Hospital Costs > In Tennessee > Saint Thomas Hospital For Specialty Surgery, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Spinal Fusion Except Cervical W/O Mcc | 230 | 19 / 1 | $57.989,40 | 188 / 2 | $22.121,70 | 85 / 6 | $18.765,60 | 84 / 8 |
Cervical Spinal Fusion W/O Cc/Mcc | 113 | 10 / 2 | $36.681,00 | 143 / 5 | $12.560,00 | 95 / 10 | $10.355,80 | 95 / 6 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 27 | 62 / 6 | $21.278,60 | 106 / 5 | $6.410,26 | 46 / 7 | $4.506,89 | 46 / 1 |
Cervical Spinal Fusion W Cc | 11 | 42 / 7 | $37.656,10 | 30 / 1 | $15.669,60 | 50 / 1 | $14.465,30 | 50 / 2 | Total 4 procedures | 381 | 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.