Hospital Costs > In Tennessee > Blount Memorial Hospital, 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 | 13 | 78 / 23 | $25.568,70 | 551 / 15 | $5.300,31 | 29 / 1 | $4.369,85 | 29 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 20 | $32.314,20 | 524 / 15 | $8.217,10 | 62 / 2 | $7.644,14 | 62 / 7 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 9 | $15.244,40 | 351 / 6 | $3.778,33 | 93 / 1 | $3.175,67 | 93 / 2 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 13 | $19.602,00 | 366 / 13 | $4.676,79 | 54 / 1 | $3.645,93 | 54 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 14 | $14.129,60 | 431 / 13 | $4.283,23 | 138 / 6 | $3.380,68 | 138 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 19 | $34.812,40 | 1154 / 28 | $6.770,90 | 123 / 12 | $5.686,48 | 123 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 19 | $13.098,30 | 726 / 20 | $3.745,33 | 37 / 29 | $1.810,03 | 37 / 2 |
| Cellulitis W Mcc | 12 | 46 / 12 | $25.952,70 | 276 / 11 | $7.051,83 | 10 / 3 | $6.043,83 | 10 / 2 |
| Cellulitis W/O Mcc | 58 | 131 / 13 | $20.783,10 | 1558 / 55 | $4.985,55 | 71 / 36 | $3.344,45 | 71 / 5 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 16 | 75 / 7 | $52.102,20 | 324 / 9 | $10.255,60 | 3 / 9 | $4.501,25 | 3 / 1 |
| Chest Pain | 16 | 135 / 24 | $15.242,80 | 512 / 10 | $3.525,94 | 19 / 6 | $2.068,75 | 19 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 69 | 110 / 10 | $20.976,00 | 1102 / 36 | $5.141,78 | 171 / 11 | $4.117,64 | 171 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 99 | 103 / 9 | $25.067,40 | 1130 / 35 | $6.183,91 | 23 / 7 | $4.786,26 | 23 / 6 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 34 | $13.839,90 | 643 / 21 | $3.922,33 | 278 / 6 | $3.115,93 | 278 / 20 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 30 | $29.975,40 | 514 / 16 | $5.675,72 | 71 / 1 | $4.669,50 | 71 / 6 |
| Diabetes W Cc | 18 | 74 / 17 | $18.311,10 | 584 / 20 | $4.463,33 | 52 / 4 | $3.477,28 | 52 / 4 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 9 | $24.974,00 | 49 / 2 | $9.876,82 | 3 / 4 | $8.100,91 | 3 / 2 |
| Disorders Of Pancreas Except Malignancy W Cc | 17 | 44 / 11 | $17.185,90 | 188 / 8 | $4.907,47 | 34 / 2 | $3.772,41 | 34 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 19 | $20.488,10 | 223 / 6 | $6.218,88 | 29 / 2 | $5.314,88 | 29 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 95 | 180 / 14 | $19.951,40 | 1385 / 45 | $4.247,63 | 110 / 14 | $2.965,72 | 110 / 5 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 13 | $12.211,60 | 171 / 11 | $3.807,36 | 62 / 4 | $2.812,45 | 62 / 5 |
| G.I. Hemorrhage W Cc | 43 | 175 / 25 | $20.346,90 | 777 / 21 | $5.311,00 | 85 / 7 | $4.327,93 | 85 / 12 |
| G.I. Hemorrhage W Mcc | 26 | 95 / 15 | $36.872,40 | 585 / 13 | $8.651,81 | 17 / 1 | $7.908,42 | 17 / 2 |
| G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 9 | $14.187,80 | 284 / 10 | $3.840,53 | 35 / 3 | $2.705,60 | 35 / 2 |
| G.I. Obstruction W Cc | 16 | 76 / 18 | $18.868,40 | 576 / 16 | $4.711,62 | 71 / 3 | $3.687,62 | 71 / 5 |
| G.I. Obstruction W Mcc | 12 | 30 / 8 | $38.938,30 | 239 / 9 | $8.252,33 | 36 / 1 | $7.849,67 | 36 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 14 | $14.740,00 | 511 / 14 | $3.445,67 | 33 / 4 | $2.103,60 | 33 / 4 |
