Hospital Costs > In Tennessee > St Francis Hospital Memphis, 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 | 409 | 179 / 7 | $80.780,40 | 2222 / 53 | $14.663,80 | 1257 / 50 | $11.490,70 | 1226 / 51 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 131 | 385 / 25 | $100.603,00 | 2640 / 82 | $13.093,20 | 1899 / 76 | $12.041,20 | 1864 / 77 |
| Heart Failure & Shock W Cc | 126 | 152 / 9 | $50.096,60 | 2545 / 77 | $7.492,71 | 1696 / 72 | $5.993,95 | 1691 / 70 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 90 | 185 / 17 | $41.163,80 | 2494 / 72 | $5.706,34 | 1757 / 67 | $4.411,30 | 1744 / 67 |
| Heart Failure & Shock W Mcc | 87 | 197 / 18 | $70.799,20 | 2361 / 77 | $10.271,80 | 1311 / 71 | $8.731,02 | 1308 / 68 |
| Chest Pain | 85 | 66 / 2 | $31.737,80 | 1436 / 40 | $4.863,21 | 1092 / 37 | $3.718,00 | 1085 / 36 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 85 | 7 / 1 | $82.692,00 | 382 / 13 | $12.132,70 | 97 / 12 | $7.860,99 | 97 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 75 | 91 / 4 | $33.223,00 | 2219 / 75 | $5.242,09 | 1731 / 69 | $4.371,19 | 1726 / 71 |
| Simple Pneumonia & Pleurisy W Cc | 67 | 136 / 23 | $53.937,90 | 2628 / 83 | $6.992,75 | 1786 / 77 | $5.827,64 | 1778 / 76 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 66 | 130 / 15 | $98.179,70 | 1139 / 31 | $13.580,80 | 843 / 25 | $11.826,40 | 837 / 34 |
| Heart Failure & Shock W/O Cc/Mcc | 64 | 46 / 5 | $36.106,70 | 1838 / 51 | $5.304,58 | 1399 / 47 | $4.230,86 | 1388 / 46 |
| Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 24 | $37.739,10 | 2449 / 82 | $5.801,22 | 1766 / 77 | $4.645,06 | 1755 / 77 |
| Transient Ischemia | 64 | 61 / 5 | $37.873,10 | 1394 / 32 | $5.544,50 | 1029 / 30 | $4.096,83 | 1024 / 30 |
| Renal Failure W Mcc | 58 | 137 / 19 | $63.827,00 | 1807 / 59 | $10.240,20 | 1224 / 51 | $9.481,57 | 1224 / 54 |
| Renal Failure W Cc | 57 | 164 / 24 | $46.321,80 | 2189 / 69 | $6.907,51 | 1671 / 63 | $6.064,28 | 1662 / 65 |
| G.I. Hemorrhage W Cc | 56 | 162 / 21 | $52.279,90 | 2206 / 61 | $7.508,96 | 1436 / 58 | $5.867,12 | 1433 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 53 | 129 / 17 | $48.412,20 | 1704 / 44 | $7.754,45 | 1119 / 44 | $6.028,98 | 1116 / 42 |
| Syncope & Collapse | 51 | 118 / 11 | $34.814,60 | 1577 / 42 | $5.487,37 | 1186 / 39 | $4.373,55 | 1179 / 41 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 50 | 138 / 15 | $60.644,90 | 1392 / 39 | $7.874,46 | 1035 / 33 | $6.427,66 | 1032 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 49 | 158 / 21 | $55.440,90 | 2349 / 65 | $7.505,78 | 1715 / 56 | $6.611,90 | 1708 / 62 |
| Simple Pneumonia & Pleurisy W Mcc | 49 | 156 / 30 | $73.048,50 | 2273 / 72 | $10.191,10 | 1781 / 69 | $9.340,20 | 1781 / 70 |
| Red Blood Cell Disorders W/O Mcc | 47 | 96 / 6 | $43.858,30 | 1829 / 48 | $6.047,34 | 1098 / 43 | $4.650,06 | 1091 / 42 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 47 | 30 / 4 | $77.777,70 | 336 / 12 | $9.502,13 | 175 / 9 | $6.749,11 | 175 / 10 |
| Spinal Fusion Except Cervical W/O Mcc | 42 | 152 / 16 | $199.271,00 | 1273 / 31 | $24.299,20 | 700 / 17 | $23.132,80 | 696 / 27 |
| Pulmonary Edema & Respiratory Failure | 42 | 161 / 28 | $59.810,10 | 1929 / 57 | $8.598,81 | 1246 / 49 | $7.312,40 | 1244 / 49 |
