Hospital Costs > In Tennessee > Cumberland Medical Center, procedure costs

Cumberland Medical Center, procedure costs

421 S Main St, Crossville, TN 38555,

Procedure Costs @ Cumberland Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc385148 / 7$23.396,00444 / 16$10.650,10586 / 55$9.650,56585 / 53
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc132432 / 26$26.577,60116 / 2$12.272,60722 / 20$10.658,00712 / 39
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc11493 / 5$14.790,70334 / 11$6.081,24311 / 30$5.006,41310 / 23
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc102173 / 12$13.742,00595 / 18$4.230,25370 / 11$3.303,81369 / 22
Pulmonary Edema & Respiratory Failure95108 / 11$21.197,90479 / 14$6.956,20447 / 19$6.287,40447 / 31
Chronic Obstructive Pulmonary Disease W Mcc70132 / 19$17.589,60527 / 16$6.811,53335 / 44$5.597,70334 / 29
Simple Pneumonia & Pleurisy W Mcc66139 / 21$19.127,30331 / 12$8.298,47507 / 46$7.332,89507 / 45
Heart Failure & Shock W Cc64214 / 22$14.137,80488 / 17$5.672,48533 / 31$4.919,48533 / 36
G.I. Hemorrhage W Cc61157 / 19$13.987,30222 / 10$5.729,11408 / 25$4.816,85407 / 29
Renal Failure W Cc58163 / 23$13.270,40315 / 12$5.530,31284 / 29$4.517,98282 / 21
Heart Failure & Shock W Mcc53231 / 30$18.241,80326 / 16$8.560,36653 / 49$7.878,09653 / 49
Syncope & Collapse52117 / 10$14.222,10342 / 9$4.132,69288 / 7$3.318,54286 / 15
Kidney & Urinary Tract Infections W/O Mcc50183 / 34$11.244,80428 / 17$4.399,82293 / 26$3.432,02293 / 24
Cardiac Arrhythmia & Conduction Disorders W Cc48113 / 13$15.180,30541 / 17$4.526,12217 / 16$3.503,17217 / 11
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc45121 / 16$10.102,40322 / 12$3.994,84386 / 11$3.227,02386 / 25
Chronic Obstructive Pulmonary Disease W Cc42137 / 23$12.329,80265 / 10$5.335,90334 / 26$4.358,38333 / 28
Simple Pneumonia & Pleurisy W Cc42161 / 35$14.200,60465 / 13$5.576,83554 / 30$4.689,79551 / 38
Cardiac Arrhythmia & Conduction Disorders W Mcc4083 / 14$18.072,20241 / 5$6.898,48293 / 15$6.026,48292 / 17
Renal Failure W Mcc40155 / 27$20.730,90257 / 10$8.833,53445 / 33$7.987,15445 / 34
Cellulitis W/O Mcc37152 / 23$14.625,00810 / 28$4.971,57283 / 34$3.664,32280 / 25
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs36146 / 22$16.611,60247 / 8$6.202,11348 / 23$5.035,28347 / 22
Red Blood Cell Disorders W/O Mcc34109 / 10$10.502,60130 / 2$4.560,29302 / 9$3.759,35301 / 18
Septicemia Or Severe Sepsis W Mv 96+ Hours2864 / 9$79.149,2082 / 3$34.703,60287 / 11$32.939,60286 / 15
Hip & Femur Procedures Except Major Joint W Cc27116 / 24$27.216,10134 / 2$11.454,60169 / 34$9.409,56168 / 20
Kidney & Urinary Tract Infections W Mcc27117 / 24$14.517,80214 / 5$6.443,93446 / 32$5.639,19445 / 34
Transient Ischemia25100 / 20$13.000,60179 / 4$4.080,76150 / 10$2.920,84150 / 8
Chest Pain24127 / 19$14.558,60457 / 9$3.431,83156 / 5$2.474,50155 / 6
Acute Myocardial Infarction, Discharged Alive W Mcc24101 / 17$23.170,10238 / 5$9.895,17591 / 25$9.201,17590 / 31
Medical Back Problems W/O Mcc2497 / 14$11.404,0088 / 3$4.843,12161 / 12$3.683,12161 / 11
Respiratory Infections & Inflammations W Mcc24112 / 20$29.946,60383 / 7$11.493,70635 / 33$10.763,00627 / 37
G.I. Obstruction W Cc2369 / 13$16.471,90401 / 14$5.055,91245 / 11$4.114,00244 / 14
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2274 / 14$22.385,70310 / 10$6.794,27213 / 9$6.026,27212 / 13
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc20130 / 25$10.666,80408 / 12$3.305,75135 / 8$2.015,75135 / 7
