Hospital Costs > In Tennessee > Delta Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 9 | $9.698,75 | 124 / 3 | $4.905,33 | 401 / 9 | $4.100,00 | 401 / 9 |
| Cellulitis W/O Mcc | 14 | 175 / 42 | $18.587,40 | 1310 / 46 | $5.854,14 | 1764 / 62 | $5.077,00 | 1756 / 67 |
| Heart Failure & Shock W Cc | 21 | 257 / 45 | $15.571,10 | 638 / 23 | $6.719,62 | 1738 / 68 | $6.043,81 | 1733 / 71 |
| Heart Failure & Shock W Mcc | 12 | 272 / 49 | $30.702,80 | 1128 / 44 | $10.313,80 | 1753 / 72 | $9.607,17 | 1748 / 74 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 52 | $45.061,40 | 1031 / 18 | $13.173,70 | 1573 / 37 | $12.253,20 | 1537 / 54 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 24 | $27.336,00 | 825 / 25 | $7.224,25 | 765 / 30 | $6.517,58 | 762 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 35 | $10.643,20 | 388 / 16 | $5.038,71 | 1519 / 67 | $4.094,00 | 1514 / 68 |
| Renal Failure W Mcc | 16 | 179 / 42 | $21.733,00 | 303 / 13 | $9.523,38 | 999 / 47 | $8.934,38 | 999 / 49 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 19 | 497 / 61 | $41.278,50 | 1376 / 49 | $12.170,90 | 1414 / 71 | $10.883,40 | 1387 / 72 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 54 | $25.727,40 | 1677 / 55 | $7.911,12 | 2108 / 80 | $6.396,06 | 2100 / 81 | Total 10 procedures | 156 | 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.