Hospital Costs > In Tennessee > Volunteer Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Mcc | 36 | 248 / 33 | $34.303,10 | 1355 / 54 | $8.196,81 | 363 / 31 | $7.501,03 | 363 / 36 |
| Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 44 | $39.656,50 | 2313 / 74 | $5.431,84 | 585 / 16 | $4.730,94 | 582 / 39 |
| Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 44 | $21.712,60 | 1740 / 61 | $4.280,61 | 669 / 16 | $3.733,52 | 665 / 49 |
| Heart Failure & Shock W Cc | 24 | 254 / 43 | $34.366,70 | 2154 / 70 | $5.429,79 | 436 / 17 | $4.825,79 | 436 / 32 |
| Cellulitis W/O Mcc | 23 | 166 / 33 | $24.864,30 | 1864 / 64 | $4.712,83 | 92 / 16 | $3.387,74 | 92 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 23 | 493 / 59 | $45.187,00 | 1583 / 54 | $9.962,09 | 486 / 31 | $9.487,65 | 486 / 50 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 27 | $28.923,90 | 1676 / 57 | $3.977,68 | 430 / 10 | $3.262,05 | 429 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 30 | $22.701,60 | 1757 / 61 | $3.908,95 | 306 / 8 | $3.138,05 | 306 / 16 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 20 | $27.784,60 | 1645 / 45 | $3.756,81 | 146 / 8 | $2.889,76 | 144 / 10 |
| Renal Failure W Cc | 19 | 202 / 45 | $31.941,10 | 1789 / 56 | $5.336,42 | 582 / 16 | $4.829,47 | 577 / 44 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 41 | $37.915,70 | 1963 / 56 | $6.020,37 | 157 / 28 | $4.779,63 | 157 / 15 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 46 | $35.502,00 | 1773 / 59 | $6.354,58 | 378 / 15 | $5.653,95 | 377 / 31 |
| G.I. Hemorrhage W Cc | 18 | 200 / 41 | $44.497,30 | 2058 / 57 | $5.577,89 | 209 / 18 | $4.571,67 | 209 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 46 | $48.805,20 | 1879 / 59 | $7.977,89 | 605 / 28 | $7.442,78 | 605 / 48 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 52 | $25.144,20 | 1895 / 53 | $4.500,88 | 118 / 28 | $2.982,12 | 118 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 26 | $24.550,00 | 1429 / 45 | $3.909,80 | 185 / 8 | $2.866,60 | 183 / 15 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 34 | $29.203,00 | 1143 / 39 | $6.277,53 | 154 / 24 | $5.161,20 | 154 / 16 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 26 | $45.927,10 | 1022 / 28 | $9.355,57 | 382 / 18 | $8.724,00 | 382 / 26 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 24 | $40.567,90 | 977 / 29 | $7.518,00 | 373 / 11 | $7.118,00 | 370 / 23 |
| Renal Failure W Mcc | 11 | 184 / 47 | $34.486,90 | 1027 / 38 | $8.422,09 | 146 / 24 | $7.430,09 | 146 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 46 | $26.273,40 | 1534 / 53 | $5.166,64 | 274 / 12 | $4.285,18 | 273 / 23 | Total 21 procedures | 420 | 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.