Dysequilibrium - costs for treatment in Tennessee

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Dysequilibrium - costs for treatment in Tennessee


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Tristar Skyline Medical CenterNashville12$28,925.50$4,410.75$2,795.25
Baptist Memorial HospitalMemphis19$22,000.20$4,327.89$2,892.58
Methodist Healthcare Memphis HospitalsMemphis34$16,221.10$5,340.68$3,814.21
Saint Thomas Rutherford HospitalMurfreesboro11$17,351.40$4,141.91$2,637.64
Memorial Healthcare System, IncChattanooga15$19,129.30$3,340.60$1,947.87
Erlanger Medical CenterChattanooga17$16,644.90$5,755.12$4,534.53
St Francis Hospital MemphisMemphis12$28,089.20$4,889.83$3,832.00
Total 7 hospitals120

DATA

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.





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