Hospital Costs > In Tennessee > Jellico Community Hospital, 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 | 48 | 468 / 47 | $21.139,60 | 315 / 11 | $11.525,40 | 518 / 67 | $9.547,85 | 517 / 51 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 43 | $10.764,10 | 64 / 3 | $7.049,48 | 964 / 54 | $6.209,13 | 959 / 59 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 48 | $9.710,10 | 185 / 5 | $5.105,29 | 1451 / 61 | $4.087,76 | 1440 / 64 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 39 | $11.612,00 | 29 / 1 | $7.746,60 | 867 / 41 | $6.781,80 | 867 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 40 | $10.947,00 | 87 / 2 | $6.756,10 | 1181 / 48 | $5.850,50 | 1176 / 55 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 31 | $7.646,50 | 75 / 2 | $5.021,39 | 1192 / 57 | $3.938,44 | 1183 / 60 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 40 | $7.449,06 | 14 / 1 | $5.785,39 | 1031 / 51 | $4.981,83 | 1028 / 59 |
| Heart Failure & Shock W Cc | 18 | 260 / 48 | $9.647,56 | 113 / 5 | $6.381,00 | 1449 / 62 | $5.710,78 | 1444 / 66 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 54 | $8.942,88 | 57 / 3 | $6.353,62 | 1108 / 71 | $5.158,62 | 1104 / 67 |
| Heart Failure & Shock W Mcc | 16 | 268 / 46 | $11.691,80 | 40 / 2 | $8.853,88 | 1026 / 56 | $8.325,88 | 1024 / 64 |
| Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 48 | $18.052,80 | 268 / 9 | $8.803,44 | 1091 / 52 | $7.977,44 | 1091 / 60 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 54 | $7.444,38 | 67 / 3 | $5.063,88 | 1084 / 70 | $4.013,88 | 1076 / 66 |
| G.I. Hemorrhage W Cc | 11 | 207 / 47 | $11.235,80 | 92 / 3 | $6.444,09 | 1450 / 51 | $5.894,27 | 1446 / 56 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 41 | $6.996,00 | 76 / 4 | $4.937,27 | 1591 / 65 | $4.169,27 | 1586 / 70 | Total 14 procedures | 272 | 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.