Hospital Costs > In Tennessee > Southern Tennessee Regional Hlth System Winchester, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Kidney & Urinary Tract Infections W/O Mcc | 111 | 122 / 8 | $16.964,90 | 1220 / 46 | $4.356,10 | 299 / 23 | $3.440,12 | 299 / 25 |
Simple Pneumonia & Pleurisy W Cc | 76 | 127 / 17 | $22.446,80 | 1397 / 43 | $5.513,36 | 291 / 24 | $4.458,20 | 289 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 64 | 211 / 25 | $19.856,80 | 1368 / 44 | $4.282,33 | 440 / 16 | $3.353,55 | 438 / 30 |
Heart Failure & Shock W Cc | 57 | 221 / 25 | $23.686,60 | 1554 / 54 | $5.480,93 | 409 / 19 | $4.800,93 | 409 / 30 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 53 | 67 / 7 | $18.397,70 | 1148 / 39 | $4.168,70 | 362 / 21 | $3.199,98 | 361 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 53 | 126 / 19 | $23.843,30 | 1375 / 50 | $5.300,51 | 419 / 24 | $4.446,06 | 418 / 31 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 48 | 516 / 41 | $64.515,00 | 1849 / 42 | $11.777,30 | 440 / 10 | $10.239,20 | 437 / 27 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 48 | 140 / 16 | $33.475,70 | 681 / 19 | $6.074,81 | 149 / 8 | $4.869,96 | 149 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 42 | 474 / 51 | $43.801,90 | 1518 / 52 | $9.413,38 | 53 / 12 | $8.432,69 | 53 / 10 |
Cellulitis W/O Mcc | 41 | 148 / 21 | $16.856,60 | 1108 / 36 | $4.757,59 | 184 / 17 | $3.535,02 | 184 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 19 | $14.985,30 | 955 / 31 | $4.033,82 | 602 / 18 | $3.382,33 | 600 / 39 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 39 | 54 / 7 | $20.209,00 | 1213 / 38 | $4.261,74 | 353 / 28 | $3.093,67 | 351 / 20 |
Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 33 | $32.060,90 | 1590 / 55 | $6.491,87 | 439 / 24 | $5.730,61 | 438 / 35 |
Respiratory Infections & Inflammations W Cc | 36 | 52 / 7 | $35.358,40 | 856 / 25 | $7.841,92 | 263 / 18 | $6.888,19 | 261 / 18 |
G.I. Hemorrhage W Cc | 36 | 182 / 29 | $23.357,80 | 1067 / 30 | $5.667,44 | 398 / 21 | $4.808,03 | 398 / 27 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 29 | $23.539,60 | 1122 / 36 | $5.779,45 | 358 / 11 | $5.048,30 | 357 / 27 |
Syncope & Collapse | 32 | 137 / 19 | $17.675,90 | 643 / 17 | $4.213,84 | 452 / 12 | $3.500,53 | 450 / 25 |
Chest Pain | 29 | 122 / 16 | $15.532,30 | 545 / 12 | $3.665,90 | 273 / 14 | $2.651,45 | 272 / 12 |
Renal Failure W Cc | 29 | 192 / 37 | $22.030,50 | 1182 / 42 | $5.168,38 | 392 / 12 | $4.647,55 | 389 / 31 |
Red Blood Cell Disorders W/O Mcc | 29 | 114 / 14 | $19.098,00 | 817 / 21 | $4.606,41 | 426 / 14 | $3.898,00 | 425 / 24 |
Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 15 | $15.287,50 | 882 / 22 | $3.892,50 | 279 / 11 | $3.070,79 | 277 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 26 | $26.509,90 | 892 / 24 | $5.723,42 | 3 / 8 | $3.949,81 | 3 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 26 | $19.539,90 | 1017 / 29 | $4.548,00 | 327 / 18 | $3.642,67 | 327 / 17 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 23 | $13.890,00 | 852 / 24 | $3.320,86 | 499 / 9 | $2.439,41 | 495 / 26 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 43 | $38.671,00 | 1511 / 49 | $7.670,38 | 218 / 16 | $6.862,76 | 218 / 26 |
Heart Failure & Shock W Mcc | 20 | 264 / 43 | $29.786,70 | 1068 / 40 | $7.675,70 | 208 / 12 | $7.253,30 | 208 / 26 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 19 | 34 / 8 | $27.741,10 | 529 / 18 | $4.325,68 | 122 / 5 | $3.374,11 | 122 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 29 | $52.942,30 | 1148 / 32 | $10.581,90 | 253 / 19 | $9.628,68 | 252 / 26 |
Signs & Symptoms W/O Mcc | 16 | 75 / 15 | $15.159,10 | 338 / 12 | $3.881,88 | 189 / 6 | $3.205,88 | 189 / 12 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 8 | $14.919,80 | 297 / 7 | $3.733,19 | 100 / 4 | $2.905,19 | 100 / 6 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 19 | $108.267,00 | 1283 / 28 | $14.407,50 | 532 / 17 | $13.725,50 | 526 / 26 |
Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 12 | $18.638,60 | 333 / 10 | $4.970,25 | 193 / 7 | $4.070,25 | 190 / 12 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 34 | $33.027,00 | 1291 / 44 | $5.973,27 | 290 / 13 | $5.410,07 | 289 / 28 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 22 | $40.044,30 | 1036 / 29 | $5.816,64 | 206 / 9 | $4.959,50 | 206 / 10 |
Medical Back Problems W/O Mcc | 13 | 108 / 22 | $16.300,20 | 297 / 10 | $4.731,23 | 260 / 9 | $3.894,31 | 260 / 14 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 33 | $76.189,60 | 1251 / 33 | $11.883,20 | 116 / 6 | $11.280,50 | 116 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 29 | $29.817,60 | 942 / 24 | $6.491,08 | 214 / 4 | $5.891,08 | 214 / 15 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 12 | $16.172,00 | 336 / 18 | $3.836,92 | 65 / 5 | $2.826,25 | 65 / 6 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 21 | $22.146,50 | 523 / 15 | $5.476,27 | 170 / 6 | $4.597,73 | 168 / 9 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 28 | $49.193,70 | 1056 / 34 | $10.517,20 | 256 / 21 | $9.916,45 | 256 / 26 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 20 | $39.010,70 | 556 / 25 | $7.440,64 | 22 / 10 | $6.219,73 | 22 / 5 | Total 41 procedures | 1.287 | 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.