Hospital Costs > In Alabama > Troy Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 40 | $18.855,60 | 1439 / 47 | $4.543,86 | 408 / 27 | $3.550,71 | 408 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 27 | 489 / 40 | $40.395,90 | 1340 / 32 | $10.038,00 | 100 / 25 | $8.632,96 | 100 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 24 | $26.480,80 | 1377 / 28 | $6.090,20 | 658 / 20 | $5.363,16 | 656 / 38 |
| Renal Failure W Cc | 22 | 199 / 29 | $23.210,70 | 1292 / 33 | $5.549,86 | 733 / 19 | $4.943,32 | 726 / 34 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 37 | $22.216,00 | 920 / 25 | $6.683,45 | 404 / 29 | $5.692,91 | 403 / 32 |
| Heart Failure & Shock W Cc | 21 | 257 / 42 | $12.544,40 | 320 / 20 | $5.342,24 | 277 / 12 | $4.656,52 | 277 / 28 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 42 | $32.177,70 | 2073 / 61 | $6.213,57 | 1339 / 51 | $5.351,10 | 1334 / 63 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 39 | $22.629,90 | 1262 / 42 | $5.414,41 | 519 / 28 | $4.559,82 | 517 / 38 |
| Cellulitis W/O Mcc | 17 | 172 / 39 | $20.486,80 | 1533 / 50 | $4.800,65 | 250 / 13 | $3.631,29 | 248 / 23 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 36 | $10.800,80 | 334 / 20 | $4.321,56 | 701 / 28 | $3.493,56 | 699 / 44 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 54 | $19.068,60 | 1287 / 42 | $4.885,19 | 1406 / 51 | $4.051,12 | 1395 / 60 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 14 | 550 / 40 | $57.629,10 | 1608 / 32 | $11.937,70 | 834 / 29 | $10.808,60 | 820 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 31 | $18.368,10 | 890 / 23 | $4.752,21 | 573 / 26 | $3.890,50 | 571 / 28 |
| Renal Failure W Mcc | 14 | 181 / 30 | $27.659,70 | 627 / 13 | $8.343,86 | 280 / 16 | $7.700,43 | 280 / 22 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 28 | $15.536,90 | 789 / 26 | $4.290,83 | 554 / 21 | $3.282,83 | 552 / 35 | Total 15 procedures | 286 | 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.