Hospital Costs > In Tennessee > Highlands Medical Center Sparta, 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 | 62 | 454 / 43 | $35.314,30 | 1072 / 37 | $10.884,30 | 1013 / 61 | $10.204,60 | 1003 / 67 |
| Renal Failure W Mcc | 33 | 162 / 30 | $26.689,80 | 559 / 23 | $8.936,79 | 692 / 37 | $8.356,91 | 692 / 44 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 40 | $25.065,40 | 1261 / 39 | $6.694,25 | 1289 / 47 | $5.967,85 | 1284 / 56 |
| Heart Failure & Shock W Mcc | 18 | 266 / 45 | $33.947,50 | 1345 / 52 | $9.349,39 | 982 / 66 | $8.273,17 | 981 / 62 |
| Renal Failure W Cc | 14 | 207 / 48 | $15.482,20 | 506 / 17 | $5.964,29 | 916 / 50 | $5.098,00 | 908 / 56 |
| Cellulitis W/O Mcc | 13 | 176 / 43 | $18.608,20 | 1315 / 47 | $5.369,77 | 962 / 54 | $4.247,31 | 956 / 55 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 57 | $22.390,00 | 1394 / 42 | $5.960,00 | 881 / 55 | $4.976,73 | 878 / 58 | Total 7 procedures | 171 | 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.