Hospital Costs > In Tennessee > Wellmont Hawkins County Memorial 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 | 12 | 272 / 49 | $15.480,80 | 162 / 9 | $7.634,50 | 43 / 9 | $6.735,83 | 43 / 8 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 39 | $13.293,70 | 81 / 2 | $7.099,70 | 408 / 25 | $6.234,90 | 408 / 29 |
| Renal Failure W Cc | 12 | 209 / 50 | $8.068,42 | 18 / 1 | $5.560,83 | 621 / 30 | $4.856,83 | 615 / 46 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 28 | $21.656,90 | 139 / 2 | $10.151,80 | 128 / 9 | $9.491,45 | 128 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 46 | 470 / 48 | $18.510,30 | 200 / 6 | $9.285,15 | 32 / 4 | $8.177,63 | 32 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 54 | $11.833,90 | 243 / 8 | $5.634,75 | 508 / 34 | $4.650,75 | 505 / 35 |
| Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 48 | $14.142,90 | 90 / 4 | $8.176,88 | 357 / 37 | $7.122,88 | 357 / 37 | Total 7 procedures | 133 | 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.