Hospital Costs > In Tennessee > Lakeway Regional Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 38 | $33.060,20 | 2106 / 67 | $5.250,05 | 257 / 8 | $4.414,77 | 257 / 17 |
| Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 36 | $39.693,00 | 1907 / 61 | $6.307,23 | 257 / 13 | $5.517,29 | 256 / 27 |
| Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 35 | $54.229,90 | 2001 / 63 | $7.519,51 | 219 / 9 | $6.865,80 | 219 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 43 | $30.376,20 | 2235 / 78 | $4.319,53 | 471 / 21 | $3.600,53 | 471 / 34 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 31 | $36.626,30 | 1976 / 64 | $5.217,83 | 241 / 14 | $4.248,23 | 241 / 20 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 49 | $125.946,00 | 2612 / 58 | $13.094,80 | 15 / 33 | $8.496,28 | 15 / 1 |
| Heart Failure & Shock W Mcc | 25 | 259 / 39 | $39.982,90 | 1658 / 61 | $7.588,68 | 158 / 7 | $7.152,20 | 158 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 48 | $33.028,00 | 2278 / 66 | $4.222,48 | 290 / 10 | $3.222,86 | 290 / 19 |
| Renal Failure W Mcc | 20 | 175 / 39 | $58.085,10 | 1728 / 56 | $8.227,25 | 262 / 15 | $7.654,45 | 262 / 28 |
| G.I. Hemorrhage W Cc | 19 | 199 / 40 | $44.216,20 | 2055 / 56 | $5.363,26 | 382 / 10 | $4.792,32 | 382 / 26 |
| Cellulitis W/O Mcc | 19 | 170 / 37 | $26.042,20 | 1930 / 67 | $4.698,74 | 344 / 15 | $3.743,79 | 341 / 29 |
| Renal Failure W Cc | 17 | 204 / 46 | $39.804,20 | 2042 / 67 | $5.334,06 | 373 / 15 | $4.622,53 | 370 / 28 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 32 | $44.680,10 | 1603 / 54 | $5.978,12 | 167 / 14 | $5.196,94 | 167 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 17 | 499 / 63 | $55.252,10 | 1958 / 63 | $9.774,82 | 168 / 24 | $8.854,35 | 168 / 26 |
| Chest Pain | 16 | 135 / 24 | $19.800,60 | 911 / 25 | $3.577,62 | 344 / 9 | $2.741,62 | 343 / 16 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 37 | $30.323,50 | 2147 / 73 | $4.074,27 | 344 / 22 | $3.182,53 | 344 / 20 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 37 | $28.339,90 | 1658 / 55 | $4.133,58 | 622 / 15 | $3.424,25 | 621 / 41 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 29 | $41.618,70 | 880 / 21 | $8.883,00 | 308 / 8 | $8.557,18 | 308 / 23 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 29 | $31.096,80 | 1540 / 41 | $4.559,00 | 430 / 8 | $3.901,55 | 429 / 25 | Total 19 procedures | 416 | 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.