Hospital Costs > In Texas > Arise Austin Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 36 | $62.674,80 | 491 / 33 | $12.325,50 | 242 / 3 | $11.330,50 | 242 / 37 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 132 | 432 / 66 | $54.753,20 | 1500 / 83 | $11.901,50 | 566 / 12 | $10.421,20 | 561 / 70 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 13 | 60 / 15 | $41.411,80 | 193 / 9 | $7.108,00 | 88 / 1 | $5.892,00 | 88 / 10 |
| Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 57 | $125.936,00 | 973 / 77 | $24.810,20 | 776 / 41 | $23.910,10 | 772 / 95 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 17 | 29 / 6 | $52.796,50 | 224 / 13 | $5.666,18 | 21 / 1 | $4.187,06 | 21 / 2 | Total 5 procedures | 189 | 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.