Hospital Costs > In Tennessee > Starr Regional Medical Center Athens, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 63 | 140 / 25 | $21.528,50 | 1305 / 38 | $5.751,13 | 514 / 41 | $4.656,73 | 511 / 36 |
| Kidney & Urinary Tract Infections W/O Mcc | 56 | 177 / 29 | $17.165,20 | 1242 / 47 | $4.596,43 | 554 / 41 | $3.658,14 | 553 / 40 |
| Heart Failure & Shock W Cc | 44 | 234 / 31 | $19.481,10 | 1119 / 39 | $5.784,39 | 602 / 40 | $4.988,02 | 602 / 42 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 42 | 51 / 6 | $14.870,00 | 722 / 23 | $4.332,36 | 663 / 31 | $3.385,31 | 660 / 38 |
| Kidney & Urinary Tract Infections W Mcc | 41 | 103 / 17 | $23.689,00 | 830 / 30 | $6.444,71 | 391 / 33 | $5.555,17 | 390 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 40 | 476 / 53 | $36.265,50 | 1107 / 39 | $9.862,17 | 206 / 26 | $8.946,78 | 206 / 29 |
| G.I. Hemorrhage W Cc | 33 | 185 / 30 | $22.117,10 | 949 / 25 | $5.818,94 | 608 / 29 | $5.011,18 | 607 / 40 |
| Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 37 | $31.919,20 | 1165 / 38 | $8.089,15 | 395 / 34 | $7.175,70 | 395 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 41 | $17.544,70 | 1069 / 31 | $4.760,29 | 298 / 44 | $3.228,77 | 297 / 20 |
| Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 40 | $25.485,10 | 1164 / 37 | $6.671,73 | 325 / 35 | $5.588,03 | 324 / 28 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 23 | $14.271,20 | 697 / 23 | $4.429,62 | 395 / 40 | $3.226,15 | 394 / 28 |
| Cellulitis W/O Mcc | 26 | 163 / 31 | $18.678,50 | 1322 / 48 | $4.953,88 | 380 / 32 | $3.778,58 | 377 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 30 | $16.933,40 | 1197 / 45 | $4.353,86 | 873 / 44 | $3.558,23 | 870 / 53 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 50 | $83.070,40 | 2260 / 54 | $12.318,80 | 505 / 22 | $10.326,50 | 502 / 30 |
| Organic Disturbances & Mental Retardation | 22 | 37 / 3 | $24.611,30 | 267 / 8 | $5.931,27 | 115 / 5 | $5.158,91 | 115 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 19 | $14.981,00 | 853 / 21 | $4.195,41 | 796 / 30 | $3.552,86 | 792 / 40 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 26 | $45.921,90 | 510 / 14 | $10.767,90 | 23 / 1 | $10.135,50 | 23 / 3 |
| Heart Failure & Shock W Mcc | 21 | 263 / 42 | $30.569,00 | 1118 / 42 | $8.356,86 | 571 / 41 | $7.779,33 | 571 / 48 |
| Renal Failure W Cc | 20 | 201 / 44 | $18.666,20 | 847 / 33 | $5.564,90 | 521 / 31 | $4.777,70 | 517 / 42 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 40 | $21.263,10 | 1140 / 38 | $5.595,67 | 623 / 41 | $4.655,22 | 621 / 44 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 43 | $28.831,70 | 1546 / 47 | $7.755,38 | 145 / 60 | $4.752,19 | 145 / 14 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 25 | $19.854,00 | 886 / 26 | $5.176,47 | 273 / 35 | $3.727,87 | 273 / 15 |
| G.I. Obstruction W Cc | 15 | 77 / 19 | $21.762,70 | 777 / 27 | $5.143,20 | 462 / 14 | $4.417,87 | 461 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 27 | $38.832,10 | 1285 / 31 | $7.876,93 | 954 / 32 | $7.068,40 | 951 / 36 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 32 | $48.441,30 | 993 / 24 | $10.942,00 | 450 / 25 | $9.991,14 | 449 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 29 | $13.703,00 | 831 / 23 | $3.582,00 | 424 / 22 | $2.375,85 | 421 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 36 | $18.011,50 | 351 / 14 | $6.038,85 | 400 / 18 | $5.110,85 | 399 / 27 | Total 27 procedures | 734 | 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.