| Kidney & Urinary Tract Infections W Mcc | 41 | 103 / 17 | $50.334,70 | 1690 / 56 | $7.678,51 | 1234 / 51 | $6.848,85 | 1230 / 52 |
| Cellulitis W/O Mcc | 41 | 148 / 21 | $41.994,70 | 2454 / 73 | $6.446,71 | 1356 / 65 | $4.582,78 | 1350 / 63 |
| Chronic Obstructive Pulmonary Disease W Cc | 39 | 140 / 25 | $43.727,40 | 2146 / 69 | $7.328,54 | 1460 / 67 | $5.456,72 | 1454 / 64 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 37 | 113 / 15 | $30.400,80 | 1766 / 46 | $4.397,24 | 1379 / 40 | $3.262,27 | 1373 / 42 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 18 | $70.498,90 | 1268 / 34 | $10.867,60 | 704 / 27 | $9.898,87 | 703 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 19 | $41.558,20 | 1935 / 50 | $6.126,42 | 1434 / 46 | $4.872,08 | 1429 / 45 |
| Other Circulatory System Diagnoses W Mcc | 34 | 82 / 9 | $73.412,60 | 1087 / 27 | $13.079,90 | 579 / 24 | $11.059,60 | 577 / 22 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 11 | $33.483,40 | 1698 / 55 | $5.508,03 | 1272 / 53 | $3.998,24 | 1265 / 51 |
| Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 39 | $53.020,80 | 2242 / 73 | $7.934,16 | 1563 / 65 | $6.929,03 | 1555 / 66 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 16 | $60.540,00 | 1689 / 43 | $9.252,75 | 1398 / 40 | $8.296,75 | 1395 / 41 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 21 | $33.694,70 | 1812 / 67 | $5.440,87 | 1543 / 62 | $4.531,80 | 1532 / 62 |
| G.I. Hemorrhage W/O Cc/Mcc | 30 | 38 / 2 | $38.433,60 | 904 / 23 | $5.344,80 | 671 / 19 | $4.268,33 | 667 / 19 |
| Signs & Symptoms W/O Mcc | 29 | 62 / 7 | $33.450,40 | 1093 / 30 | $5.318,28 | 827 / 29 | $4.359,59 | 824 / 28 |
| Medical Back Problems W/O Mcc | 29 | 92 / 12 | $39.552,80 | 1238 / 34 | $6.229,69 | 938 / 29 | $5.060,03 | 935 / 30 |
| Extracranial Procedures W/O Cc/Mcc | 29 | 69 / 10 | $78.166,70 | 891 / 26 | $7.391,07 | 606 / 20 | $6.125,14 | 604 / 24 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 23 | $106.832,00 | 1580 / 45 | $15.590,70 | 1138 / 40 | $14.759,30 | 1125 / 43 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 28 | 63 / 14 | $49.965,90 | 1182 / 32 | $7.425,96 | 950 / 27 | $6.524,04 | 948 / 32 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 27 | 29 / 6 | $70.823,80 | 796 / 23 | $10.732,80 | 560 / 19 | $9.525,33 | 558 / 22 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 27 | 44 / 9 | $198.137,00 | 740 / 29 | $33.963,00 | 416 / 26 | $30.973,30 | 416 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 13 | $37.235,40 | 1293 / 31 | $5.753,88 | 1031 / 27 | $4.410,24 | 1027 / 27 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 16 | $87.395,30 | 1497 / 31 | $12.036,70 | 760 / 30 | $10.447,10 | 758 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 17 | $59.460,60 | 1591 / 40 | $8.066,83 | 1053 / 35 | $7.238,79 | 1050 / 35 |
| Seizures W/O Mcc | 23 | 85 / 11 | $35.803,10 | 1073 / 24 | $5.838,22 | 702 / 22 | $4.500,43 | 699 / 20 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 14 | $146.978,00 | 1436 / 31 | $17.293,70 | 1029 / 29 | $16.031,10 | 1018 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 13 | $58.226,60 | 1255 / 31 | $8.255,35 | 793 / 22 | $7.367,00 | 788 / 26 |
