Hospital Costs > In Tennessee > Jamestown Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 15 | $20.198,10 | 389 / 14 | $5.213,58 | 167 / 11 | $4.002,92 | 164 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 28 | $14.194,50 | 890 / 26 | $3.462,14 | 718 / 16 | $2.600,43 | 714 / 31 |
| Cellulitis W/O Mcc | 31 | 158 / 28 | $19.395,80 | 1410 / 51 | $4.851,45 | 255 / 27 | $3.634,06 | 253 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 54 | 125 / 18 | $23.689,30 | 1363 / 49 | $5.513,74 | 591 / 37 | $4.629,89 | 589 / 41 |
| Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 30 | $26.776,20 | 1259 / 42 | $6.751,44 | 676 / 38 | $5.953,04 | 672 / 51 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 50 | 70 / 9 | $18.532,90 | 1155 / 40 | $4.334,58 | 651 / 34 | $3.442,72 | 649 / 44 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 50 | 225 / 31 | $16.588,70 | 948 / 24 | $4.492,82 | 558 / 26 | $3.452,18 | 556 / 40 |
| Heart Failure & Shock W Cc | 48 | 230 / 29 | $21.147,90 | 1309 / 49 | $5.717,08 | 672 / 34 | $5.042,42 | 671 / 46 |
| Heart Failure & Shock W Mcc | 54 | 230 / 29 | $24.802,00 | 723 / 28 | $8.116,35 | 257 / 28 | $7.345,39 | 257 / 30 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 19 | $11.287,30 | 386 / 10 | $4.059,50 | 429 / 22 | $3.236,23 | 427 / 24 |
| Kidney & Urinary Tract Infections W/O Mcc | 72 | 161 / 22 | $18.260,50 | 1379 / 54 | $4.622,22 | 819 / 47 | $3.835,11 | 814 / 55 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 23 | $14.537,40 | 897 / 28 | $4.178,77 | 555 / 28 | $3.347,14 | 553 / 37 |
| Pulmonary Edema & Respiratory Failure | 48 | 155 / 25 | $22.716,60 | 578 / 19 | $7.056,40 | 246 / 21 | $6.013,35 | 246 / 24 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 23 | $16.890,60 | 614 / 15 | $4.656,24 | 629 / 16 | $4.121,65 | 625 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 15 | 501 / 64 | $31.683,40 | 868 / 33 | $10.302,50 | 659 / 42 | $9.739,27 | 658 / 57 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 47 | $25.053,30 | 1259 / 38 | $6.186,58 | 902 / 34 | $5.578,58 | 900 / 50 |
| Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 36 | $32.264,40 | 2076 / 66 | $5.679,71 | 541 / 37 | $4.679,71 | 538 / 37 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 40 | $34.502,30 | 1315 / 46 | $8.221,00 | 580 / 41 | $7.414,60 | 580 / 47 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 28 | $19.515,00 | 1164 / 35 | $4.200,08 | 550 / 21 | $3.279,46 | 548 / 32 | Total 19 procedures | 663 | 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.