Hospital Costs > In Tennessee > Fort Sanders Regional 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 | 186 | 330 / 18 | $28.754,10 | 728 / 28 | $10.171,20 | 161 / 38 | $8.829,80 | 161 / 24 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 170 | 394 / 23 | $52.826,80 | 1409 / 28 | $11.831,60 | 97 / 11 | $9.334,65 | 97 / 9 |
| Pulmonary Edema & Respiratory Failure | 139 | 65 / 7 | $29.348,40 | 1003 / 30 | $7.994,96 | 216 / 44 | $5.962,77 | 216 / 21 |
| Spinal Fusion Except Cervical W/O Mcc | 105 | 89 / 7 | $112.359,00 | 860 / 22 | $23.423,60 | 55 / 14 | $18.280,30 | 55 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 102 | 80 / 8 | $16.381,60 | 230 / 6 | $6.304,95 | 423 / 27 | $5.130,09 | 422 / 28 |
| Simple Pneumonia & Pleurisy W Mcc | 89 | 116 / 15 | $25.856,70 | 755 / 24 | $8.193,37 | 270 / 39 | $6.970,70 | 270 / 31 |
| Chronic Obstructive Pulmonary Disease W Mcc | 83 | 119 / 15 | $31.395,70 | 1551 / 54 | $8.070,28 | 1248 / 68 | $6.519,98 | 1242 / 64 |
| Heart Failure & Shock W Mcc | 81 | 203 / 19 | $29.829,70 | 1074 / 41 | $8.402,62 | 376 / 43 | $7.525,02 | 376 / 37 |
| Renal Failure W Mcc | 67 | 128 / 16 | $31.546,80 | 852 / 33 | $8.944,66 | 483 / 39 | $8.037,55 | 483 / 37 |
| Renal Failure W Cc | 64 | 157 / 21 | $15.606,20 | 517 / 18 | $5.766,45 | 470 / 44 | $4.718,80 | 466 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 61 | 107 / 11 | $25.075,50 | 205 / 9 | $9.212,93 | 114 / 13 | $8.144,20 | 113 / 12 |
| Heart Failure & Shock W Cc | 55 | 223 / 27 | $18.553,60 | 996 / 31 | $5.912,09 | 363 / 43 | $4.743,85 | 363 / 28 |
| Kidney & Urinary Tract Infections W Mcc | 55 | 89 / 9 | $14.928,90 | 238 / 6 | $6.456,15 | 454 / 34 | $5.654,25 | 453 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 52 | 223 / 30 | $12.876,40 | 494 / 17 | $4.796,98 | 431 / 49 | $3.345,40 | 429 / 28 |
| Respiratory Infections & Inflammations W Mcc | 51 | 85 / 9 | $31.219,00 | 425 / 10 | $10.941,10 | 226 / 26 | $9.835,61 | 226 / 24 |
| G.I. Hemorrhage W Cc | 50 | 168 / 22 | $12.678,20 | 142 / 5 | $5.993,34 | 557 / 38 | $4.958,38 | 556 / 37 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 49 | 82 / 13 | $42.383,90 | 391 / 12 | $13.310,20 | 90 / 28 | $11.051,60 | 90 / 10 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 49 | 147 / 19 | $44.781,90 | 129 / 4 | $11.329,30 | 204 / 5 | $9.820,96 | 204 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 23 | $18.680,70 | 654 / 22 | $6.793,49 | 245 / 50 | $4.925,04 | 244 / 19 |
| Transient Ischemia | 43 | 82 / 12 | $13.860,00 | 233 / 8 | $4.466,60 | 463 / 20 | $3.332,98 | 462 / 22 |
| Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 17 | $39.660,30 | 623 / 18 | $10.488,30 | 153 / 15 | $9.364,51 | 152 / 19 |
| Syncope & Collapse | 39 | 130 / 16 | $12.331,50 | 214 / 4 | $4.597,87 | 713 / 26 | $3.760,74 | 710 / 33 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 39 | 50 / 3 | $13.533,30 | 28 / 2 | $6.311,05 | 182 / 4 | $5.151,90 | 182 / 10 |
| Nonspecific Cerebrovascular Disorders W Cc | 37 | 19 / 3 | $14.558,90 | 39 / 2 | $5.741,00 | 75 / 11 | $4.735,84 | 75 / 11 |
| Cellulitis W/O Mcc | 36 | 153 / 24 | $11.860,00 | 449 / 13 | $5.146,11 | 669 / 42 | $4.022,19 | 665 / 48 |
| Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 27 | $20.785,30 | 1085 / 35 | $5.673,63 | 563 / 47 | $4.604,06 | 561 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 35 | 67 / 10 | $14.440,60 | 212 / 8 | $4.971,51 | 376 / 19 | $3.473,97 | 373 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 34 | 92 / 10 | $16.696,80 | 236 / 9 | $6.158,35 | 80 / 10 | $5.231,09 | 80 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 43 | $15.163,10 | 962 / 34 | $4.966,72 | 911 / 67 | $3.894,56 | 904 / 61 |
| Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 43 | $19.293,10 | 1063 / 33 | $6.046,47 | 447 / 60 | $4.605,22 | 444 / 28 |
| Major Small & Large Bowel Procedures W Mcc | 31 | 54 / 9 | $102.015,00 | 402 / 10 | $27.116,60 | 84 / 9 | $24.728,30 | 84 / 7 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 12 | $39.912,40 | 188 / 8 | $14.314,40 | 196 / 16 | $12.475,20 | 195 / 15 |
