Hospital Costs > In Tennessee > Indian Path Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 103 | 461 / 32 | $80.278,00 | 2208 / 52 | $13.463,10 | 144 / 40 | $9.521,66 | 144 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 100 | 416 / 32 | $53.966,60 | 1919 / 61 | $9.901,21 | 247 / 27 | $9.056,86 | 247 / 34 |
Pulmonary Edema & Respiratory Failure | 67 | 136 / 17 | $37.253,70 | 1397 / 44 | $7.109,37 | 276 / 26 | $6.045,39 | 276 / 25 |
Simple Pneumonia & Pleurisy W Mcc | 63 | 142 / 22 | $41.422,80 | 1611 / 52 | $7.873,67 | 237 / 25 | $6.908,87 | 237 / 28 |
Renal Failure W Cc | 39 | 182 / 29 | $21.034,50 | 1083 / 39 | $5.440,51 | 335 / 23 | $4.574,05 | 333 / 22 |
Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 39 | $27.507,40 | 1812 / 60 | $5.574,78 | 478 / 27 | $4.626,89 | 475 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 25 | $26.799,90 | 1407 / 43 | $6.296,08 | 312 / 37 | $5.009,65 | 311 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 40 | $20.004,50 | 1580 / 57 | $4.720,67 | 438 / 56 | $3.572,33 | 438 / 31 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 42 | $21.538,10 | 1563 / 49 | $4.520,32 | 657 / 31 | $3.533,18 | 653 / 43 |
Renal Failure W Mcc | 27 | 168 / 33 | $31.157,90 | 826 / 31 | $7.817,56 | 53 / 7 | $7.011,63 | 53 / 6 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 27 | $40.227,20 | 953 / 25 | $6.451,12 | 220 / 16 | $5.006,85 | 220 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 24 | $95.716,00 | 1114 / 30 | $14.844,80 | 144 / 32 | $9.634,12 | 144 / 15 |
Heart Failure & Shock W Mcc | 23 | 261 / 40 | $32.046,00 | 1219 / 50 | $7.888,13 | 341 / 18 | $7.467,96 | 341 / 35 |
Heart Failure & Shock W Cc | 23 | 255 / 44 | $29.682,50 | 1938 / 63 | $5.630,65 | 535 / 28 | $4.920,39 | 535 / 37 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 19 | $55.501,50 | 1248 / 33 | $9.190,23 | 249 / 14 | $8.420,77 | 249 / 20 |
Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 45 | $26.020,40 | 1199 / 38 | $6.592,05 | 582 / 30 | $5.852,75 | 581 / 45 |
Cellulitis W/O Mcc | 19 | 170 / 37 | $17.198,90 | 1151 / 37 | $4.978,89 | 674 / 35 | $4.025,63 | 670 / 49 |
Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 40 | $21.921,30 | 1197 / 42 | $5.474,61 | 810 / 31 | $4.804,39 | 807 / 56 |
G.I. Hemorrhage W Cc | 17 | 201 / 42 | $36.013,00 | 1821 / 50 | $5.814,29 | 484 / 28 | $4.895,76 | 483 / 32 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 30 | $72.967,20 | 1596 / 41 | $10.202,90 | 108 / 10 | $9.245,94 | 107 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 36 | $20.374,80 | 1593 / 57 | $4.397,19 | 383 / 49 | $3.222,44 | 383 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 31 | $17.196,10 | 775 / 25 | $4.682,56 | 688 / 23 | $4.002,56 | 685 / 33 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 19 | $115.096,00 | 689 / 14 | $25.549,80 | 67 / 2 | $24.986,80 | 67 / 4 |
G.I. Obstruction W Cc | 15 | 77 / 19 | $18.809,90 | 569 / 15 | $5.234,80 | 473 / 16 | $4.434,80 | 472 / 23 |
Syncope & Collapse | 14 | 155 / 31 | $32.669,00 | 1519 / 40 | $5.650,14 | 321 / 41 | $3.361,50 | 319 / 16 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 35 | $27.950,90 | 1097 / 37 | $6.429,93 | 106 / 31 | $5.035,29 | 106 / 13 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 22 | $38.125,80 | 989 / 27 | $5.953,29 | 225 / 13 | $5.004,71 | 225 / 13 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 26 | $229.789,00 | 1321 / 32 | $29.904,30 | 722 / 29 | $23.409,30 | 718 / 28 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 15 | $23.240,70 | 412 / 15 | $5.383,08 | 323 / 11 | $4.824,31 | 322 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 25 | $60.150,80 | 1136 / 31 | $9.466,31 | 275 / 16 | $8.725,38 | 274 / 21 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 15 | $59.474,20 | 457 / 11 | $10.487,40 | 7 / 1 | $9.267,54 | 7 / 1 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 12 | $82.645,10 | 238 / 11 | $17.723,80 | 17 / 5 | $16.680,10 | 17 / 7 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 26 | $42.272,20 | 861 / 22 | $10.165,40 | 113 / 11 | $9.442,92 | 113 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 38 | $26.729,70 | 905 / 25 | $5.912,82 | 258 / 15 | $4.920,82 | 258 / 17 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 11 | $103.833,00 | 348 / 9 | $18.848,60 | 30 / 3 | $18.074,80 | 30 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 21 | $175.326,00 | 900 / 22 | $21.318,10 | 560 / 17 | $20.325,90 | 556 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 30 | $26.532,10 | 759 / 17 | $6.573,55 | 223 / 5 | $5.916,09 | 223 / 16 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 20 | $34.837,50 | 469 / 24 | $7.557,09 | 56 / 12 | $6.570,91 | 56 / 12 | Total 38 procedures | 984 | 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.