Hospital Costs > In Tennessee > Lincoln Medical Center, 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 | 33 | 170 / 42 | $15.735,00 | 645 / 19 | $5.927,64 | 961 / 54 | $5.050,06 | 958 / 60 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 29 | 535 / 47 | $30.717,40 | 250 / 3 | $12.956,10 | 562 / 32 | $10.416,10 | 557 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 27 | 489 / 58 | $18.548,90 | 203 / 7 | $10.119,50 | 377 / 35 | $9.314,74 | 377 / 42 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 27 | $10.158,30 | 260 / 8 | $4.516,55 | 893 / 45 | $3.646,73 | 885 / 52 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 47 | $11.156,70 | 303 / 9 | $4.756,50 | 916 / 43 | $3.705,95 | 911 / 54 |
| Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 38 | $10.867,20 | 144 / 5 | $5.581,65 | 714 / 40 | $4.736,85 | 712 / 51 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 52 | $9.176,35 | 212 / 9 | $4.811,15 | 835 / 58 | $3.846,35 | 830 / 57 |
| Heart Failure & Shock W Cc | 19 | 259 / 47 | $11.800,60 | 256 / 10 | $6.065,74 | 1016 / 48 | $5.302,79 | 1014 / 57 |
| Heart Failure & Shock W Mcc | 18 | 266 / 45 | $13.699,80 | 104 / 4 | $8.259,00 | 532 / 35 | $7.720,33 | 532 / 47 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 49 | $16.047,10 | 170 / 6 | $7.677,73 | 258 / 18 | $6.952,40 | 258 / 30 |
| Respiratory Infections & Inflammations W Cc | 15 | 73 / 21 | $11.789,10 | 27 / 1 | $7.113,20 | 217 / 3 | $6.791,07 | 215 / 17 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 32 | $29.403,40 | 208 / 4 | $11.611,90 | 831 / 35 | $10.658,80 | 821 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 45 | $11.438,60 | 111 / 3 | $6.279,07 | 613 / 36 | $5.328,21 | 611 / 45 |
| Cellulitis W/O Mcc | 13 | 176 / 43 | $10.554,60 | 308 / 8 | $5.285,77 | 431 / 51 | $3.817,08 | 428 / 38 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 29 | $10.108,00 | 232 / 6 | $4.533,00 | 606 / 40 | $3.322,33 | 603 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 37 | $16.747,60 | 258 / 9 | $6.364,42 | 626 / 30 | $5.356,42 | 625 / 35 |
| G.I. Hemorrhage W Cc | 11 | 207 / 47 | $13.671,90 | 199 / 8 | $5.886,73 | 726 / 32 | $5.112,91 | 725 / 43 | Total 17 procedures | 316 | 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.