Hospital Costs > In Tennessee > Tennova Healthcare-Jefferson Memorial 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 | 63 | 453 / 42 | $29.900,40 | 776 / 31 | $10.062,30 | 165 / 33 | $8.850,86 | 165 / 25 |
| Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 34 | $22.672,90 | 1412 / 45 | $5.829,32 | 648 / 45 | $4.774,64 | 645 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 26 | $20.812,60 | 863 / 27 | $6.835,17 | 257 / 51 | $4.940,47 | 256 / 20 |
| Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 23 | $18.055,10 | 433 / 14 | $5.287,03 | 6 / 1 | $4.451,72 | 6 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 41 | $22.752,70 | 950 / 26 | $6.454,36 | 251 / 21 | $5.503,50 | 250 / 26 |
| Cellulitis W/O Mcc | 24 | 165 / 32 | $12.532,40 | 533 / 18 | $4.428,25 | 11 / 3 | $2.963,54 | 11 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 46 | $16.832,80 | 979 / 27 | $4.405,30 | 631 / 21 | $3.514,87 | 627 / 41 |
| Renal Failure W Cc | 22 | 199 / 42 | $17.314,50 | 707 / 27 | $4.643,27 | 2 / 4 | $3.378,91 | 2 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 50 | $15.899,50 | 1061 / 41 | $3.665,73 | 19 / 3 | $2.839,55 | 19 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 45 | $29.160,40 | 984 / 29 | $9.132,89 | 1332 / 59 | $8.371,58 | 1332 / 63 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 39 | $19.432,30 | 947 / 28 | $4.577,74 | 5 / 3 | $3.368,47 | 5 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 34 | $17.414,30 | 1256 / 48 | $4.243,11 | 493 / 37 | $3.302,67 | 491 / 33 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 23 | $16.956,60 | 1056 / 27 | $3.232,28 | 9 / 2 | $2.432,28 | 9 / 2 |
| Heart Failure & Shock W Cc | 17 | 261 / 49 | $19.131,10 | 1063 / 34 | $4.585,94 | 14 / 3 | $3.945,94 | 14 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 32 | $15.469,60 | 837 / 29 | $3.429,12 | 4 / 2 | $2.295,94 | 4 / 2 |
| Heart Failure & Shock W Mcc | 16 | 268 / 46 | $23.682,20 | 642 / 24 | $7.493,88 | 27 / 6 | $6.587,88 | 27 / 6 |
| G.I. Hemorrhage W Cc | 15 | 203 / 43 | $20.518,70 | 793 / 23 | $4.855,80 | 25 / 2 | $4.055,80 | 25 / 3 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 42 | $29.683,70 | 1023 / 32 | $8.784,07 | 1632 / 50 | $8.223,07 | 1627 / 54 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 14 | 550 / 53 | $56.764,00 | 1568 / 36 | $20.975,70 | 2604 / 58 | $19.935,70 | 2558 / 58 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 28 | $14.825,30 | 969 / 27 | $2.985,86 | 61 / 3 | $1.861,29 | 61 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 36 | $20.348,00 | 499 / 18 | $5.183,08 | 14 / 1 | $4.156,62 | 14 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 34 | $32.726,10 | 322 / 8 | $9.814,42 | 31 / 3 | $8.811,75 | 31 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 34 | $22.559,90 | 1251 / 34 | $3.779,58 | 14 / 1 | $2.974,25 | 14 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 29 | $17.940,80 | 1019 / 30 | $4.132,83 | 490 / 14 | $3.231,42 | 488 / 28 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 17 | $24.264,90 | 231 / 8 | $7.350,91 | 22 / 1 | $6.908,73 | 22 / 5 | Total 25 procedures | 533 | 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.