| Cervical Spinal Fusion W/O Cc/Mcc | 29 | 75 / 10 | $40.157,40 | 198 / 7 | $12.265,80 | 127 / 5 | $10.562,10 | 127 / 9 |
| Seizures W Mcc | 29 | 37 / 8 | $25.295,40 | 108 / 7 | $8.575,52 | 41 / 5 | $7.218,17 | 41 / 4 |
| Diabetes W Cc | 29 | 63 / 8 | $11.984,50 | 154 / 3 | $5.161,76 | 418 / 21 | $4.179,52 | 418 / 22 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 13 | $90.560,70 | 376 / 7 | $26.043,10 | 75 / 3 | $25.215,10 | 75 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 15 | $30.413,90 | 455 / 12 | $9.336,85 | 124 / 16 | $7.996,85 | 124 / 11 |
| Other Circulatory System Diagnoses W Mcc | 27 | 89 / 12 | $29.467,90 | 206 / 7 | $9.642,11 | 47 / 4 | $8.755,15 | 47 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 27 | $20.140,20 | 114 / 5 | $6.300,65 | 197 / 12 | $4.968,35 | 197 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 25 | $14.066,90 | 421 / 10 | $4.926,35 | 832 / 34 | $4.134,96 | 829 / 36 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 20 | $30.103,30 | 964 / 25 | $7.179,38 | 670 / 22 | $6.620,62 | 667 / 30 |
| Nonspecific Cerebrovascular Disorders W Mcc | 25 | 26 / 7 | $21.649,20 | 37 / 4 | $9.206,76 | 35 / 10 | $8.006,88 | 35 / 8 |
| Seizures W/O Mcc | 24 | 84 / 10 | $12.183,80 | 139 / 3 | $5.075,67 | 344 / 15 | $3.836,42 | 342 / 15 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 24 | 40 / 7 | $28.227,30 | 104 / 4 | $9.436,00 | 73 / 9 | $7.360,29 | 73 / 11 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 21 | 42 / 8 | $77.204,20 | 82 / 3 | $23.872,00 | 32 / 1 | $22.835,90 | 32 / 5 |
| Other Disorders Of Nervous System W Cc | 21 | 35 / 6 | $20.322,80 | 185 / 9 | $5.743,24 | 26 / 12 | $3.801,90 | 26 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 32 | $9.991,70 | 312 / 10 | $4.688,30 | 502 / 60 | $3.309,80 | 500 / 34 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 19 | 51 / 5 | $16.940,80 | 123 / 3 | $5.928,26 | 27 / 7 | $4.176,37 | 27 / 5 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 20 | $30.922,60 | 351 / 7 | $9.347,58 | 153 / 5 | $8.695,37 | 153 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 11 | $26.936,60 | 300 / 9 | $8.859,94 | 88 / 13 | $7.515,00 | 88 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 18 | $57.259,10 | 58 / 2 | $17.830,90 | 2 / 8 | $12.945,10 | 2 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 18 | $20.975,80 | 244 / 7 | $6.920,65 | 287 / 13 | $6.211,00 | 285 / 15 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 19 | $22.719,70 | 378 / 11 | $7.955,71 | 81 / 21 | $6.407,76 | 81 / 6 |
| Chest Pain | 16 | 135 / 24 | $18.769,60 | 825 / 20 | $4.114,62 | 639 / 29 | $3.066,25 | 635 / 30 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 10 | $23.401,90 | 31 / 1 | $9.264,56 | 69 / 8 | $7.654,31 | 69 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 21 | $16.197,40 | 150 / 2 | $6.235,88 | 366 / 18 | $5.257,88 | 365 / 21 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 15 | $18.231,30 | 306 / 10 | $5.851,31 | 232 / 14 | $4.666,06 | 232 / 13 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 10 | $29.689,50 | 49 / 3 | $10.115,30 | 34 / 1 | $8.677,60 | 34 / 5 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 18 | $18.615,90 | 325 / 8 | $6.625,27 | 183 / 23 | $4.621,33 | 181 / 10 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 19 | $13.560,50 | 40 / 3 | $5.371,87 | 1 / 1 | $3.814,33 | 1 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 9 | $72.311,40 | 278 / 7 | $14.756,70 | 119 / 3 | $13.794,70 | 119 / 8 |
| Other Resp System O.R. Procedures W Mcc | 15 | 48 / 10 | $82.151,10 | 232 / 10 | $19.642,50 | 54 / 7 | $18.168,10 | 54 / 8 |
| G.I. Obstruction W Cc | 15 | 77 / 19 | $15.618,10 | 332 / 8 | $5.418,07 | 447 / 22 | $4.402,60 | 446 / 21 |
| Hypertension W/O Mcc | 14 | 51 / 11 | $12.134,50 | 115 / 4 | $4.095,00 | 262 / 13 | $3.057,29 | 260 / 15 |
| Skin Graft For Skin Ulcer Or Cellulitis W Mcc | 14 | 8 / 2 | $21.431,50 | 1 / 1 | $12.342,50 | 1 / 1 | $11.396,20 | 1 / 1 |
