Hospital Costs > In Tennessee > Fort Loudon 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 | 94 | 422 / 34 | $19.180,40 | 225 / 8 | $8.449,95 | 3 / 1 | $7.495,55 | 3 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 44 | $20.623,00 | 768 / 25 | $5.877,82 | 4 / 3 | $4.342,95 | 4 / 1 |
| Heart Failure & Shock W Mcc | 20 | 264 / 43 | $15.780,50 | 180 / 10 | $6.579,40 | 1 / 2 | $5.427,40 | 1 / 1 |
| Heart Failure & Shock W Cc | 20 | 258 / 46 | $14.048,50 | 475 / 16 | $4.584,50 | 1 / 2 | $3.557,30 | 1 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 44 | $11.891,90 | 142 / 5 | $5.131,67 | 10 / 1 | $4.009,53 | 10 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 55 | $10.392,90 | 331 / 13 | $3.688,07 | 6 / 4 | $2.652,64 | 6 / 2 |
| Cellulitis W/O Mcc | 13 | 176 / 43 | $10.225,60 | 264 / 5 | $3.847,62 | 30 / 2 | $3.195,31 | 30 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 25 | $32.573,90 | 425 / 14 | $9.036,92 | 15 / 8 | $7.451,69 | 15 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 44 | $13.143,10 | 337 / 12 | $4.494,31 | 9 / 2 | $3.470,31 | 9 / 3 |
| G.I. Hemorrhage W Cc | 12 | 206 / 46 | $13.244,40 | 180 / 7 | $4.665,08 | 2 / 1 | $3.659,75 | 2 / 1 |
| Renal Failure W Cc | 12 | 209 / 50 | $12.383,70 | 246 / 9 | $4.494,08 | 8 / 3 | $3.686,08 | 8 / 4 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 44 | $23.011,70 | 599 / 21 | $5.702,92 | 1 / 1 | $4.424,50 | 1 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 30 | $9.294,92 | 267 / 8 | $2.600,58 | 1 / 1 | $1.332,50 | 1 / 1 | Total 13 procedures | 272 | 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.