Hospital Costs > In Tennessee > Saint Thomas Midtown Hospital, 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 Cc | 23 | 68 / 16 | $25.586,30 | 555 / 16 | $8.255,30 | 621 / 31 | $5.693,87 | 620 / 29 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 21 | $28.665,30 | 394 / 10 | $11.325,00 | 608 / 37 | $9.235,75 | 607 / 32 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 12 | 18 / 5 | $47.123,80 | 85 / 6 | $12.834,80 | 116 / 7 | $11.925,50 | 115 / 8 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 16 | 50 / 9 | $73.860,80 | 427 / 14 | $15.100,20 | 468 / 13 | $14.118,20 | 464 / 14 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 13 | $49.737,80 | 584 / 20 | $11.067,90 | 620 / 21 | $7.497,85 | 619 / 20 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 47 | 18 / 4 | $80.432,80 | 130 / 6 | $25.311,70 | 54 / 9 | $17.476,40 | 54 / 8 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 12 | $13.375,60 | 136 / 4 | $6.654,50 | 457 / 20 | $4.690,50 | 453 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 16 | $14.129,50 | 430 / 12 | $5.745,77 | 1492 / 43 | $4.970,38 | 1487 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 48 | 75 / 10 | $25.095,80 | 662 / 13 | $8.221,88 | 1141 / 36 | $7.452,54 | 1138 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 17 | $11.315,30 | 502 / 14 | $4.910,31 | 975 / 43 | $2.800,17 | 970 / 39 |
| Cellulitis W Mcc | 15 | 43 / 9 | $34.494,90 | 478 / 15 | $9.455,87 | 392 / 16 | $8.280,40 | 390 / 14 |
| Cellulitis W/O Mcc | 56 | 133 / 14 | $14.925,30 | 851 / 29 | $6.084,20 | 1469 / 64 | $4.688,96 | 1462 / 65 |
| Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 17 | $70.311,10 | 582 / 21 | $17.038,80 | 399 / 23 | $12.116,10 | 398 / 18 |
| Chest Pain | 29 | 122 / 16 | $15.964,00 | 583 / 13 | $4.687,90 | 1114 / 36 | $3.772,03 | 1107 / 37 |
| Chronic Obstructive Pulmonary Disease W Cc | 66 | 113 / 12 | $19.665,90 | 961 / 29 | $6.620,15 | 1435 / 64 | $5.425,26 | 1430 / 63 |
| Chronic Obstructive Pulmonary Disease W Mcc | 63 | 139 / 23 | $27.177,30 | 1280 / 44 | $7.996,43 | 1648 / 66 | $7.093,32 | 1640 / 68 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 41 | 79 / 13 | $15.680,30 | 868 / 31 | $5.350,39 | 1529 / 61 | $4.500,61 | 1518 / 61 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 40 | 148 / 20 | $34.604,10 | 738 / 21 | $7.607,08 | 943 / 32 | $6.225,77 | 940 / 34 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 46 | 9 / 1 | $263.755,00 | 80 / 2 | $62.452,60 | 72 / 2 | $53.750,60 | 72 / 2 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 26 | 21 / 1 | $216.235,00 | 87 / 3 | $48.833,20 | 85 / 3 | $41.984,80 | 85 / 3 |
| Coronary Bypass W Cardiac Cath W Mcc | 16 | 40 / 10 | $164.083,00 | 143 / 9 | $41.532,10 | 157 / 7 | $40.324,10 | 157 / 8 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 13 | $128.529,00 | 272 / 13 | $29.949,50 | 135 / 13 | $23.982,10 | 135 / 8 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 17 | 71 / 15 | $99.751,80 | 247 / 13 | $23.475,60 | 215 / 12 | $20.184,50 | 214 / 12 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 13 | $27.075,50 | 406 / 12 | $6.544,45 | 275 / 10 | $4.929,27 | 275 / 10 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 10 | $142.378,00 | 331 / 9 | $32.336,30 | 184 / 10 | $26.347,20 | 184 / 9 |
