Hospital Costs > In Tennessee > University Medical Center Lebanon, 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 | 19 | 106 / 22 | $51.065,70 | 1166 / 32 | $9.055,42 | 178 / 12 | $8.230,16 | 178 / 15 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 32 | $32.278,80 | 1712 / 45 | $5.138,29 | 501 / 38 | $3.816,86 | 499 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 30 | $38.904,00 | 1288 / 32 | $7.138,09 | 727 / 21 | $6.695,91 | 724 / 34 |
Cellulitis W/O Mcc | 22 | 167 / 34 | $33.163,20 | 2242 / 71 | $5.546,36 | 1084 / 57 | $4.339,18 | 1078 / 58 |
Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 34 | $41.328,00 | 2102 / 67 | $5.771,19 | 552 / 50 | $4.598,73 | 550 / 38 |
Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 28 | $44.537,70 | 2062 / 69 | $7.088,00 | 817 / 55 | $6.060,14 | 812 / 56 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 21 | $32.311,40 | 1773 / 65 | $4.709,60 | 1048 / 52 | $3.782,67 | 1039 / 56 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 23 | $43.666,60 | 1042 / 26 | $7.326,08 | 490 / 17 | $6.599,42 | 487 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 29 | $34.342,20 | 2333 / 70 | $4.872,62 | 1063 / 52 | $3.794,02 | 1055 / 55 |
G.I. Hemorrhage W Cc | 20 | 198 / 39 | $45.839,50 | 2087 / 59 | $6.400,25 | 693 / 49 | $5.085,15 | 692 / 42 |
G.I. Hemorrhage W Mcc | 18 | 103 / 21 | $60.889,20 | 1215 / 27 | $9.978,33 | 387 / 14 | $9.377,44 | 387 / 14 |
G.I. Obstruction W Cc | 13 | 79 / 21 | $28.095,40 | 1124 / 32 | $5.531,15 | 616 / 25 | $4.603,15 | 615 / 28 |
Heart Failure & Shock W Cc | 25 | 253 / 42 | $31.676,90 | 2045 / 65 | $6.056,60 | 649 / 47 | $5.024,48 | 648 / 45 |
Heart Failure & Shock W Mcc | 35 | 249 / 34 | $51.370,80 | 2022 / 70 | $8.869,66 | 826 / 58 | $8.077,89 | 826 / 57 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 25 | $31.052,40 | 1730 / 48 | $4.495,87 | 668 / 41 | $3.446,27 | 666 / 33 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 29 | $86.331,30 | 1779 / 46 | $11.434,70 | 659 / 33 | $10.360,20 | 656 / 41 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 37 | $39.506,40 | 1503 / 37 | $6.226,67 | 501 / 25 | $5.221,33 | 500 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 25 | $53.626,50 | 1026 / 25 | $9.735,31 | 177 / 19 | $8.426,15 | 176 / 16 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 28 | $42.464,90 | 1552 / 51 | $6.899,76 | 797 / 44 | $6.093,67 | 796 / 46 |
Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 26 | $31.862,30 | 2277 / 80 | $4.995,45 | 1257 / 69 | $4.128,25 | 1248 / 70 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 17 | $116.459,00 | 736 / 26 | $18.215,60 | 271 / 16 | $17.378,70 | 269 / 18 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 89 | 475 / 35 | $98.870,00 | 2463 / 56 | $12.905,80 | 767 / 30 | $10.718,20 | 756 / 44 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 24 | $48.292,40 | 1464 / 39 | $6.602,92 | 483 / 21 | $5.994,92 | 480 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 33 | $28.019,80 | 2049 / 68 | $4.582,95 | 962 / 56 | $3.626,32 | 959 / 57 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 19 | $37.294,50 | 1076 / 27 | $6.045,69 | 558 / 20 | $5.302,31 | 555 / 22 |
Other Vascular Procedures W Cc | 15 | 87 / 14 | $139.546,00 | 1038 / 25 | $15.688,50 | 43 / 19 | $12.196,30 | 43 / 4 |
Pulmonary Edema & Respiratory Failure | 24 | 179 / 36 | $42.946,50 | 1602 / 46 | $7.483,25 | 868 / 37 | $6.781,92 | 868 / 43 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 29 | $30.308,00 | 1515 / 39 | $5.182,45 | 910 / 36 | $4.417,36 | 905 / 39 |
Renal Failure W Cc | 31 | 190 / 35 | $38.028,70 | 1987 / 65 | $6.105,52 | 946 / 55 | $5.131,48 | 938 / 58 |
Renal Failure W Mcc | 28 | 167 / 32 | $56.814,10 | 1707 / 55 | $8.893,96 | 574 / 35 | $8.163,68 | 574 / 40 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 20 | $54.241,00 | 1199 / 34 | $8.448,81 | 564 / 30 | $7.472,81 | 561 / 28 |
Respiratory Infections & Inflammations W Mcc | 30 | 106 / 17 | $76.281,00 | 1469 / 44 | $11.730,60 | 738 / 36 | $11.005,20 | 730 / 38 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 20 | $157.306,00 | 595 / 23 | $28.655,20 | 189 / 11 | $27.847,20 | 189 / 15 |
Seizures W/O Mcc | 11 | 97 / 18 | $29.833,60 | 941 / 22 | $4.962,82 | 302 / 13 | $3.755,55 | 300 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 80 | 436 / 37 | $64.732,80 | 2197 / 72 | $10.535,60 | 739 / 50 | $9.841,22 | 738 / 59 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 44 | $45.617,60 | 2180 / 62 | $6.686,93 | 939 / 46 | $5.612,33 | 936 / 52 |
Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 37 | $41.086,10 | 2361 / 77 | $6.206,75 | 1035 / 67 | $5.104,98 | 1032 / 62 |
Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 28 | $56.747,10 | 2044 / 67 | $8.602,31 | 854 / 50 | $7.720,59 | 854 / 54 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 15 | $28.211,00 | 1564 / 52 | $4.652,21 | 886 / 45 | $3.579,00 | 882 / 44 |
Syncope & Collapse | 13 | 156 / 32 | $37.280,80 | 1636 / 45 | $4.771,46 | 791 / 32 | $3.841,00 | 787 / 36 | Total 40 procedures | 1.038 | 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.