Hospital Costs > In Tennessee > Tristar Stonecrest 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 Cc | 11 | 80 / 25 | $30.963,90 | 769 / 21 | $6.518,00 | 532 / 22 | $5.531,82 | 531 / 27 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 27 | $46.733,20 | 1057 / 29 | $9.843,38 | 542 / 24 | $9.097,54 | 541 / 29 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 33 | $22.019,90 | 1209 / 33 | $5.201,15 | 1064 / 40 | $4.366,69 | 1060 / 43 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 29 | $19.227,50 | 1356 / 35 | $4.236,85 | 907 / 37 | $2.750,69 | 902 / 38 |
Cellulitis W/O Mcc | 27 | 162 / 30 | $18.876,60 | 1352 / 49 | $6.062,00 | 412 / 63 | $3.807,26 | 409 / 37 |
Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 15 | $49.767,00 | 337 / 12 | $18.039,90 | 47 / 24 | $9.914,45 | 47 / 2 |
Chest Pain | 24 | 127 / 19 | $21.583,50 | 1023 / 29 | $4.205,04 | 933 / 32 | $3.439,04 | 928 / 35 |
Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 37 | $23.484,90 | 1346 / 47 | $5.954,00 | 711 / 57 | $4.733,68 | 709 / 50 |
Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 31 | $25.185,10 | 1141 / 36 | $7.335,68 | 754 / 59 | $6.010,76 | 749 / 54 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 22 | $23.342,90 | 1470 / 50 | $5.219,63 | 569 / 60 | $3.382,30 | 568 / 38 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 29 | $42.224,80 | 1009 / 27 | $7.393,52 | 557 / 30 | $5.529,81 | 555 / 28 |
Diabetes W Cc | 12 | 80 / 22 | $21.209,50 | 782 / 26 | $6.317,42 | 578 / 33 | $4.363,33 | 578 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 23 | $41.446,20 | 984 / 23 | $8.593,08 | 714 / 26 | $7.171,08 | 709 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 48 | $26.577,40 | 1975 / 55 | $4.980,57 | 1274 / 54 | $3.945,90 | 1263 / 60 |
G.I. Hemorrhage W Cc | 25 | 193 / 36 | $24.041,50 | 1127 / 32 | $6.496,40 | 989 / 53 | $5.352,12 | 987 / 51 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 15 | $23.085,80 | 952 / 21 | $4.238,36 | 725 / 17 | $3.292,07 | 722 / 21 |
Heart Failure & Shock W Cc | 32 | 246 / 37 | $27.108,80 | 1810 / 59 | $6.711,12 | 501 / 67 | $4.896,47 | 501 / 35 |
Heart Failure & Shock W Mcc | 35 | 249 / 34 | $27.031,60 | 900 / 32 | $8.498,51 | 96 / 47 | $6.949,83 | 96 / 14 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 35 | $51.538,40 | 1100 / 31 | $11.341,90 | 543 / 31 | $10.137,50 | 541 / 38 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 35 | $23.743,90 | 836 / 31 | $6.554,57 | 496 / 36 | $5.699,71 | 495 / 38 |
Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 33 | $20.077,80 | 1585 / 58 | $4.929,37 | 1114 / 63 | $4.031,49 | 1106 / 68 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 28 | 536 / 48 | $52.998,50 | 1420 / 29 | $16.219,00 | 129 / 56 | $9.474,07 | 129 / 12 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 40 | $25.115,20 | 1892 / 66 | $4.818,83 | 862 / 63 | $3.552,08 | 859 / 52 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 32 | $75.834,00 | 792 / 19 | $14.834,70 | 280 / 31 | $10.079,20 | 280 / 20 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 41 | $32.472,20 | 1165 / 38 | $7.399,81 | 807 / 34 | $6.715,81 | 807 / 40 |
Renal Failure W Cc | 26 | 195 / 40 | $25.339,10 | 1451 / 51 | $6.225,81 | 726 / 58 | $4.935,23 | 719 / 51 |
Renal Failure W Mcc | 25 | 170 / 35 | $35.882,80 | 1091 / 40 | $9.456,44 | 353 / 46 | $7.832,12 | 353 / 31 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 31 | $77.540,00 | 1280 / 36 | $17.957,10 | 13 / 44 | $9.855,71 | 13 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 46 | 470 / 48 | $49.225,10 | 1757 / 59 | $10.878,30 | 478 / 60 | $9.475,67 | 478 / 48 |
Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 44 | $22.635,10 | 1408 / 44 | $6.430,42 | 800 / 72 | $4.906,55 | 797 / 49 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 43 | $31.500,40 | 1136 / 34 | $8.374,62 | 618 / 47 | $7.454,24 | 618 / 50 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 26 | $18.784,50 | 1101 / 33 | $4.762,33 | 1051 / 48 | $3.723,40 | 1045 / 49 |
Spinal Fusion Except Cervical W/O Mcc | 46 | 148 / 15 | $84.223,70 | 573 / 14 | $26.004,20 | 177 / 20 | $19.717,50 | 176 / 12 |
Transient Ischemia | 14 | 111 / 28 | $27.252,60 | 1067 / 24 | $4.991,36 | 549 / 26 | $3.423,50 | 546 / 24 | Total 34 procedures | 768 | 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.