Hospital Costs > In Tennessee > Williamson Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 403 | 184 / 8 | $47.754,00 | 1177 / 20 | $12.153,10 | 192 / 15 | $9.686,13 | 192 / 18 |
| Spinal Fusion Except Cervical W/O Mcc | 105 | 89 / 7 | $63.369,10 | 258 / 3 | $21.735,90 | 230 / 3 | $20.078,30 | 229 / 17 |
| Kidney & Urinary Tract Infections W/O Mcc | 93 | 140 / 14 | $11.498,50 | 458 / 19 | $4.127,21 | 54 / 7 | $3.038,22 | 54 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 73 | 130 / 18 | $15.750,60 | 648 / 22 | $5.244,89 | 103 / 6 | $4.150,82 | 103 / 9 |
| Heart Failure & Shock W Cc | 69 | 209 / 19 | $12.856,70 | 356 / 13 | $5.318,20 | 75 / 12 | $4.285,15 | 75 / 8 |
| Renal Failure W Cc | 65 | 156 / 20 | $12.103,90 | 220 / 6 | $5.141,45 | 65 / 10 | $4.086,42 | 65 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 27 | $9.907,34 | 206 / 6 | $4.087,78 | 119 / 4 | $2.986,00 | 119 / 7 |
| Hip & Femur Procedures Except Major Joint W Cc | 53 | 90 / 14 | $38.519,70 | 564 / 15 | $10.342,60 | 110 / 13 | $9.250,36 | 109 / 17 |
| Cervical Spinal Fusion W/O Cc/Mcc | 51 | 53 / 7 | $35.191,40 | 126 / 3 | $12.384,20 | 96 / 7 | $10.364,80 | 96 / 7 |
| Cellulitis W/O Mcc | 45 | 144 / 18 | $10.313,20 | 275 / 6 | $4.499,31 | 149 / 6 | $3.478,87 | 149 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 43 | 473 / 50 | $24.920,70 | 526 / 18 | $9.361,58 | 68 / 10 | $8.517,67 | 68 / 13 |
| G.I. Hemorrhage W Cc | 40 | 178 / 27 | $15.564,30 | 340 / 15 | $5.322,95 | 263 / 8 | $4.660,55 | 263 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 19 | $10.712,50 | 396 / 17 | $3.842,05 | 28 / 4 | $2.599,85 | 28 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 38 | 55 / 8 | $11.146,40 | 330 / 12 | $3.753,34 | 65 / 2 | $2.614,68 | 65 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 10 | $9.831,71 | 249 / 7 | $3.622,59 | 61 / 4 | $2.692,71 | 61 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 28 | $14.681,70 | 481 / 15 | $5.100,76 | 77 / 9 | $3.945,65 | 77 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 18 | $8.456,62 | 189 / 3 | $3.064,47 | 84 / 4 | $1.914,09 | 84 / 6 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 32 | 64 / 7 | $49.124,40 | 320 / 7 | $12.654,90 | 36 / 11 | $9.734,97 | 36 / 4 |
| Major Cardiovasc Procedures W/O Mcc | 30 | 71 / 15 | $69.152,50 | 246 / 8 | $20.337,10 | 374 / 12 | $19.114,20 | 374 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 32 | $15.602,60 | 402 / 14 | $5.695,43 | 24 / 6 | $4.210,83 | 24 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 24 | $15.450,90 | 563 / 20 | $4.213,00 | 90 / 3 | $3.253,00 | 90 / 6 |
| Pulmonary Edema & Respiratory Failure | 28 | 175 / 33 | $17.715,90 | 268 / 7 | $6.510,07 | 138 / 8 | $5.778,64 | 138 / 16 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 22 | $9.958,89 | 238 / 7 | $3.816,89 | 75 / 3 | $2.744,30 | 75 / 6 |
| G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 5 | $7.523,31 | 48 / 2 | $3.431,04 | 50 / 3 | $2.156,46 | 50 / 5 |
| Other Vascular Procedures W Cc | 25 | 77 / 11 | $47.193,40 | 165 / 5 | $13.670,50 | 78 / 4 | $12.596,00 | 78 / 8 |
| Extracranial Procedures W/O Cc/Mcc | 21 | 77 / 15 | $25.304,20 | 294 / 12 | $6.051,67 | 8 / 10 | $4.082,43 | 8 / 2 |
| Respiratory Infections & Inflammations W Cc | 21 | 67 / 16 | $21.166,00 | 308 / 8 | $7.461,81 | 69 / 10 | $6.364,62 | 69 / 5 |
