Hospital Costs > In Alabama > Thomas Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 283 | 284 / 9 | $33.225,80 | 363 / 8 | $10.368,10 | 29 / 1 | $8.837,70 | 29 / 2 |
Heart Failure & Shock W Cc | 79 | 199 / 19 | $16.022,30 | 691 / 28 | $4.795,87 | 9 / 1 | $3.886,73 | 9 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 76 | 199 / 20 | $15.578,80 | 825 / 32 | $3.575,01 | 40 / 1 | $2.794,38 | 40 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 73 | 123 / 11 | $47.975,60 | 186 / 3 | $9.789,33 | 17 / 2 | $8.563,32 | 17 / 2 |
Kidney & Urinary Tract Infections W/O Mcc | 65 | 168 / 18 | $14.793,80 | 901 / 33 | $3.652,11 | 13 / 1 | $2.800,17 | 13 / 2 |
G.I. Hemorrhage W Cc | 63 | 155 / 17 | $19.607,30 | 717 / 19 | $4.792,10 | 8 / 1 | $3.883,00 | 8 / 1 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 58 | 130 / 15 | $22.076,40 | 158 / 3 | $5.274,64 | 11 / 1 | $4.218,86 | 11 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 57 | 86 / 8 | $31.473,50 | 270 / 8 | $9.569,54 | 1 / 1 | $8.154,91 | 1 / 1 |
Red Blood Cell Disorders W/O Mcc | 56 | 87 / 7 | $16.856,40 | 610 / 24 | $3.862,57 | 8 / 1 | $2.906,86 | 8 / 1 |
Cellulitis W/O Mcc | 56 | 133 / 13 | $13.560,10 | 669 / 24 | $4.535,62 | 3 / 7 | $2.773,93 | 3 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 53 | 463 / 28 | $33.885,40 | 994 / 22 | $8.796,02 | 18 / 3 | $7.986,06 | 18 / 3 |
Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 25 | $21.199,60 | 1267 / 34 | $4.654,47 | 15 / 1 | $3.791,78 | 15 / 2 |
Renal Failure W Cc | 49 | 172 / 20 | $15.265,30 | 484 / 16 | $4.629,65 | 13 / 1 | $3.807,69 | 13 / 3 |
Heart Failure & Shock W Mcc | 47 | 237 / 21 | $23.311,30 | 615 / 16 | $7.517,26 | 14 / 3 | $6.243,02 | 14 / 2 |
Syncope & Collapse | 42 | 127 / 13 | $12.793,70 | 251 / 13 | $3.484,62 | 2 / 1 | $2.502,52 | 2 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 26 | $22.258,00 | 924 / 27 | $5.631,71 | 5 / 1 | $4.416,26 | 5 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 19 | $13.359,30 | 741 / 29 | $3.478,55 | 1 / 1 | $2.058,86 | 1 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 17 | $20.477,10 | 506 / 13 | $5.132,45 | 11 / 1 | $4.136,45 | 11 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 16 | $13.015,00 | 320 / 10 | $3.833,10 | 6 / 1 | $2.833,46 | 6 / 1 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 18 | $8.077,37 | 150 / 8 | $3.093,08 | 4 / 2 | $1.463,39 | 4 / 1 |
Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 23 | $27.992,80 | 908 / 17 | $8.185,43 | 2 / 28 | $5.622,00 | 2 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 32 | 86 / 5 | $77.211,70 | 23 / 3 | $24.235,20 | 3 / 1 | $21.510,00 | 3 / 3 |
Chest Pain | 30 | 121 / 17 | $14.488,10 | 449 / 14 | $3.007,80 | 3 / 1 | $1.875,07 | 3 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 15 | $15.178,80 | 263 / 5 | $4.114,17 | 2 / 3 | $2.304,07 | 2 / 1 |
Extracranial Procedures W/O Cc/Mcc | 29 | 69 / 11 | $12.606,00 | 28 / 3 | $4.945,34 | 2 / 1 | $3.840,79 | 2 / 1 |
