Hospital Costs > In Tennessee > Baptist Memorial Hospital Union City, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 95 | 421 / 33 | $27.281,20 | 659 / 24 | $9.637,72 | 99 / 18 | $8.632,32 | 99 / 19 |
| Heart Failure & Shock W Mcc | 55 | 229 / 28 | $22.276,30 | 552 / 20 | $7.444,20 | 61 / 5 | $6.804,78 | 61 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 39 | 525 / 44 | $31.125,20 | 271 / 4 | $11.091,60 | 319 / 3 | $10.007,70 | 318 / 23 |
| Heart Failure & Shock W Cc | 38 | 240 / 35 | $19.171,50 | 1068 / 35 | $5.112,53 | 212 / 6 | $4.558,42 | 212 / 20 |
| Renal Failure W Mcc | 38 | 157 / 28 | $22.397,70 | 338 / 14 | $7.518,76 | 18 / 2 | $6.661,50 | 18 / 2 |
| Pulmonary Edema & Respiratory Failure | 35 | 168 / 32 | $19.097,10 | 350 / 9 | $6.405,43 | 87 / 6 | $5.644,74 | 87 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 35 | $21.810,50 | 494 / 16 | $7.347,17 | 55 / 5 | $6.423,29 | 55 / 7 |
| Renal Failure W Cc | 25 | 196 / 41 | $16.575,30 | 625 / 25 | $4.948,88 | 64 / 6 | $4.078,48 | 64 / 8 |
| G.I. Hemorrhage W Cc | 23 | 195 / 37 | $20.511,10 | 790 / 22 | $5.218,91 | 73 / 5 | $4.272,83 | 73 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 27 | $16.015,30 | 310 / 10 | $5.741,18 | 124 / 6 | $5.079,36 | 124 / 14 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 51 | $15.797,20 | 1044 / 38 | $4.193,76 | 117 / 11 | $3.162,14 | 117 / 12 |
| Cellulitis W/O Mcc | 20 | 169 / 36 | $13.113,30 | 605 / 21 | $4.658,55 | 83 / 10 | $3.362,65 | 83 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 20 | $23.564,90 | 622 / 19 | $5.862,72 | 93 / 3 | $5.261,83 | 92 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 24 | $25.860,60 | 716 / 15 | $6.284,67 | 53 / 1 | $5.406,44 | 53 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 15 | $18.820,10 | 239 / 10 | $5.940,00 | 85 / 3 | $5.510,29 | 85 / 8 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 25 | $39.400,10 | 762 / 17 | $9.909,36 | 108 / 6 | $9.412,21 | 108 / 14 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 27 | $20.232,80 | 912 / 28 | $4.380,85 | 158 / 3 | $3.541,46 | 158 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 36 | $19.106,50 | 418 / 17 | $5.434,85 | 31 / 2 | $4.324,69 | 31 / 7 |
| Diabetes W Cc | 13 | 79 / 21 | $17.393,50 | 504 / 18 | $4.517,23 | 116 / 5 | $3.638,46 | 116 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 33 | $30.743,50 | 249 / 5 | $10.043,00 | 35 / 7 | $8.836,85 | 35 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 55 | $16.711,20 | 762 / 25 | $5.208,77 | 57 / 5 | $4.007,54 | 57 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 46 | $13.290,80 | 233 / 7 | $5.728,77 | 218 / 10 | $4.870,92 | 217 / 18 | Total 22 procedures | 588 | 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.