Hospital Costs > In Tennessee > Sweetwater Hospital Association, 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 | 37 | 166 / 39 | $25.882,80 | 1687 / 56 | $5.576,46 | 484 / 29 | $4.632,89 | 481 / 32 |
| Respiratory Infections & Inflammations W Mcc | 33 | 103 / 15 | $59.809,30 | 1262 / 37 | $11.049,80 | 398 / 27 | $10.255,60 | 397 / 29 |
| Heart Failure & Shock W Cc | 28 | 250 / 40 | $21.913,10 | 1393 / 50 | $5.603,54 | 619 / 27 | $5.000,11 | 618 / 44 |
| Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 41 | $32.994,50 | 1226 / 41 | $8.285,12 | 157 / 45 | $6.731,73 | 157 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 44 | $28.767,00 | 2110 / 59 | $4.471,24 | 751 / 25 | $3.599,56 | 747 / 47 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 14 | $47.743,30 | 1110 / 32 | $8.174,00 | 438 / 26 | $7.222,04 | 435 / 25 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 23 | $20.999,40 | 1260 / 39 | $4.444,39 | 421 / 34 | $3.166,89 | 419 / 24 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 42 | $17.067,30 | 708 / 25 | $5.347,94 | 285 / 27 | $4.297,94 | 284 / 26 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 33 | $20.130,40 | 1273 / 44 | $4.274,06 | 548 / 27 | $3.366,06 | 547 / 36 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 37 | $21.205,30 | 1663 / 59 | $4.292,00 | 887 / 40 | $3.566,67 | 884 / 54 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 25 | $19.661,60 | 1273 / 36 | $4.105,33 | 592 / 27 | $3.382,13 | 590 / 31 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 55 | $23.523,60 | 1889 / 67 | $4.539,57 | 832 / 39 | $3.844,71 | 827 / 56 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 14 | 502 / 65 | $26.640,60 | 627 / 21 | $10.152,60 | 467 / 36 | $9.460,00 | 467 / 46 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 49 | $27.905,90 | 1339 / 47 | $6.457,38 | 171 / 22 | $5.342,31 | 171 / 16 |
| Renal Failure W Mcc | 12 | 183 / 46 | $38.522,60 | 1224 / 42 | $8.407,58 | 458 / 22 | $8.007,58 | 458 / 36 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 28 | $21.805,30 | 1059 / 30 | $4.762,50 | 299 / 21 | $3.757,17 | 298 / 17 |
| Heart Failure & Shock W Mcc | 12 | 272 / 49 | $31.545,90 | 1189 / 47 | $8.299,83 | 680 / 38 | $7.897,17 | 680 / 52 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 11 | 18 / 3 | $23.122,50 | 54 / 3 | $5.562,00 | 5 / 1 | $4.286,27 | 5 / 1 | Total 18 procedures | 341 | 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.