Hospital Costs > In Tennessee > Southern Tennessee Regional Health System Pulaski, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 35 | $13.570,80 | 380 / 9 | $5.401,64 | 1007 / 42 | $4.302,00 | 1003 / 41 |
| Cellulitis W/O Mcc | 17 | 172 / 39 | $20.657,00 | 1549 / 54 | $5.830,47 | 1535 / 61 | $4.763,18 | 1528 / 66 |
| Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 32 | $18.632,30 | 857 / 27 | $6.378,10 | 1568 / 63 | $5.627,76 | 1562 / 65 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 43 | $18.405,30 | 597 / 18 | $7.931,91 | 1627 / 64 | $7.038,70 | 1619 / 67 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 53 | $17.376,20 | 1045 / 30 | $5.089,33 | 1408 / 60 | $4.052,53 | 1397 / 63 |
| Heart Failure & Shock W Cc | 18 | 260 / 48 | $14.585,20 | 530 / 21 | $6.568,28 | 1620 / 65 | $5.898,06 | 1615 / 68 |
| Heart Failure & Shock W Mcc | 15 | 269 / 47 | $24.708,50 | 718 / 27 | $10.151,00 | 1677 / 69 | $9.425,67 | 1672 / 73 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 38 | $23.906,60 | 853 / 32 | $7.487,55 | 1353 / 50 | $7.158,82 | 1349 / 54 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 50 | $17.682,10 | 1309 / 50 | $5.252,91 | 1466 / 74 | $4.319,09 | 1457 / 72 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 16 | $17.647,50 | 285 / 10 | $7.551,08 | 757 / 32 | $6.505,48 | 754 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 37 | $17.801,50 | 1299 / 50 | $4.827,93 | 1155 / 64 | $3.776,20 | 1152 / 63 |
| Pulmonary Edema & Respiratory Failure | 22 | 181 / 38 | $29.569,50 | 1015 / 31 | $8.336,73 | 1165 / 46 | $7.186,36 | 1163 / 48 |
| Renal Failure W Cc | 20 | 201 / 44 | $15.891,20 | 553 / 19 | $6.494,55 | 1358 / 60 | $5.561,10 | 1350 / 61 |
| Renal Failure W Mcc | 21 | 174 / 38 | $25.717,80 | 500 / 20 | $10.530,30 | 1274 / 54 | $9.614,52 | 1274 / 56 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 108 | 408 / 30 | $31.194,90 | 840 / 32 | $12.377,10 | 1660 / 72 | $11.344,90 | 1628 / 74 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 39 | $17.718,60 | 583 / 19 | $7.593,24 | 1341 / 57 | $6.034,86 | 1336 / 57 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 53 | $21.610,80 | 1310 / 39 | $6.578,82 | 1814 / 74 | $5.869,18 | 1806 / 77 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 44 | $30.750,60 | 1087 / 32 | $9.743,55 | 1697 / 66 | $9.146,75 | 1697 / 69 | Total 18 procedures | 430 | 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.