| Heart Failure & Shock W Cc | 49 | 229 / 28 | $19.380,20 | 1102 / 38 | $5.255,88 | 161 / 10 | $4.467,63 | 161 / 17 |
| Heart Failure & Shock W Mcc | 97 | 187 / 15 | $32.007,70 | 1215 / 48 | $7.841,24 | 101 / 16 | $6.969,06 | 101 / 15 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 27 | $11.885,40 | 452 / 12 | $3.688,62 | 39 / 5 | $2.634,00 | 39 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 20 | $40.218,30 | 648 / 19 | $9.736,03 | 11 / 2 | $8.430,12 | 11 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 13 | $54.197,20 | 231 / 9 | $14.462,40 | 4 / 4 | $12.841,00 | 4 / 2 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 14 | $33.459,30 | 276 / 11 | $8.337,27 | 46 / 1 | $7.375,13 | 46 / 5 |
| Hypertension W/O Mcc | 11 | 54 / 14 | $12.563,00 | 125 / 5 | $3.474,91 | 45 / 2 | $2.369,45 | 45 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 16 | $151.429,00 | 1030 / 21 | $30.939,30 | 292 / 14 | $27.935,30 | 292 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 24 | $21.294,10 | 553 / 19 | $5.452,40 | 123 / 4 | $4.646,00 | 123 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 36 | 132 / 19 | $30.306,60 | 350 / 13 | $8.856,39 | 86 / 5 | $8.051,06 | 86 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 21 | $16.825,70 | 354 / 13 | $3.909,07 | 51 / 1 | $2.842,57 | 51 / 4 |
| Kidney & Urinary Tract Infections W Mcc | 71 | 73 / 5 | $21.637,60 | 682 / 22 | $5.878,97 | 92 / 11 | $4.997,38 | 92 / 11 |
| Kidney & Urinary Tract Infections W/O Mcc | 81 | 152 / 19 | $16.287,30 | 1120 / 44 | $4.189,70 | 128 / 10 | $3.191,38 | 128 / 13 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 12 | $36.620,50 | 195 / 7 | $8.790,14 | 11 / 2 | $6.894,57 | 11 / 2 |
| Major Chest Procedures W Mcc | 11 | 38 / 11 | $164.281,00 | 229 / 11 | $32.114,80 | 166 / 10 | $31.346,80 | 166 / 11 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 23 | 50 / 9 | $25.021,00 | 477 / 17 | $5.849,61 | 55 / 2 | $5.375,17 | 55 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 9 | $62.385,70 | 512 / 11 | $11.392,10 | 210 / 5 | $10.684,90 | 210 / 7 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 16 | $47.331,50 | 293 / 6 | $11.121,50 | 17 / 1 | $9.280,85 | 17 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 13 | $67.973,10 | 347 / 10 | $16.421,60 | 67 / 4 | $15.497,40 | 67 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 145 | 419 / 25 | $48.872,50 | 1238 / 23 | $10.910,80 | 49 / 1 | $9.033,58 | 49 / 5 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 21 | $63.772,60 | 722 / 19 | $12.979,80 | 91 / 5 | $11.855,20 | 91 / 8 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 13 | $107.296,00 | 458 / 12 | $28.126,00 | 279 / 13 | $27.192,20 | 277 / 14 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 14 | $42.870,40 | 350 / 17 | $9.732,62 | 2 / 11 | $6.155,77 | 2 / 1 |
| Medical Back Problems W/O Mcc | 12 | 109 / 23 | $24.197,40 | 785 / 23 | $4.443,17 | 138 / 3 | $3.640,50 | 138 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 22 | $23.626,90 | 624 / 20 | $6.608,47 | 289 / 22 | $5.687,93 | 286 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 29 | $17.701,60 | 1291 / 49 | $4.021,68 | 229 / 17 | $3.051,00 | 229 / 13 |
