Hospital Costs > In Alabama > Vaughan Regional Medical Center Parkway Campus, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 107 | 409 / 20 | $61.605,10 | 2120 / 51 | $11.606,90 | 1039 / 50 | $10.241,40 | 1027 / 49 |
Heart Failure & Shock W Mcc | 85 | 199 / 15 | $37.357,00 | 1522 / 35 | $9.168,40 | 1022 / 44 | $8.321,94 | 1020 / 45 |
Heart Failure & Shock W Cc | 67 | 211 / 24 | $20.518,00 | 1240 / 42 | $6.539,28 | 1455 / 59 | $5.718,70 | 1450 / 60 |
Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 19 | $33.657,90 | 1670 / 48 | $7.517,24 | 1271 / 51 | $6.546,93 | 1265 / 58 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 29 | $28.408,40 | 2088 / 60 | $5.311,43 | 1419 / 63 | $4.061,95 | 1408 / 62 |
Renal Failure W Cc | 58 | 163 / 15 | $24.381,10 | 1379 / 35 | $6.497,64 | 1141 / 48 | $5.320,14 | 1133 / 45 |
Chest Pain | 54 | 97 / 5 | $22.959,80 | 1113 / 27 | $4.517,50 | 812 / 35 | $3.270,37 | 807 / 32 |
Red Blood Cell Disorders W/O Mcc | 45 | 98 / 11 | $20.135,30 | 908 / 30 | $5.554,93 | 1271 / 42 | $4.936,27 | 1263 / 48 |
Renal Failure W Mcc | 45 | 150 / 19 | $36.325,00 | 1115 / 28 | $9.418,96 | 636 / 36 | $8.259,16 | 636 / 33 |
Diabetes W Cc | 43 | 49 / 5 | $24.175,80 | 949 / 25 | $5.806,70 | 848 / 33 | $4.799,21 | 844 / 35 |
Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 33 | $20.729,30 | 1648 / 52 | $5.362,77 | 1581 / 62 | $4.424,38 | 1570 / 65 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 15 | $30.373,30 | 1646 / 40 | $6.776,77 | 1261 / 40 | $5.940,67 | 1256 / 49 |
G.I. Hemorrhage W Cc | 36 | 182 / 24 | $30.032,80 | 1555 / 38 | $6.606,69 | 1114 / 47 | $5.485,78 | 1112 / 47 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 21 | $40.176,60 | 951 / 20 | $7.098,03 | 954 / 30 | $6.241,56 | 951 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 21 | $29.334,60 | 1106 / 31 | $7.945,91 | 1009 / 44 | $5.847,41 | 1006 / 40 |
Cellulitis W/O Mcc | 32 | 157 / 26 | $18.619,60 | 1316 / 41 | $5.974,59 | 1524 / 59 | $4.755,69 | 1517 / 61 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 26 | $20.281,40 | 1580 / 50 | $4.965,03 | 1422 / 56 | $3.988,52 | 1417 / 60 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 27 | $41.676,10 | 1623 / 34 | $9.236,68 | 1001 / 44 | $7.874,42 | 1001 / 45 |
Syncope & Collapse | 29 | 140 / 22 | $20.823,10 | 931 / 28 | $5.108,34 | 1109 / 40 | $4.239,93 | 1102 / 42 |
G.I. Hemorrhage W Mcc | 26 | 95 / 15 | $55.275,30 | 1118 / 25 | $11.106,30 | 824 / 25 | $10.594,30 | 821 / 27 |
Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 8 | $34.520,30 | 892 / 16 | $6.492,68 | 607 / 17 | $5.674,76 | 606 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 16 | $24.445,50 | 665 / 13 | $7.249,12 | 851 / 24 | $6.694,46 | 848 / 30 |
Diabetes W Mcc | 23 | 34 / 6 | $40.524,90 | 463 / 12 | $9.019,48 | 209 / 13 | $7.606,65 | 209 / 13 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 34 | $21.992,10 | 1207 / 38 | $6.153,48 | 1203 / 55 | $5.157,30 | 1198 / 58 |
Transient Ischemia | 23 | 102 / 19 | $25.091,80 | 961 / 21 | $5.090,70 | 803 / 34 | $3.708,83 | 799 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 25 | $20.796,30 | 1109 / 27 | $5.493,52 | 1273 / 40 | $4.600,30 | 1268 / 42 |
Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 22 | $18.591,70 | 1198 / 41 | $4.846,73 | 1200 / 43 | $3.972,55 | 1190 / 47 |
Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 42 | $21.864,90 | 1334 / 37 | $6.483,52 | 1550 / 60 | $5.566,19 | 1544 / 66 |
Degenerative Nervous System Disorders W/O Mcc | 20 | 58 / 7 | $24.573,30 | 374 / 8 | $6.380,15 | 319 / 13 | $5.351,35 | 319 / 15 |
Atherosclerosis W/O Mcc | 20 | 38 / 2 | $21.129,40 | 336 / 5 | $4.474,10 | / 7 | $3.424,00 | / |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 19 | $43.829,70 | 807 / 19 | $10.159,50 | 393 / 17 | $9.065,35 | 392 / 21 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 22 | $45.760,60 | 1456 / 29 | $8.668,26 | 1167 / 32 | $7.512,89 | 1164 / 32 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 18 | $65.831,00 | 1059 / 23 | $13.969,60 | 785 / 27 | $13.268,90 | 777 / 31 |
Pulmonary Edema & Respiratory Failure | 19 | 184 / 28 | $38.468,90 | 1448 / 31 | $7.842,89 | 1211 / 40 | $7.242,47 | 1209 / 43 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 16 | $45.052,70 | 992 / 15 | $10.674,80 | 878 / 23 | $9.935,22 | 877 / 26 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 9 | $145.834,00 | 492 / 11 | $33.947,50 | 289 / 16 | $33.001,50 | 288 / 16 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 9 | $18.559,90 | 511 / 12 | $4.514,47 | 456 / 14 | $3.467,00 | 455 / 15 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 8 | $24.167,30 | 424 / 6 | $5.286,60 | 530 / 15 | $4.405,53 | 526 / 16 |
Seizures W/O Mcc | 15 | 93 / 18 | $27.827,70 | 884 / 19 | $5.327,20 | 631 / 21 | $4.344,80 | 628 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 15 | $39.030,50 | 918 / 21 | $8.501,40 | 904 / 28 | $7.782,47 | 899 / 31 |
Seizures W Mcc | 13 | 53 / 10 | $29.951,00 | 167 / 4 | $9.286,00 | 172 / 12 | $8.237,54 | 172 / 11 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 30 | $18.004,50 | 1272 / 29 | $4.167,08 | 1221 / 34 | $3.049,54 | 1216 / 36 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 39 | $19.303,40 | 1214 / 46 | $4.981,17 | 1207 / 53 | $3.952,58 | 1198 / 60 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 20 | $148.373,00 | 1013 / 21 | $30.496,60 | 483 / 19 | $29.321,20 | 479 / 23 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 15 | $45.819,80 | 776 / 19 | $8.108,67 | 361 / 18 | $7.004,67 | 359 / 19 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 28 | $21.841,70 | 1296 / 41 | $5.001,42 | 1329 / 47 | $4.097,42 | 1321 / 50 |
Hypertension W/O Mcc | 12 | 53 / 12 | $19.382,80 | 394 / 13 | $4.542,08 | 397 / 18 | $3.430,08 | 395 / 18 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 25 | $43.581,30 | 894 / 17 | $11.434,20 | 704 / 21 | $10.927,60 | 696 / 27 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 15 | $22.380,80 | 644 / 21 | $4.972,25 | 546 / 28 | $3.865,58 | 542 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 28 | $22.650,50 | 764 / 19 | $5.323,64 | 1046 / 33 | $4.445,09 | 1042 / 34 |
Other Vascular Procedures W Mcc | 11 | 86 / 16 | $72.160,00 | 288 / 10 | $18.515,80 | 169 / 17 | $17.631,50 | 169 / 17 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 19 | $20.419,60 | 432 / 13 | $6.512,36 | 586 / 27 | $5.523,27 | 584 / 29 |
Diabetes W/O Cc/Mcc | 11 | 27 / 8 | $14.265,10 | 112 / 4 | $4.248,82 | 122 / 9 | $3.256,82 | 122 / 11 | Total 53 procedures | 1.502 | 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.