Hospital Costs > In Alabama > Walker Baptist Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 11 | $30.233,00 | 450 / 4 | $9.487,73 | 325 / 9 | $8.606,50 | 325 / 16 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 25 | $17.789,40 | 841 / 22 | $4.928,26 | 672 / 30 | $3.980,78 | 669 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 22 | $20.827,30 | 380 / 7 | $7.010,63 | 308 / 16 | $6.057,37 | 307 / 17 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 31 | $10.892,90 | 443 / 13 | $3.590,73 | 540 / 21 | $2.478,45 | 536 / 27 |
Cellulitis W/O Mcc | 46 | 143 / 18 | $19.167,30 | 1390 / 43 | $6.036,61 | 315 / 60 | $3.709,65 | 312 / 27 |
Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 13 | $35.278,20 | 128 / 7 | $12.686,10 | 284 / 13 | $11.525,10 | 283 / 14 |
Chest Pain | 22 | 129 / 23 | $16.657,70 | 657 / 17 | $3.929,91 | 574 / 23 | $2.996,09 | 570 / 28 |
Chronic Obstructive Pulmonary Disease W Cc | 117 | 62 / 4 | $22.000,20 | 1208 / 39 | $5.779,77 | 761 / 43 | $4.768,08 | 759 / 46 |
Chronic Obstructive Pulmonary Disease W Mcc | 71 | 131 / 14 | $28.566,00 | 1376 / 39 | $7.238,32 | 467 / 44 | $5.753,41 | 466 / 38 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 24 | $18.977,80 | 1183 / 45 | $4.631,31 | 596 / 44 | $3.402,59 | 595 / 40 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 28 | $31.426,30 | 581 / 15 | $6.296,15 | 373 / 14 | $5.272,15 | 372 / 22 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 16 | 31 / 2 | $69.585,50 | 6 / 1 | $32.439,60 | 18 / 3 | $31.168,30 | 18 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 17 | $45.134,70 | 1070 / 24 | $7.729,38 | 276 / 19 | $6.181,15 | 274 / 18 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 28 | $19.298,20 | 1310 / 45 | $4.653,88 | 1043 / 38 | $3.785,00 | 1035 / 54 |
G.I. Hemorrhage W Cc | 36 | 182 / 24 | $26.297,90 | 1314 / 34 | $6.237,81 | 561 / 40 | $4.963,81 | 560 / 35 |
G.I. Hemorrhage W Mcc | 13 | 108 / 24 | $40.589,50 | 711 / 15 | $10.254,80 | 408 / 17 | $9.420,38 | 409 / 21 |
G.I. Obstruction W Cc | 15 | 77 / 20 | $26.634,10 | 1068 / 22 | $5.393,60 | 676 / 20 | $4.668,27 | 675 / 25 |
Heart Failure & Shock W Cc | 57 | 221 / 28 | $20.619,40 | 1247 / 43 | $6.042,93 | 766 / 48 | $5.119,63 | 765 / 47 |
Heart Failure & Shock W Mcc | 34 | 250 / 28 | $24.392,10 | 692 / 17 | $8.515,24 | 390 / 33 | $7.555,24 | 390 / 30 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 28 | $14.926,10 | 847 / 28 | $4.195,86 | 743 / 25 | $3.505,57 | 739 / 34 |
Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 18 | $55.941,20 | 1239 / 24 | $11.075,30 | 372 / 24 | $9.875,26 | 371 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 27 | $25.154,80 | 807 / 22 | $6.266,25 | 769 / 25 | $5.516,25 | 767 / 36 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 24 | $24.243,20 | 861 / 20 | $4.720,25 | 463 / 22 | $3.586,25 | 460 / 24 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 14 | $24.760,70 | 905 / 19 | $6.589,33 | 645 / 22 | $5.871,11 | 644 / 28 |
Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 20 | $21.182,80 | 1691 / 54 | $4.868,27 | 783 / 45 | $3.815,98 | 778 / 47 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 8 | $40.490,70 | 148 / 5 | $11.178,60 | 161 / 9 | $10.291,10 | 161 / 13 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 9 | $22.938,50 | 396 / 7 | $6.681,12 | 277 / 12 | $6.079,12 | 276 / 16 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 136 | 428 / 24 | $52.322,20 | 1392 / 29 | $12.106,30 | 595 / 33 | $10.466,20 | 589 / 29 |
Medical Back Problems W/O Mcc | 20 | 101 / 16 | $20.291,80 | 557 / 13 | $5.063,25 | 383 / 16 | $4.083,65 | 383 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 29 | $14.152,40 | 858 / 31 | $4.460,88 | 762 / 38 | $3.494,48 | 759 / 45 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 15 | $21.550,80 | 487 / 9 | $5.698,12 | 255 / 16 | $4.772,00 | 252 / 19 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 10 | $32.349,10 | 456 / 6 | $8.338,43 | 87 / 5 | $7.513,29 | 87 / 4 |
Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 9 | $22.315,40 | 159 / 8 | $7.913,71 | 172 / 9 | $7.134,41 | 171 / 12 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 17 | $12.953,00 | 211 / 10 | $4.187,17 | 235 / 19 | $3.197,17 | 234 / 19 |
Pulmonary Edema & Respiratory Failure | 28 | 175 / 22 | $27.414,40 | 882 / 21 | $7.216,46 | 672 / 25 | $6.549,04 | 672 / 36 |
Renal Failure W Cc | 32 | 189 / 26 | $20.591,50 | 1035 / 27 | $5.673,69 | 745 / 26 | $4.956,69 | 738 / 35 |
Renal Failure W Mcc | 19 | 176 / 27 | $29.874,30 | 754 / 16 | $8.566,95 | 339 / 24 | $7.805,74 | 339 / 27 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 12 | $12.315,30 | 233 / 4 | $4.050,58 | 257 / 9 | $3.042,58 | 256 / 11 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 23 | $43.208,10 | 887 / 16 | $11.161,20 | 539 / 19 | $10.557,80 | 533 / 24 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 17 | $46.489,40 | 523 / 13 | $13.048,00 | 480 / 17 | $12.384,00 | 473 / 24 |
Seizures W/O Mcc | 15 | 93 / 18 | $18.856,30 | 490 / 10 | $4.714,00 | 252 / 13 | $3.662,27 | 251 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 50 | 466 / 29 | $38.565,80 | 1246 / 27 | $10.486,00 | 213 / 35 | $8.966,02 | 213 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 36 | $23.783,80 | 1139 / 22 | $6.889,73 | 232 / 41 | $4.902,18 | 231 / 19 |
Signs & Symptoms W/O Mcc | 20 | 71 / 11 | $15.006,30 | 327 / 15 | $4.945,35 | 215 / 29 | $3.258,65 | 214 / 13 |
Simple Pneumonia & Pleurisy W Cc | 69 | 134 / 15 | $28.576,70 | 1874 / 56 | $6.003,83 | 747 / 44 | $4.860,32 | 744 / 49 |
Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 22 | $34.659,60 | 1329 / 26 | $8.356,75 | 657 / 32 | $7.511,15 | 657 / 38 |
Spinal Fusion Except Cervical W/O Mcc | 50 | 144 / 14 | $78.282,90 | 503 / 14 | $21.913,60 | 300 / 19 | $20.556,70 | 299 / 20 |
Syncope & Collapse | 26 | 143 / 23 | $19.738,90 | 835 / 26 | $4.585,23 | 600 / 27 | $3.652,31 | 597 / 35 | Total 48 procedures | 1.491 | 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.