Hospital Costs > In Tennessee > Sumner Regional Medical Center Gallatin, procedure costs

Sumner Regional Medical Center Gallatin, procedure costs

555 Hartsville Pike, Gallatin, TN 37066,

Procedure Costs @ Sumner Regional Medical Center Gallatin
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc108408 / 30$55.650,901973 / 65$10.614,60607 / 54$9.675,94606 / 55
Kidney & Urinary Tract Infections W/O Mcc101132 / 11$22.177,001769 / 62$4.682,84865 / 52$3.867,61859 / 59
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc93471 / 34$54.379,801483 / 35$12.193,00182 / 18$9.666,51182 / 16
Chronic Obstructive Pulmonary Disease W Mcc80122 / 16$29.547,201445 / 51$7.009,51510 / 50$5.789,45509 / 39
Chronic Obstructive Pulmonary Disease W Cc68111 / 11$22.511,001254 / 44$5.642,68763 / 42$4.769,53761 / 52
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc66209 / 24$24.984,901885 / 52$4.837,77770 / 51$3.607,64765 / 49
Heart Failure & Shock W Mcc63221 / 26$43.910,701814 / 63$9.047,16842 / 62$8.097,97842 / 58
Renal Failure W Cc63158 / 22$23.799,101335 / 48$5.915,54848 / 49$5.039,81841 / 54
Syncope & Collapse57112 / 7$25.884,301261 / 31$4.542,58539 / 24$3.587,09537 / 29
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc5664 / 5$20.184,001279 / 45$4.495,29521 / 43$3.343,30520 / 34
Simple Pneumonia & Pleurisy W Cc56147 / 30$28.921,601897 / 61$5.875,77765 / 49$4.873,20762 / 48
Simple Pneumonia & Pleurisy W Mcc54151 / 26$33.275,001238 / 42$8.259,96430 / 43$7.219,37430 / 42
Chest Pain5497 / 5$22.636,201092 / 31$3.893,22402 / 23$2.832,07400 / 22
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc54112 / 11$16.626,001154 / 39$4.361,59635 / 45$3.405,28633 / 40
Renal Failure W Mcc50145 / 23$31.420,20844 / 32$8.741,80570 / 32$8.160,04570 / 39
Kidney & Urinary Tract Infections W Mcc4797 / 13$31.510,001235 / 43$6.385,96461 / 29$5.659,85460 / 36
Circulatory Disorders Except Ami, W Card Cath W/O Mcc46142 / 17$35.795,50795 / 22$6.375,43413 / 15$5.322,91411 / 22
Pulmonary Edema & Respiratory Failure45158 / 27$35.731,201323 / 42$7.155,89624 / 29$6.481,76624 / 37
G.I. Hemorrhage W Cc44174 / 24$26.726,201343 / 39$5.936,25537 / 36$4.942,55536 / 33
Heart Failure & Shock W Cc42236 / 32$25.603,101715 / 57$5.910,381131 / 42$5.393,811129 / 62
Simple Pneumonia & Pleurisy W/O Cc/Mcc4251 / 6$21.283,701276 / 41$4.383,83694 / 33$3.410,12690 / 40
Cellulitis W/O Mcc42147 / 20$19.359,001408 / 50$5.225,57349 / 47$3.745,62346 / 30
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc33174 / 29$30.311,101640 / 50$6.321,48415 / 38$5.113,03413 / 34
Respiratory Infections & Inflammations W Cc3256 / 8$36.966,50899 / 26$7.801,94414 / 17$7.185,44411 / 24
Respiratory System Diagnosis W Ventilator Support <96 Hours30101 / 22$65.119,801037 / 29$13.193,40485 / 26$12.397,10478 / 30
Cardiac Arrhythmia & Conduction Disorders W Cc30131 / 23$33.077,201742 / 46$4.851,77696 / 29$4.008,03693 / 34
Respiratory Infections & Inflammations W Mcc29107 / 18$40.914,90818 / 20$10.633,70145 / 23$9.562,14145 / 19
Transient Ischemia2798 / 19$27.424,701076 / 25$4.351,63513 / 17$3.387,70511 / 23
Signs & Symptoms W/O Mcc2764 / 8$15.635,30376 / 15$4.419,15292 / 20$3.366,41291 / 17
Acute Myocardial Infarction, Discharged Alive W Mcc2699 / 16$67.112,701424 / 38$10.288,60692 / 29$9.408,62691 / 35
