Hospital Costs > In Alabama > Northeast Alabama Regional Med 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 Cc | 35 | 56 / 4 | $30.746,30 | 761 / 13 | $5.731,43 | 125 / 6 | $4.765,03 | 125 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 68 | 57 / 4 | $40.045,70 | 805 / 8 | $9.024,85 | 210 / 4 | $8.332,63 | 210 / 10 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 8 | $25.266,80 | 464 / 8 | $4.317,80 | 147 / 5 | $3.436,73 | 147 / 9 |
| Acute Myocardial Infarction, Expired W Mcc | 12 | 18 / 4 | $70.786,20 | 152 / 6 | $9.438,83 | 20 / 2 | $8.757,50 | 20 / 2 |
| Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 15 | $18.175,30 | 311 / 12 | $4.869,08 | 152 / 6 | $3.933,69 | 149 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 12 | $18.950,60 | 951 / 25 | $4.475,13 | 206 / 15 | $3.481,71 | 206 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 41 | 82 / 10 | $25.406,90 | 681 / 16 | $6.452,07 | 200 / 3 | $5.853,83 | 200 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 20 | $14.152,30 | 884 / 25 | $3.421,91 | 210 / 17 | $2.143,44 | 209 / 7 |
| Cellulitis W Mcc | 17 | 41 / 4 | $29.221,10 | 358 / 6 | $7.585,06 | 55 / 2 | $6.734,24 | 55 / 4 |
| Cellulitis W/O Mcc | 44 | 145 / 19 | $18.279,20 | 1278 / 39 | $4.765,34 | 79 / 12 | $3.357,20 | 79 / 14 |
| Chest Pain | 52 | 99 / 6 | $18.157,90 | 783 / 22 | $3.562,08 | 241 / 11 | $2.608,85 | 240 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 61 | 118 / 16 | $19.709,40 | 968 / 30 | $5.218,10 | 163 / 16 | $4.105,92 | 163 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 82 | 120 / 11 | $23.511,50 | 1025 / 31 | $6.304,01 | 159 / 13 | $5.303,56 | 159 / 20 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 37 | 83 / 18 | $15.480,00 | 839 / 37 | $4.266,35 | 122 / 22 | $2.864,03 | 122 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 34 | 59 / 4 | $47.516,00 | 269 / 5 | $10.832,40 | 51 / 5 | $10.088,00 | 51 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 74 | 114 / 11 | $33.034,20 | 657 / 17 | $6.079,77 | 70 / 10 | $4.668,55 | 70 / 9 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 19 | 57 / 13 | $101.269,00 | 129 / 7 | $23.520,30 | 59 / 5 | $22.311,00 | 59 / 11 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 20 | 68 / 10 | $86.129,10 | 169 / 8 | $18.686,00 | 49 / 3 | $17.716,40 | 49 / 8 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 16 | 52 / 9 | $24.238,70 | 332 / 9 | $5.538,50 | 20 / 9 | $3.621,56 | 20 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 10 | $23.489,50 | 343 / 7 | $5.332,56 | 92 / 3 | $4.500,56 | 92 / 7 |
| Diabetes W Cc | 29 | 63 / 10 | $18.176,40 | 574 / 17 | $5.049,76 | 58 / 20 | $3.497,00 | 58 / 7 |
| Diabetes W Mcc | 16 | 41 / 8 | $21.987,50 | 112 / 5 | $7.400,44 | 43 / 3 | $6.496,44 | 43 / 5 |
| Diabetes W/O Cc/Mcc | 12 | 26 / 7 | $14.578,80 | 121 / 5 | $3.401,50 | 17 / 2 | $2.489,50 | 17 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 18 | 58 / 3 | $36.263,70 | 169 / 3 | $9.428,28 | 19 / 1 | $8.756,28 | 19 / 1 |
| Dysequilibrium | 11 | 54 / 5 | $14.593,00 | 115 / 1 | $3.658,82 | 67 / 1 | $2.556,27 | 67 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 42 | 54 / 5 | $27.969,50 | 565 / 14 | $6.503,95 | 71 / 6 | $5.584,79 | 71 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 99 | 176 / 17 | $21.910,50 | 1612 / 51 | $4.264,07 | 346 / 16 | $3.284,41 | 345 / 25 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 9 | $102.987,00 | 239 / 4 | $22.928,50 | 15 / 1 | $21.909,40 | 15 / 2 |
