Hospital Costs > In Tennessee > Decatur County General Hospital, 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 | 22 | 167 / 34 | $6.749,86 | 34 / 1 | $5.284,55 | 382 / 50 | $3.781,27 | 379 / 35 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 29 | $5.170,45 | 5 / 1 | $4.158,10 | 705 / 19 | $3.495,70 | 703 / 47 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 52 | $5.540,00 | 9 / 1 | $4.351,00 | 544 / 19 | $3.443,00 | 542 / 39 |
| Heart Failure & Shock W Cc | 11 | 267 / 54 | $5.410,64 | 2 / 1 | $5.376,82 | 343 / 14 | $4.719,36 | 343 / 26 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 26 | $4.544,86 | 1 / 1 | $4.063,79 | 277 / 24 | $3.066,64 | 275 / 17 |
| Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 32 | $6.318,52 | 23 / 1 | $4.480,46 | 650 / 31 | $3.724,77 | 646 / 48 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 22 | $5.619,11 | 19 / 2 | $4.095,78 | 665 / 23 | $3.428,22 | 663 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 41 | $8.878,89 | 32 / 1 | $6.125,26 | 815 / 32 | $5.488,63 | 813 / 49 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 42 | $6.894,00 | 8 / 2 | $5.597,15 | 839 / 32 | $4.940,67 | 836 / 53 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 35 | 58 / 10 | $5.288,31 | 6 / 1 | $4.126,66 | 498 / 13 | $3.234,77 | 496 / 30 | Total 10 procedures | 258 | 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.