Hospital Costs > In Tennessee > Heritage Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 33 | $28.765,90 | 1580 / 42 | $4.373,15 | 181 / 8 | $3.445,15 | 181 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 43 | $32.808,50 | 1837 / 59 | $5.236,33 | 406 / 16 | $4.436,33 | 405 / 30 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 35 | $28.654,90 | 1383 / 49 | $6.378,17 | 217 / 18 | $5.442,17 | 216 / 21 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 26 | $19.122,90 | 1194 / 42 | $4.052,22 | 328 / 11 | $3.164,22 | 328 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 49 | $21.514,50 | 1559 / 48 | $4.142,65 | 441 / 6 | $3.353,85 | 439 / 31 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 18 | $33.296,70 | 504 / 21 | $5.828,00 | 157 / 7 | $4.850,00 | 157 / 11 |
| G.I. Hemorrhage W Cc | 12 | 206 / 46 | $25.506,80 | 1241 / 35 | $5.692,08 | 40 / 23 | $4.150,25 | 40 / 6 |
| Heart Failure & Shock W Cc | 15 | 263 / 51 | $24.103,50 | 1598 / 56 | $6.430,53 | 55 / 63 | $4.215,00 | 55 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 32 | $22.507,50 | 745 / 26 | $6.153,35 | 188 / 20 | $5.231,00 | 188 / 22 |
| Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 35 | $20.276,60 | 1605 / 59 | $4.468,15 | 480 / 30 | $3.608,79 | 480 / 36 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 28 | $17.356,20 | 1249 / 47 | $3.986,26 | 223 / 9 | $3.045,22 | 223 / 12 |
| Red Blood Cell Disorders W/O Mcc | 20 | 123 / 20 | $25.077,60 | 1260 / 32 | $4.517,30 | 228 / 7 | $3.672,50 | 228 / 13 |
| Renal Failure W Cc | 19 | 202 / 45 | $27.224,10 | 1562 / 53 | $5.348,89 | 393 / 18 | $4.648,26 | 390 / 32 |
| Renal Failure W Mcc | 13 | 182 / 45 | $33.985,60 | 1000 / 37 | $7.991,00 | 126 / 10 | $7.341,15 | 126 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 13 | 503 / 66 | $57.537,60 | 2021 / 67 | $10.501,90 | 889 / 49 | $10.036,70 | 887 / 65 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 44 | $29.589,10 | 1593 / 49 | $5.916,93 | 216 / 20 | $4.869,47 | 215 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 40 | $27.014,60 | 1770 / 58 | $5.464,81 | 435 / 19 | $4.594,58 | 432 / 27 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 47 | $41.259,50 | 1605 / 51 | $8.007,82 | 140 / 32 | $6.685,12 | 140 / 19 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 23 | $24.271,70 | 1417 / 44 | $3.961,83 | 160 / 9 | $2.833,67 | 159 / 13 | Total 19 procedures | 393 | 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.