Hospital Costs > In Tennessee > Southern Tennessee Regional Health System Lawrence, 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 | 14 | 175 / 42 | $16.576,90 | 1063 / 33 | $4.839,21 | 607 / 24 | $3.979,79 | 604 / 46 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 39 | $25.002,00 | 1451 / 52 | $5.788,26 | 1071 / 52 | $5.028,68 | 1067 / 60 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 43 | $26.538,40 | 1243 / 41 | $6.937,43 | 531 / 47 | $5.806,09 | 530 / 41 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 26 | $19.747,00 | 1243 / 43 | $4.483,00 | 817 / 41 | $3.589,78 | 813 / 51 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 51 | $21.506,50 | 1555 / 47 | $4.691,88 | 1127 / 42 | $3.842,94 | 1119 / 56 |
| Heart Failure & Shock W Cc | 24 | 254 / 43 | $22.153,00 | 1412 / 52 | $5.759,71 | 691 / 39 | $5.055,71 | 690 / 47 |
| Heart Failure & Shock W Mcc | 19 | 265 / 44 | $27.230,80 | 922 / 35 | $8.902,95 | 659 / 60 | $7.880,63 | 659 / 50 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 22 | $18.508,50 | 1192 / 35 | $4.259,26 | 734 / 34 | $3.498,00 | 730 / 36 |
| Kidney & Urinary Tract Infections W Mcc | 43 | 101 / 16 | $22.766,70 | 770 / 27 | $6.586,40 | 445 / 38 | $5.633,84 | 444 / 33 |
| Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 45 | $20.902,40 | 1665 / 60 | $4.737,03 | 1083 / 57 | $4.013,83 | 1075 / 65 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 49 | $67.674,00 | 1933 / 46 | $12.822,30 | 1078 / 29 | $11.184,50 | 1055 / 48 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 31 | $19.889,00 | 1545 / 55 | $4.465,10 | 582 / 53 | $3.366,43 | 580 / 38 |
| Renal Failure W Cc | 20 | 201 / 44 | $19.154,80 | 891 / 34 | $5.394,60 | 337 / 20 | $4.577,00 | 335 / 23 |
| Renal Failure W Mcc | 18 | 177 / 41 | $27.615,80 | 622 / 27 | $9.014,17 | 506 / 41 | $8.073,72 | 506 / 38 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 34 | $60.312,30 | 914 / 26 | $12.306,40 | 158 / 11 | $11.427,80 | 158 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 40 | 476 / 53 | $38.396,00 | 1236 / 43 | $10.438,20 | 613 / 47 | $9.682,22 | 612 / 56 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 43 | $26.562,80 | 1388 / 41 | $6.178,12 | 556 / 33 | $5.270,12 | 554 / 42 |
| Simple Pneumonia & Pleurisy W Cc | 56 | 147 / 30 | $24.081,60 | 1546 / 52 | $6.012,07 | 861 / 56 | $4.960,93 | 858 / 55 |
| Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 34 | $26.469,60 | 800 / 25 | $7.992,24 | 169 / 30 | $6.751,14 | 169 / 24 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 9 | $21.930,90 | 1306 / 42 | $4.490,59 | 597 / 38 | $3.315,03 | 595 / 33 |
| Syncope & Collapse | 13 | 156 / 32 | $22.389,10 | 1063 / 26 | $4.709,46 | 357 / 30 | $3.399,08 | 355 / 18 | Total 21 procedures | 525 | 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.