Hospital Costs > In Tennessee > Livingston Regional Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 31 | $16.083,40 | 1105 / 28 | $3.563,91 | 396 / 21 | $2.354,09 | 393 / 20 |
| Cellulitis W/O Mcc | 17 | 172 / 39 | $19.582,60 | 1440 / 52 | $6.736,88 | 327 / 68 | $3.731,29 | 324 / 28 |
| Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 29 | $27.260,20 | 1584 / 54 | $5.508,27 | 518 / 36 | $4.558,36 | 516 / 36 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 42 | $26.101,50 | 1209 / 39 | $6.769,85 | 675 / 40 | $5.951,23 | 671 / 50 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 21 | $20.806,60 | 1314 / 47 | $4.290,20 | 600 / 30 | $3.404,87 | 599 / 40 |
| Endocrine Disorders W/O Cc/Mcc | 14 | 5 / 1 | $19.656,10 | 5 / 1 | $4.258,07 | 10 / 1 | $4.171,21 | 10 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 35 | $18.962,60 | 1272 / 40 | $4.497,45 | 897 / 27 | $3.692,21 | 892 / 53 |
| G.I. Hemorrhage W Cc | 14 | 204 / 44 | $26.813,40 | 1350 / 40 | $5.906,21 | 738 / 35 | $5.124,50 | 736 / 44 |
| Heart Failure & Shock W Cc | 25 | 253 / 42 | $20.462,60 | 1231 / 44 | $6.322,96 | 290 / 58 | $4.680,12 | 290 / 22 |
| Heart Failure & Shock W Mcc | 19 | 265 / 44 | $32.007,90 | 1216 / 49 | $8.257,68 | 431 / 34 | $7.590,74 | 431 / 39 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 22 | $17.394,20 | 1098 / 30 | $4.040,84 | 547 / 19 | $3.340,21 | 545 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 23 | $17.439,00 | 1280 / 49 | $4.606,76 | 602 / 43 | $3.688,49 | 600 / 46 |
| Medical Back Problems W/O Mcc | 13 | 108 / 22 | $19.369,60 | 473 / 13 | $4.827,46 | 258 / 11 | $3.892,08 | 258 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 15 | $16.128,20 | 1098 / 36 | $4.191,58 | 748 / 32 | $3.484,25 | 746 / 47 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 18 | $17.412,00 | 666 / 17 | $4.798,13 | 563 / 23 | $4.049,26 | 561 / 30 |
| Renal Failure W Cc | 11 | 210 / 51 | $22.142,30 | 1193 / 44 | $5.682,36 | 547 / 37 | $4.800,91 | 543 / 43 |
| Respiratory Infections & Inflammations W Cc | 30 | 58 / 10 | $39.044,00 | 947 / 27 | $7.867,13 | 354 / 20 | $7.083,13 | 351 / 21 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 23 | $42.865,90 | 876 / 24 | $10.896,30 | 388 / 24 | $10.232,30 | 387 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 14 | 502 / 65 | $45.282,30 | 1591 / 56 | $10.244,80 | 472 / 40 | $9.465,36 | 472 / 47 |
| Simple Pneumonia & Pleurisy W Cc | 78 | 125 / 16 | $26.012,50 | 1698 / 57 | $5.818,41 | 657 / 43 | $4.783,28 | 654 / 43 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 50 | $42.632,50 | 1665 / 54 | $8.974,46 | 849 / 57 | $7.716,00 | 849 / 53 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 43 | 50 / 5 | $19.471,60 | 1160 / 34 | $4.233,67 | 657 / 24 | $3.380,09 | 654 / 37 |
| Syncope & Collapse | 13 | 156 / 32 | $20.475,20 | 900 / 24 | $4.394,69 | 328 / 16 | $3.365,77 | 326 / 17 | Total 23 procedures | 627 | 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.