Hospital Costs > In Tennessee > Laughlin Memorial Hospital, Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Mcc | 64 | 220 / 25 | $16.984,30 | 241 / 13 | $8.011,20 | 130 / 20 | $7.061,84 | 130 / 18 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 55 | 509 / 38 | $39.578,40 | 733 / 11 | $11.600,20 | 346 / 8 | $10.054,30 | 345 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 26 | $19.900,30 | 386 / 13 | $7.943,57 | 151 / 27 | $6.701,37 | 151 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 27 | $15.566,50 | 358 / 10 | $6.565,86 | 202 / 28 | $5.427,22 | 201 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 33 | $14.198,90 | 464 / 12 | $5.433,36 | 384 / 17 | $4.550,06 | 381 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 49 | 467 / 46 | $20.915,80 | 303 / 10 | $9.328,88 | 41 / 6 | $8.331,14 | 41 / 6 |
| Respiratory Infections & Inflammations W Mcc | 33 | 103 / 15 | $21.824,50 | 142 / 3 | $9.778,94 | 51 / 4 | $9.085,61 | 51 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 40 | $11.636,10 | 345 / 10 | $4.578,72 | 206 / 39 | $3.124,25 | 206 / 14 |
| Heart Failure & Shock W Cc | 30 | 248 / 38 | $14.187,90 | 494 / 18 | $5.533,23 | 487 / 24 | $4.885,77 | 487 / 34 |
| G.I. Hemorrhage W Cc | 30 | 188 / 33 | $15.397,10 | 332 / 14 | $5.459,17 | 404 / 13 | $4.814,90 | 403 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 46 | $8.730,21 | 173 / 7 | $4.222,71 | 139 / 14 | $3.208,18 | 139 / 14 |
| Renal Failure W Cc | 27 | 194 / 39 | $13.363,00 | 327 / 13 | $5.796,26 | 221 / 46 | $4.415,26 | 220 / 16 |
| Respiratory Infections & Inflammations W Cc | 26 | 62 / 13 | $20.767,50 | 289 / 7 | $7.404,15 | 141 / 9 | $6.617,69 | 141 / 12 |
| Renal Failure W Mcc | 24 | 171 / 36 | $20.499,60 | 246 / 9 | $8.306,50 | 66 / 18 | $7.096,88 | 66 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 36 | $11.146,90 | 160 / 7 | $5.241,13 | 188 / 17 | $4.156,04 | 188 / 17 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 28 | $9.406,67 | 183 / 5 | $4.141,71 | 200 / 16 | $3.015,43 | 200 / 14 |
| Cellulitis W/O Mcc | 20 | 169 / 36 | $12.772,20 | 557 / 20 | $4.679,60 | 448 / 13 | $3.833,20 | 445 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 40 | $14.972,70 | 353 / 12 | $5.891,45 | 411 / 18 | $5.110,65 | 409 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 31 | $14.327,60 | 119 / 1 | $5.788,32 | 55 / 11 | $4.422,63 | 55 / 10 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 23 | $10.706,30 | 289 / 8 | $4.133,28 | 129 / 15 | $2.780,89 | 128 / 11 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 29 | $29.355,50 | 116 / 4 | $11.805,50 | 81 / 5 | $11.024,40 | 81 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 31 | $12.159,80 | 242 / 5 | $4.624,31 | 81 / 20 | $3.239,31 | 81 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 35 | $10.712,90 | 68 / 2 | $6.035,29 | 65 / 16 | $4.908,43 | 65 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 24 | $21.163,50 | 118 / 2 | $9.099,36 | 205 / 10 | $8.495,93 | 204 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 22 | $16.941,50 | 173 / 3 | $5.911,00 | 207 / 11 | $4.960,14 | 207 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 39 | $9.302,62 | 246 / 9 | $4.136,46 | 117 / 25 | $2.871,38 | 117 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 33 | $35.809,90 | 443 / 11 | $10.489,30 | 228 / 16 | $9.556,38 | 227 / 24 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 26 | $29.851,20 | 323 / 6 | $9.539,92 | 140 / 9 | $8.633,25 | 140 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 23 | $10.584,50 | 58 / 1 | $4.317,91 | 215 / 9 | $3.218,27 | 213 / 12 | Total 29 procedures | 798 | 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.