Hospital Costs > In Texas > Etmc Clarksville, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 11 | $26.006,00 | 268 / 18 | $3.935,15 | 83 / 6 | $2.823,54 | 83 / 6 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 39 | $24.645,60 | 1522 / 77 | $4.341,53 | 841 / 22 | $3.607,06 | 836 / 61 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 92 | $24.111,10 | 1812 / 102 | $4.672,58 | 335 / 42 | $3.273,00 | 334 / 30 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 30 | $24.997,80 | 1555 / 97 | $4.088,46 | 483 / 23 | $3.296,31 | 481 / 37 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 65 | $29.767,50 | 1157 / 57 | $6.689,82 | 627 / 41 | $5.849,00 | 626 / 48 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 88 | $25.436,30 | 1992 / 135 | $4.674,62 | 533 / 41 | $3.642,10 | 532 / 41 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 67 | $21.272,30 | 1671 / 86 | $4.277,21 | 358 / 30 | $3.192,58 | 358 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 76 | $40.341,00 | 2334 / 163 | $5.858,42 | 935 / 42 | $5.030,68 | 932 / 72 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 76 | $44.762,10 | 1751 / 96 | $8.263,17 | 745 / 23 | $7.603,78 | 745 / 59 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 64 | 29 / 5 | $33.262,80 | 1695 / 128 | $4.248,38 | 592 / 25 | $3.309,16 | 590 / 47 | Total 10 procedures | 239 | 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.