Hospital Costs > In Tennessee > Morristown Hamblen Hospital Association, 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 Mcc | 11 | 114 / 29 | $22.585,80 | 222 / 4 | $8.369,73 | 42 / 4 | $7.386,45 | 42 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 28 | $12.710,70 | 291 / 6 | $4.454,14 | 333 / 11 | $3.649,57 | 333 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 28 | $17.934,80 | 234 / 4 | $6.583,69 | 114 / 6 | $5.658,15 | 114 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 28 | $7.284,07 | 93 / 2 | $3.628,00 | 226 / 24 | $2.176,57 | 225 / 14 |
| Cellulitis W/O Mcc | 28 | 161 / 29 | $12.400,70 | 524 / 17 | $4.689,86 | 196 / 14 | $3.552,18 | 196 / 16 |
| Chest Pain | 20 | 131 / 21 | $10.269,50 | 160 / 1 | $3.577,65 | 381 / 10 | $2.793,65 | 380 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 34 | $14.707,20 | 485 / 17 | $5.204,50 | 173 / 13 | $4.122,04 | 173 / 15 |
| Chronic Obstructive Pulmonary Disease W Mcc | 87 | 115 / 14 | $16.493,20 | 435 / 14 | $6.196,95 | 78 / 8 | $5.085,05 | 78 / 12 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 24 | $11.553,70 | 398 / 13 | $4.213,20 | 102 / 22 | $2.826,80 | 102 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 32 | $18.871,30 | 80 / 2 | $5.923,43 | 90 / 3 | $4.720,57 | 90 / 10 |
| Diabetes W Cc | 21 | 71 / 14 | $15.327,10 | 355 / 11 | $4.745,95 | 257 / 10 | $3.929,24 | 257 / 17 |
| Diabetes W Mcc | 12 | 45 / 9 | $23.967,70 | 154 / 5 | $7.250,50 | 37 / 2 | $6.453,17 | 37 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 22 | $19.468,70 | 183 / 4 | $6.868,23 | 23 / 12 | $5.249,85 | 23 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 50 | 225 / 31 | $11.861,80 | 370 / 11 | $4.271,82 | 439 / 15 | $3.353,42 | 437 / 29 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 20 | $13.055,50 | 35 / 2 | $5.635,77 | 45 / 5 | $4.443,08 | 45 / 7 |
| G.I. Hemorrhage W Cc | 26 | 192 / 35 | $14.851,70 | 295 / 13 | $5.514,88 | 316 / 14 | $4.728,42 | 316 / 24 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 25 | $41.778,80 | 763 / 17 | $9.384,92 | 184 / 6 | $8.831,08 | 184 / 10 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 12 | $8.649,08 | 60 / 2 | $4.046,00 | 177 / 6 | $3.139,33 | 177 / 14 |
| G.I. Obstruction W Cc | 15 | 77 / 19 | $16.196,90 | 376 / 13 | $5.078,20 | 82 / 12 | $3.722,00 | 82 / 7 |
| Heart Failure & Shock W Cc | 28 | 250 / 40 | $13.279,40 | 392 / 14 | $5.226,36 | 104 / 9 | $4.355,96 | 104 / 12 |
| Heart Failure & Shock W Mcc | 25 | 259 / 39 | $17.817,20 | 299 / 14 | $7.746,84 | 102 / 14 | $6.971,16 | 102 / 16 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 32 | $36.367,70 | 467 / 12 | $10.173,90 | 66 / 9 | $9.053,93 | 66 / 13 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 17 | $45.243,30 | 95 / 5 | $14.319,40 | 7 / 2 | $13.231,40 | 7 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 29 | $15.140,40 | 162 / 4 | $5.760,77 | 354 / 10 | $5.043,68 | 353 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 21 | $24.899,20 | 200 / 8 | $9.045,26 | 106 / 9 | $8.120,63 | 106 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 19 | $10.978,40 | 65 / 3 | $4.230,12 | 111 / 6 | $3.021,65 | 109 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 21 | $17.194,50 | 380 / 13 | $5.722,79 | 99 / 5 | $5.014,09 | 99 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 35 | $10.989,80 | 383 / 15 | $4.314,46 | 266 / 19 | $3.385,73 | 266 / 20 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 13 | $14.570,50 | 100 / 5 | $6.206,44 | 106 / 5 | $5.602,44 | 106 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 19 | $60.476,60 | 267 / 9 | $15.333,50 | 3 / 3 | $12.158,70 | 3 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 100 | 464 / 33 | $48.465,90 | 1222 / 22 | $11.960,40 | 17 / 12 | $8.573,25 | 17 / 2 |
