Hospital Costs > In Tennessee > Stones River Hospital & Dekalb Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 40 | 84 / 4 | $6.319,50 | 39 / 1 | $4.164,85 | 144 / 4 | $3.383,25 | 144 / 5 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 54 | $11.222,80 | 424 / 16 | $4.718,81 | 591 / 55 | $3.681,81 | 589 / 43 |
| Renal Failure W Cc | 13 | 208 / 49 | $11.251,20 | 159 / 3 | $5.644,15 | 788 / 35 | $4.989,38 | 781 / 53 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 25 | $14.651,60 | 93 / 2 | $7.715,91 | 311 / 15 | $7.000,27 | 309 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 15 | 501 / 64 | $12.805,60 | 28 / 2 | $9.389,67 | 134 / 11 | $8.745,40 | 134 / 22 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 51 | $13.356,50 | 384 / 11 | $5.844,65 | 843 / 47 | $4.942,25 | 840 / 54 | Total 6 procedures | 115 | 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.