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2082 / 16$14.476,30217 / 9$4.328,45225 / 10$3.245,25223 / 14
Simple Pneumonia & Pleurisy W/O Cc/Mcc1974 / 22$13.540,80558 / 19$4.139,2187 / 16$2.682,5887 / 7
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc19101 / 30$15.280,30814 / 28$4.214,7454 / 23$2.696,3254 / 5
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc18108 / 20$19.915,20405 / 15$6.931,56354 / 27$5.792,00351 / 21
Signs & Symptoms W/O Mcc1774 / 14$11.037,00134 / 4$3.944,00163 / 9$3.138,41163 / 9
Acute Myocardial Infarction, Discharged Alive W Cc1774 / 20$18.159,10229 / 5$6.014,12362 / 14$5.248,94361 / 20
Circulatory Disorders Except Ami, W Card Cath W/O Mcc17171 / 31$19.029,8083 / 3$6.102,59267 / 10$5.090,12267 / 18
Seizures W/O Mcc1791 / 14$13.101,50174 / 5$4.330,41115 / 3$3.340,29115 / 6
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1657 / 13$12.644,1063 / 1$6.916,3188 / 17$5.519,3888 / 9
Other Disorders Of Nervous System W Cc1640 / 10$12.837,0049 / 1$5.095,4467 / 6$4.189,4467 / 10
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1637 / 10$12.621,5087 / 2$4.312,44196 / 4$3.554,44195 / 10
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1622 / 5$12.451,3082 / 3$3.787,44100 / 3$2.923,81100 / 5
Diabetes W Cc1577 / 20$14.516,30303 / 9$5.013,1397 / 17$3.600,2797 / 7
Nonspecific Cerebrovascular Disorders W Cc1541 / 13$17.009,9071 / 6$5.591,8787 / 10$4.785,4787 / 12
Pulmonary Embolism W/O Mcc1559 / 16$16.810,80226 / 8$5.646,27207 / 8$4.619,07207 / 11
Respiratory System Diagnosis W Ventilator Support <96 Hours15116 / 30$34.246,50188 / 6$13.011,30490 / 23$12.409,70483 / 32
Heart Failure & Shock W/O Cc/Mcc1595 / 25$10.953,40360 / 9$3.846,60201 / 9$2.967,67199 / 13
Hypertension W/O Mcc1550 / 10$13.749,30165 / 8$3.541,8736 / 4$2.330,1336 / 3
Other Circulatory System Diagnoses W Mcc15101 / 21$21.282,5065 / 2$11.076,4031 / 16$8.548,9331 / 4
Other Kidney & Urinary Tract Diagnoses W Mcc1586 / 13$18.556,9091 / 2$8.921,93303 / 15$8.374,73303 / 16
G.I. Hemorrhage W Mcc15106 / 23$21.710,50100 / 1$10.018,10452 / 16$9.536,00453 / 18
G.I. Obstruction W/O Cc/Mcc1457 / 15$11.264,40223 / 5$3.692,0773 / 8$2.260,2973 / 6
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1482 / 15$26.373,3018 / 1$12.116,70154 / 6$10.805,50152 / 13
Intracranial Hemorrhage Or Cerebral Infarction W Mcc14154 / 24$25.432,60216 / 10$10.050,40158 / 22$8.345,36157 / 15
Major Small & Large Bowel Procedures W Mcc1372 / 20$56.992,2058 / 2$29.121,30354 / 18$28.099,80352 / 17
Poisoning & Toxic Effects Of Drugs W Mcc1359 / 18$19.129,4089 / 6$8.026,77119 / 19$6.909,23119 / 19
Seizures W Mcc1353 / 16$22.192,2071 / 3$8.634,38119 / 7$7.886,08119 / 10
Fractures Of Hip & Pelvis W/O Mcc1348 / 11$12.724,00190 / 12$4.056,92159 / 9$3.131,38160 / 11
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc1334 / 5$15.939,6098 / 2$4.042,8524 / 2$3.119,7724 / 3
Renal Failure W/O Cc/Mcc1244 / 10$11.494,40185 / 11$3.560,5843 / 6$2.456,5843 / 6
Poisoning & Toxic Effects Of Drugs W/O Mcc1249 / 12$10.164,60104 / 1$3.625,00152 / 2$3.022,33151 / 10
Infectious & Parasitic Diseases W O.R. Procedure W Mcc12112 / 23$56.600,2082 / 1$30.501,80501 / 13$29.496,40497 / 20
Major Small & Large Bowel Procedures W Cc1197 / 24$32.194,2077 / 3$14.600,80555 / 18$13.802,30549 / 27
Disorders Of Pancreas Except Malignancy W Cc1150 / 16$12.442,6059 / 2$5.228,91275 / 5$4.679,09274 / 16
Total 67 procedures2.442discharges

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.