Hospital Costs > In Tennessee > Unicoi County Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 44 | $19.966,50 | 709 / 22 | $6.619,55 | 516 / 32 | $5.794,82 | 515 / 40 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 51 | $50.302,60 | 1300 / 24 | $14.337,80 | 1905 / 47 | $13.254,60 | 1863 / 56 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 18 | 498 / 62 | $22.065,80 | 364 / 13 | $10.412,50 | 558 / 46 | $9.605,33 | 557 / 52 |
Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 54 | $14.033,10 | 802 / 28 | $4.292,69 | 263 / 17 | $3.382,69 | 263 / 19 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 35 | $13.281,90 | 583 / 17 | $3.974,86 | 210 / 8 | $3.026,29 | 210 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 54 | $17.605,30 | 1075 / 32 | $4.087,14 | 159 / 3 | $3.044,86 | 159 / 10 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 26 | $45.872,90 | 959 / 29 | $15.928,00 | 1592 / 47 | $15.189,60 | 1576 / 48 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 41 | $13.105,70 | 700 / 23 | $3.844,82 | 483 / 6 | $3.297,91 | 483 / 31 | Total 8 procedures | 128 | 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.