Hospital Costs > In Tennessee > Skyridge Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 194 | 122 / 6 | $16.002,00 | 212 / 4 | $5.755,44 | 54 / 2 | $4.847,95 | 54 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 120 | 444 / 30 | $124.717,00 | 2605 / 57 | $12.776,90 | 572 / 28 | $10.429,00 | 567 / 33 |
Heart Failure & Shock W Cc | 87 | 191 / 15 | $33.750,10 | 2131 / 67 | $5.756,53 | 829 / 38 | $5.159,20 | 828 / 54 |
Simple Pneumonia & Pleurisy W Cc | 87 | 116 / 13 | $46.445,00 | 2496 / 80 | $5.745,84 | 587 / 40 | $4.733,06 | 584 / 40 |
Chronic Obstructive Pulmonary Disease W Mcc | 79 | 123 / 17 | $46.122,80 | 2097 / 71 | $6.776,24 | 576 / 41 | $5.846,62 | 575 / 44 |
Chronic Obstructive Pulmonary Disease W Cc | 78 | 101 / 8 | $31.022,50 | 1769 / 56 | $5.474,35 | 633 / 30 | $4.664,09 | 631 / 45 |
Kidney & Urinary Tract Infections W/O Mcc | 76 | 157 / 21 | $31.253,20 | 2263 / 79 | $4.619,45 | 440 / 46 | $3.574,04 | 440 / 32 |
Simple Pneumonia & Pleurisy W Mcc | 74 | 131 / 18 | $55.682,40 | 2031 / 65 | $8.248,31 | 530 / 42 | $7.357,03 | 530 / 46 |
Renal Failure W Cc | 71 | 150 / 17 | $35.108,20 | 1902 / 63 | $5.686,49 | 356 / 38 | $4.597,80 | 353 / 25 |
Pulmonary Edema & Respiratory Failure | 69 | 134 / 16 | $49.793,80 | 1747 / 54 | $7.062,74 | 505 / 22 | $6.339,49 | 505 / 34 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 68 | 448 / 40 | $72.777,10 | 2325 / 79 | $10.494,30 | 592 / 48 | $9.658,54 | 591 / 54 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 60 | 65 / 1 | $15.777,10 | 370 / 8 | $4.205,03 | 100 / 5 | $3.202,03 | 100 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 27 | $33.687,90 | 2312 / 68 | $4.576,97 | 493 / 37 | $3.399,51 | 491 / 34 |
Heart Failure & Shock W Mcc | 54 | 230 / 29 | $51.018,70 | 2010 / 69 | $8.500,06 | 297 / 48 | $7.413,07 | 297 / 33 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 13 | $28.880,00 | 2091 / 70 | $4.281,66 | 721 / 39 | $3.468,06 | 719 / 46 |
Renal Failure W Mcc | 49 | 146 / 24 | $53.801,50 | 1655 / 53 | $8.538,55 | 406 / 28 | $7.923,37 | 406 / 33 |
Cellulitis W/O Mcc | 45 | 144 / 18 | $28.079,30 | 2050 / 70 | $5.034,40 | 729 / 39 | $4.068,71 | 725 / 50 |
G.I. Hemorrhage W Cc | 42 | 176 / 26 | $48.178,20 | 2124 / 60 | $5.899,17 | 670 / 33 | $5.062,60 | 669 / 41 |
Chest Pain | 42 | 109 / 10 | $27.144,30 | 1300 / 33 | $3.771,43 | 418 / 21 | $2.848,76 | 416 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 21 | $27.315,20 | 1511 / 39 | $4.768,97 | 423 / 25 | $3.749,82 | 423 / 22 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 18 | $29.946,80 | 1708 / 61 | $4.390,42 | 489 / 38 | $3.317,73 | 488 / 33 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 22 | $84.793,10 | 1761 / 44 | $12.155,80 | 34 / 39 | $8.830,45 | 34 / 6 |
Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 14 | $24.826,60 | 1544 / 43 | $4.073,55 | 388 / 25 | $3.201,83 | 386 / 23 |
Cervical Spinal Fusion W/O Cc/Mcc | 29 | 75 / 10 | $186.819,00 | 879 / 25 | $15.634,30 | 669 / 21 | $14.472,40 | 666 / 24 |
Red Blood Cell Disorders W/O Mcc | 26 | 117 / 17 | $29.826,80 | 1492 / 38 | $4.829,27 | 408 / 25 | $3.875,96 | 407 / 22 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 25 | $76.591,10 | 1257 / 34 | $12.612,70 | 204 / 14 | $11.568,20 | 202 / 18 |
Syncope & Collapse | 25 | 144 / 25 | $29.245,60 | 1408 / 37 | $4.541,44 | 199 / 23 | $3.192,64 | 198 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 35 | $49.746,60 | 2255 / 64 | $6.251,44 | 550 / 35 | $5.263,28 | 548 / 41 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 20 | $19.861,30 | 1383 / 38 | $3.522,80 | 409 / 19 | $2.363,12 | 406 / 22 |
