Hospital Costs > In Tennessee > Mckenzie 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 | 27 | 176 / 48 | $36.684,80 | 2237 / 71 | $5.472,63 | 432 / 20 | $4.591,15 | 429 / 25 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 36 | $30.623,90 | 1750 / 55 | $5.110,22 | 192 / 10 | $4.164,13 | 192 / 18 |
Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 50 | $23.502,80 | 1886 / 66 | $4.502,91 | 581 / 33 | $3.679,64 | 579 / 42 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 52 | $27.980,10 | 2060 / 57 | $5.018,12 | 211 / 56 | $3.126,56 | 211 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 37 | $23.152,50 | 1789 / 64 | $4.182,20 | 379 / 29 | $3.217,93 | 379 / 23 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 12 | 504 / 67 | $40.778,40 | 1354 / 48 | $9.526,92 | 98 / 16 | $8.628,25 | 98 / 18 |
Transient Ischemia | 11 | 114 / 30 | $27.715,20 | 1090 / 26 | $4.159,18 | 414 / 13 | $3.283,55 | 413 / 17 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 29 | $31.618,20 | 1746 / 50 | $4.044,09 | 588 / 20 | $3.380,82 | 586 / 30 | Total 8 procedures | 137 | 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.