| Medical Back Problems W Mcc | 12 | 27 / 6 | $21.080,70 | 26 / 1 | $7.534,33 | 2 / 1 | $6.468,58 | 2 / 1 |
| Medical Back Problems W/O Mcc | 12 | 109 / 23 | $11.227,00 | 81 / 1 | $4.545,08 | 38 / 6 | $3.337,08 | 38 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 25 | $15.613,70 | 175 / 5 | $6.047,45 | 247 / 8 | $5.611,09 | 245 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 26 | $12.025,10 | 552 / 21 | $4.060,77 | 353 / 20 | $3.188,10 | 353 / 22 |
| Nonspecific Cerebrovascular Disorders W Cc | 13 | 43 / 14 | $14.824,80 | 40 / 3 | $5.284,15 | 54 / 7 | $4.631,85 | 54 / 9 |
| Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 10 | $20.791,50 | 29 / 2 | $8.070,53 | 18 / 2 | $7.608,13 | 18 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 25 | $41.300,00 | 76 / 2 | $10.795,80 | 81 / 2 | $9.280,67 | 81 / 11 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 16 | $29.027,10 | 324 / 13 | $7.403,20 | 35 / 7 | $6.417,73 | 35 / 7 |
| Pulmonary Edema & Respiratory Failure | 66 | 137 / 18 | $21.029,40 | 468 / 13 | $6.655,53 | 161 / 10 | $5.824,18 | 161 / 17 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 25 | $13.348,10 | 299 / 8 | $4.561,60 | 233 / 10 | $3.678,40 | 233 / 14 |
| Renal Failure W Cc | 36 | 185 / 31 | $18.585,50 | 833 / 31 | $6.194,86 | 265 / 57 | $4.493,69 | 263 / 20 |
| Renal Failure W Mcc | 32 | 163 / 31 | $20.989,40 | 272 / 12 | $7.983,12 | 76 / 8 | $7.143,91 | 76 / 10 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 11 | $7.579,73 | 42 / 1 | $3.803,91 | 47 / 10 | $2.470,55 | 47 / 7 |
| Respiratory Infections & Inflammations W Mcc | 30 | 106 / 17 | $34.547,00 | 573 / 13 | $10.026,80 | 70 / 7 | $9.220,37 | 70 / 12 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 18 | $34.730,60 | 204 / 7 | $11.515,20 | 56 / 3 | $10.810,30 | 56 / 7 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 18 | $72.930,40 | 81 / 3 | $28.204,60 | 16 / 9 | $23.742,10 | 16 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 91 | 425 / 35 | $27.022,10 | 648 / 23 | $9.515,60 | 51 / 15 | $8.403,62 | 51 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 36 | $14.577,50 | 317 / 9 | $5.713,08 | 128 / 9 | $4.707,75 | 128 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 28 | $18.489,80 | 967 / 30 | $5.484,87 | 212 / 22 | $4.340,68 | 212 / 14 |
| Simple Pneumonia & Pleurisy W Mcc | 119 | 86 / 11 | $25.258,70 | 722 / 23 | $7.587,15 | 152 / 12 | $6.710,94 | 152 / 22 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 27 | $11.525,70 | 372 / 14 | $4.076,14 | 386 / 12 | $3.129,86 | 384 / 22 |
| Syncope & Collapse | 15 | 154 / 30 | $15.170,70 | 407 / 10 | $4.193,80 | 141 / 10 | $3.065,27 | 141 / 7 |
| Transient Ischemia | 16 | 109 / 26 | $10.600,80 | 82 / 1 | $4.049,12 | 389 / 7 | $3.253,12 | 388 / 13 | Total 54 procedures | 1.491 | 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.