Hospital Costs > In Tennessee > Tristar Hendersonville Medical Center, 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 | 72 | 444 / 39 | $61.166,50 | 2114 / 69 | $10.954,80 | 210 / 62 | $8.955,40 | 210 / 30 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 71 | 493 / 36 | $67.375,20 | 1926 / 45 | $13.835,90 | 392 / 43 | $10.155,50 | 391 / 26 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 57 | 131 / 14 | $47.732,30 | 1145 / 30 | $6.568,44 | 473 / 21 | $5.405,39 | 471 / 25 |
Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 36 | $26.176,30 | 2040 / 70 | $4.811,83 | 714 / 59 | $3.764,02 | 710 / 51 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 34 | $30.514,80 | 2191 / 62 | $5.397,75 | 501 / 64 | $3.406,11 | 499 / 35 |
Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 32 | $41.282,70 | 1963 / 65 | $7.252,15 | 472 / 58 | $5.758,08 | 471 / 37 |
Chest Pain | 39 | 112 / 12 | $29.190,10 | 1364 / 37 | $3.885,85 | 363 / 22 | $2.770,77 | 362 / 20 |
Renal Failure W Cc | 37 | 184 / 30 | $32.573,90 | 1818 / 59 | $5.735,38 | 586 / 42 | $4.832,81 | 580 / 45 |
Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 39 | $40.812,90 | 2349 / 75 | $6.064,46 | 614 / 63 | $4.751,05 | 611 / 41 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 35 | $52.407,50 | 1974 / 62 | $8.804,06 | 500 / 53 | $7.322,57 | 500 / 44 |
G.I. Hemorrhage W Cc | 32 | 186 / 31 | $40.345,20 | 1964 / 54 | $6.223,19 | 739 / 44 | $5.125,22 | 737 / 45 |
Syncope & Collapse | 32 | 137 / 19 | $35.158,10 | 1588 / 43 | $4.629,06 | 384 / 27 | $3.431,53 | 382 / 20 |
Heart Failure & Shock W Cc | 29 | 249 / 39 | $35.193,00 | 2188 / 71 | $6.122,97 | 714 / 53 | $5.076,17 | 713 / 49 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 27 | $23.018,70 | 1776 / 63 | $4.402,71 | 836 / 50 | $3.538,71 | 833 / 51 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 35 | $31.330,80 | 1787 / 57 | $6.033,12 | 764 / 60 | $4.770,88 | 762 / 53 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 25 | $27.640,30 | 1637 / 54 | $4.995,92 | 298 / 56 | $3.135,92 | 298 / 22 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 26 | $86.768,20 | 1001 / 26 | $19.551,00 | 8 / 37 | $8.229,57 | 8 / 2 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 26 | $36.590,30 | 1400 / 48 | $6.684,48 | 573 / 40 | $5.796,83 | 572 / 41 |
Heart Failure & Shock W Mcc | 22 | 262 / 41 | $46.671,50 | 1901 / 67 | $8.798,14 | 930 / 54 | $8.190,14 | 929 / 59 |
Cellulitis W/O Mcc | 21 | 168 / 35 | $22.614,30 | 1694 / 57 | $5.215,90 | 447 / 46 | $3.832,81 | 444 / 39 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 24 | $26.869,80 | 1679 / 43 | $3.640,10 | 827 / 25 | $2.690,76 | 823 / 35 |
Renal Failure W Mcc | 19 | 176 / 40 | $50.351,80 | 1586 / 50 | $8.941,00 | 448 / 38 | $7.987,74 | 448 / 35 |
Signs & Symptoms W/O Mcc | 19 | 72 / 13 | $33.237,60 | 1087 / 29 | $4.649,58 | 265 / 24 | $3.332,00 | 264 / 14 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 23 | $33.912,90 | 1710 / 56 | $4.542,00 | 608 / 41 | $3.324,28 | 605 / 35 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 31 | $61.661,90 | 1393 / 36 | $11.229,80 | 565 / 29 | $10.182,30 | 563 / 40 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 32 | $29.052,30 | 1598 / 43 | $4.919,00 | 653 / 33 | $3.963,57 | 650 / 32 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 26 | $59.133,70 | 1314 / 34 | $9.691,50 | 205 / 22 | $8.313,64 | 205 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 46 | $44.431,00 | 2157 / 60 | $7.163,15 | 328 / 54 | $5.025,08 | 327 / 26 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 27 | $35.569,60 | 1677 / 45 | $5.815,00 | 121 / 42 | $3.468,69 | 121 / 7 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 24 | $40.219,00 | 965 / 28 | $7.394,83 | 214 / 8 | $6.789,50 | 213 / 16 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 23 | $161.271,00 | 1085 / 26 | $40.813,20 | 4 / 29 | $19.760,50 | 4 / 1 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 33 | $84.056,90 | 1356 / 40 | $13.046,80 | 503 / 24 | $12.444,10 | 496 / 33 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 28 | $20.475,20 | 1313 / 38 | $4.293,08 | 833 / 36 | $3.586,42 | 829 / 42 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 37 | $44.012,50 | 1616 / 42 | $6.215,67 | 484 / 24 | $5.207,67 | 483 / 31 |
Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 23 | $81.730,50 | 399 / 12 | $21.958,40 | 50 / 20 | $16.262,90 | 50 / 8 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 25 | $53.008,10 | 1219 / 33 | $6.307,55 | 62 / 19 | $4.566,18 | 62 / 5 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 13 | $19.313,30 | 492 / 12 | $4.031,55 | 261 / 7 | $3.257,73 | 260 / 13 | Total 37 procedures | 975 | 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.