Hospital Costs > In Tennessee > Tristar Skyline 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 Cc | 13 | 78 / 23 | $46.794,40 | 1141 / 30 | $7.765,77 | 340 / 29 | $5.206,92 | 339 / 19 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 47 | 40 / 1 | $30.016,90 | 61 / 1 | $7.430,28 | 10 / 1 | $6.008,15 | 10 / 1 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 44 | 80 / 3 | $31.167,40 | 707 / 12 | $4.632,59 | 219 / 8 | $3.576,43 | 219 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 22 | $33.651,30 | 1764 / 47 | $5.058,44 | 1044 / 36 | $4.340,44 | 1040 / 42 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 25 | $56.487,10 | 1636 / 41 | $7.389,41 | 617 / 27 | $6.552,71 | 614 / 28 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 30 | $22.008,20 | 1505 / 42 | $3.781,25 | 687 / 30 | $2.578,58 | 683 / 30 |
| Cellulitis W/O Mcc | 42 | 147 / 20 | $27.103,00 | 1995 / 69 | $5.331,12 | 992 / 53 | $4.265,98 | 986 / 57 |
| Chest Pain | 32 | 119 / 14 | $29.938,40 | 1385 / 38 | $4.040,28 | 696 / 26 | $3.132,28 | 691 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 59 | 120 / 15 | $36.183,00 | 1961 / 62 | $5.862,81 | 1132 / 55 | $5.084,51 | 1128 / 61 |
| Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 21 | $45.804,40 | 2089 / 70 | $7.180,68 | 905 / 57 | $6.157,25 | 900 / 58 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 23 | $28.883,60 | 1670 / 56 | $4.573,50 | 950 / 47 | $3.693,50 | 941 / 55 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 16 | $68.357,70 | 573 / 15 | $11.079,10 | 64 / 3 | $10.197,60 | 64 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 31 | $48.946,60 | 1180 / 32 | $6.660,24 | 748 / 22 | $5.805,65 | 746 / 33 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 24 | 74 / 7 | $146.114,00 | 339 / 10 | $26.951,80 | 64 / 6 | $22.981,40 | 64 / 3 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 10 | $37.895,10 | 645 / 11 | $5.898,08 | 248 / 3 | $5.149,77 | 248 / 4 |
| Depressive Neuroses | 23 | 27 / 2 | $34.249,30 | 129 / 3 | $4.332,52 | 13 / 2 | $2.998,48 | 13 / 1 |
| Diabetes W Cc | 15 | 77 / 20 | $35.474,30 | 1323 / 37 | $5.177,67 | 647 / 23 | $4.452,33 | 646 / 28 |
| Dysequilibrium | 12 | 53 / 5 | $28.925,50 | 399 / 7 | $4.410,75 | 105 / 4 | $2.795,25 | 105 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 17 | $56.092,40 | 1232 / 30 | $7.285,83 | 420 / 16 | $6.461,83 | 418 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 57 | 218 / 28 | $31.768,90 | 2239 / 64 | $5.000,40 | 762 / 55 | $3.604,44 | 757 / 48 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 11 | $25.235,10 | 512 / 14 | $4.887,45 | 334 / 9 | $4.008,91 | 334 / 9 |
| G.I. Hemorrhage W Cc | 62 | 156 / 18 | $39.659,20 | 1946 / 53 | $6.490,10 | 860 / 52 | $5.229,81 | 858 / 49 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 20 | $88.688,20 | 1504 / 32 | $11.085,20 | 533 / 23 | $9.748,11 | 534 / 21 |
| G.I. Obstruction W Cc | 17 | 75 / 17 | $43.433,70 | 1507 / 39 | $5.609,18 | 860 / 28 | $4.895,76 | 858 / 33 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 18 | $29.085,80 | 1100 / 24 | $4.072,73 | 505 / 12 | $2.967,27 | 504 / 17 |
| Headaches W/O Mcc | 12 | 31 / 5 | $43.251,00 | 211 / 6 | $5.634,83 | 26 / 3 | $2.869,83 | 26 / 2 |
| Heart Failure & Shock W Cc | 56 | 222 / 26 | $29.854,00 | 1946 / 64 | $6.360,86 | 603 / 60 | $4.988,50 | 603 / 43 |
