Hospital Costs > In Tennessee > Methodist Medical Center Of Oak Ridge, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 24 | $20.428,30 | 300 / 7 | $5.495,42 | 47 / 4 | $4.492,75 | 47 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 24 | $32.893,20 | 545 / 16 | $9.018,82 | 293 / 11 | $8.521,88 | 293 / 22 |
| Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 11 | 21 / 4 | $38.477,80 | 8 / 1 | $10.640,10 | 1 / 1 | $9.543,36 | 1 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 8 | $13.392,00 | 138 / 5 | $4.814,50 | 24 / 6 | $3.474,91 | 24 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 24 | $10.789,70 | 157 / 3 | $4.331,03 | 272 / 7 | $3.579,59 | 272 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 17 | $25.964,80 | 722 / 16 | $6.750,74 | 373 / 11 | $6.166,48 | 371 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 60 | 90 / 12 | $8.873,65 | 220 / 6 | $3.432,37 | 156 / 14 | $2.050,40 | 156 / 8 |
| Cellulitis W Mcc | 16 | 42 / 8 | $15.917,60 | 54 / 3 | $6.981,81 | 17 / 1 | $6.225,81 | 17 / 3 |
| Cellulitis W/O Mcc | 36 | 153 / 24 | $12.665,80 | 546 / 19 | $4.853,81 | 146 / 28 | $3.472,89 | 146 / 11 |
| Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 18 | $54.143,00 | 390 / 17 | $11.418,70 | 97 / 1 | $10.369,10 | 97 / 8 |
| Chest Pain | 23 | 128 / 20 | $13.702,90 | 373 / 7 | $3.426,70 | 143 / 4 | $2.442,48 | 142 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 27 | $16.063,70 | 613 / 22 | $5.484,80 | 14 / 34 | $3.573,17 | 14 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 80 | 122 / 16 | $18.621,60 | 614 / 19 | $6.272,75 | 33 / 11 | $4.863,85 | 33 / 7 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 27 | $10.866,10 | 340 / 12 | $3.926,55 | 225 / 7 | $3.048,00 | 225 / 17 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 12 | $39.126,70 | 143 / 3 | $10.688,60 | 43 / 2 | $10.044,20 | 43 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 19 | $19.183,40 | 89 / 4 | $5.940,47 | 13 / 4 | $4.255,72 | 13 / 3 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 21 | 55 / 12 | $105.175,00 | 148 / 9 | $24.716,60 | 29 / 2 | $21.358,30 | 29 / 2 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 12 | 76 / 18 | $87.674,90 | 177 / 8 | $18.710,80 | 40 / 1 | $17.604,20 | 40 / 5 |
| Diabetes W Cc | 26 | 66 / 11 | $12.424,40 | 175 / 6 | $4.753,15 | 27 / 11 | $3.271,96 | 27 / 3 |
| Diabetes W Mcc | 12 | 45 / 9 | $20.111,70 | 86 / 4 | $6.894,33 | 20 / 1 | $6.185,00 | 20 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 8 | $36.697,60 | 176 / 8 | $9.880,33 | 1 / 5 | $7.070,75 | 1 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 15 | $15.907,50 | 85 / 1 | $6.153,24 | 57 / 1 | $5.520,86 | 57 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 62 | 213 / 26 | $12.854,70 | 490 / 16 | $4.212,53 | 94 / 9 | $2.931,85 | 94 / 4 |
| Extracranial Procedures W/O Cc/Mcc | 41 | 57 / 6 | $12.060,50 | 21 / 1 | $5.613,02 | 22 / 4 | $4.239,80 | 22 / 3 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 13 | $8.768,91 | 48 / 3 | $4.320,73 | 7 / 16 | $2.498,73 | 7 / 1 |
| G.I. Hemorrhage W Cc | 69 | 149 / 14 | $14.698,80 | 277 / 12 | $5.450,22 | 169 / 12 | $4.499,84 | 169 / 16 |
| G.I. Hemorrhage W Mcc | 36 | 85 / 11 | $27.908,00 | 261 / 5 | $8.801,61 | 33 / 2 | $8.099,39 | 33 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 10 | $12.835,10 | 206 / 8 | $3.884,07 | 98 / 4 | $2.935,50 | 98 / 5 |
| G.I. Obstruction W Cc | 18 | 74 / 16 | $12.250,70 | 131 / 3 | $4.557,78 | 109 / 1 | $3.820,00 | 108 / 8 |
| Heart Failure & Shock W Cc | 46 | 232 / 30 | $14.440,00 | 517 / 19 | $5.281,59 | 35 / 11 | $4.140,28 | 35 / 5 |
| Heart Failure & Shock W Mcc | 119 | 165 / 11 | $22.639,20 | 578 / 22 | $7.657,01 | 25 / 11 | $6.559,92 | 25 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 16 | $13.616,50 | 681 / 17 | $3.894,58 | 95 / 12 | $2.764,85 | 94 / 7 |
| Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 18 | $32.669,30 | 318 / 7 | $9.826,61 | 17 / 4 | $8.616,29 | 17 / 3 |
| Hip & Femur Procedures Except Major Joint W Mcc | 25 | 37 / 7 | $53.021,30 | 212 / 8 | $14.396,10 | 5 / 3 | $12.982,00 | 5 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 30 | 26 / 4 | $27.190,70 | 132 / 5 | $8.485,40 | 14 / 4 | $6.955,73 | 14 / 3 |
| Hypertension W/O Mcc | 19 | 46 / 6 | $13.171,90 | 147 / 7 | $3.517,26 | 58 / 3 | $2.437,68 | 58 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 6 | $21.589,50 | 9 / 1 | $11.965,60 | 12 / 1 | $11.194,70 | 12 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 13 | $88.077,80 | 335 / 5 | $27.093,40 | 39 / 7 | $24.168,30 | 39 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 23 | $16.954,80 | 279 / 11 | $5.550,42 | 27 / 6 | $4.271,30 | 27 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 42 | 126 / 15 | $24.384,40 | 191 / 7 | $9.177,29 | 34 / 12 | $7.714,64 | 34 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 17 | $13.788,60 | 174 / 5 | $4.198,79 | 69 / 5 | $2.896,00 | 68 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 64 | 80 / 7 | $18.337,40 | 455 / 17 | $5.859,88 | 58 / 9 | $4.874,22 | 58 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 32 | $10.752,70 | 364 / 14 | $4.205,75 | 94 / 13 | $3.111,42 | 94 / 10 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 14 | $25.014,30 | 41 / 2 | $8.544,33 | 40 / 1 | $7.443,00 | 40 / 7 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 8 | $31.566,40 | 134 / 7 | $9.145,50 | 4 / 10 | $5.549,67 | 4 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 31 | 70 / 14 | $85.170,70 | 440 / 15 | $18.744,40 | 41 / 9 | $16.140,40 | 41 / 6 |
| Major Chest Procedures W Cc | 12 | 62 / 9 | $38.253,10 | 40 / 2 | $16.866,20 | 1 / 11 | $7.952,58 | 1 / 1 |
| Major Chest Procedures W Mcc | 12 | 37 / 10 | $73.273,50 | 34 / 1 | $25.056,40 | 24 / 2 | $24.236,40 | 24 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 18 | $12.984,70 | 71 / 2 | $6.211,91 | 39 / 6 | $5.225,73 | 39 / 4 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 23 | 73 / 12 | $64.780,10 | 532 / 17 | $12.199,90 | 3 / 8 | $8.379,13 | 3 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 15 | $56.259,70 | 194 / 6 | $16.853,70 | 107 / 6 | $15.972,60 | 107 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 259 | 306 / 17 | $47.275,50 | 1150 / 19 | $11.285,60 | 90 / 5 | $9.291,81 | 90 / 8 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 14 | $36.039,10 | 121 / 5 | $13.100,00 | 144 / 6 | $12.152,50 | 144 / 12 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 14 | $81.429,00 | 207 / 5 | $25.376,00 | 30 / 5 | $23.250,60 | 30 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 12 | $22.919,00 | 42 / 2 | $8.380,88 | 48 / 1 | $7.174,88 | 48 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 37 | 89 / 8 | $24.075,80 | 647 / 21 | $6.620,95 | 532 / 23 | $6.069,16 | 529 / 29 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 17 | $10.129,60 | 323 / 13 | $4.018,28 | 126 / 16 | $2.878,28 | 126 / 7 |
| Nonspecific Cerebrovascular Disorders W Cc | 41 | 15 / 2 | $16.834,90 | 67 / 5 | $5.126,10 | 26 / 5 | $4.350,88 | 26 / 4 |
| Nonspecific Cerebrovascular Disorders W Mcc | 36 | 15 / 4 | $22.098,50 | 42 / 5 | $7.892,00 | 3 / 1 | $7.061,75 | 3 / 2 |
| Nonspecific Cerebrovascular Disorders W/O Cc/Mcc | 11 | 10 / 3 | $11.467,00 | 1 / 1 | $3.836,36 | 5 / 1 | $2.847,27 | 5 / 2 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 18 | $28.023,20 | 175 / 6 | $8.671,39 | 12 / 1 | $8.081,06 | 12 / 2 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 19 | $21.165,00 | 467 / 13 | $5.202,54 | 55 / 2 | $4.230,23 | 55 / 4 |
| Other Digestive System Diagnoses W Mcc | 14 | 48 / 8 | $27.516,00 | 121 / 5 | $8.550,64 | 17 / 3 | $7.819,21 | 17 / 4 |
| Other Disorders Of Nervous System W Cc | 17 | 39 / 9 | $13.126,90 | 51 / 2 | $4.876,82 | 18 / 3 | $3.742,06 | 18 / 3 |
