Hospital Costs > In Tennessee > Henry County 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 | 166 | 350 / 20 | $24.944,60 | 527 / 19 | $9.188,71 | 39 / 3 | $8.294,88 | 39 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 157 | 407 / 24 | $35.208,30 | 476 / 7 | $10.953,00 | 116 / 2 | $9.424,72 | 116 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 22 | $18.318,30 | 619 / 21 | $5.466,70 | 62 / 2 | $4.518,96 | 62 / 7 |
Heart Failure & Shock W Cc | 42 | 236 / 32 | $18.321,20 | 965 / 30 | $5.119,88 | 30 / 7 | $4.106,21 | 30 / 4 |
Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 33 | $20.096,00 | 719 / 23 | $5.900,95 | 65 / 4 | $5.042,00 | 65 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 25 | $18.392,20 | 380 / 16 | $5.440,00 | 41 / 3 | $4.357,71 | 41 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 23 | $36.715,70 | 480 / 13 | $9.971,93 | 50 / 5 | $8.938,79 | 50 / 10 |
G.I. Hemorrhage W Cc | 27 | 191 / 34 | $16.842,60 | 473 / 18 | $5.192,48 | 34 / 4 | $4.117,52 | 34 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 43 | $14.084,40 | 633 / 19 | $4.017,59 | 132 / 2 | $3.001,04 | 132 / 8 |
Pulmonary Edema & Respiratory Failure | 26 | 177 / 35 | $22.431,90 | 562 / 17 | $6.041,00 | 24 / 3 | $5.333,15 | 24 / 5 |
Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 25 | $18.156,70 | 439 / 15 | $5.678,17 | 5 / 3 | $4.436,71 | 5 / 1 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 36 | $14.765,60 | 492 / 19 | $4.832,26 | 151 / 4 | $4.096,26 | 151 / 11 |
Heart Failure & Shock W Mcc | 22 | 262 / 41 | $27.063,00 | 904 / 34 | $8.176,36 | 447 / 30 | $7.615,64 | 447 / 40 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 31 | $16.965,80 | 1203 / 46 | $3.796,95 | 119 / 3 | $2.872,00 | 119 / 6 |
Other Vascular Procedures W/O Cc/Mcc | 20 | 36 / 6 | $32.710,70 | 86 / 3 | $9.256,90 | 75 / 3 | $8.288,90 | 75 / 7 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 8 | $15.897,90 | 80 / 2 | $6.377,61 | 10 / 1 | $5.444,28 | 10 / 3 |
Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 53 | $15.904,20 | 671 / 23 | $4.987,59 | 95 / 1 | $4.136,76 | 95 / 7 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 18 | $25.885,60 | 26 / 1 | $12.937,90 | 92 / 3 | $11.866,80 | 92 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 48 | $30.841,30 | 1094 / 33 | $7.351,06 | 44 / 6 | $6.375,06 | 44 / 6 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 16 | 47 / 8 | $63.755,20 | 78 / 4 | $17.789,60 | 39 / 1 | $16.653,60 | 39 / 7 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 25 | $14.306,40 | 764 / 18 | $3.909,47 | 98 / 13 | $2.769,00 | 97 / 8 |
Renal Failure W Cc | 15 | 206 / 47 | $15.284,10 | 486 / 16 | $5.019,60 | 111 / 7 | $4.217,47 | 111 / 11 |
Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 21 | $58.736,10 | 118 / 3 | $17.036,90 | 26 / 2 | $15.833,70 | 26 / 3 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 27 | $12.643,40 | 672 / 19 | $3.081,73 | 194 / 5 | $2.119,60 | 193 / 10 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 25 | $17.712,10 | 104 / 2 | $8.508,67 | 68 / 5 | $7.702,27 | 68 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 32 | $16.018,80 | 626 / 23 | $4.041,50 | 55 / 2 | $3.175,21 | 55 / 3 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 15 | $56.200,10 | 432 / 12 | $11.281,10 | 69 / 2 | $10.163,40 | 69 / 9 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 36 | $13.449,00 | 598 / 19 | $3.843,23 | 144 / 4 | $2.912,77 | 144 / 9 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 27 | $14.562,00 | 407 / 11 | $4.435,31 | 21 / 5 | $3.076,08 | 21 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 28 | $18.160,60 | 1041 / 31 | $4.760,62 | 9 / 47 | $2.370,31 | 9 / 3 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 15 | $22.031,20 | 162 / 5 | $7.811,92 | 20 / 2 | $6.881,46 | 20 / 4 |
Cellulitis W/O Mcc | 12 | 177 / 44 | $18.186,20 | 1263 / 45 | $4.428,67 | 182 / 4 | $3.530,00 | 182 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 24 | $16.562,50 | 227 / 8 | $5.588,67 | 30 / 1 | $4.879,33 | 30 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 26 | $23.758,00 | 171 / 6 | $8.796,83 | 32 / 3 | $7.684,83 | 32 / 4 |
Renal Failure W Mcc | 11 | 184 / 47 | $16.709,30 | 121 / 3 | $7.718,00 | 175 / 5 | $7.496,91 | 175 / 20 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 11 | 21 / 6 | $29.385,70 | 16 / 2 | $12.990,00 | 27 / 3 | $12.443,10 | 27 / 4 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 11 | $34.252,70 | 75 / 4 | $10.090,60 | 24 / 1 | $9.104,45 | 24 / 3 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 9 | $23.467,90 | 39 / 2 | $7.678,73 | 30 / 2 | $6.471,45 | 30 / 5 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 10 | $62.043,70 | 217 / 8 | $13.559,80 | 66 / 3 | $12.576,50 | 66 / 7 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 17 | $15.180,20 | 190 / 3 | $5.223,09 | 6 / 2 | $3.543,09 | 6 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 30 | $24.243,90 | 608 / 12 | $6.804,55 | 93 / 13 | $5.590,18 | 93 / 8 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 16 | $17.333,40 | 76 / 7 | $5.086,45 | 13 / 3 | $4.103,18 | 13 / 2 |
Other O.R. Procedures For Injuries W Cc | 11 | 24 / 6 | $27.448,30 | 9 / 1 | $9.655,18 | 7 / 1 | $9.111,18 | 7 / 2 | Total 43 procedures | 1.070 | 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.