| Heart Failure & Shock W Mcc | 51 | 233 / 31 | $60.761,00 | 2207 / 76 | $9.334,76 | 782 / 65 | $8.029,90 | 782 / 56 |
| Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 19 | $75.531,40 | 1641 / 42 | $11.701,80 | 334 / 37 | $9.802,14 | 333 / 30 |
| Hypertension W/O Mcc | 15 | 50 / 10 | $43.143,90 | 753 / 21 | $4.143,80 | 277 / 14 | $3.092,07 | 275 / 16 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 17 | $245.378,00 | 1405 / 29 | $35.983,40 | 561 / 25 | $30.042,20 | 556 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 133 | 50 / 5 | $57.863,10 | 1841 / 47 | $6.803,96 | 679 / 36 | $5.412,22 | 678 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 130 | 46 / 5 | $85.033,90 | 1403 / 35 | $10.882,30 | 461 / 28 | $9.256,12 | 460 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 13 | $45.438,40 | 1435 / 32 | $5.012,72 | 346 / 20 | $3.430,80 | 343 / 19 |
| Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 18 | $44.026,30 | 1590 / 53 | $6.662,17 | 715 / 39 | $5.970,17 | 714 / 44 |
| Kidney & Urinary Tract Infections W/O Mcc | 90 | 143 / 16 | $29.206,20 | 2180 / 76 | $4.918,03 | 931 / 62 | $3.907,41 | 924 / 63 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 14 | $52.341,00 | 501 / 20 | $11.401,10 | 138 / 19 | $8.019,42 | 138 / 15 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 7 | $103.456,00 | 363 / 10 | $15.541,60 | 70 / 5 | $12.725,70 | 70 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 5 | $52.671,50 | 440 / 13 | $7.476,08 | 260 / 8 | $6.449,62 | 260 / 11 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 10 | $85.932,80 | 533 / 16 | $11.913,80 | 248 / 11 | $10.905,80 | 248 / 13 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 9 | $74.739,00 | 465 / 18 | $12.357,80 | 92 / 17 | $7.113,18 | 92 / 9 |
| Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 18 | $94.407,80 | 529 / 18 | $21.446,70 | 131 / 17 | $17.243,70 | 131 / 14 |
| Major Chest Procedures W Mcc | 13 | 36 / 9 | $181.710,00 | 255 / 12 | $27.457,90 | 56 / 3 | $26.302,20 | 56 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 14 | $45.062,10 | 899 / 27 | $7.115,13 | 526 / 20 | $6.709,80 | 524 / 24 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 17 | $104.777,00 | 691 / 24 | $17.968,80 | 221 / 14 | $16.944,90 | 220 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 111 | 453 / 31 | $62.863,10 | 1797 / 40 | $13.887,30 | 764 / 44 | $10.713,20 | 753 / 43 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 16 | $171.840,00 | 925 / 24 | $29.196,70 | 367 / 19 | $28.239,20 | 365 / 19 |
| Medical Back Problems W/O Mcc | 57 | 64 / 4 | $35.902,90 | 1165 / 33 | $5.550,93 | 475 / 24 | $4.193,00 | 475 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 28 | $31.929,50 | 2194 / 74 | $4.685,93 | 550 / 58 | $3.342,11 | 548 / 35 |
| Nonspecific Cerebrovascular Disorders W Cc | 21 | 35 / 8 | $50.915,10 | 417 / 20 | $5.906,00 | 139 / 13 | $5.132,48 | 139 / 14 |
| Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 12 | $86.992,50 | 378 / 18 | $10.974,80 | 187 / 14 | $10.039,50 | 187 / 14 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 23 | $71.666,10 | 1071 / 26 | $11.288,20 | 447 / 18 | $10.549,70 | 446 / 18 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 19 | $35.842,20 | 1042 / 26 | $5.871,15 | 562 / 15 | $5.314,85 | 559 / 23 |
| Other Disorders Of Nervous System W Cc | 20 | 36 / 7 | $42.298,40 | 509 / 18 | $6.274,60 | 45 / 14 | $4.016,05 | 45 / 8 |