| Nonspecific Cerebrovascular Disorders W Cc | 20 | 36 / 9 | $22.476,10 | 176 / 12 | $5.121,70 | 12 / 4 | $4.098,40 | 12 / 1 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 20 | 57 / 5 | $39.625,20 | 177 / 9 | $7.574,55 | 5 / 1 | $5.917,60 | 5 / 3 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 10 | $22.994,20 | 257 / 8 | $5.070,92 | 14 / 1 | $4.062,92 | 14 / 1 |
| Other Resp System O.R. Procedures W Mcc | 13 | 50 / 12 | $88.917,50 | 278 / 13 | $21.684,50 | 230 / 12 | $21.037,10 | 229 / 15 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 47 | 149 / 20 | $58.119,10 | 411 / 12 | $12.386,90 | 5 / 16 | $8.054,47 | 5 / 1 |
| Pleural Effusion W Mcc | 12 | 18 / 7 | $49.507,90 | 129 / 11 | $9.899,92 | 79 / 8 | $9.097,25 | 79 / 8 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 19 | $25.542,20 | 229 / 10 | $7.270,75 | 39 / 4 | $6.468,08 | 39 / 8 |
| Pulmonary Edema & Respiratory Failure | 36 | 167 / 31 | $30.840,60 | 1087 / 35 | $6.348,89 | 90 / 4 | $5.651,56 | 90 / 12 |
| Pulmonary Embolism W Mcc | 13 | 30 / 9 | $27.230,30 | 120 / 5 | $7.385,54 | 14 / 1 | $6.735,69 | 14 / 2 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 21 | $19.437,90 | 853 / 25 | $5.440,53 | 50 / 39 | $3.235,47 | 50 / 4 |
| Renal Failure W Cc | 64 | 157 / 21 | $22.434,20 | 1224 / 45 | $5.123,97 | 164 / 9 | $4.320,59 | 164 / 14 |
| Renal Failure W Mcc | 55 | 140 / 21 | $33.345,20 | 968 / 35 | $8.332,29 | 193 / 19 | $7.526,05 | 193 / 24 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 11 | $9.666,73 | 103 / 7 | $3.377,27 | 78 / 4 | $2.603,45 | 77 / 10 |
| Respiratory Infections & Inflammations W Cc | 42 | 46 / 5 | $29.889,60 | 679 / 21 | $7.172,38 | 54 / 4 | $6.279,43 | 54 / 4 |
| Respiratory Infections & Inflammations W Mcc | 77 | 59 / 5 | $48.134,00 | 1023 / 31 | $10.619,90 | 216 / 22 | $9.815,52 | 216 / 22 |
| Respiratory Neoplasms W Mcc | 19 | 33 / 5 | $36.618,50 | 202 / 7 | $8.454,79 | 4 / 1 | $7.457,32 | 4 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 46 | 85 / 15 | $63.686,20 | 1002 / 28 | $12.355,40 | 242 / 12 | $11.702,40 | 240 / 20 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 17 | $150.332,00 | 559 / 20 | $34.817,40 | 94 / 28 | $26.322,00 | 94 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 180 | 336 / 19 | $45.266,40 | 1588 / 55 | $9.726,11 | 115 / 20 | $8.682,46 | 115 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 34 | $22.016,10 | 975 / 34 | $5.539,11 | 100 / 3 | $4.637,39 | 100 / 9 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 17 | $13.252,80 | 231 / 9 | $3.759,00 | 52 / 3 | $2.823,62 | 52 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 108 | 95 / 9 | $19.087,10 | 1038 / 32 | $5.282,99 | 51 / 9 | $3.981,63 | 51 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 91 | 114 / 14 | $36.285,20 | 1422 / 48 | $7.672,64 | 103 / 17 | $6.589,82 | 103 / 14 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 27 | $15.199,90 | 755 / 24 | $3.867,86 | 110 / 6 | $2.741,00 | 109 / 9 |
| Syncope & Collapse | 45 | 124 / 13 | $17.463,90 | 620 / 16 | $3.980,53 | 50 / 4 | $2.860,09 | 50 / 2 |
| Transient Ischemia | 53 | 72 / 7 | $16.736,20 | 394 / 10 | $3.823,91 | 29 / 4 | $2.570,91 | 29 / 2 | Total 79 procedures | 2.657 | 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.