Transient Ischemia | 28 | 97 / 17 | $14.070,20 | 242 / 8 | $3.367,14 | 1 / 1 | $2.199,14 | 1 / 1 |
Revision Of Hip Or Knee Replacement W Cc | 28 | 58 / 5 | $43.335,80 | 40 / 4 | $16.218,20 | 17 / 1 | $14.881,60 | 17 / 4 |
Major Small & Large Bowel Procedures W Cc | 25 | 83 / 14 | $31.660,70 | 69 / 4 | $12.167,70 | 38 / 1 | $11.297,30 | 38 / 6 |
Coronary Bypass W Cardiac Cath W/O Mcc | 25 | 51 / 9 | $64.280,00 | 22 / 2 | $22.313,20 | 7 / 1 | $19.781,10 | 7 / 3 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 25 | 63 / 8 | $47.875,40 | 18 / 2 | $18.222,60 | 8 / 1 | $16.018,10 | 8 / 2 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 33 | $18.599,50 | 854 / 28 | $5.192,08 | 2 / 15 | $3.247,83 | 2 / 1 |
Pulmonary Edema & Respiratory Failure | 24 | 179 / 23 | $26.017,50 | 791 / 17 | $6.003,25 | 9 / 2 | $5.030,62 | 9 / 2 |
Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 13 | $65.036,00 | 184 / 8 | $16.776,40 | 24 / 1 | $15.816,40 | 24 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 21 | 35 / 5 | $30.066,30 | 92 / 4 | $8.129,19 | 1 / 1 | $6.307,14 | 1 / 1 |
Renal Failure W Mcc | 20 | 175 / 26 | $25.960,70 | 519 / 11 | $7.774,10 | 3 / 4 | $6.220,10 | 3 / 1 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 20 | 49 / 3 | $46.018,20 | 97 / 6 | $12.302,00 | 5 / 1 | $10.875,70 | 5 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 13 | $65.747,60 | 126 / 2 | $15.552,90 | 9 / 1 | $13.965,60 | 9 / 2 |
Fever | 19 | 27 / 2 | $18.891,30 | 89 / 3 | $5.875,63 | 2 / 4 | $2.977,37 | 2 / 1 |
G.I. Obstruction W Cc | 19 | 73 / 16 | $17.573,70 | 475 / 6 | $4.242,11 | 5 / 1 | $3.253,47 | 5 / 1 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 23 | $13.531,10 | 555 / 15 | $3.335,53 | 3 / 1 | $2.190,26 | 3 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 23 | $18.446,60 | 266 / 5 | $5.832,67 | 11 / 1 | $5.093,11 | 11 / 1 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 20 | $25.463,20 | 946 / 22 | $6.699,94 | 7 / 24 | $4.469,50 | 7 / 3 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 18 | 51 / 7 | $38.257,50 | 38 / 3 | $13.320,00 | 12 / 1 | $12.116,40 | 12 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 18 | $16.553,80 | 225 / 7 | $6.250,83 | 1 / 9 | $4.057,56 | 1 / 1 |
Nonspecific Cerebrovascular Disorders W Cc | 17 | 39 / 6 | $16.492,80 | 66 / 3 | $6.283,82 | 1 / 12 | $3.392,76 | 1 / 1 |
Peripheral Vascular Disorders W Cc | 17 | 67 / 13 | $14.287,00 | 154 / 5 | $4.505,12 | 5 / 1 | $3.511,24 | 5 / 3 |
Diabetes W Cc | 16 | 76 / 17 | $19.262,40 | 642 / 19 | $4.035,81 | 29 / 1 | $3.283,81 | 29 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 10 | $25.289,90 | 96 / 4 | $7.757,25 | 5 / 1 | $6.627,25 | 5 / 3 |
Medical Back Problems W/O Mcc | 16 | 105 / 19 | $14.504,90 | 199 / 5 | $3.967,75 | 4 / 1 | $2.983,75 | 4 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 11 | $47.223,50 | 176 / 3 | $12.509,10 | 5 / 1 | $11.525,10 | 5 / 2 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 21 | $35.782,90 | 620 / 11 | $9.598,88 | 23 / 1 | $8.764,81 | 23 / 1 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 11 | $16.182,90 | 198 / 7 | $4.890,38 | 3 / 1 | $3.509,12 | 3 / 1 |
