Hospital Costs > In Tennessee > Saint Thomas Rutherford Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 291 | 276 / 15 | $53.348,50 | 1439 / 32 | $13.906,80 | 370 / 45 | $10.110,50 | 369 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 180 | 336 / 19 | $39.585,50 | 1301 / 46 | $10.597,70 | 485 / 53 | $9.485,60 | 485 / 49 |
| Kidney & Urinary Tract Infections W/O Mcc | 145 | 88 / 3 | $16.247,30 | 1113 / 43 | $4.713,17 | 626 / 54 | $3.707,65 | 624 / 47 |
| Simple Pneumonia & Pleurisy W Cc | 115 | 88 / 6 | $20.511,30 | 1183 / 37 | $5.877,27 | 817 / 50 | $4.924,56 | 814 / 50 |
| Renal Failure W Cc | 115 | 106 / 7 | $21.049,90 | 1085 / 40 | $5.776,01 | 770 / 45 | $4.978,52 | 763 / 52 |
| Heart Failure & Shock W Cc | 114 | 164 / 10 | $17.150,20 | 825 / 27 | $6.152,80 | 709 / 54 | $5.072,47 | 708 / 48 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 105 | 170 / 10 | $14.994,80 | 758 / 22 | $4.774,85 | 503 / 48 | $3.406,70 | 501 / 36 |
| Heart Failure & Shock W Mcc | 94 | 190 / 16 | $26.679,60 | 875 / 31 | $8.566,38 | 505 / 50 | $7.694,88 | 505 / 46 |
| Chronic Obstructive Pulmonary Disease W Mcc | 93 | 109 / 12 | $23.005,10 | 976 / 28 | $7.996,84 | 654 / 67 | $5.931,47 | 650 / 49 |
| Chronic Obstructive Pulmonary Disease W Cc | 92 | 87 / 6 | $17.769,50 | 776 / 26 | $5.666,75 | 677 / 45 | $4.707,23 | 675 / 48 |
| Cellulitis W/O Mcc | 83 | 106 / 5 | $12.396,60 | 520 / 16 | $5.199,07 | 621 / 45 | $3.988,92 | 618 / 47 |
| Simple Pneumonia & Pleurisy W Mcc | 80 | 125 / 16 | $28.685,90 | 951 / 27 | $8.116,60 | 371 / 36 | $7.147,89 | 371 / 39 |
| Renal Failure W Mcc | 71 | 124 / 14 | $29.723,10 | 747 / 29 | $8.891,10 | 583 / 34 | $8.175,38 | 583 / 41 |
| G.I. Hemorrhage W Cc | 67 | 151 / 16 | $22.285,90 | 965 / 26 | $6.126,91 | 314 / 43 | $4.725,18 | 314 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 64 | 143 / 13 | $21.783,50 | 945 / 33 | $6.480,44 | 769 / 42 | $5.455,11 | 767 / 48 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 64 | 102 / 7 | $16.218,50 | 1107 / 37 | $4.392,69 | 644 / 47 | $3.412,50 | 642 / 41 |
| Hip & Femur Procedures Except Major Joint W Cc | 61 | 82 / 10 | $43.647,50 | 790 / 21 | $11.173,30 | 243 / 28 | $9.600,46 | 242 / 25 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 58 | 62 / 4 | $13.365,50 | 592 / 18 | $4.499,47 | 639 / 44 | $3.436,72 | 638 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 47 | 76 / 11 | $25.561,20 | 692 / 14 | $7.376,98 | 659 / 26 | $6.605,60 | 656 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 47 | 135 / 20 | $26.428,40 | 887 / 23 | $6.460,08 | 502 / 33 | $5.222,64 | 501 / 33 |
| G.I. Obstruction W Cc | 46 | 46 / 6 | $20.257,30 | 673 / 20 | $5.409,00 | 475 / 21 | $4.437,17 | 474 / 24 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 45 | 86 / 16 | $62.272,00 | 962 / 27 | $16.417,70 | 1240 / 42 | $15.314,30 | 1227 / 44 |
| Kidney & Urinary Tract Infections W Mcc | 44 | 100 / 15 | $20.643,20 | 611 / 18 | $6.570,25 | 628 / 37 | $5.850,61 | 627 / 42 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 42 | 83 / 12 | $30.551,10 | 460 / 13 | $9.190,86 | 254 / 15 | $8.433,90 | 254 / 21 |
| Pulmonary Edema & Respiratory Failure | 39 | 164 / 30 | $24.652,40 | 710 / 24 | $7.215,05 | 728 / 30 | $6.626,74 | 728 / 38 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 37 | 151 / 21 | $35.814,60 | 796 / 23 | $6.564,14 | 450 / 20 | $5.362,51 | 448 / 24 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 9 | $15.314,30 | 765 / 25 | $4.474,27 | 497 / 36 | $3.234,73 | 495 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 18 | $45.571,60 | 847 / 21 | $10.519,50 | 441 / 25 | $9.191,30 | 440 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 20 | $17.515,10 | 817 / 27 | $4.894,76 | 589 / 31 | $3.899,00 | 587 / 30 |
