Hospital Costs > In Tennessee > Milan General Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 50 | $8.769,33 | 16 / 2 | $5.951,00 | 18 / 5 | $4.740,33 | 18 / 5 |
Heart Failure & Shock W Cc | 15 | 263 / 51 | $7.610,80 | 25 / 2 | $4.958,67 | 86 / 4 | $4.312,27 | 86 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 51 | $7.658,86 | 89 / 5 | $4.016,14 | 84 / 5 | $3.094,24 | 84 / 9 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 23 | $33.523,70 | 93 / 4 | $13.865,30 | 20 / 11 | $10.975,80 | 20 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 68 | $12.241,20 | 22 / 1 | $9.039,18 | 47 / 2 | $8.378,82 | 47 / 8 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 44 | $12.292,80 | 38 / 1 | $7.110,25 | 18 / 2 | $6.032,65 | 18 / 3 | Total 6 procedures | 91 | 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.