Hospital Costs > In Alabama > Northwest Medical Center Winfield, 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 | 21 | 168 / 35 | $19.616,30 | 1442 / 47 | $4.647,14 | 48 / 9 | $3.256,10 | 48 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 40 | $18.612,70 | 856 / 29 | $5.060,31 | 15 / 9 | $3.574,06 | 15 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 25 | $22.500,30 | 939 / 28 | $5.973,09 | 42 / 5 | $4.924,48 | 42 / 6 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 31 | $17.393,70 | 1053 / 42 | $3.906,48 | 126 / 5 | $2.871,81 | 126 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 40 | $15.094,20 | 767 / 30 | $4.125,84 | 126 / 6 | $2.993,68 | 126 / 11 |
| G.I. Hemorrhage W Cc | 20 | 198 / 32 | $18.580,30 | 619 / 16 | $5.352,95 | 207 / 8 | $4.565,75 | 207 / 20 |
| G.I. Obstruction W Cc | 11 | 81 / 24 | $17.597,70 | 478 / 7 | $4.675,09 | 16 / 4 | $3.390,73 | 16 / 3 |
| Heart Failure & Shock W Mcc | 11 | 273 / 38 | $27.528,30 | 944 / 20 | $7.812,00 | 161 / 9 | $7.157,45 | 161 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 26 | $18.931,10 | 410 / 11 | $5.482,76 | 118 / 3 | $4.630,06 | 118 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 23 | $34.558,20 | 511 / 12 | $8.998,50 | 72 / 7 | $7.993,17 | 72 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 20 | $19.248,30 | 528 / 12 | $5.855,67 | 33 / 4 | $4.732,22 | 33 / 5 |
| Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 40 | $14.243,00 | 830 / 27 | $4.134,82 | 181 / 5 | $3.271,96 | 181 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 34 | $15.101,30 | 968 / 36 | $3.725,33 | 106 / 6 | $2.850,67 | 106 / 8 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 30 | $26.715,00 | 839 / 18 | $6.382,82 | 100 / 6 | $5.678,82 | 100 / 14 |
| Renal Failure W Cc | 16 | 205 / 34 | $18.106,40 | 782 / 18 | $5.213,56 | 105 / 9 | $4.207,75 | 105 / 10 |
| Renal Failure W Mcc | 14 | 181 / 30 | $29.104,10 | 709 / 15 | $7.776,43 | 87 / 5 | $7.175,29 | 87 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 47 | $33.463,10 | 970 / 21 | $9.480,25 | 81 / 10 | $8.568,25 | 81 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 31 | $24.080,80 | 1170 / 23 | $5.684,17 | 82 / 6 | $4.565,06 | 82 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 24 | $18.301,40 | 948 / 26 | $5.055,60 | 30 / 4 | $3.906,48 | 30 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 29 | $36.847,60 | 1444 / 31 | $7.503,88 | 104 / 4 | $6.589,92 | 104 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 25 | $14.904,60 | 729 / 21 | $3.865,94 | 37 / 5 | $2.525,00 | 37 / 7 |
| Syncope & Collapse | 14 | 155 / 32 | $15.771,70 | 463 / 19 | $3.969,36 | 201 / 3 | $3.201,36 | 200 / 15 | Total 22 procedures | 462 | 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.