Hospital Costs > In Tennessee > Leconte Medical Center, 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 | 142 | 374 / 23 | $22.524,60 | 384 / 14 | $9.439,58 | 56 / 14 | $8.447,02 | 56 / 11 |
| Pulmonary Edema & Respiratory Failure | 57 | 146 / 22 | $19.431,50 | 370 / 10 | $6.836,89 | 123 / 16 | $5.731,67 | 123 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 51 | 156 / 20 | $15.234,40 | 370 / 13 | $5.847,39 | 57 / 12 | $4.496,27 | 57 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 37 | $17.119,20 | 488 / 15 | $6.314,15 | 228 / 14 | $5.459,56 | 227 / 22 |
| Heart Failure & Shock W Mcc | 34 | 250 / 35 | $18.948,30 | 372 / 17 | $7.635,56 | 36 / 10 | $6.687,12 | 36 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 33 | 531 / 45 | $48.439,10 | 1221 / 21 | $11.364,40 | 515 / 6 | $10.339,50 | 512 / 31 |
| Spinal Fusion Except Cervical W/O Mcc | 33 | 161 / 17 | $95.646,50 | 691 / 20 | $21.509,30 | 277 / 2 | $20.373,70 | 276 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 42 | $10.553,80 | 254 / 8 | $4.457,39 | 16 / 24 | $2.666,68 | 16 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 48 | $13.412,80 | 698 / 26 | $4.615,17 | 272 / 45 | $3.397,38 | 272 / 21 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 42 | $20.854,40 | 441 / 15 | $7.604,26 | 75 / 15 | $6.506,52 | 75 / 11 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 27 | $28.664,10 | 111 / 2 | $11.721,70 | 53 / 4 | $10.770,10 | 53 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 29 | $38.700,20 | 568 / 16 | $10.173,20 | 97 / 8 | $9.214,84 | 96 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 26 | $9.365,78 | 278 / 10 | $3.584,39 | 209 / 23 | $2.141,00 | 208 / 12 |
| Heart Failure & Shock W Cc | 17 | 261 / 49 | $16.341,20 | 724 / 25 | $5.406,76 | 131 / 15 | $4.414,76 | 131 / 15 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 33 | $20.788,90 | 621 / 19 | $6.181,19 | 143 / 22 | $5.127,19 | 143 / 15 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 42 | $14.043,90 | 422 / 13 | $5.360,06 | 794 / 28 | $4.792,06 | 792 / 55 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 12 | $14.808,60 | 112 / 3 | $5.320,19 | 149 / 9 | $4.342,19 | 149 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 36 | $13.273,60 | 725 / 24 | $4.123,19 | 553 / 24 | $3.346,19 | 551 / 36 |
| Cellulitis W/O Mcc | 15 | 174 / 41 | $13.956,00 | 720 / 27 | $4.925,87 | 282 / 31 | $3.662,60 | 279 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 34 | $16.916,60 | 273 / 10 | $5.877,20 | 52 / 13 | $4.388,80 | 52 / 9 |
| Renal Failure W Mcc | 14 | 181 / 44 | $17.050,80 | 130 / 4 | $7.526,43 | 22 / 3 | $6.751,57 | 22 / 3 |
| Renal Failure W Cc | 14 | 207 / 48 | $11.846,60 | 196 / 5 | $5.336,86 | 390 / 17 | $4.646,57 | 387 / 30 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 26 | $12.994,40 | 278 / 6 | $4.737,29 | 411 / 19 | $3.882,43 | 410 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 33 | $15.456,70 | 564 / 21 | $4.678,54 | 530 / 22 | $3.841,62 | 528 / 26 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 18 | $18.233,40 | 76 / 4 | $7.593,77 | 104 / 13 | $6.845,46 | 104 / 17 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 14 | $19.278,20 | 140 / 5 | $7.058,58 | 88 / 8 | $6.093,75 | 88 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 57 | $15.744,90 | 647 / 21 | $5.132,09 | 226 / 4 | $4.364,09 | 226 / 15 | Total 27 procedures | 717 | 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.