| Extracranial Procedures W/O Cc/Mcc | 24 | 74 / 13 | $33.662,50 | 517 / 13 | $5.733,17 | 112 / 6 | $4.729,17 | 112 / 12 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 8 | $14.367,50 | 258 / 7 | $4.192,92 | 122 / 11 | $3.015,08 | 123 / 13 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 22 | 40 / 3 | $16.472,80 | 244 / 5 | $5.047,05 | 124 / 9 | $3.397,86 | 124 / 6 |
| G.I. Hemorrhage W Cc | 82 | 136 / 9 | $26.691,80 | 1339 / 36 | $5.646,22 | 163 / 22 | $4.491,98 | 163 / 17 |
| G.I. Hemorrhage W Mcc | 45 | 76 / 5 | $39.904,50 | 687 / 14 | $9.777,91 | 289 / 13 | $9.119,09 | 289 / 17 |
| G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 6 | $21.456,30 | 607 / 19 | $3.997,96 | 124 / 5 | $2.999,00 | 124 / 10 |
| G.I. Obstruction W Cc | 22 | 70 / 14 | $28.216,70 | 1132 / 24 | $5.220,68 | 121 / 16 | $3.851,36 | 120 / 7 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 12 | $15.911,60 | 583 / 11 | $3.540,38 | 215 / 3 | $2.558,38 | 215 / 13 |
| Heart Failure & Shock W Cc | 91 | 187 / 15 | $22.220,30 | 1421 / 48 | $5.578,33 | 134 / 26 | $4.418,49 | 134 / 15 |
| Heart Failure & Shock W Mcc | 132 | 152 / 7 | $29.731,40 | 1065 / 24 | $8.128,37 | 74 / 21 | $6.865,40 | 74 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 26 | $15.074,40 | 859 / 29 | $3.912,88 | 351 / 14 | $3.158,88 | 349 / 18 |
| Hip & Femur Procedures Except Major Joint W Cc | 50 | 93 / 12 | $40.657,30 | 666 / 15 | $10.178,80 | 89 / 11 | $9.165,04 | 89 / 13 |
| Hip & Femur Procedures Except Major Joint W Mcc | 20 | 42 / 6 | $69.005,30 | 400 / 12 | $15.347,30 | 35 / 5 | $14.323,30 | 35 / 6 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 27 | 29 / 4 | $31.655,80 | 229 / 9 | $8.564,48 | 33 / 8 | $7.275,00 | 33 / 9 |
| Hypertension W/O Mcc | 13 | 52 / 11 | $16.314,80 | 269 / 11 | $3.617,46 | 42 / 4 | $2.365,23 | 42 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 10 | $122.371,00 | 761 / 14 | $28.421,40 | 245 / 12 | $27.336,00 | 245 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 47 | 135 / 16 | $27.047,60 | 931 / 27 | $5.821,17 | 224 / 13 | $4.860,83 | 224 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 15 | $62.157,60 | 1169 / 24 | $11.768,30 | 959 / 29 | $10.884,60 | 955 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 21 | $21.507,00 | 684 / 16 | $4.330,05 | 221 / 9 | $3.231,62 | 219 / 14 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 13 | $22.551,10 | 751 / 15 | $5.794,13 | 115 / 2 | $5.052,27 | 115 / 11 |
| Kidney & Urinary Tract Infections W/O Mcc | 81 | 152 / 10 | $17.791,30 | 1320 / 42 | $4.381,49 | 388 / 16 | $3.531,32 | 388 / 23 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 7 | $44.812,30 | 361 / 13 | $8.695,28 | 75 / 7 | $7.683,72 | 75 / 11 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 20 | 20 / 3 | $51.631,10 | 112 / 2 | $12.707,00 | 18 / 1 | $11.681,50 | 18 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 8 | $36.088,10 | 249 / 9 | $6.883,57 | 45 / 5 | $5.265,71 | 45 / 6 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 11 | $58.153,40 | 337 / 13 | $10.927,80 | 114 / 8 | $9.941,64 | 114 / 10 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 21 | 26 / 3 | $34.021,40 | 163 / 6 | $7.830,95 | 26 / 1 | $6.396,43 | 26 / 4 |
| Major Cardiovasc Procedures W Mcc | 22 | 46 / 4 | $126.188,00 | 237 / 9 | $24.607,80 | 10 / 1 | $23.723,30 | 10 / 3 |
| Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 18 | $105.353,00 | 632 / 16 | $18.680,90 | 195 / 13 | $17.772,90 | 195 / 17 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 11 | $31.032,10 | 680 / 14 | $6.029,71 | 17 / 2 | $5.017,00 | 17 / 4 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 17 | 36 / 4 | $29.431,10 | 191 / 4 | $6.426,00 | 59 / 1 | $5.930,94 | 59 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 20 | 45 / 6 | $66.583,60 | 334 / 10 | $16.552,20 | 52 / 5 | $15.264,00 | 52 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 238 | 326 / 13 | $47.994,00 | 1193 / 24 | $10.934,40 | 123 / 10 | $9.460,90 | 123 / 12 |
| Major Small & Large Bowel Procedures W Cc | 30 | 78 / 12 | $74.162,20 | 921 / 20 | $14.544,20 | 107 / 25 | $11.934,90 | 107 / 11 |
| Major Small & Large Bowel Procedures W Mcc | 31 | 54 / 6 | $139.613,00 | 730 / 15 | $29.140,70 | 370 / 15 | $28.266,10 | 368 / 20 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 13 | $44.549,80 | 378 / 9 | $8.615,50 | 97 / 3 | $7.563,50 | 97 / 11 |
| Medical Back Problems W/O Mcc | 28 | 93 / 10 | $20.003,70 | 523 / 12 | $4.739,79 | 174 / 8 | $3.702,07 | 174 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 15 | $30.235,60 | 970 / 23 | $6.174,92 | 118 / 8 | $5.337,52 | 117 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 20 | $15.020,90 | 957 / 35 | $4.047,32 | 355 / 18 | $3.189,56 | 355 / 25 |
| Nonspecific Cerebrovascular Disorders W Mcc | 20 | 31 / 2 | $28.254,10 | 97 / 1 | $8.638,40 | 33 / 1 | $7.974,40 | 33 / 4 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 13 | $31.192,00 | 245 / 7 | $9.673,50 | 15 / 4 | $8.218,90 | 15 / 1 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 11 | $22.621,40 | 540 / 13 | $5.338,73 | 185 / 6 | $4.623,09 | 183 / 14 |
| Other Digestive System Diagnoses W Mcc | 22 | 40 / 5 | $38.704,00 | 303 / 5 | $8.567,64 | 19 / 2 | $7.908,73 | 19 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 10 | $34.293,30 | 508 / 7 | $7.910,43 | 101 / 3 | $7.565,29 | 101 / 6 |
| Other Vascular Procedures W Cc | 28 | 74 / 9 | $61.671,20 | 393 / 10 | $12.829,10 | 14 / 3 | $11.689,70 | 14 / 4 |
| Other Vascular Procedures W Mcc | 30 | 67 / 6 | $88.409,00 | 481 / 14 | $17.676,00 | 84 / 10 | $16.788,50 | 84 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 62 | 38 / 2 | $89.030,80 | 372 / 8 | $16.953,30 | 58 / 4 | $15.831,60 | 58 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 84 | 112 / 7 | $70.443,50 | 692 / 13 | $10.970,00 | 213 / 11 | $9.873,58 | 213 / 17 |
| Peripheral Vascular Disorders W Cc | 28 | 56 / 8 | $23.090,70 | 544 / 16 | $5.266,32 | 24 / 10 | $3.960,82 | 24 / 4 |
| Peritoneal Adhesiolysis W Cc | 12 | 27 / 3 | $67.487,40 | 163 / 2 | $12.211,20 | 4 / 2 | $10.081,20 | 4 / 1 |
| Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 5 | $108.663,00 | 376 / 8 | $20.362,10 | 125 / 6 | $19.762,00 | 125 / 9 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 29 | 43 / 4 | $20.746,00 | 127 / 7 | $7.749,72 | 5 / 7 | $5.787,52 | 5 / 2 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 30 | 31 / 6 | $14.982,40 | 300 / 13 | $3.780,60 | 43 / 6 | $2.644,87 | 43 / 2 |
| Psychoses | 14 | 261 / 16 | $18.132,80 | 279 / 9 | $5.532,07 | 44 / 3 | $4.754,93 | 44 / 6 |
| Pulmonary Edema & Respiratory Failure | 84 | 119 / 6 | $23.040,10 | 600 / 13 | $7.056,95 | 49 / 22 | $5.495,07 | 49 / 10 |
