Hospital Costs > In Tennessee > Claiborne Medical Center, 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 | 42 | 474 / 51 | $16.760,00 | 122 / 5 | $10.264,70 | 459 / 41 | $9.448,14 | 459 / 45 |
| Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 38 | $11.823,40 | 241 / 7 | $5.736,26 | 863 / 39 | $4.961,90 | 860 / 56 |
| Pulmonary Edema & Respiratory Failure | 35 | 168 / 32 | $14.462,30 | 122 / 3 | $6.835,54 | 104 / 15 | $5.688,63 | 104 / 14 |
| Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 39 | $13.591,10 | 71 / 3 | $7.683,84 | 27 / 19 | $6.209,74 | 27 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 42 | $9.313,96 | 163 / 4 | $4.674,57 | 400 / 41 | $3.327,21 | 398 / 25 |
| Heart Failure & Shock W Cc | 23 | 255 / 44 | $11.102,70 | 204 / 8 | $5.489,00 | 332 / 20 | $4.708,83 | 332 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 37 | $11.567,60 | 119 / 4 | $6.018,91 | 361 / 27 | $5.050,74 | 360 / 28 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 47 | $14.472,20 | 282 / 7 | $6.533,94 | 231 / 27 | $5.464,76 | 230 / 23 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 36 | $7.666,38 | 76 / 3 | $4.281,92 | 244 / 28 | $3.081,31 | 244 / 18 |
| Heart Failure & Shock W Mcc | 12 | 272 / 49 | $14.697,60 | 135 / 7 | $7.843,25 | 46 / 17 | $6.753,92 | 46 / 9 |
| G.I. Hemorrhage W Cc | 12 | 206 / 46 | $10.790,20 | 75 / 2 | $5.757,08 | 71 / 27 | $4.268,08 | 71 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 12 | 552 / 54 | $50.963,90 | 1334 / 25 | $12.274,90 | 894 / 21 | $10.884,60 | 875 / 46 |
| Cellulitis W/O Mcc | 12 | 177 / 44 | $11.659,60 | 423 / 12 | $4.856,67 | 265 / 29 | $3.645,08 | 263 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 46 | $9.276,73 | 61 / 2 | $5.522,55 | 429 / 38 | $4.462,91 | 428 / 32 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 57 | $7.623,00 | 88 / 4 | $4.654,82 | 992 / 49 | $3.954,82 | 984 / 64 | Total 15 procedures | 321 | 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.