| Diabetes W Cc | 33 | 59 / 5 | $13.343,10 | 225 / 8 | $5.927,52 | 830 / 30 | $4.747,33 | 826 / 31 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 16 | $15.645,50 | 139 / 7 | $6.786,27 | 447 / 20 | $5.122,36 | 446 / 19 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 13 | 68 / 9 | $352.926,00 | 136 / 9 | $97.743,50 | 119 / 8 | $95.368,00 | 119 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 11 | $27.194,30 | 529 / 14 | $8.385,44 | 494 / 23 | $6.613,24 | 491 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 85 | 190 / 18 | $16.644,30 | 959 / 26 | $5.564,65 | 1707 / 66 | $4.348,79 | 1694 / 66 |
| Extracranial Procedures W/O Cc/Mcc | 23 | 75 / 14 | $20.245,30 | 142 / 6 | $7.821,48 | 469 / 22 | $5.642,57 | 468 / 22 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 8 | $11.208,80 | 123 / 9 | $5.309,62 | 652 / 22 | $4.399,62 | 652 / 22 |
| G.I. Hemorrhage W Cc | 63 | 155 / 17 | $19.364,10 | 696 / 20 | $6.999,52 | 1337 / 55 | $5.741,83 | 1334 / 54 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 22 | $36.359,90 | 562 / 11 | $11.267,80 | 775 / 25 | $10.488,50 | 772 / 27 |
| G.I. Obstruction W Cc | 30 | 62 / 9 | $21.020,50 | 727 / 24 | $6.228,73 | 1166 / 34 | $5.468,20 | 1163 / 37 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 11 | $19.723,90 | 806 / 19 | $4.668,17 | 950 / 21 | $3.802,39 | 947 / 23 |
| Heart Failure & Shock W Cc | 137 | 141 / 7 | $19.987,20 | 1184 / 42 | $6.897,58 | 1660 / 69 | $5.941,06 | 1655 / 69 |
| Heart Failure & Shock W Mcc | 76 | 208 / 20 | $32.076,10 | 1220 / 51 | $9.854,07 | 1424 / 68 | $8.911,95 | 1420 / 70 |
| Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 18 | $13.415,70 | 650 / 16 | $5.037,57 | 1303 / 45 | $4.090,65 | 1293 / 44 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 21 | $42.500,80 | 742 / 20 | $12.028,30 | 971 / 38 | $10.971,30 | 958 / 44 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 12 | $117.779,00 | 713 / 16 | $36.052,90 | 845 / 26 | $33.191,10 | 839 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 21 | $24.894,50 | 787 / 20 | $7.428,66 | 978 / 41 | $5.801,55 | 975 / 41 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 20 | $53.274,10 | 1022 / 24 | $12.647,00 | 1098 / 32 | $11.546,30 | 1093 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 21 | $18.301,60 | 454 / 14 | $5.522,57 | 984 / 25 | $4.315,71 | 980 / 26 |
| Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 29 | $25.856,30 | 973 / 34 | $7.815,00 | 1189 / 53 | $6.728,60 | 1185 / 51 |
| Kidney & Urinary Tract Infections W/O Mcc | 96 | 137 / 13 | $14.482,50 | 857 / 30 | $5.636,81 | 1871 / 76 | $4.775,53 | 1860 / 78 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 13 | $44.750,30 | 358 / 15 | $12.831,80 | 33 / 24 | $7.357,69 | 33 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 6 | $82.314,80 | 297 / 8 | $18.561,80 | 278 / 10 | $15.613,90 | 277 / 8 |
| Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 16 | $83.204,10 | 415 / 13 | $25.812,40 | 48 / 25 | $16.235,70 | 48 / 7 |
| Major Chest Procedures W Cc | 24 | 50 / 6 | $52.009,20 | 130 / 6 | $16.461,50 | 104 / 9 | $13.367,30 | 104 / 8 |
