Hospital Costs > In Tennessee > Metro Nashville General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 16 | 75 / 7 | $6.835,62 | 3 / 1 | $12.241,10 | 376 / 11 | $12.167,10 | 376 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 50 | $18.758,20 | 625 / 20 | $12.518,50 | 2507 / 74 | $11.915,80 | 2499 / 74 |
| Heart Failure & Shock W Mcc | 13 | 271 / 48 | $30.889,40 | 1141 / 45 | $16.774,50 | 2563 / 77 | $15.940,10 | 2552 / 77 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 16 | $16.436,80 | 220 / 7 | $12.252,40 | 1652 / 40 | $11.586,20 | 1649 / 40 |
| Renal Failure W Cc | 11 | 210 / 51 | $23.307,80 | 1298 / 47 | $11.272,90 | 2373 / 69 | $10.394,40 | 2363 / 69 |
| Renal Failure W Mcc | 18 | 177 / 41 | $17.238,80 | 135 / 5 | $15.217,10 | 2045 / 59 | $14.614,40 | 2041 / 59 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 32 | $41.688,20 | 373 / 11 | $20.593,60 | 1668 / 46 | $19.948,70 | 1654 / 46 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 15 | 501 / 64 | $53.685,90 | 1911 / 60 | $19.410,30 | 2724 / 81 | $18.446,10 | 2679 / 81 | Total 8 procedures | 123 | 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.