| Syncope & Collapse | 34 | 135 / 18 | $18.594,90 | 734 / 20 | $4.647,44 | 404 / 28 | $3.455,71 | 402 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 33 | 63 / 7 | $25.300,20 | 447 / 13 | $7.407,33 | 207 / 18 | $6.009,94 | 206 / 12 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 11 | $13.068,20 | 611 / 15 | $4.252,12 | 487 / 33 | $3.299,88 | 485 / 25 |
| Other Vascular Procedures W Cc | 29 | 73 / 9 | $75.083,00 | 596 / 17 | $15.346,40 | 443 / 16 | $14.598,30 | 440 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 14 | $15.655,00 | 176 / 6 | $6.517,86 | 293 / 18 | $5.698,43 | 290 / 18 |
| Diabetes W Cc | 28 | 64 / 9 | $12.465,40 | 176 / 7 | $5.366,25 | 122 / 26 | $3.648,96 | 122 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 22 | $81.057,80 | 889 / 21 | $13.715,60 | 203 / 26 | $9.815,07 | 203 / 17 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 27 | 46 / 7 | $23.800,30 | 432 / 16 | $6.809,41 | 263 / 15 | $6.036,07 | 262 / 18 |
| Red Blood Cell Disorders W/O Mcc | 27 | 116 / 16 | $18.449,80 | 751 / 19 | $4.954,85 | 659 / 29 | $4.148,93 | 655 / 35 |
| Other Digestive System Diagnoses W Cc | 27 | 70 / 10 | $19.810,80 | 399 / 10 | $5.853,52 | 433 / 14 | $5.093,81 | 430 / 18 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 13 | $51.091,80 | 444 / 13 | $14.716,20 | 274 / 19 | $12.758,50 | 272 / 16 |
| Fractures Of Hip & Pelvis W/O Mcc | 25 | 36 / 3 | $10.896,40 | 111 / 7 | $4.269,64 | 285 / 15 | $3.426,12 | 286 / 18 |
| Pulmonary Embolism W/O Mcc | 25 | 49 / 9 | $17.541,00 | 262 / 9 | $5.906,24 | 351 / 16 | $4.891,20 | 351 / 17 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 7 | $38.219,10 | 593 / 15 | $9.273,17 | 78 / 18 | $7.464,17 | 78 / 9 |
| Signs & Symptoms W/O Mcc | 24 | 67 / 9 | $19.199,10 | 612 / 20 | $4.299,46 | 274 / 15 | $3.347,46 | 273 / 15 |
| G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 7 | $14.830,20 | 518 / 15 | $4.240,67 | 220 / 18 | $2.567,38 | 220 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 14 | $21.617,40 | 690 / 18 | $4.762,38 | 322 / 14 | $3.399,92 | 319 / 18 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 15 | $23.874,40 | 422 / 13 | $7.207,52 | 143 / 5 | $6.631,52 | 143 / 13 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 18 | $57.502,30 | 1152 / 24 | $15.110,60 | 1006 / 33 | $11.282,60 | 998 / 32 |
| Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 7 | $14.876,60 | 185 / 7 | $5.606,87 | 123 / 15 | $3.869,00 | 122 / 8 |
| Medical Back Problems W/O Mcc | 22 | 99 / 15 | $19.566,20 | 487 / 14 | $5.182,82 | 346 / 20 | $4.029,36 | 346 / 20 |
| Other Vascular Procedures W Mcc | 21 | 76 / 10 | $68.225,10 | 239 / 7 | $20.432,20 | 94 / 15 | $16.884,00 | 94 / 7 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 15 | $39.944,70 | 484 / 13 | $10.756,50 | 319 / 13 | $10.067,80 | 318 / 16 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 21 | 32 / 7 | $23.280,00 | 401 / 13 | $4.677,95 | 257 / 12 | $3.704,24 | 256 / 15 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 23 | $38.725,30 | 732 / 16 | $11.157,40 | 599 / 28 | $10.672,60 | 591 / 34 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 14 | $21.470,30 | 140 / 8 | $7.480,45 | 69 / 11 | $6.644,50 | 69 / 13 |
| Peripheral Vascular Disorders W Cc | 20 | 64 / 12 | $24.552,70 | 620 / 10 | $6.520,80 | 681 / 14 | $5.796,00 | 678 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 25 | $11.523,20 | 527 / 16 | $3.811,65 | 539 / 31 | $2.477,55 | 535 / 27 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 15 | $95.286,20 | 344 / 9 | $26.552,70 | 136 / 7 | $25.597,80 | 136 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 19 | $27.111,50 | 610 / 18 | $6.234,63 | 378 / 17 | $5.279,68 | 377 / 22 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 19 | 84 / 8 | $22.844,50 | 329 / 8 | $5.896,21 | 263 / 9 | $5.369,89 | 263 / 10 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 19 | 49 / 8 | $18.897,30 | 194 / 4 | $5.616,47 | 168 / 7 | $4.520,53 | 168 / 7 |
