Hospital Costs > In Texas > Angleton-Danbury Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 49 | 515 / 115 | $39.693,70 | 737 / 24 | $14.935,80 | 1668 / 156 | $12.477,40 | 1631 / 181 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 27 | 489 / 133 | $25.718,40 | 572 / 23 | $11.877,40 | 1438 / 106 | $10.918,90 | 1410 / 131 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 65 | $16.289,30 | 463 / 15 | $9.961,77 | 1033 / 184 | $5.692,88 | 1030 / 88 |
Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 68 | $20.273,40 | 745 / 23 | $8.177,88 | 1217 / 122 | $6.480,16 | 1211 / 101 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 92 | $12.050,70 | 403 / 11 | $5.881,21 | 2035 / 157 | $4.872,37 | 2021 / 172 |
Cellulitis W/O Mcc | 17 | 172 / 72 | $11.970,90 | 465 / 13 | $7.556,59 | 1795 / 183 | $5.140,53 | 1787 / 159 |
Heart Failure & Shock W Mcc | 14 | 270 / 106 | $23.601,10 | 635 / 17 | $9.718,86 | 1529 / 111 | $9.117,71 | 1525 / 134 |
Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 92 | $18.054,40 | 919 / 29 | $6.886,93 | 2015 / 138 | $6.194,36 | 2007 / 181 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 41 | $12.349,80 | 442 / 10 | $5.834,23 | 1482 / 129 | $4.377,54 | 1474 / 133 |
Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 83 | $24.414,70 | 662 / 13 | $10.361,40 | 1789 / 142 | $9.372,27 | 1789 / 158 | Total 10 procedures | 215 | 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.