| Diabetes W Mcc | 14 | 43 / 8 | $19.813,10 | 79 / 3 | $7.598,21 | 88 / 5 | $6.903,36 | 88 / 6 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 18 | $81.180,10 | 119 / 4 | $24.535,60 | 17 / 1 | $23.847,60 | 17 / 3 |
| Medical Back Problems W/O Mcc | 14 | 107 / 21 | $14.378,50 | 189 / 7 | $5.566,14 | 326 / 25 | $3.999,93 | 326 / 18 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 15 | $29.457,60 | 179 / 7 | $9.104,36 | 149 / 10 | $7.984,36 | 149 / 11 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 11 | $8.898,62 | 51 / 4 | $4.461,15 | 202 / 18 | $3.252,54 | 203 / 13 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 13 | $121.168,00 | 28 / 4 | $43.943,00 | 2 / 3 | $37.560,20 | 2 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 36 | $14.657,20 | 744 / 25 | $4.484,46 | 677 / 42 | $3.465,38 | 675 / 46 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 17 | $68.675,50 | 361 / 11 | $16.919,30 | 84 / 7 | $15.715,60 | 84 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 11 | $15.430,80 | 110 / 3 | $5.818,00 | 168 / 7 | $5.074,62 | 168 / 7 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 13 | $21.840,30 | 204 / 7 | $7.201,62 | 324 / 11 | $6.874,23 | 322 / 14 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 27 | $18.501,90 | 755 / 20 | $4.985,77 | 656 / 30 | $4.146,38 | 652 / 34 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 11 | $36.902,20 | 563 / 14 | $5.383,85 | 156 / 5 | $4.458,31 | 156 / 6 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 13 | 29 / 5 | $96.940,30 | 20 / 2 | $24.278,20 | 1 / 1 | $22.924,40 | 1 / 1 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 17 | $13.668,80 | 260 / 10 | $4.447,69 | 466 / 21 | $3.613,23 | 465 / 25 |
| Major Cardiovasc Procedures W Mcc | 13 | 55 / 13 | $95.429,10 | 101 / 4 | $28.206,70 | 82 / 2 | $27.463,50 | 82 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 15 | $15.465,10 | 132 / 5 | $5.570,00 | 267 / 13 | $4.642,00 | 266 / 15 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 12 | $37.960,80 | 42 / 2 | $9.654,92 | 12 / 4 | $7.788,54 | 12 / 2 |
| Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 11 | $92.034,90 | 399 / 12 | $26.624,30 | 14 / 16 | $14.732,90 | 14 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 30 | $8.465,67 | 190 / 4 | $3.991,33 | 613 / 35 | $2.528,75 | 609 / 29 |
| Other Skin, Subcut Tiss & Breast Proc W Mcc | 12 | 10 / 3 | $62.981,20 | 21 / 4 | $13.580,90 | 7 / 1 | $13.077,00 | 7 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 28 | $10.812,20 | 348 / 8 | $4.467,58 | 509 / 40 | $3.315,25 | 507 / 26 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 12 | 65 / 8 | $30.289,50 | 89 / 4 | $8.839,50 | 68 / 4 | $7.623,50 | 68 / 7 |
| Other Disorders Of Nervous System W Mcc | 11 | 29 / 8 | $23.673,20 | 34 / 2 | $9.034,18 | 9 / 5 | $7.195,82 | 9 / 3 |
| Stomach, Esophageal & Duodenal Proc W Cc | 11 | 39 / 5 | $55.541,70 | 57 / 3 | $14.289,20 | 6 / 3 | $11.714,50 | 6 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 20 | $40.559,70 | 583 / 26 | $10.351,10 | 49 / 33 | $6.509,36 | 49 / 11 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 9 | $12.539,50 | 52 / 2 | $5.682,36 | 4 / 3 | $4.082,36 | 4 / 2 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 6 | $19.654,30 | 152 / 4 | $5.693,45 | 16 / 6 | $3.014,82 | 16 / 2 |
| Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 9 | $47.822,80 | 181 / 6 | $22.569,20 | 2 / 11 | $7.267,18 | 2 / 1 |
| Skin Debridement W Mcc | 11 | 6 / 2 | $32.437,20 | 4 / 1 | $12.044,00 | 2 / 1 | $11.047,00 | 2 / 1 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 11 | $21.127,40 | 25 / 2 | $7.436,64 | 120 / 4 | $6.232,27 | 120 / 4 |
| Cellulitis W Mcc | 11 | 47 / 13 | $16.050,50 | 57 / 5 | $8.128,27 | 155 / 8 | $7.255,55 | 155 / 10 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 23 | $54.015,00 | 78 / 2 | $17.638,30 | 79 / 3 | $16.762,60 | 79 / 10 | Total 97 procedures | 3.080 | 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.