Hospital Costs > In Tennessee > River Park Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Mcc | 73 | 211 / 21 | $27.062,30 | 903 / 33 | $8.054,21 | 215 / 24 | $7.261,66 | 215 / 27 |
| Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 24 | $28.753,90 | 957 / 28 | $7.595,56 | 133 / 13 | $6.670,28 | 133 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 31 | $24.687,00 | 1602 / 53 | $5.463,16 | 374 / 18 | $4.542,73 | 372 / 23 |
| Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 29 | $26.354,30 | 1229 / 40 | $6.460,23 | 154 / 23 | $5.291,28 | 154 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 38 | $19.450,40 | 1319 / 42 | $4.543,51 | 465 / 34 | $3.372,92 | 463 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 35 | 481 / 56 | $34.798,00 | 1040 / 36 | $9.910,11 | 251 / 28 | $9.059,83 | 251 / 35 |
| Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 41 | $16.750,00 | 1187 / 45 | $4.503,12 | 599 / 34 | $3.685,24 | 597 / 45 |
| Heart Failure & Shock W Cc | 33 | 245 / 36 | $18.834,40 | 1029 / 33 | $5.450,76 | 339 / 18 | $4.717,67 | 339 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 46 | $76.585,50 | 2140 / 51 | $12.525,60 | 199 / 25 | $9.716,70 | 199 / 20 |
| Renal Failure W Cc | 28 | 193 / 38 | $17.697,10 | 752 / 29 | $5.416,29 | 166 / 22 | $4.322,61 | 166 / 15 |
| Renal Failure W Mcc | 27 | 168 / 33 | $27.551,00 | 611 / 25 | $8.243,67 | 242 / 16 | $7.616,70 | 242 / 26 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 35 | $21.276,90 | 1142 / 39 | $5.287,00 | 220 / 22 | $4.221,00 | 220 / 19 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 31 | $15.839,30 | 1068 / 33 | $4.395,81 | 325 / 48 | $3.163,43 | 325 / 19 |
| G.I. Hemorrhage W Cc | 21 | 197 / 38 | $25.462,80 | 1238 / 34 | $6.058,62 | 22 / 41 | $4.049,10 | 22 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 30 | $25.736,20 | 962 / 33 | $6.042,58 | 245 / 17 | $5.343,63 | 245 / 25 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 24 | $36.545,60 | 638 / 14 | $10.508,10 | 2 / 20 | $8.008,65 | 2 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 19 | $36.706,40 | 864 / 21 | $6.539,62 | 131 / 5 | $5.787,62 | 131 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 30 | $50.461,80 | 1062 / 28 | $10.559,80 | 423 / 18 | $9.955,75 | 422 / 32 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 34 | $13.550,10 | 613 / 20 | $4.400,53 | 163 / 39 | $2.948,67 | 163 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 26 | $14.541,10 | 679 / 21 | $4.156,80 | 489 / 19 | $3.230,93 | 487 / 27 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 27 | $16.244,30 | 985 / 24 | $4.046,62 | 725 / 21 | $3.492,77 | 721 / 35 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 18 | $82.809,30 | 511 / 15 | $17.953,60 | 36 / 13 | $14.869,90 | 36 / 5 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 25 | $26.433,50 | 537 / 15 | $7.532,36 | 117 / 12 | $6.546,18 | 117 / 10 | Total 23 procedures | 656 | 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.