Hospital Costs > In Tennessee > Franklin Woods Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 40 | 149 / 22 | $17.489,50 | 1185 / 42 | $4.959,25 | 285 / 33 | $3.669,73 | 282 / 26 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 35 | $14.763,70 | 491 / 18 | $5.273,17 | 66 / 21 | $3.908,17 | 66 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 50 | $23.193,70 | 998 / 32 | $6.938,83 | 53 / 48 | $4.993,25 | 53 / 9 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 38 | $16.693,40 | 988 / 35 | $4.254,82 | 321 / 25 | $3.158,09 | 321 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 49 | 226 / 32 | $17.844,50 | 1103 / 36 | $4.449,65 | 662 / 23 | $3.539,94 | 658 / 44 |
| G.I. Hemorrhage W Cc | 21 | 197 / 38 | $22.781,80 | 1010 / 27 | $5.672,81 | 334 / 22 | $4.749,38 | 334 / 25 |
| G.I. Obstruction W Cc | 14 | 78 / 20 | $20.939,60 | 722 / 22 | $5.191,00 | 209 / 15 | $4.068,71 | 208 / 12 |
| Heart Failure & Shock W Cc | 21 | 257 / 45 | $19.223,80 | 1079 / 36 | $5.755,38 | 59 / 37 | $4.232,29 | 59 / 7 |
| Heart Failure & Shock W Mcc | 16 | 268 / 46 | $27.280,20 | 926 / 36 | $8.089,19 | 253 / 26 | $7.339,19 | 253 / 29 |
| Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 25 | $16.530,60 | 338 / 11 | $6.157,38 | 224 / 21 | $5.298,71 | 224 / 24 |
| Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 38 | $17.171,80 | 1244 / 48 | $4.575,08 | 384 / 40 | $3.526,46 | 384 / 29 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 14 | $63.926,50 | 603 / 21 | $9.423,23 | 54 / 8 | $7.224,15 | 54 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 39 | $12.387,70 | 592 / 22 | $4.270,46 | 678 / 38 | $3.436,00 | 676 / 44 |
| Pulmonary Edema & Respiratory Failure | 28 | 175 / 33 | $30.580,50 | 1070 / 34 | $7.937,57 | 187 / 43 | $5.883,46 | 187 / 19 |
| Renal Failure W Cc | 33 | 188 / 33 | $16.063,70 | 571 / 22 | $6.023,21 | 90 / 51 | $4.159,03 | 90 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 57 | 459 / 44 | $38.350,30 | 1230 / 41 | $9.732,04 | 119 / 21 | $8.697,00 | 119 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 30 | $25.100,90 | 1265 / 40 | $5.979,91 | 200 / 24 | $4.850,59 | 200 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 53 | 150 / 32 | $19.803,00 | 1115 / 35 | $5.595,43 | 243 / 31 | $4.392,64 | 243 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 29 | $32.844,00 | 1218 / 40 | $7.885,74 | 134 / 26 | $6.672,30 | 134 / 17 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 28 | $14.758,40 | 708 / 22 | $4.572,15 | 22 / 42 | $2.464,31 | 22 / 4 |
| Syncope & Collapse | 14 | 155 / 31 | $19.284,30 | 790 / 21 | $4.397,14 | 256 / 17 | $3.272,57 | 254 / 13 |
| Transurethral Procedures W Cc | 19 | 22 / 2 | $26.273,50 | 78 / 4 | $7.076,32 | 55 / 3 | $6.187,05 | 55 / 3 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 4 | $14.967,00 | 75 / 1 | $4.230,83 | 85 / 2 | $3.118,83 | 85 / 2 | Total 23 procedures | 608 | 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.