Hospital Costs > In Tennessee > Houston County 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 | 20 | 169 / 36 | $7.952,05 | 90 / 3 | $3.711,60 | 4 / 1 | $2.804,40 | 4 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 43 | $9.442,67 | 71 / 3 | $4.158,67 | 4 / 1 | $3.311,73 | 4 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 48 | $8.412,00 | 11 / 1 | $5.201,14 | 16 / 1 | $4.641,14 | 16 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 36 | $8.611,62 | 124 / 4 | $3.174,46 | 3 / 1 | $2.239,08 | 3 / 1 |
| Heart Failure & Shock W Cc | 23 | 255 / 44 | $8.462,65 | 53 / 4 | $4.293,74 | 3 / 1 | $3.660,70 | 3 / 2 |
| Heart Failure & Shock W Mcc | 12 | 272 / 49 | $14.382,30 | 123 / 6 | $6.411,50 | 4 / 1 | $5.704,83 | 4 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 28 | $7.750,00 | 99 / 3 | $2.998,00 | 1 / 1 | $2.099,33 | 1 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 42 | $8.139,94 | 125 / 6 | $3.425,27 | 8 / 2 | $2.658,24 | 8 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 35 | $5.141,18 | 11 / 1 | $3.119,41 | 3 / 1 | $2.123,65 | 3 / 1 |
| Renal Failure W Cc | 12 | 209 / 50 | $8.922,00 | 44 / 2 | $4.296,00 | 3 / 1 | $3.485,33 | 3 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 29 | $6.948,00 | 41 / 2 | $2.877,08 | 1 / 1 | $2.071,75 | 1 / 1 | Total 11 procedures | 183 | 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.