| Major Chest Procedures W Mcc | 21 | 28 / 6 | $79.323,70 | 47 / 2 | $28.532,30 | 80 / 5 | $27.787,20 | 80 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 17 | $20.653,90 | 308 / 12 | $7.833,00 | 726 / 24 | $7.430,33 | 724 / 26 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 39 | 57 / 5 | $60.248,70 | 479 / 14 | $14.931,40 | 266 / 17 | $11.404,50 | 263 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 15 | $77.292,40 | 466 / 14 | $22.136,70 | 94 / 25 | $15.850,90 | 94 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 346 | 229 / 10 | $52.494,40 | 1396 / 27 | $15.720,30 | 746 / 55 | $10.691,30 | 736 / 41 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 31 | 38 / 4 | $66.217,00 | 251 / 10 | $16.853,70 | 153 / 12 | $13.666,50 | 153 / 9 |
| Major Small & Large Bowel Procedures W Cc | 38 | 70 / 10 | $55.642,50 | 547 / 17 | $16.465,30 | 462 / 25 | $13.461,80 | 458 / 23 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 17 | $123.341,00 | 596 / 17 | $30.425,90 | 512 / 21 | $29.712,50 | 510 / 23 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 22 | 42 / 9 | $41.437,10 | 320 / 15 | $11.150,80 | 281 / 18 | $8.510,68 | 281 / 16 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 9 | $33.285,30 | 62 / 2 | $11.117,50 | 99 / 5 | $10.125,50 | 100 / 4 |
| Medical Back Problems W/O Mcc | 33 | 88 / 10 | $17.924,70 | 386 / 11 | $6.045,58 | 844 / 27 | $4.851,58 | 841 / 29 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 21 | $19.744,40 | 391 / 13 | $7.714,53 | 662 / 33 | $6.322,88 | 659 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 21 | $16.635,60 | 1157 / 40 | $5.340,43 | 1446 / 70 | $4.015,89 | 1441 / 67 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 16 | $41.856,10 | 531 / 16 | $11.963,00 | 642 / 19 | $11.299,00 | 640 / 24 |
| Other Digestive System Diagnoses W Cc | 28 | 69 / 9 | $18.345,40 | 304 / 7 | $6.985,89 | 775 / 25 | $5.735,50 | 771 / 27 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 10 | $24.162,50 | 87 / 4 | $11.732,70 | 29 / 12 | $8.090,18 | 29 / 5 |
| Other Resp System O.R. Procedures W Cc | 14 | 33 / 4 | $44.032,70 | 107 / 4 | $12.315,60 | 147 / 5 | $11.447,00 | 147 / 7 |
| Other Vascular Procedures W Cc | 19 | 83 / 13 | $58.254,20 | 333 / 7 | $16.394,00 | 302 / 20 | $13.957,90 | 300 / 17 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 12 | $39.402,20 | 168 / 8 | $10.925,30 | 287 / 11 | $9.825,64 | 286 / 16 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 27 | $91.194,70 | 1063 / 27 | $13.884,70 | 1033 / 27 | $12.746,90 | 1026 / 35 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 15 | 80 / 10 | $80.309,10 | 344 / 10 | $14.225,90 | 224 / 13 | $11.177,40 | 222 / 9 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 15 | $17.445,60 | 291 / 5 | $8.042,00 | 236 / 21 | $4.711,35 | 235 / 9 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 5 | $27.893,20 | 161 / 4 | $9.996,85 | 133 / 10 | $7.219,31 | 133 / 5 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 13 | $44.383,00 | 209 / 5 | $13.527,20 | 349 / 10 | $12.321,80 | 348 / 14 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 17 | $30.265,90 | 357 / 17 | $9.018,07 | 491 / 25 | $8.506,07 | 489 / 29 