| Other Vascular Procedures W Cc | 15 | 87 / 14 | $75.251,10 | 602 / 18 | $14.575,80 | 316 / 12 | $14.014,70 | 314 / 18 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 16 | 180 / 29 | $79.570,40 | 861 / 20 | $12.275,80 | 285 / 15 | $10.092,80 | 285 / 21 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 22 | 50 / 13 | $75.011,40 | 881 / 35 | $9.427,50 | 211 / 27 | $7.308,45 | 210 / 21 |
| Psychoses | 348 | 49 / 4 | $34.682,90 | 518 / 9 | $6.305,47 | 148 / 6 | $5.298,69 | 148 / 5 |
| Pulmonary Edema & Respiratory Failure | 86 | 117 / 13 | $50.798,10 | 1774 / 55 | $8.035,50 | 499 / 45 | $6.333,80 | 499 / 33 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 24 | $30.548,80 | 1522 / 40 | $5.134,81 | 745 / 33 | $4.232,81 | 740 / 36 |
| Renal Failure W Cc | 50 | 171 / 27 | $41.065,50 | 2078 / 68 | $6.139,22 | 713 / 56 | $4.926,30 | 706 / 50 |
| Renal Failure W Mcc | 49 | 146 / 24 | $52.220,10 | 1629 / 52 | $9.533,25 | 189 / 48 | $7.518,88 | 189 / 22 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 24 | $75.667,50 | 1372 / 38 | $8.411,92 | 728 / 29 | $7.809,25 | 723 / 31 |
| Respiratory Infections & Inflammations W Mcc | 23 | 113 / 21 | $73.312,80 | 1445 / 43 | $11.328,70 | 584 / 31 | $10.644,10 | 576 / 33 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 46 | 85 / 15 | $87.231,10 | 1392 / 41 | $13.316,70 | 519 / 29 | $12.504,90 | 512 / 34 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 10 | $190.280,00 | 712 / 28 | $29.362,80 | 255 / 16 | $28.558,80 | 255 / 19 |
| Seizures W Mcc | 39 | 27 / 4 | $80.723,10 | 683 / 19 | $9.549,82 | 96 / 13 | $7.716,97 | 96 / 9 |
| Seizures W/O Mcc | 48 | 60 / 5 | $36.700,80 | 1088 / 25 | $5.039,54 | 287 / 14 | $3.719,56 | 286 / 11 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 11 | $246.810,00 | 887 / 23 | $40.221,30 | 353 / 20 | $33.959,90 | 352 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 129 | 387 / 26 | $78.194,60 | 2406 / 80 | $11.018,10 | 725 / 63 | $9.820,42 | 724 / 58 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 25 | $41.584,50 | 2086 / 58 | $6.488,35 | 922 / 43 | $5.600,57 | 920 / 51 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 11 | $38.626,90 | 1192 / 32 | $4.596,57 | 362 / 22 | $3.468,90 | 361 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 24 | $44.776,70 | 2455 / 79 | $6.178,95 | 994 / 66 | $5.072,20 | 991 / 61 |
| Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 25 | $67.466,80 | 2209 / 70 | $9.003,62 | 1045 / 58 | $7.921,75 | 1045 / 59 |
| Spinal Fusion Except Cervical W/O Mcc | 32 | 162 / 18 | $129.631,00 | 1004 / 25 | $26.842,10 | 280 / 24 | $20.408,20 | 279 / 20 |
| Syncope & Collapse | 42 | 127 / 15 | $34.092,90 | 1560 / 41 | $4.894,29 | 626 / 35 | $3.675,05 | 623 / 32 |
| Transient Ischemia | 50 | 75 / 8 | $45.142,00 | 1524 / 35 | $4.912,12 | 409 / 25 | $3.278,88 | 408 / 15 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 25 | 41 / 4 | $38.926,20 | 333 / 11 | $7.547,12 | 48 / 9 | $5.285,16 | 48 / 4 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 22 | 29 / 4 | $83.040,20 | 266 / 7 | $12.457,10 | 50 / 4 | $10.428,00 | 50 / 3 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 23 | 31 / 5 | $35.986,30 | 323 / 10 | $6.266,57 | 67 / 8 | $3.477,61 | 67 / 4 | Total 80 procedures | 3.041 | 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.