Hospital Costs > In Tennessee > United Regional 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 Mcc | 13 | 112 / 27 | $14.518,80 | 44 / 1 | $8.324,38 | 58 / 3 | $7.578,54 | 58 / 6 |
| Cellulitis W/O Mcc | 11 | 178 / 45 | $7.702,09 | 79 / 2 | $4.494,45 | 236 / 5 | $3.613,00 | 234 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 42 | $11.123,50 | 80 / 4 | $6.179,23 | 108 / 6 | $5.185,88 | 108 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 52 | $7.632,06 | 74 / 2 | $3.842,00 | 9 / 1 | $2.560,62 | 9 / 1 |
| G.I. Hemorrhage W Cc | 12 | 206 / 46 | $10.704,80 | 73 / 1 | $5.185,00 | 109 / 3 | $4.379,67 | 109 / 13 |
| Heart Failure & Shock W Mcc | 20 | 264 / 43 | $15.463,20 | 160 / 8 | $7.727,60 | 133 / 13 | $7.066,80 | 133 / 19 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 35 | $10.494,10 | 59 / 1 | $5.954,29 | 250 / 12 | $5.348,57 | 250 / 26 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 55 | $6.846,29 | 47 / 2 | $4.201,14 | 224 / 12 | $3.334,86 | 224 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 38 | $7.326,07 | 94 / 6 | $3.854,00 | 324 / 7 | $3.161,43 | 324 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 27 | 489 / 58 | $13.961,00 | 48 / 3 | $9.435,19 | 97 / 13 | $8.628,07 | 97 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 48 | $9.542,74 | 84 / 4 | $5.098,33 | 97 / 2 | $4.137,96 | 97 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 44 | $12.595,00 | 48 / 2 | $7.481,00 | 145 / 8 | $6.693,80 | 145 / 20 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 29 | $8.303,92 | 102 / 3 | $3.819,83 | 135 / 5 | $2.789,08 | 134 / 12 | Total 13 procedures | 226 | 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.