| Diabetes W Cc | 22 | 70 / 13 | $34.849,00 | 1310 / 36 | $6.102,50 | 1027 / 31 | $5.203,14 | 1023 / 34 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 12 | $51.560,10 | 1284 / 30 | $6.938,38 | 691 / 24 | $5.543,05 | 687 / 26 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 13 | $198.466,00 | 744 / 19 | $38.731,00 | 268 / 19 | $32.750,00 | 267 / 13 |
| Hypertension W/O Mcc | 20 | 45 / 5 | $30.907,90 | 645 / 20 | $4.901,15 | 499 / 19 | $3.748,95 | 497 / 20 |
| Seizures W Mcc | 19 | 47 / 11 | $53.548,70 | 520 / 17 | $10.188,20 | 400 / 16 | $9.565,74 | 400 / 16 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 4 | $22.385,90 | 443 / 13 | $5.511,63 | 451 / 12 | $4.381,74 | 449 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 22 | $92.656,90 | 1660 / 44 | $10.683,70 | 462 / 33 | $8.899,42 | 462 / 28 |
| Nonspecific Cerebrovascular Disorders W Cc | 19 | 37 / 10 | $61.865,70 | 444 / 21 | $7.160,00 | 237 / 19 | $5.688,68 | 237 / 18 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 18 | 51 / 6 | $92.791,90 | 393 / 12 | $17.209,20 | 310 / 6 | $16.172,40 | 309 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 12 | $93.467,00 | 724 / 21 | $13.481,20 | 433 / 14 | $12.456,40 | 427 / 16 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 16 | $269.502,00 | 1195 / 28 | $34.341,20 | 761 / 24 | $33.034,80 | 759 / 26 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 14 | $49.330,20 | 1154 / 28 | $7.347,06 | 833 / 25 | $5.909,88 | 830 / 22 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 18 | $167.201,00 | 884 / 21 | $21.798,00 | 394 / 19 | $18.665,20 | 392 / 17 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 13 | $30.202,20 | 1116 / 26 | $5.493,19 | 583 / 25 | $3.059,50 | 582 / 19 |
| Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 20 | $143.564,00 | 855 / 26 | $28.801,90 | 33 / 27 | $16.012,40 | 33 / 5 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 16 | 48 / 10 | $379.758,00 | 414 / 17 | $64.855,60 | 225 / 15 | $60.482,60 | 225 / 15 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 30 | $88.118,70 | 1798 / 47 | $12.723,60 | 1240 / 43 | $11.769,50 | 1224 / 46 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 15 | 73 / 16 | $225.300,00 | 559 / 18 | $26.079,40 | 315 / 17 | $22.010,40 | 314 / 16 |
| G.I. Obstruction W Cc | 15 | 77 / 19 | $57.349,00 | 1657 / 40 | $7.606,20 | 339 / 39 | $4.253,87 | 338 / 18 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 11 | $83.751,30 | 741 / 21 | $10.028,30 | 160 / 20 | $5.068,47 | 160 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 15 | $114.846,00 | 725 / 25 | $20.388,20 | 490 / 23 | $19.185,40 | 487 / 25 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 9 | $31.841,40 | 777 / 18 | $4.980,40 | 567 / 15 | $4.102,53 | 566 / 15 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 16 | $39.489,60 | 1005 / 22 | $7.409,86 | 385 / 18 | $5.083,14 | 383 / 14 |
| Diabetes W Mcc | 14 | 43 / 8 | $53.400,40 | 590 / 14 | $9.363,50 | 292 / 10 | $8.088,50 | 292 / 10 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 12 | $77.876,30 | 566 / 16 | $16.032,00 | 123 / 17 | $10.860,10 | 122 / 8 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 13 | $96.780,70 | 718 / 22 | $11.275,80 | 368 / 19 | $8.968,71 | 368 / 18 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 12 | $58.381,60 | 937 / 25 | $8.560,86 | 511 / 18 | $7.541,71 | 509 / 19 |
