Hospital Costs > In Tennessee > Stones River Hospital And Dekalb Community Hosp, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 41 | $12.004,50 | 126 / 5 | $7.038,86 | 568 / 53 | $5.836,93 | 567 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 20 | 496 / 60 | $16.444,20 | 112 / 4 | $10.381,80 | 290 / 45 | $9.151,80 | 290 / 38 |
| Heart Failure & Shock W Mcc | 19 | 265 / 44 | $14.298,40 | 122 / 5 | $8.320,95 | 468 / 39 | $7.644,74 | 468 / 42 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 52 | $12.972,50 | 355 / 10 | $5.893,84 | 838 / 52 | $4.940,58 | 835 / 52 |
| Heart Failure & Shock W Cc | 18 | 260 / 48 | $11.414,60 | 225 / 9 | $5.643,61 | 383 / 29 | $4.767,17 | 383 / 29 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 41 | $10.634,50 | 137 / 4 | $5.752,88 | 352 / 49 | $4.379,06 | 351 / 29 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 52 | $34.128,30 | 403 / 6 | $12.502,40 | 1152 / 24 | $11.303,30 | 1125 / 49 |
| Renal Failure W Cc | 17 | 204 / 46 | $11.261,30 | 162 / 4 | $5.835,29 | 865 / 47 | $5.054,12 | 858 / 55 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 56 | $11.408,40 | 442 / 18 | $4.520,33 | 370 / 35 | $3.512,33 | 370 / 27 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 30 | $8.928,18 | 140 / 4 | $4.459,45 | 183 / 35 | $2.864,36 | 181 / 14 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 25 | $16.552,10 | 142 / 4 | $8.080,18 | 586 / 25 | $7.530,36 | 583 / 29 | Total 11 procedures | 189 | 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.