Pulmonary Embolism W/O Mcc | 24 | 50 / 10 | $41.309,50 | 1069 / 25 | $5.840,54 | 350 / 13 | $4.890,54 | 350 / 16 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 20 | $60.629,50 | 1276 / 39 | $11.231,50 | 64 / 29 | $9.190,17 | 64 / 10 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 26 | $43.554,40 | 1579 / 52 | $6.983,09 | 178 / 47 | $5.217,43 | 178 / 20 |
Medical Back Problems W/O Mcc | 21 | 100 / 16 | $33.215,00 | 1114 / 32 | $5.116,38 | 153 / 19 | $3.666,86 | 153 / 10 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 21 | $31.627,10 | 1662 / 54 | $4.250,19 | 614 / 26 | $3.331,33 | 611 / 36 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 10 | $75.632,00 | 817 / 24 | $9.194,20 | 167 / 13 | $8.043,80 | 167 / 12 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 13 | $164.603,00 | 623 / 26 | $28.298,40 | 116 / 10 | $26.632,80 | 116 / 14 |
Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 23 | $331.914,00 | 1358 / 33 | $29.940,40 | 1133 / 30 | $28.998,50 | 1128 / 33 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 24 | $48.348,90 | 1500 / 38 | $7.516,78 | 692 / 30 | $6.647,44 | 689 / 31 |
G.I. Hemorrhage W Mcc | 18 | 103 / 21 | $75.471,20 | 1395 / 30 | $9.967,17 | 357 / 13 | $9.295,17 | 357 / 13 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 7 | $38.250,20 | 846 / 19 | $4.053,65 | 108 / 8 | $2.923,53 | 108 / 7 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 7 | $35.139,40 | 873 / 22 | $4.415,65 | 108 / 13 | $2.960,18 | 108 / 7 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 24 | $67.009,70 | 1422 / 37 | $8.721,88 | 35 / 7 | $7.246,71 | 35 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 21 | $35.344,70 | 1172 / 33 | $6.040,41 | 137 / 7 | $5.398,53 | 136 / 11 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 21 | $30.116,10 | 741 / 20 | $5.795,56 | 330 / 8 | $5.191,56 | 329 / 18 |
Signs & Symptoms W/O Mcc | 15 | 76 / 16 | $22.731,30 | 803 / 23 | $4.193,20 | 301 / 14 | $3.386,80 | 300 / 18 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 20 | $110.741,00 | 1298 / 29 | $15.441,90 | 7 / 22 | $10.539,80 | 7 / 3 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 16 | $24.861,10 | 642 / 13 | $5.633,21 | 71 / 6 | $4.287,21 | 71 / 6 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 15 | $29.798,60 | 1108 / 25 | $3.738,86 | 493 / 9 | $2.959,43 | 492 / 16 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 13 | $17.314,60 | 208 / 6 | $4.490,54 | 327 / 7 | $3.840,69 | 324 / 16 |
Diabetes W Cc | 13 | 79 / 21 | $36.303,30 | 1332 / 38 | $4.962,00 | 673 / 16 | $4.494,31 | 671 / 30 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 20 | $35.055,60 | 1023 / 25 | $5.715,00 | 220 / 10 | $4.712,33 | 218 / 11 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 14 | $77.907,30 | 718 / 23 | $9.888,67 | 45 / 15 | $7.476,33 | 45 / 8 |
Pulmonary Embolism W Mcc | 12 | 31 / 10 | $56.361,00 | 462 / 15 | $8.733,42 | 124 / 10 | $7.829,42 | 124 / 10 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 19 | $51.848,10 | 731 / 32 | $7.974,17 | 182 / 18 | $7.168,83 | 181 / 20 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 18 | $234.658,00 | 850 / 22 | $40.370,60 | 118 / 22 | $30.365,80 | 118 / 7 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 18 | $44.545,30 | 888 / 26 | $6.713,64 | 311 / 12 | $6.160,91 | 310 / 19 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 21 | $180.877,00 | 974 / 25 | $28.276,50 | 306 / 15 | $27.511,40 | 304 / 16 |
Pleural Effusion W Mcc | 11 | 19 / 8 | $51.235,30 | 132 / 12 | $8.485,18 | 15 / 2 | $7.606,64 | 15 / 3 | Total 58 procedures | 2.153 | 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.