Hospital Costs > In Tennessee > Roane Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 80 | 436 / 37 | $25.834,10 | 576 / 20 | $9.981,49 | 269 / 32 | $9.094,42 | 269 / 37 |
| Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 33 | $20.264,40 | 742 / 24 | $6.694,95 | 539 / 36 | $5.810,61 | 538 / 42 |
| Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 37 | $20.024,10 | 392 / 14 | $8.198,39 | 278 / 40 | $6.982,12 | 278 / 32 |
| Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 30 | $12.823,40 | 306 / 11 | $5.647,03 | 169 / 43 | $4.113,16 | 169 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 46 | $11.590,10 | 466 / 20 | $4.453,96 | 324 / 29 | $3.461,96 | 324 / 26 |
| Heart Failure & Shock W Cc | 27 | 251 / 41 | $13.702,50 | 431 / 15 | $5.592,96 | 175 / 26 | $4.493,00 | 175 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 50 | $14.278,70 | 477 / 14 | $5.388,35 | 114 / 13 | $4.168,17 | 114 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 38 | $15.721,20 | 409 / 15 | $5.929,09 | 299 / 21 | $4.992,36 | 298 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 47 | $11.882,30 | 373 / 12 | $5.062,64 | 180 / 57 | $3.079,23 | 180 / 12 |
| Heart Failure & Shock W Mcc | 21 | 263 / 42 | $26.190,40 | 839 / 30 | $8.474,90 | 744 / 46 | $7.984,24 | 744 / 54 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 30 | $10.537,40 | 293 / 10 | $4.166,26 | 316 / 20 | $3.154,05 | 316 / 24 |
| Cellulitis W/O Mcc | 18 | 171 / 38 | $11.253,10 | 387 / 9 | $4.621,39 | 317 / 8 | $3.710,06 | 314 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 34 | $10.018,30 | 313 / 11 | $4.011,83 | 202 / 14 | $3.010,94 | 202 / 10 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 40 | $22.102,50 | 546 / 15 | $7.034,82 | 289 / 20 | $6.071,06 | 289 / 26 |
| Renal Failure W Mcc | 16 | 179 / 42 | $15.118,80 | 68 / 2 | $8.576,69 | 61 / 29 | $7.072,25 | 61 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 32 | $14.126,50 | 429 / 11 | $4.497,64 | 559 / 13 | $3.870,21 | 557 / 28 |
| Renal Failure W Cc | 12 | 209 / 50 | $12.289,80 | 239 / 8 | $5.442,42 | 230 / 24 | $4.431,75 | 229 / 17 |
| Chest Pain | 11 | 140 / 27 | $13.363,10 | 342 / 5 | $3.566,91 | 309 / 8 | $2.694,18 | 308 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 27 | $21.579,90 | 130 / 3 | $8.658,73 | 100 / 2 | $8.106,00 | 100 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 34 | $52.450,80 | 693 / 20 | $15.427,20 | 1098 / 38 | $14.551,50 | 1086 / 41 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 20 | $26.060,00 | 248 / 11 | $10.130,00 | 632 / 31 | $9.362,00 | 630 / 33 | Total 21 procedures | 484 | 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.