Hospital Costs > In Mississippi > Tri Lakes Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 99 | 22 / 2 | $8.541,22 | 10 / 1 | $8.016,15 | 27 / 3 | $6.967,32 | 27 / 2 |
| Alcohol/Drug Abuse Or Dependence, Left Ama | 13 | 36 / 4 | $3.446,92 | 14 / 2 | $4.003,08 | 40 / 3 | $3.120,92 | 39 / 2 |
| Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 4 | $13.669,40 | 104 / 7 | $5.018,00 | 245 / 11 | $4.015,33 | 245 / 10 |
| Cellulitis W/O Mcc | 19 | 170 / 22 | $18.853,50 | 1346 / 31 | $5.981,26 | 1688 / 39 | $4.960,63 | 1681 / 44 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 24 | $25.351,60 | 1470 / 31 | $6.353,53 | 1291 / 32 | $5.265,24 | 1286 / 35 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 30 | $29.681,40 | 1456 / 34 | $9.579,19 | 1329 / 47 | $6.604,56 | 1323 / 34 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 13 | $19.885,70 | 1257 / 27 | $5.374,38 | 1520 / 38 | $4.467,38 | 1509 / 41 |
| Diabetes W Cc | 15 | 77 / 19 | $19.803,10 | 682 / 14 | $5.912,73 | 1066 / 20 | $5.309,53 | 1062 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 27 | $13.322,30 | 547 / 17 | $5.559,28 | 1823 / 45 | $4.519,83 | 1810 / 45 |
| Heart Failure & Shock W Cc | 27 | 251 / 31 | $22.902,10 | 1480 / 35 | $6.885,44 | 1763 / 47 | $6.077,15 | 1758 / 47 |
| Heart Failure & Shock W Mcc | 24 | 260 / 27 | $31.403,30 | 1179 / 25 | $9.567,79 | 1259 / 34 | $8.662,46 | 1256 / 34 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 22 | $12.199,30 | 498 / 16 | $4.991,58 | 1048 / 28 | $3.781,92 | 1040 / 24 |
| Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 28 | $13.943,20 | 787 / 26 | $5.534,65 | 1707 / 42 | $4.560,48 | 1696 / 45 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 17 | $14.798,90 | 932 / 27 | $5.807,49 | 1680 / 46 | $4.297,57 | 1675 / 41 |
| Psychoses | 180 | 133 / 4 | $10.838,40 | 82 / 3 | $6.985,18 | 303 / 11 | $6.009,18 | 303 / 11 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 25 | $35.493,00 | 1312 / 27 | $8.200,55 | 1363 / 31 | $7.513,36 | 1359 / 32 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 23 | $14.793,50 | 434 / 15 | $5.947,47 | 1185 / 34 | $4.771,88 | 1177 / 28 |
| Renal Failure W Cc | 15 | 206 / 29 | $20.750,10 | 1053 / 20 | $6.641,07 | 1499 / 32 | $5.755,73 | 1490 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 26 | 490 / 35 | $36.857,70 | 1143 / 26 | $11.431,70 | 1300 / 31 | $10.646,60 | 1278 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 25 | $23.475,20 | 1114 / 20 | $7.183,67 | 1632 / 31 | $6.474,33 | 1625 / 37 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 24 | $21.903,20 | 1340 / 35 | $6.957,70 | 1635 / 50 | $5.654,00 | 1628 / 41 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 27 | $35.610,30 | 1391 / 31 | $9.084,47 | 1450 / 31 | $8.602,33 | 1450 / 39 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 19 | $17.883,20 | 1008 / 25 | $5.281,20 | 1522 / 37 | $4.498,80 | 1514 / 39 | Total 23 procedures | 707 | 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.