Hospital Costs > In Tennessee > Northcrest Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 11 | 52 / 9 | $62.411,80 | 71 / 3 | $20.698,30 | 60 / 4 | $17.574,40 | 60 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 39 | $16.364,60 | 649 / 24 | $5.971,37 | 940 / 58 | $4.907,84 | 937 / 58 |
| Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 24 | $23.145,20 | 989 / 30 | $7.352,00 | 1115 / 60 | $6.355,47 | 1110 / 61 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 34 | $18.161,50 | 1124 / 37 | $5.042,60 | 808 / 59 | $3.581,53 | 804 / 50 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 33 | $23.009,80 | 199 / 9 | $6.788,77 | 724 / 25 | $5.777,08 | 722 / 31 |
| G.I. Hemorrhage W Cc | 13 | 205 / 45 | $20.990,00 | 834 / 24 | $6.382,54 | 77 / 48 | $4.301,69 | 77 / 11 |
| Heart Failure & Shock W Cc | 16 | 262 / 50 | $19.354,60 | 1099 / 37 | $6.278,75 | 1418 / 57 | $5.672,75 | 1413 / 65 |
| Heart Failure & Shock W Mcc | 26 | 258 / 38 | $29.664,10 | 1059 / 39 | $9.306,46 | 1095 / 64 | $8.424,65 | 1092 / 65 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 48 | $15.852,70 | 1055 / 39 | $5.083,67 | 1476 / 72 | $4.331,67 | 1467 / 73 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 47 | 517 / 42 | $40.953,20 | 806 / 14 | $13.287,40 | 1033 / 38 | $11.124,30 | 1011 / 47 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 39 | $13.319,00 | 731 / 26 | $4.707,23 | 1281 / 61 | $3.870,31 | 1277 / 64 |
| Renal Failure W Cc | 21 | 200 / 43 | $16.057,00 | 569 / 21 | $6.088,33 | 663 / 53 | $4.892,05 | 656 / 49 |
| Renal Failure W Mcc | 15 | 180 / 43 | $24.703,10 | 443 / 17 | $9.389,13 | 859 / 45 | $8.668,07 | 859 / 47 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 24 | $28.181,90 | 614 / 18 | $8.560,33 | 702 / 31 | $7.755,00 | 697 / 30 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 26 | $37.522,00 | 673 / 15 | $11.667,80 | 450 / 35 | $10.388,80 | 447 / 30 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 32 | $41.596,80 | 368 / 10 | $13.009,80 | 450 / 22 | $12.313,20 | 445 / 27 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 21 | $83.087,30 | 135 / 5 | $31.291,50 | 376 / 22 | $30.305,20 | 376 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 44 | 472 / 49 | $35.613,00 | 1080 / 38 | $11.107,00 | 954 / 64 | $10.128,50 | 948 / 66 |
| Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 40 | $20.455,90 | 1175 / 36 | $6.139,47 | 1217 / 65 | $5.236,75 | 1213 / 71 |
| Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 31 | $30.325,30 | 1053 / 31 | $9.157,65 | 1369 / 61 | $8.440,76 | 1369 / 64 | Total 20 procedures | 468 | 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.