Peripheral Vascular Disorders W Cc2559 / 8$25.572,70661 / 15$6.022,76198 / 11$4.641,88198 / 8
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc24126 / 21$16.141,201114 / 29$3.650,67788 / 26$2.665,21784 / 33
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc22104 / 18$30.486,90984 / 29$6.478,91287 / 14$5.683,27284 / 16
Acute Myocardial Infarction, Discharged Alive W Cc2269 / 17$38.556,801004 / 28$6.514,86310 / 21$5.163,45309 / 17
G.I. Obstruction W Cc2072 / 15$24.521,40963 / 28$5.235,45522 / 17$4.507,45521 / 25
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs20162 / 30$29.566,101123 / 28$6.308,90670 / 28$5.401,70669 / 36
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1954 / 12$26.807,30553 / 20$6.776,68323 / 14$6.205,74322 / 20
Cardiac Arrhythmia & Conduction Disorders W Mcc18105 / 24$40.164,601332 / 33$7.214,72521 / 23$6.394,56518 / 26
Transurethral Procedures W Cc1823 / 3$43.042,80243 / 6$7.482,6771 / 4$6.313,7871 / 4
Heart Failure & Shock W/O Cc/Mcc1793 / 24$20.140,601293 / 37$4.227,53660 / 31$3.442,59658 / 32
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1637 / 10$26.497,80502 / 15$5.294,38241 / 17$3.666,81240 / 13
Hip & Femur Procedures Except Major Joint W Cc16127 / 30$49.176,501020 / 26$11.676,80226 / 36$9.550,69225 / 23
Diabetes W Cc1676 / 19$19.670,60672 / 21$5.055,06588 / 18$4.377,06587 / 27
G.I. Hemorrhage W/O Cc/Mcc1652 / 8$19.285,90525 / 17$5.215,38173 / 18$3.124,44173 / 13
Other Kidney & Urinary Tract Diagnoses W Mcc1586 / 13$29.180,50360 / 10$8.557,3334 / 9$7.073,2034 / 6
Other Digestive System Diagnoses W Cc1582 / 18$27.403,00771 / 20$5.822,93253 / 13$4.771,20250 / 12
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc14182 / 31$73.593,10751 / 17$15.681,7013 / 35$8.391,0713 / 3
Infectious & Parasitic Diseases W O.R. Procedure W Mcc14110 / 21$113.629,00665 / 13$27.716,50219 / 9$27.113,10219 / 14
Hypertension W/O Mcc1352 / 12$20.199,90420 / 13$3.931,23246 / 10$3.000,77244 / 14
Poisoning & Toxic Effects Of Drugs W Mcc1359 / 18$30.780,90366 / 19$7.813,2389 / 17$6.789,2389 / 15
Atherosclerosis W/O Mcc1345 / 7$25.026,30392 / 10$3.850,46 / $3.104,62 /
Other Kidney & Urinary Tract Diagnoses W Cc1291 / 12$29.763,90521 / 13$5.879,42266 / 8$5.375,42266 / 11
Medical Back Problems W/O Mcc12109 / 23$18.486,60423 / 12$4.884,83313 / 15$3.972,83313 / 15
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1244 / 14$43.914,20342 / 13$10.280,70120 / 17$7.949,33120 / 13
Fractures Of Hip & Pelvis W/O Mcc1249 / 12$19.995,30515 / 22$4.435,67242 / 17$3.334,33243 / 15
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1159 / 11$27.403,90329 / 10$5.612,55213 / 4$5.397,27213 / 10
Red Blood Cell Disorders W/O Mcc11132 / 29$26.205,501326 / 33$4.917,18506 / 28$3.986,27505 / 27
Disorders Of The Biliary Tract W Cc1143 / 8$22.978,80105 / 4$5.941,1822 / 3$4.825,1822 / 3
Hip & Femur Procedures Except Major Joint W Mcc1151 / 17$68.839,60399 / 13$16.893,80222 / 14$16.015,30221 / 16
Seizures W/O Mcc1197 / 18$25.980,80814 / 20$4.690,27328 / 7$3.808,82326 / 13
Digestive Malignancy W Cc1136 / 8$27.638,60109 / 3$7.524,0939 / 5$6.140,0939 / 3
Total 61 procedures2.045discharges

DATA

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.