50 | 558 / 32 | $4.948,72 | 558 / 38 |
| Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 24 | $29.633,60 | 1009 / 18 | $8.016,81 | 416 / 20 | $7.202,14 | 416 / 25 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 21 | $21.362,10 | 1360 / 55 | $4.267,42 | 349 / 23 | $3.183,42 | 349 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 28 | 488 / 39 | $40.694,20 | 1349 / 33 | $11.049,00 | 177 / 40 | $8.871,36 | 177 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 28 | $18.533,90 | 1383 / 45 | $4.238,04 | 563 / 30 | $3.356,81 | 561 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 47 | $21.840,20 | 1600 / 50 | $4.607,36 | 203 / 34 | $3.123,00 | 203 / 16 |
| Heart Failure & Shock W Mcc | 22 | 262 / 35 | $27.452,50 | 939 / 19 | $8.179,05 | 90 / 22 | $6.932,41 | 90 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 38 | $30.280,80 | 1497 / 43 | $6.943,86 | 517 / 37 | $5.795,90 | 516 / 41 |
| Cellulitis W/O Mcc | 19 | 170 / 37 | $15.458,20 | 915 / 31 | $5.060,74 | 340 / 29 | $3.741,21 | 337 / 30 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 25 | $15.954,80 | 952 / 34 | $4.010,24 | 835 / 17 | $3.586,71 | 831 / 38 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 42 | $21.072,50 | 1117 / 34 | $5.407,43 | 36 / 27 | $3.785,86 | 36 / 7 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 28 | $14.683,50 | 425 / 19 | $4.778,00 | 688 / 22 | $4.172,29 | 684 / 39 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 32 | $27.967,60 | 1545 / 35 | $4.586,75 | 676 / 18 | $3.984,08 | 673 / 32 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 16 | $18.815,10 | 502 / 17 | $4.151,82 | 190 / 11 | $3.159,82 | 189 / 16 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 7 | $11.677,60 | 76 / 6 | $4.986,91 | 10 / 9 | $2.554,91 | 10 / 4 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 19 | $15.062,20 | 182 / 6 | $5.551,18 | 121 / 16 | $4.460,27 | 121 / 16 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 34 | $23.275,80 | 616 / 14 | $6.789,18 | 412 / 17 | $6.242,27 | 412 / 28 | Total 20 procedures | 493 | 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.