Hospital Costs > In Tennessee > Hardin 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 | 74 | 442 / 38 | $20.652,90 | 294 / 9 | $11.135,90 | 1086 / 65 | $10.303,10 | 1073 / 68 |
Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 26 | $16.122,40 | 699 / 24 | $6.554,68 | 1589 / 73 | $5.598,81 | 1582 / 74 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 31 | $16.703,60 | 496 / 18 | $6.923,97 | 1475 / 53 | $6.221,00 | 1469 / 58 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 39 | $24.136,20 | 646 / 21 | $9.135,84 | 1278 / 60 | $8.275,97 | 1278 / 62 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 31 | 62 / 13 | $12.308,00 | 438 / 17 | $4.982,97 | 1220 / 50 | $3.928,00 | 1214 / 50 |
Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 47 | $12.235,90 | 538 / 23 | $5.299,88 | 1639 / 75 | $4.480,68 | 1628 / 75 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 37 | $15.368,30 | 165 / 4 | $7.843,48 | 1251 / 42 | $7.316,17 | 1249 / 50 |
Cellulitis W/O Mcc | 16 | 173 / 40 | $13.293,10 | 630 / 23 | $5.652,94 | 1285 / 59 | $4.516,94 | 1279 / 62 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 38 | $11.850,50 | 531 / 19 | $5.019,29 | 1579 / 66 | $4.155,29 | 1574 / 69 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 22 | $21.217,80 | 310 / 9 | $8.888,29 | 843 / 33 | $8.113,43 | 838 / 34 |
G.I. Hemorrhage W Cc | 14 | 204 / 44 | $11.666,90 | 107 / 4 | $6.045,00 | 898 / 40 | $5.272,43 | 896 / 50 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 55 | $12.331,90 | 437 / 14 | $5.251,62 | 1688 / 62 | $4.323,62 | 1675 / 65 |
Heart Failure & Shock W Cc | 13 | 265 / 53 | $14.445,90 | 518 / 20 | $6.450,23 | 1368 / 64 | $5.615,77 | 1363 / 64 |
G.I. Obstruction W Cc | 11 | 81 / 23 | $12.744,00 | 149 / 5 | $6.095,36 | 992 / 33 | $5.109,18 | 989 / 34 | Total 14 procedures | 372 | 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.