Seizures W/O Mcc | 16 | 92 / 17 | $16.810,60 | 361 / 7 | $4.406,56 | 2 / 6 | $2.523,81 | 2 / 1 |
Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 6 | $11.145,20 | 120 / 4 | $3.362,88 | 2 / 1 | $2.302,88 | 2 / 1 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 13 | $25.109,80 | 315 / 10 | $6.025,27 | 5 / 1 | $5.299,93 | 5 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 21 | $20.483,80 | 98 / 3 | $8.113,67 | 11 / 2 | $7.307,27 | 11 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 33 | $20.999,30 | 884 / 16 | $6.070,87 | 12 / 19 | $4.056,53 | 12 / 2 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 27 | $9.903,73 | 253 / 14 | $3.205,40 | 3 / 1 | $2.234,73 | 3 / 1 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 11 | $36.003,40 | 111 / 5 | $10.494,10 | 6 / 1 | $8.896,36 | 6 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 19 | $88.342,10 | 343 / 7 | $26.528,80 | 113 / 4 | $25.833,90 | 113 / 6 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 17 | $16.670,00 | 225 / 6 | $4.659,71 | 21 / 1 | $3.967,14 | 21 / 4 |
Other Vascular Procedures W Cc | 14 | 88 / 16 | $40.307,20 | 96 / 4 | $12.237,40 | 2 / 1 | $10.408,70 | 2 / 1 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 16 | $20.711,60 | 27 / 2 | $8.706,46 | 6 / 4 | $6.368,00 | 6 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 12 | $42.385,60 | 62 / 2 | $14.845,00 | 8 / 1 | $13.437,60 | 8 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 13 | 56 / 6 | $111.277,00 | 6 / 1 | $43.955,60 | 5 / 2 | $43.212,20 | 5 / 3 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 12 | $45.466,80 | 98 / 3 | $14.302,00 | 10 / 1 | $13.598,00 | 10 / 2 |
Pleural Effusion W Cc | 12 | 16 / 2 | $17.767,10 | 13 / 1 | $5.655,33 | 1 / 1 | $3.789,92 | 1 / 1 |
Other Circulatory System Diagnoses W Cc | 12 | 54 / 12 | $22.828,90 | 254 / 8 | $4.569,92 | 2 / 1 | $3.665,92 | 2 / 1 |
Organic Disturbances & Mental Retardation | 12 | 47 / 11 | $15.842,20 | 104 / 5 | $4.854,00 | 14 / 1 | $4.251,33 | 14 / 4 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 12 | 104 / 8 | $104.725,00 | 14 / 1 | $35.038,20 | 1 / 1 | $31.303,20 | 1 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 10 | $20.870,80 | 42 / 3 | $5.914,73 | 7 / 1 | $4.707,45 | 7 / 2 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 17 | $10.519,20 | 171 / 5 | $3.731,73 | 8 / 8 | $1.889,82 | 8 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 19 | $21.915,10 | 295 / 7 | $5.750,82 | 2 / 1 | $4.648,27 | 2 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 11 | $43.059,50 | 183 / 7 | $9.745,82 | 1 / 1 | $7.244,27 | 1 / 1 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 13 | $19.195,50 | 93 / 4 | $6.541,00 | 3 / 1 | $5.447,18 | 3 / 1 | Total 75 procedures | 2.309 | 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.