Hospital Costs > In Tennessee > Wayne Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 11 | 178 / 45 | $11.594,70 | 419 / 11 | $5.189,00 | 605 / 43 | $3.978,82 | 602 / 45 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 51 | $12.594,50 | 152 / 6 | $6.659,73 | 731 / 34 | $5.996,45 | 726 / 53 |
| Heart Failure & Shock W Cc | 16 | 262 / 50 | $8.046,38 | 38 / 3 | $5.974,56 | 809 / 46 | $5.146,56 | 808 / 52 |
| Heart Failure & Shock W Mcc | 15 | 269 / 47 | $13.079,00 | 86 / 3 | $8.815,47 | 973 / 55 | $8.254,40 | 972 / 61 |
| Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 29 | $13.562,50 | 171 / 4 | $6.804,55 | 554 / 42 | $5.778,95 | 553 / 40 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 49 | $9.375,96 | 222 / 10 | $4.670,09 | 813 / 50 | $3.831,13 | 808 / 54 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 24 | $11.576,60 | 52 / 1 | $6.499,50 | 480 / 17 | $5.992,83 | 477 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 25 | $10.379,80 | 358 / 14 | $4.317,84 | 751 / 42 | $3.485,84 | 749 / 48 |
| Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 43 | $14.914,80 | 549 / 18 | $5.841,34 | 748 / 46 | $4.860,34 | 745 / 47 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 51 | $16.096,90 | 174 / 7 | $8.392,67 | 643 / 48 | $7.491,33 | 643 / 51 | Total 10 procedures | 184 | 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.