| Renal Failure W Mcc | 20 | 175 / 39 | $20.922,50 | 265 / 11 | $8.427,75 | 95 / 25 | $7.212,45 | 95 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 44 | $18.797,50 | 314 / 11 | $7.150,25 | 56 / 3 | $6.423,85 | 56 / 8 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 13 | $15.271,80 | 165 / 6 | $5.285,68 | 225 / 2 | $4.652,42 | 225 / 12 |
| Medical Back Problems W/O Mcc | 19 | 102 / 17 | $12.545,70 | 123 / 4 | $4.534,16 | 96 / 5 | $3.515,21 | 96 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 19 | $17.177,10 | 183 / 4 | $5.437,68 | 114 / 3 | $4.740,42 | 114 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 27 | $56.141,10 | 367 / 9 | $13.154,20 | 25 / 22 | $8.686,72 | 25 / 4 |
| Syncope & Collapse | 18 | 151 / 29 | $9.762,06 | 99 / 1 | $3.870,83 | 109 / 2 | $2.999,72 | 109 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 32 | $17.064,00 | 287 / 12 | $6.409,06 | 18 / 32 | $4.190,61 | 18 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 18 | $14.795,30 | 241 / 11 | $4.031,11 | 25 / 3 | $2.749,61 | 25 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 47 | $16.125,80 | 403 / 12 | $6.753,88 | 15 / 39 | $4.605,35 | 15 / 3 |
| Revision Of Hip Or Knee Replacement W Cc | 17 | 69 / 8 | $69.271,40 | 213 / 5 | $19.866,80 | 23 / 9 | $15.304,60 | 23 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 31 | $20.924,60 | 128 / 6 | $5.967,18 | 8 / 5 | $4.180,65 | 8 / 1 |
| Other Vascular Procedures W/O Cc/Mcc | 17 | 39 / 8 | $38.467,30 | 156 / 6 | $9.088,18 | 52 / 2 | $8.088,65 | 52 / 4 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 23 | $15.621,40 | 508 / 13 | $4.573,35 | 35 / 12 | $3.170,82 | 35 / 3 |
| Renal Failure W/O Cc/Mcc | 16 | 40 / 6 | $8.538,38 | 70 / 4 | $3.330,06 | 35 / 2 | $2.420,06 | 35 / 5 |
| Heart Failure & Shock W Mcc | 16 | 268 / 46 | $19.682,90 | 413 / 18 | $8.418,00 | 48 / 44 | $6.766,31 | 48 / 10 |
| G.I. Obstruction W Cc | 15 | 77 / 19 | $14.106,50 | 228 / 6 | $4.679,93 | 185 / 2 | $4.031,40 | 184 / 11 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 15 | $32.895,60 | 261 / 10 | $8.642,86 | 67 / 6 | $7.520,57 | 67 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 4 | $35.534,10 | 242 / 9 | $6.853,86 | 36 / 4 | $5.200,79 | 36 / 4 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 9 | $36.458,20 | 100 / 6 | $12.364,40 | 3 / 12 | $7.979,69 | 3 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 32 | $32.247,00 | 156 / 5 | $12.210,50 | 118 / 8 | $11.282,50 | 118 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 28 | $19.305,10 | 300 / 6 | $6.651,62 | 16 / 7 | $5.173,77 | 16 / 3 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 11 | $11.215,50 | 142 / 6 | $3.715,54 | 85 / 2 | $2.881,08 | 85 / 4 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 10 | $35.059,50 | 140 / 7 | $7.324,58 | 33 / 2 | $5.235,83 | 33 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 17 | $13.095,10 | 74 / 3 | $6.182,00 | 76 / 4 | $5.478,00 | 76 / 7 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 9 | $54.626,10 | 168 / 6 | $16.325,50 | 24 / 10 | $11.852,50 | 24 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 28 | $29.464,30 | 425 / 11 | $9.114,42 | 146 / 13 | $8.114,33 | 146 / 14 |
| Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 3 | $4.807,18 | 1 / 1 | $3.851,91 | 1 / 1 | $2.641,73 | 1 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 13 | $9.183,27 | 61 / 5 | $3.802,45 | 33 / 3 | $2.702,82 | 33 / 3 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 18 | $15.281,40 | 352 / 14 | $3.696,73 | 27 / 2 | $2.713,45 | 27 / 3 | Total 57 procedures | 2.009 | 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.