Hospital Costs > In Tennessee > Gateway Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 18 | $61.141,90 | 1343 / 36 | $9.435,52 | 396 / 19 | $8.749,61 | 396 / 27 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 13 | $27.582,20 | 526 / 17 | $5.125,62 | 99 / 16 | $3.318,92 | 99 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 18 | $28.064,70 | 1548 / 41 | $4.675,24 | 384 / 21 | $3.716,46 | 384 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 21 | $48.109,70 | 1495 / 37 | $7.965,25 | 711 / 34 | $6.681,46 | 708 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 67 | 83 / 10 | $18.403,60 | 1301 / 33 | $3.420,27 | 400 / 13 | $2.357,10 | 397 / 21 |
| Cellulitis W Mcc | 11 | 47 / 13 | $39.728,00 | 591 / 18 | $7.912,73 | 28 / 6 | $6.435,27 | 28 / 5 |
| Cellulitis W/O Mcc | 45 | 144 / 18 | $24.264,40 | 1833 / 62 | $4.894,53 | 249 / 30 | $3.631,16 | 247 / 20 |
| Chest Pain | 31 | 120 / 15 | $21.161,40 | 995 / 27 | $3.666,90 | 358 / 15 | $2.761,10 | 357 / 19 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 26 | $32.270,70 | 1819 / 58 | $5.303,66 | 275 / 25 | $4.287,24 | 274 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 101 | 101 / 8 | $41.995,90 | 1987 / 66 | $6.607,64 | 373 / 31 | $5.640,97 | 372 / 30 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 47 | 73 / 10 | $25.456,40 | 1558 / 53 | $4.339,89 | 204 / 35 | $3.020,94 | 204 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 13 | $74.814,90 | 625 / 18 | $11.343,50 | 87 / 6 | $10.376,50 | 86 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 44 | 144 / 18 | $51.423,60 | 1244 / 34 | $5.995,50 | 218 / 6 | $5.005,86 | 218 / 16 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 12 | $20.915,80 | 242 / 8 | $5.088,67 | 118 / 2 | $4.286,00 | 118 / 5 |
| Diabetes W Cc | 22 | 70 / 13 | $23.980,70 | 938 / 27 | $5.087,50 | 78 / 19 | $3.557,50 | 78 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 21 | $72.385,40 | 1380 / 32 | $10.040,90 | 1075 / 31 | $8.486,14 | 1070 / 31 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 33 | $29.436,60 | 2135 / 60 | $4.506,37 | 476 / 29 | $3.383,96 | 474 / 33 |
| Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 21 | $34.425,30 | 538 / 22 | $5.939,58 | 227 / 9 | $5.038,25 | 227 / 13 |
| G.I. Hemorrhage W Cc | 46 | 172 / 23 | $28.138,90 | 1448 / 42 | $5.739,24 | 254 / 26 | $4.646,39 | 254 / 20 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 20 | $64.654,50 | 1257 / 28 | $9.532,05 | 157 / 8 | $8.706,79 | 157 / 9 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 13 | $22.063,80 | 631 / 19 | $4.153,91 | 143 / 8 | $3.054,27 | 143 / 9 |
| G.I. Obstruction W Cc | 18 | 74 / 16 | $39.059,00 | 1438 / 37 | $5.294,00 | 407 / 20 | $4.351,72 | 406 / 19 |
| Heart Failure & Shock W Cc | 39 | 239 / 34 | $29.063,70 | 1910 / 61 | $5.646,46 | 106 / 30 | $4.357,69 | 106 / 13 |
| Heart Failure & Shock W Mcc | 71 | 213 / 23 | $44.964,00 | 1843 / 64 | $8.052,61 | 195 / 23 | $7.229,97 | 195 / 24 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 11 | $21.115,00 | 1368 / 40 | $4.039,88 | 381 / 18 | $3.196,24 | 379 / 22 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 21 | $62.270,60 | 1410 / 37 | $10.623,10 | 58 / 20 | $9.000,66 | 58 / 12 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 17 | $78.376,20 | 508 / 17 | $14.584,50 | 16 / 6 | $13.816,50 | 16 / 5 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 14 | $51.923,60 | 612 / 21 | $8.728,73 | 125 / 8 | $7.839,13 | 125 / 10 |
| Hypertension W/O Mcc | 16 | 49 / 9 | $24.702,10 | 532 / 17 | $3.717,25 | 79 / 6 | $2.553,19 | 79 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 27 | $36.758,10 | 1417 / 34 | $5.917,40 | 318 / 16 | $4.999,64 | 317 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 22 | $47.928,80 | 917 / 23 | $9.020,00 | 133 / 7 | $8.221,78 | 132 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 16 | $33.242,80 | 1194 / 27 | $4.393,70 | 299 / 11 | $3.371,30 | 296 / 16 |
| Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 22 | $29.724,90 | 1155 / 40 | $6.050,45 | 88 / 18 | $4.990,90 | 88 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 39 | $26.031,70 | 2028 / 69 | $4.358,37 | 492 / 24 | $3.613,13 | 492 / 37 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 13 | $52.022,70 | 493 / 19 | $9.759,77 | 51 / 14 | $7.507,46 | 51 / 10 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 8 | $59.676,60 | 394 / 17 | $8.217,92 | 103 / 6 | $7.209,92 | 103 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 13 | $93.105,20 | 597 / 22 | $14.278,60 | 6 / 1 | $13.286,60 | 6 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 124 | 440 / 29 | $74.697,60 | 2106 / 50 | $11.627,00 | 273 / 9 | $9.898,31 | 273 / 21 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 22 | $92.821,80 | 1144 / 26 | $13.829,80 | 309 / 10 | $12.901,80 | 307 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 34 | 92 / 10 | $36.011,70 | 1200 / 36 | $6.176,18 | 126 / 11 | $5.361,12 | 125 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 63 | 103 / 8 | $22.059,10 | 1721 / 60 | $4.163,17 | 481 / 27 | $3.294,30 | 481 / 30 |
| Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 12 | $28.895,60 | 279 / 17 | $5.027,81 | 27 / 1 | $4.366,81 | 27 / 5 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 15 | 62 / 6 | $65.575,90 | 342 / 11 | $8.657,33 | 60 / 3 | $7.449,87 | 60 / 6 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 22 | $73.734,80 | 1089 / 28 | $11.103,90 | 494 / 17 | $10.758,90 | 492 / 20 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 11 | $22.952,40 | 235 / 13 | $4.926,29 | 52 / 4 | $4.066,86 | 52 / 9 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 16 | $59.139,30 | 869 / 22 | $8.405,75 | 108 / 8 | $7.600,42 | 108 / 12 |
| Other Vascular Procedures W Cc | 26 | 76 / 10 | $82.556,90 | 681 / 20 | $13.500,80 | 82 / 2 | $12.619,60 | 82 / 9 |
| Other Vascular Procedures W Mcc | 11 | 86 / 15 | $81.313,10 | 397 / 12 | $16.652,70 | 17 / 2 | $15.771,30 | 17 / 2 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 12 | $47.562,20 | 265 / 14 | $9.278,64 | 76 / 5 | $8.292,45 | 76 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 21 | 79 / 15 | $147.943,00 | 816 / 19 | $17.072,50 | 67 / 2 | $15.976,90 | 67 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 56 | 140 / 17 | $91.679,20 | 1070 / 29 | $12.773,70 | 137 / 19 | $9.603,18 | 137 / 13 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 19 | 38 / 7 | $87.331,90 | 618 / 17 | $11.597,30 | 76 / 3 | $10.514,40 | 76 / 7 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 15 | $30.064,00 | 350 / 16 | $7.422,05 | 21 / 9 | $6.197,58 | 21 / 4 |
| Pulmonary Edema & Respiratory Failure | 45 | 158 / 27 | $47.023,70 | 1690 / 52 | $7.150,87 | 395 / 27 | $6.213,27 | 395 / 28 |
| Pulmonary Embolism W Mcc | 11 | 32 / 11 | $50.975,30 | 426 / 14 | $8.041,36 | 35 / 5 | $7.055,18 | 35 / 5 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 17 | $36.423,60 | 989 / 23 | $5.854,79 | 74 / 15 | $4.236,14 | 74 / 4 |
| Red Blood Cell Disorders W Mcc | 25 | 46 / 4 | $50.537,10 | 838 / 23 | $7.541,72 | 348 / 15 | $6.961,92 | 346 / 16 |
| Red Blood Cell Disorders W/O Mcc | 45 | 98 / 7 | $26.529,30 | 1337 / 35 | $4.682,18 | 385 / 17 | $3.850,89 | 384 / 20 |
| Renal Failure W Cc | 66 | 155 / 19 | $32.329,50 | 1806 / 58 | $5.509,98 | 504 / 27 | $4.759,44 | 500 / 41 |
| Renal Failure W Mcc | 63 | 132 / 18 | $51.814,30 | 1615 / 51 | $8.444,17 | 103 / 26 | $7.239,27 | 103 / 13 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 7 | $19.714,30 | 552 / 20 | $3.693,93 | 139 / 9 | $2.808,60 | 138 / 14 |
| Respiratory Infections & Inflammations W Mcc | 30 | 106 / 17 | $60.615,90 | 1275 / 38 | $10.236,60 | 159 / 14 | $9.596,60 | 159 / 21 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 28 | $99.722,10 | 1512 / 43 | $12.443,80 | 181 / 13 | $11.488,20 | 180 / 16 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 23 | 48 / 11 | $162.005,00 | 614 / 25 | $26.781,00 | 77 / 4 | $25.997,70 | 77 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 152 | 364 / 21 | $56.331,70 | 1994 / 66 | $9.676,62 | 179 / 19 | $8.873,07 | 179 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 22 | $36.749,30 | 1923 / 52 | $5.859,49 | 384 / 16 | $5.078,55 | 383 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 61 | 142 / 27 | $34.184,20 | 2153 / 69 | $5.573,72 | 448 / 26 | $4.605,33 | 445 / 29 |
| Simple Pneumonia & Pleurisy W Mcc | 108 | 97 / 12 | $51.398,40 | 1947 / 61 | $7.790,25 | 326 / 21 | $7.069,25 | 326 / 34 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 43 | 50 / 5 | $25.972,60 | 1502 / 49 | $4.198,93 | 316 / 20 | $3.065,42 | 314 / 18 |
| Syncope & Collapse | 30 | 139 / 21 | $26.255,70 | 1283 / 33 | $4.292,47 | 521 / 13 | $3.569,27 | 519 / 28 |
| Transient Ischemia | 38 | 87 / 14 | $30.422,60 | 1191 / 28 | $4.124,76 | 280 / 12 | $3.130,42 | 280 / 10 | Total 71 procedures | 2.390 | 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.