| Transient Ischemia | 18 | 107 / 24 | $17.787,40 | 477 / 12 | $4.506,33 | 410 / 21 | $3.279,22 | 409 / 16 |
| Seizures W/O Mcc | 17 | 91 / 14 | $19.191,90 | 508 / 13 | $4.732,71 | 332 / 9 | $3.814,12 | 330 / 14 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 17 | 45 / 5 | $17.086,00 | 265 / 10 | $4.715,76 | 239 / 7 | $3.718,12 | 239 / 8 |
| Hypertension W/O Mcc | 17 | 48 / 8 | $12.577,90 | 128 / 6 | $3.986,47 | 179 / 12 | $2.843,88 | 177 / 12 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 12 | $35.075,50 | 303 / 12 | $9.387,29 | 251 / 14 | $8.321,88 | 250 / 15 |
| Chest Pain | 16 | 135 / 24 | $14.188,90 | 420 / 8 | $3.974,31 | 447 / 25 | $2.879,44 | 445 / 26 |
| Seizures W Mcc | 16 | 50 / 13 | $28.511,80 | 144 / 8 | $8.280,88 | 50 / 4 | $7.298,88 | 50 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 10 | $42.442,90 | 309 / 11 | $9.573,19 | 235 / 11 | $8.441,19 | 235 / 18 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 24 | $76.854,10 | 480 / 9 | $24.149,90 | 178 / 16 | $19.729,40 | 177 / 13 |
| G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 9 | $18.280,10 | 476 / 14 | $4.352,87 | 271 / 12 | $3.309,67 | 269 / 15 |
| Cellulitis W Mcc | 15 | 43 / 9 | $32.973,30 | 438 / 14 | $8.708,87 | 84 / 13 | $6.911,87 | 84 / 8 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 19 | $25.647,20 | 304 / 13 | $6.287,20 | 370 / 16 | $5.399,73 | 370 / 20 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 15 | $90.209,50 | 624 / 20 | $20.489,60 | 621 / 19 | $19.523,20 | 618 / 21 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 6 | $14.987,70 | 132 / 6 | $4.126,40 | 206 / 6 | $3.401,07 | 206 / 10 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 21 | $95.835,70 | 444 / 9 | $31.419,90 | 134 / 15 | $26.054,20 | 134 / 12 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 12 | $23.826,60 | 262 / 9 | $7.381,21 | 244 / 12 | $6.688,64 | 244 / 13 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 10 | $16.864,10 | 390 / 10 | $4.105,43 | 162 / 9 | $3.042,21 | 161 / 11 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 8 | $10.150,80 | 121 / 10 | $3.904,36 | 259 / 12 | $3.042,64 | 258 / 17 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 15 | $20.003,40 | 298 / 11 | $5.595,69 | 197 / 14 | $4.488,00 | 197 / 13 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 7 | $37.428,10 | 182 / 9 | $11.099,00 | 24 / 9 | $8.883,08 | 24 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 16 | $52.983,20 | 383 / 10 | $12.681,70 | 280 / 12 | $11.475,50 | 277 / 16 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 12 | 31 / 5 | $21.853,90 | 196 / 4 | $4.249,00 | 94 / 3 | $3.243,67 | 94 / 3 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 15 | $38.821,20 | 277 / 14 | $10.790,30 | 37 / 16 | $6.999,67 | 37 / 4 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 14 | $227.428,00 | 200 / 11 | $56.988,80 | 154 / 9 | $56.011,50 | 154 / 12 |
| Extracranial Procedures W Cc | 11 | 35 / 8 | $36.411,20 | 133 / 4 | $11.693,30 | 4 / 7 | $6.595,18 | 4 / 1 |
| G.I. Obstruction W Mcc | 11 | 31 / 9 | $38.378,60 | 227 / 7 | $9.092,45 | 59 / 5 | $8.103,36 | 59 / 4 |
| Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 9 | $29.295,50 | 59 / 2 | $9.924,82 | 65 / 3 | $9.375,00 | 65 / 6 |
| Dysequilibrium | 11 | 54 / 6 | $17.351,40 | 185 / 3 | $4.141,91 | 78 / 2 | $2.637,64 | 78 / 2 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 11 | 66 / 9 | $44.378,40 | 215 / 10 | $11.657,80 | 4 / 10 | $5.790,91 | 4 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 23 | $100.148,00 | 583 / 21 | $24.134,10 | 299 / 24 | $18.533,00 | 299 / 21 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 19 | $115.870,00 | 293 / 9 | $32.590,80 | 227 / 9 | $32.041,00 | 226 / 12 | Total 92 procedures | 3.555 | 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.