Hospital Costs > In Tennessee > Tennova Healthcare-Lafollett Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 15 | 174 / 41 | $13.779,90 | 698 / 24 | $4.767,67 | 352 / 19 | $3.750,80 | 349 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 33 | $21.133,20 | 1123 / 37 | $5.247,54 | 437 / 19 | $4.469,25 | 436 / 33 |
| Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 24 | $22.943,50 | 969 / 27 | $6.395,05 | 244 / 19 | $5.491,58 | 243 / 25 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 25 | $21.993,30 | 1405 / 49 | $4.150,21 | 151 / 18 | $2.927,62 | 151 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 49 | $17.736,40 | 1091 / 34 | $4.235,80 | 228 / 13 | $3.149,40 | 228 / 17 |
| Heart Failure & Shock W Cc | 19 | 259 / 47 | $18.802,30 | 1021 / 32 | $5.503,16 | 348 / 22 | $4.724,21 | 348 / 27 |
| Heart Failure & Shock W Mcc | 48 | 236 / 32 | $29.519,30 | 1053 / 38 | $8.054,60 | 204 / 25 | $7.247,94 | 204 / 25 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 37 | $23.101,30 | 795 / 28 | $6.078,50 | 187 / 19 | $5.230,50 | 187 / 21 |
| Kidney & Urinary Tract Infections W/O Mcc | 50 | 183 / 34 | $14.944,20 | 925 / 33 | $4.296,48 | 499 / 18 | $3.621,28 | 499 / 38 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 27 | $14.768,60 | 925 / 30 | $3.991,54 | 479 / 10 | $3.294,11 | 479 / 29 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 43 | $25.562,10 | 768 / 25 | $6.775,69 | 186 / 13 | $5.879,92 | 186 / 18 |
| Renal Failure W Cc | 13 | 208 / 49 | $12.636,20 | 268 / 11 | $5.408,08 | 493 / 21 | $4.755,77 | 489 / 40 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 24 | $26.981,30 | 567 / 16 | $7.341,58 | 114 / 6 | $6.538,92 | 114 / 9 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 26 | $48.402,70 | 1029 / 32 | $10.344,80 | 87 / 16 | $9.318,38 | 87 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 46 | 470 / 48 | $23.843,20 | 471 / 17 | $10.098,80 | 237 / 34 | $9.030,70 | 237 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 42 | $20.512,00 | 830 / 26 | $5.886,22 | 567 / 17 | $5.281,78 | 565 / 44 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 46 | $22.710,80 | 1416 / 46 | $5.426,24 | 492 / 15 | $4.638,38 | 489 / 33 |
| Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 37 | $35.024,20 | 1352 / 47 | $7.833,55 | 367 / 23 | $7.137,30 | 367 / 38 |
| Syncope & Collapse | 12 | 157 / 33 | $16.335,20 | 514 / 13 | $4.143,42 | 389 / 8 | $3.436,75 | 387 / 21 | Total 19 procedures | 493 | 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.