Hospital Costs > In Tennessee > Tristar Southern Hills Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 25 | $59.957,50 | 1326 / 35 | $10.648,90 | 137 / 31 | $8.064,73 | 137 / 12 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 10 | $46.260,10 | 231 / 8 | $10.420,80 | 50 / 3 | $8.921,00 | 50 / 6 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 13 | $41.386,50 | 488 / 18 | $6.433,00 | 229 / 8 | $5.315,46 | 229 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 30 | $34.701,70 | 1149 / 27 | $7.077,55 | 462 / 19 | $6.315,36 | 459 / 25 |
Cellulitis W/O Mcc | 20 | 169 / 36 | $22.676,60 | 1701 / 58 | $4.829,40 | 480 / 22 | $3.861,40 | 477 / 41 |
Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 17 | $52.643,00 | 373 / 16 | $14.906,70 | 81 / 17 | $10.245,80 | 81 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 35 | $24.992,20 | 1450 / 51 | $5.523,88 | 526 / 39 | $4.567,88 | 524 / 37 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 38 | $35.259,70 | 1752 / 58 | $6.932,88 | 692 / 46 | $5.966,76 | 688 / 52 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 31 | $25.000,90 | 1539 / 52 | $4.308,67 | 648 / 31 | $3.441,11 | 646 / 43 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 26 | $50.946,50 | 1227 / 33 | $9.277,25 | 84 / 39 | $4.700,25 | 84 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 39 | $28.514,70 | 2093 / 58 | $4.764,29 | 1340 / 45 | $4.004,49 | 1329 / 61 |
G.I. Hemorrhage W Cc | 15 | 203 / 43 | $29.947,90 | 1549 / 44 | $6.273,67 | 553 / 45 | $4.956,20 | 552 / 35 |
Heart Failure & Shock W Cc | 32 | 246 / 37 | $32.030,20 | 2059 / 66 | $6.101,41 | 1026 / 51 | $5.309,41 | 1024 / 58 |
Heart Failure & Shock W Mcc | 26 | 258 / 38 | $35.176,90 | 1406 / 56 | $8.273,62 | 290 / 36 | $7.404,08 | 290 / 32 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 27 | $18.210,50 | 1169 / 33 | $4.157,15 | 322 / 29 | $3.128,23 | 320 / 20 |
Hypertension W/O Mcc | 12 | 53 / 13 | $26.992,00 | 584 / 19 | $3.860,00 | 138 / 9 | $2.753,33 | 138 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 28 | $39.077,20 | 1488 / 35 | $6.981,83 | 314 / 38 | $4.991,87 | 313 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 24 | $58.535,60 | 1117 / 30 | $9.885,00 | 375 / 20 | $9.021,00 | 374 / 23 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 33 | $27.666,90 | 1076 / 36 | $6.327,69 | 325 / 26 | $5.455,69 | 324 / 29 |
Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 41 | $22.602,70 | 1819 / 65 | $4.817,00 | 693 / 61 | $3.749,56 | 689 / 50 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 47 | 517 / 42 | $53.346,10 | 1438 / 31 | $14.037,40 | 193 / 46 | $9.687,68 | 193 / 19 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 24 | $85.580,50 | 1064 / 25 | $16.374,50 | 131 / 24 | $12.081,10 | 131 / 11 |
Medical Back Problems W/O Mcc | 12 | 109 / 23 | $30.337,10 | 1022 / 27 | $5.107,92 | 397 / 18 | $4.097,25 | 397 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 25 | $19.763,80 | 393 / 14 | $6.545,27 | 338 / 20 | $5.771,45 | 335 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 34 | $16.871,80 | 1186 / 43 | $4.299,00 | 753 / 41 | $3.488,33 | 751 / 49 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 30 | $86.715,00 | 1000 / 25 | $11.620,80 | 470 / 9 | $10.575,50 | 468 / 28 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 43 | $25.967,90 | 787 / 26 | $7.215,54 | 739 / 31 | $6.642,77 | 739 / 39 |
Renal Failure W Cc | 29 | 192 / 37 | $27.458,40 | 1575 / 54 | $5.601,03 | 467 / 33 | $4.715,52 | 463 / 34 |
Renal Failure W Mcc | 15 | 180 / 43 | $24.582,30 | 436 / 16 | $8.398,53 | 187 / 21 | $7.515,33 | 187 / 21 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 30 | $50.036,90 | 618 / 18 | $12.794,90 | 305 / 16 | $11.907,40 | 302 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 36 | 480 / 55 | $55.468,90 | 1965 / 64 | $10.731,90 | 806 / 56 | $9.928,31 | 805 / 63 |
Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 41 | $30.825,30 | 1989 / 64 | $5.818,47 | 710 / 44 | $4.826,47 | 707 / 44 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 48 | $47.267,20 | 1824 / 57 | $8.900,31 | 470 / 56 | $7.287,69 | 470 / 43 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 25 | $22.829,60 | 1346 / 43 | $4.309,81 | 360 / 30 | $3.099,81 | 358 / 21 |
Spinal Fusion Except Cervical W/O Mcc | 48 | 146 / 14 | $88.578,10 | 617 / 16 | $24.640,10 | 209 / 18 | $19.942,80 | 208 / 16 |
Syncope & Collapse | 15 | 154 / 30 | $27.583,20 | 1337 / 36 | $4.649,93 | 517 / 29 | $3.565,73 | 515 / 27 | Total 36 procedures | 765 | 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.