Hospital Costs > In Tennessee > Sycamore Shoals Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 26 | $31.871,10 | 510 / 14 | $7.891,86 | 22 / 1 | $7.117,00 | 22 / 1 |
| Cellulitis W/O Mcc | 34 | 155 / 26 | $17.290,30 | 1160 / 39 | $4.662,06 | 260 / 11 | $3.643,18 | 258 / 22 |
| Chest Pain | 13 | 138 / 26 | $17.573,80 | 737 / 16 | $3.595,85 | 353 / 11 | $2.754,00 | 352 / 17 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 46 | $15.520,40 | 563 / 20 | $5.257,00 | 122 / 20 | $4.052,64 | 122 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 45 | $23.066,90 | 980 / 29 | $6.358,60 | 56 / 16 | $5.008,10 | 56 / 10 |
| Diabetes W Cc | 11 | 81 / 23 | $20.720,30 | 742 / 23 | $4.713,36 | 158 / 9 | $3.730,09 | 158 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 41 | 234 / 36 | $16.287,90 | 913 / 23 | $4.319,12 | 419 / 17 | $3.338,56 | 417 / 26 |
| G.I. Hemorrhage W Cc | 18 | 200 / 41 | $23.196,40 | 1050 / 29 | $5.550,33 | 58 / 16 | $4.224,89 | 58 / 8 |
| G.I. Obstruction W Cc | 11 | 81 / 23 | $15.332,80 | 311 / 7 | $5.012,73 | 181 / 8 | $4.026,55 | 180 / 10 |
| Heart Failure & Shock W Cc | 14 | 264 / 52 | $17.044,70 | 810 / 26 | $5.030,07 | 118 / 5 | $4.386,64 | 118 / 14 |
| Heart Failure & Shock W Mcc | 30 | 254 / 37 | $34.621,60 | 1377 / 55 | $7.346,87 | 52 / 4 | $6.782,60 | 52 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 36 | $38.502,30 | 1459 / 49 | $5.878,00 | 54 / 10 | $4.863,85 | 54 / 5 |
| Kidney & Urinary Tract Infections W/O Mcc | 57 | 176 / 28 | $16.087,10 | 1084 / 42 | $4.315,09 | 179 / 20 | $3.270,79 | 179 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 50 | $74.606,00 | 2105 / 49 | $11.970,00 | 177 / 13 | $9.647,32 | 177 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 38 | $13.745,80 | 794 / 27 | $4.015,07 | 393 / 15 | $3.235,64 | 393 / 26 |
| Pulmonary Edema & Respiratory Failure | 78 | 125 / 15 | $26.548,70 | 826 / 27 | $6.689,24 | 53 / 12 | $5.511,41 | 53 / 7 |
| Renal Failure W Cc | 34 | 187 / 32 | $15.212,20 | 482 / 15 | $5.081,53 | 32 / 8 | $3.983,21 | 32 / 5 |
| Renal Failure W Mcc | 18 | 177 / 41 | $25.127,20 | 469 / 18 | $7.809,06 | 52 / 6 | $7.003,72 | 52 / 5 |
| Respiratory Infections & Inflammations W Mcc | 23 | 113 / 21 | $48.675,00 | 1038 / 33 | $9.692,48 | 44 / 3 | $9.010,74 | 44 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 46 | 470 / 48 | $38.356,10 | 1231 / 42 | $9.355,83 | 24 / 9 | $8.084,85 | 24 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 44 | $26.655,70 | 1396 / 42 | $5.699,20 | 16 / 7 | $4.123,13 | 16 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 45 | $18.956,90 | 1021 / 31 | $5.245,93 | 153 / 7 | $4.241,13 | 153 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 60 | 145 / 23 | $32.118,90 | 1176 / 39 | $7.597,02 | 139 / 14 | $6.682,82 | 139 / 18 | Total 23 procedures | 627 | 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.