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 29 | $43.465,40 | 1617 / 48 | $9.039,00 | 1120 / 52 | $7.132,20 | 1118 / 47 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 16 | $21.180,20 | 450 / 13 | $6.892,60 | 870 / 21 | $6.009,40 | 867 / 24 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 12 | $33.447,20 | 543 / 15 | $8.912,86 | 673 / 21 | $8.224,86 | 669 / 22 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 18 | $15.346,30 | 481 / 12 | $5.812,43 | 1315 / 41 | $5.026,35 | 1306 / 44 |
| Renal Failure W Cc | 57 | 164 / 24 | $18.164,20 | 790 / 30 | $6.819,51 | 1508 / 62 | $5.767,65 | 1499 / 62 |
| Renal Failure W Mcc | 37 | 158 / 29 | $25.241,30 | 476 / 19 | $9.680,46 | 1021 / 49 | $8.964,35 | 1021 / 50 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 25 | $45.453,60 | 947 / 28 | $12.677,20 | 546 / 41 | $10.567,50 | 540 / 32 |
| Respiratory Neoplasms W Cc | 15 | 32 / 7 | $35.377,10 | 262 / 8 | $7.930,33 | 240 / 6 | $7.042,87 | 239 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 18 | $52.504,10 | 694 / 21 | $15.375,50 | 932 / 37 | $13.845,00 | 924 / 38 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 19 | $108.089,00 | 302 / 11 | $30.798,70 | 337 / 20 | $29.655,30 | 337 / 24 |
| Revision Of Hip Or Knee Replacement W Cc | 26 | 60 / 5 | $86.827,40 | 358 / 11 | $23.101,50 | 75 / 15 | $16.563,80 | 75 / 8 |
| Seizures W/O Mcc | 13 | 95 / 16 | $16.530,80 | 345 / 9 | $5.576,31 | 831 / 20 | $4.832,92 | 828 / 21 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 15 | $118.718,00 | 304 / 10 | $35.595,80 | 286 / 14 | $32.935,10 | 285 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 140 | 376 / 24 | $42.061,80 | 1418 / 50 | $11.987,50 | 1315 / 69 | $10.670,00 | 1292 / 70 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 54 | 153 / 18 | $24.669,80 | 1223 / 37 | $7.977,94 | 1515 / 62 | $6.276,28 | 1509 / 59 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 13 | $16.561,40 | 447 / 18 | $5.149,37 | 847 / 28 | $4.389,79 | 844 / 29 |
| Simple Pneumonia & Pleurisy W Cc | 68 | 135 / 22 | $17.682,60 | 874 / 29 | $6.816,44 | 1651 / 75 | $5.669,28 | 1644 / 75 |
| Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 28 | $33.563,60 | 1258 / 44 | $9.615,20 | 1462 / 65 | $8.612,39 | 1462 / 65 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 17 | $13.457,40 | 545 / 18 | $5.308,72 | 1358 / 52 | $4.140,40 | 1350 / 52 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 31 | 12 / 1 | $403.006,00 | 82 / 3 | $89.722,60 | 86 / 3 | $82.423,40 | 86 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 106 | 88 / 6 | $150.428,00 | 1117 / 28 | $32.499,80 | 1077 / 32 | $27.777,10 | 1072 / 32 |
| Syncope & Collapse | 31 | 138 / 20 | $13.532,10 | 297 / 8 | $5.581,26 | 839 / 40 | $3.887,32 | 835 / 37 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 14 | $115.044,00 | 23 / 3 | $41.891,30 | 13 / 2 | $41.587,30 | 13 / 4 |
| Transient Ischemia | 13 | 112 / 29 | $19.081,20 | 582 / 14 | $5.340,46 | 919 / 27 | $3.900,23 | 914 / 29 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 16 | 50 / 9 | $18.003,90 | 54 / 3 | $7.441,44 | 213 / 7 | $6.309,44 | 213 / 8 | Total 100 procedures | 3.360 | 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.