Hospital Costs > In Alabama > Wiregrass Medical Center, 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 | 37 | 166 / 31 | $9.901,51 | 102 / 6 | $5.720,08 | 728 / 31 | $4.836,19 | 725 / 47 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 31 | $12.188,90 | 136 / 6 | $7.055,26 | 846 / 40 | $6.099,97 | 841 / 50 |
| Cellulitis W/O Mcc | 25 | 164 / 31 | $9.739,84 | 220 / 12 | $5.061,92 | 575 / 30 | $3.949,60 | 572 / 43 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 47 | $6.421,48 | 29 / 3 | $4.509,88 | 610 / 27 | $3.491,00 | 607 / 39 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 45 | $6.412,27 | 29 / 1 | $4.667,00 | 746 / 34 | $3.788,45 | 741 / 45 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 30 | $7.358,73 | 64 / 8 | $4.317,95 | 504 / 27 | $3.328,86 | 503 / 34 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 35 | $8.928,67 | 52 / 4 | $5.497,95 | 434 / 32 | $4.467,86 | 433 / 34 |
| Heart Failure & Shock W Cc | 16 | 262 / 46 | $10.499,80 | 151 / 11 | $5.892,19 | 989 / 41 | $5.286,19 | 988 / 52 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 37 | $12.284,90 | 37 / 1 | $7.813,08 | 292 / 14 | $7.010,42 | 292 / 22 |
| G.I. Hemorrhage W Cc | 12 | 206 / 37 | $9.032,33 | 26 / 1 | $5.834,00 | 413 / 29 | $4.826,00 | 412 / 29 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 39 | $5.888,42 | 29 / 2 | $4.288,58 | 598 / 32 | $3.379,25 | 596 / 38 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 32 | $5.967,92 | 2 / 1 | $4.471,67 | 352 / 14 | $3.674,33 | 352 / 22 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 13 | $5.818,18 | 15 / 1 | $3.733,27 | 117 / 5 | $2.750,00 | 116 / 5 | Total 13 procedures | 261 | 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.