| Organic Disturbances & Mental Retardation | 14 | 45 / 6 | $33.106,60 | 388 / 12 | $6.732,43 | 238 / 10 | $5.871,14 | 238 / 10 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 19 | $142.526,00 | 853 / 24 | $14.214,90 | 537 / 14 | $13.118,80 | 534 / 21 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 9 | $45.111,80 | 496 / 13 | $6.980,00 | 255 / 10 | $5.721,92 | 255 / 11 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 13 | 68 / 9 | $558.316,00 | 302 / 14 | $102.428,00 | 148 / 10 | $98.951,40 | 148 / 12 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 22 | $385.369,00 | 1562 / 30 | $48.093,70 | 1278 / 30 | $41.150,70 | 1268 / 30 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 15 | $90.829,20 | 709 / 14 | $17.719,70 | 262 / 15 | $14.383,20 | 261 / 11 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 13 | 46 / 8 | $225.800,00 | 195 / 10 | $35.782,50 | 35 / 8 | $30.216,70 | 35 / 5 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 19 | $66.796,70 | 848 / 33 | $9.378,92 | 463 / 26 | $8.395,75 | 462 / 28 |
| Dysequilibrium | 12 | 53 / 5 | $28.089,20 | 388 / 6 | $4.889,83 | 348 / 5 | $3.832,00 | 348 / 6 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 7 | $29.135,90 | 325 / 8 | $5.201,58 | 258 / 6 | $4.225,08 | 258 / 6 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 16 | $263.643,00 | 563 / 19 | $32.683,80 | 315 / 18 | $26.875,20 | 315 / 16 |
| Other Vascular Procedures W Cc | 11 | 91 / 17 | $183.045,00 | 1109 / 27 | $19.841,50 | 912 / 25 | $18.946,00 | 907 / 26 |
| Rectal Resection W/O Cc/Mcc | 11 | 8 / 2 | $66.512,70 | 18 / 2 | $10.473,50 | 7 / 1 | $8.064,55 | 7 / 1 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 8 | $54.979,70 | 420 / 14 | $7.406,82 | 214 / 10 | $6.203,73 | 214 / 11 |
| Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 12 | $120.434,00 | 544 / 16 | $22.098,20 | 168 / 12 | $17.656,50 | 168 / 11 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 4 | $41.088,50 | 271 / 4 | $5.187,09 | 124 / 2 | $4.155,82 | 124 / 2 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 7 | $77.095,80 | 543 / 14 | $9.276,55 | 301 / 8 | $8.448,73 | 301 / 10 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 15 | $102.139,00 | 812 / 25 | $11.644,30 | 357 / 20 | $8.909,36 | 357 / 21 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 11 | $37.969,00 | 525 / 15 | $7.186,27 | 306 / 11 | $5.573,64 | 305 / 10 |
| Atherosclerosis W/O Mcc | 11 | 47 / 8 | $31.444,50 | 462 / 11 | $4.933,27 | / | $3.450,82 | / |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 14 | $102.805,00 | 499 / 17 | $11.811,60 | 327 / 13 | $10.762,20 | 326 / 14 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 13 | $57.279,70 | 700 / 16 | $6.636,55 | 318 / 11 | $5.091,64 | 318 / 12 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 10 | $55.371,60 | 454 / 13 | $7.517,82 | 273 / 8 | $6.666,36 | 273 / 9 | Total 100 procedures | 3.507 | 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.