| Other Disorders Of Nervous System W Mcc | 17 | 23 / 5 | $35.531,50 | 112 / 6 | $9.474,94 | 87 / 7 | $8.765,29 | 87 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 12 | $35.201,60 | 530 / 14 | $8.863,47 | 164 / 14 | $7.849,76 | 164 / 14 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 13 | $57.541,40 | 94 / 5 | $17.487,20 | 5 / 4 | $14.722,50 | 5 / 2 |
| Other Vascular Procedures W Cc | 12 | 90 / 16 | $30.324,60 | 38 / 2 | $16.967,90 | 3 / 22 | $10.671,60 | 3 / 1 |
| Other Vascular Procedures W Mcc | 13 | 84 / 13 | $42.912,50 | 52 / 1 | $16.722,50 | 3 / 3 | $14.536,50 | 3 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 20 | $71.127,90 | 175 / 7 | $17.165,10 | 18 / 3 | $14.781,60 | 18 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 56 | 140 / 17 | $46.657,90 | 165 / 5 | $10.369,00 | 50 / 1 | $9.060,89 | 50 / 9 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 11 | $41.311,70 | 69 / 5 | $9.314,27 | 13 / 1 | $7.841,40 | 13 / 3 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 15 | $54.634,30 | 277 / 7 | $13.757,10 | 4 / 2 | $11.420,20 | 4 / 1 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 11 | $70.311,10 | 141 / 3 | $18.173,70 | 10 / 1 | $16.900,50 | 10 / 2 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 12 | $44.272,50 | 207 / 4 | $11.002,70 | 27 / 1 | $10.056,40 | 27 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 34 | 38 / 8 | $14.785,50 | 26 / 2 | $6.603,82 | 6 / 1 | $5.920,06 | 6 / 1 |
| Pulmonary Edema & Respiratory Failure | 65 | 138 / 19 | $22.227,40 | 553 / 16 | $6.484,98 | 16 / 7 | $5.256,45 | 16 / 3 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 11 | $25.212,70 | 321 / 10 | $6.884,47 | 28 / 6 | $5.648,53 | 28 / 6 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 25 | $13.176,40 | 284 / 7 | $4.390,13 | 173 / 4 | $3.581,60 | 173 / 10 |
| Renal Failure W Cc | 63 | 158 / 22 | $19.253,00 | 899 / 35 | $5.622,25 | 381 / 34 | $4.636,24 | 378 / 29 |
| Renal Failure W Mcc | 85 | 110 / 10 | $25.913,60 | 513 / 22 | $7.986,42 | 113 / 9 | $7.259,13 | 113 / 15 |
| Respiratory Infections & Inflammations W Mcc | 36 | 100 / 14 | $29.346,60 | 367 / 6 | $9.781,69 | 12 / 5 | $8.514,75 | 12 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 23 | $54.093,30 | 744 / 24 | $14.742,80 | 203 / 33 | $11.563,30 | 201 / 17 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 19 | $108.149,00 | 303 / 12 | $28.160,10 | 53 / 8 | $25.271,10 | 53 / 6 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 25 | 44 / 3 | $64.548,20 | 226 / 4 | $14.098,40 | 15 / 1 | $12.183,90 | 15 / 3 |
| Seizures W Mcc | 16 | 50 / 13 | $23.002,10 | 80 / 4 | $7.857,69 | 43 / 1 | $7.253,69 | 43 / 6 |
| Seizures W/O Mcc | 17 | 91 / 14 | $10.136,80 | 70 / 1 | $4.140,94 | 42 / 2 | $3.073,41 | 42 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 280 | 238 / 10 | $28.872,60 | 733 / 30 | $9.530,88 | 92 / 17 | $8.599,08 | 92 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 53 | 154 / 19 | $13.226,90 | 230 / 6 | $5.581,79 | 65 / 5 | $4.531,92 | 65 / 8 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 16 | $9.529,20 | 78 / 2 | $3.818,60 | 14 / 4 | $2.606,87 | 14 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 34 | $17.608,50 | 862 / 27 | $5.504,59 | 58 / 23 | $4.008,05 | 58 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 79 | 126 / 17 | $22.745,70 | 555 / 17 | $7.400,05 | 11 / 7 | $5.895,16 | 11 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 21 | $89.049,60 | 627 / 18 | $22.918,60 | 60 / 13 | $18.352,00 | 60 / 4 |
| Syncope & Collapse | 44 | 125 / 14 | $12.643,70 | 237 / 5 | $3.999,48 | 89 / 6 | $2.968,84 | 89 / 4 |
| Transient Ischemia | 36 | 89 / 15 | $13.062,40 | 182 / 5 | $3.873,06 | 107 / 5 | $2.800,56 | 107 / 6 | Total 95 procedures | 3.237 | 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.