| Pulmonary Embolism W/O Mcc | 25 | 49 / 5 | $20.924,60 | 433 / 11 | $5.543,32 | 183 / 9 | $4.557,72 | 183 / 13 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 15 | $17.295,60 | 97 / 3 | $6.647,42 | 43 / 3 | $5.826,00 | 43 / 8 |
| Red Blood Cell Disorders W/O Mcc | 31 | 112 / 18 | $18.180,10 | 734 / 25 | $4.532,77 | 108 / 13 | $3.444,77 | 108 / 14 |
| Renal Failure W Cc | 70 | 151 / 11 | $22.243,50 | 1204 / 29 | $5.433,53 | 309 / 14 | $4.547,59 | 307 / 23 |
| Renal Failure W Mcc | 65 | 130 / 12 | $32.458,50 | 916 / 21 | $8.438,57 | 311 / 20 | $7.753,52 | 311 / 24 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 10 | $17.793,40 | 479 / 10 | $3.666,71 | 181 / 4 | $2.887,29 | 180 / 9 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 15 | $19.297,00 | 237 / 6 | $7.109,31 | 29 / 2 | $6.039,77 | 29 / 3 |
| Respiratory Infections & Inflammations W Mcc | 34 | 102 / 12 | $38.060,70 | 700 / 13 | $10.572,40 | 84 / 9 | $9.304,62 | 84 / 8 |
| Respiratory Neoplasms W Cc | 13 | 34 / 5 | $27.541,20 | 162 / 3 | $6.344,54 | 44 / 2 | $5.694,69 | 43 / 5 |
| Respiratory Neoplasms W Mcc | 18 | 34 / 8 | $38.671,00 | 248 / 5 | $8.927,56 | 26 / 2 | $8.122,22 | 26 / 6 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 45 | 86 / 6 | $32.721,70 | 163 / 5 | $11.669,50 | 77 / 5 | $10.986,80 | 77 / 11 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 21 | 50 / 7 | $110.099,00 | 311 / 7 | $25.838,20 | 48 / 1 | $25.035,20 | 48 / 8 |
| Seizures W Mcc | 14 | 52 / 9 | $30.976,60 | 192 / 5 | $7.999,93 | 62 / 4 | $7.398,79 | 62 / 6 |
| Seizures W/O Mcc | 22 | 86 / 13 | $21.123,00 | 607 / 14 | $4.327,55 | 131 / 5 | $3.395,18 | 130 / 10 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 6 | $125.658,00 | 357 / 9 | $29.515,70 | 60 / 3 | $28.865,80 | 60 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 175 | 341 / 9 | $37.805,20 | 1205 / 25 | $9.474,20 | 74 / 9 | $8.539,36 | 74 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 13 | $27.035,20 | 1428 / 31 | $5.943,47 | 198 / 13 | $4.845,68 | 198 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 18 | $24.013,90 | 1543 / 43 | $5.493,16 | 155 / 14 | $4.241,42 | 155 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 81 | 124 / 13 | $31.543,80 | 1140 / 20 | $7.760,80 | 79 / 11 | $6.520,79 | 79 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 20 | $15.994,40 | 827 / 27 | $4.004,70 | 307 / 12 | $3.057,22 | 305 / 22 |
| Syncope & Collapse | 37 | 132 / 16 | $21.072,60 | 949 / 29 | $4.159,54 | 339 / 12 | $3.377,70 | 337 / 24 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 10 | $204.249,00 | 152 / 2 | $60.138,70 | 19 / 7 | $43.421,60 | 19 / 1 |
| Transient Ischemia | 16 | 109 / 23 | $17.742,90 | 470 / 11 | $4.029,12 | 140 / 7 | $2.897,12 | 140 / 12 |
| Transurethral Procedures W Cc | 14 | 27 / 4 | $27.863,90 | 96 / 3 | $6.558,64 | 12 / 1 | $5.592,50 | 12 / 3 |
| Transurethral Prostatectomy W Cc/Mcc | 12 | 12 / 2 | $35.610,20 | 21 / 1 | $7.486,50 | 3 / 1 | $6.049,25 | 3 / 1 |
| Transurethral Prostatectomy W/O Cc/Mcc | 18 | 11 / 1 | $19.781,40 | 26 / 1 | $4.249,00 | 12 / 2 | $3.180,56 | 12 / 2 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 4 | $18.450,50 | 93 / 2 | $4.233,00 | 26 / 2 | $3.243,91 | 26 / 2 |
| Uncomplicated Peptic Ulcer W/O Mcc | 12 | 8 / 2 | $25.250,90 | 6 / 1 | $4.785,67 | 2 / 1 | $3.681,67 | 2 / 1 | Total 110 procedures | 3.844 | 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.