Hospital Costs > In Tennessee > Takoma Regional Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 67 | 449 / 41 | $34.462,10 | 1026 / 35 | $10.571,70 | 358 / 52 | $9.282,64 | 358 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 27 | $17.934,00 | 593 / 20 | $6.901,77 | 513 / 52 | $5.222,74 | 511 / 38 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 49 | $27.480,00 | 1810 / 59 | $6.032,32 | 1176 / 57 | $5.213,12 | 1172 / 70 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 50 | $37.575,50 | 617 / 9 | $13.111,60 | 299 / 36 | $9.961,09 | 299 / 22 |
| Heart Failure & Shock W Cc | 21 | 257 / 45 | $20.942,20 | 1282 / 48 | $6.074,67 | 819 / 49 | $5.155,81 | 818 / 53 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 49 | $17.240,80 | 1030 / 29 | $4.664,80 | 838 / 40 | $3.654,05 | 833 / 51 |
| Cellulitis W/O Mcc | 17 | 172 / 39 | $16.016,60 | 999 / 31 | $5.276,24 | 1265 / 49 | $4.491,29 | 1259 / 61 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 54 | $14.212,80 | 823 / 29 | $4.941,62 | 774 / 65 | $3.807,62 | 769 / 53 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 41 | $32.501,20 | 1170 / 39 | $7.432,25 | 240 / 36 | $6.002,00 | 240 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 38 | $16.792,40 | 1179 / 42 | $4.434,64 | 1121 / 51 | $3.742,07 | 1118 / 62 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 33 | $12.892,50 | 308 / 7 | $5.060,23 | 567 / 37 | $3.881,92 | 565 / 29 |
| G.I. Obstruction W Cc | 12 | 80 / 22 | $16.151,80 | 371 / 12 | $5.554,00 | 739 / 27 | $4.746,00 | 738 / 31 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 37 | $15.214,80 | 804 / 27 | $4.656,00 | 901 / 49 | $3.656,00 | 893 / 53 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 50 | $27.634,80 | 1319 / 46 | $7.012,25 | 1159 / 52 | $6.406,92 | 1153 / 62 |
| Chest Pain | 11 | 140 / 27 | $19.171,40 | 859 / 23 | $4.064,18 | 833 / 28 | $3.293,27 | 828 / 34 |
| Heart Failure & Shock W Mcc | 11 | 273 / 50 | $24.070,30 | 668 / 25 | $8.582,00 | 696 / 51 | $7.924,55 | 696 / 53 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 18 | $11.613,70 | 164 / 8 | $4.386,91 | 385 / 18 | $3.508,36 | 384 / 22 | Total 17 procedures | 335 | 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.