Hospital Costs > In Mississippi > Alliance Healthcare System, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 20 | 169 / 21 | $12.041,50 | 476 / 17 | $6.081,00 | 1655 / 41 | $4.911,65 | 1648 / 43 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 21 | $12.293,50 | 474 / 11 | $5.249,75 | 1460 / 31 | $4.345,75 | 1449 / 36 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 37 | $8.167,45 | 101 / 5 | $5.346,45 | 1831 / 39 | $4.529,00 | 1818 / 46 |
| Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 16 | $7.311,87 | 76 / 2 | $4.982,65 | 1282 / 27 | $4.071,17 | 1272 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 35 | $9.437,90 | 230 / 10 | $5.617,90 | 1883 / 45 | $4.793,85 | 1872 / 49 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 36 | $14.790,60 | 533 / 14 | $6.945,43 | 1685 / 48 | $5.705,50 | 1678 / 43 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 23 | $11.328,90 | 351 / 10 | $5.163,71 | 1490 / 32 | $4.415,29 | 1482 / 38 | Total 7 procedures | 122 | 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.