Hospital Costs > In Texas > Baptist Beaumont Hospital, 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 | 18 | 73 / 27 | $42.865,20 | 1082 / 54 | $7.463,22 | 281 / 55 | $5.105,17 | 281 / 19 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 42 | $55.360,90 | 1244 / 60 | $10.040,20 | 576 / 33 | $9.168,10 | 575 / 41 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 13 | $37.205,00 | 690 / 26 | $5.698,25 | 355 / 29 | $3.890,06 | 352 / 21 |
| Atherosclerosis W/O Mcc | 11 | 47 / 15 | $18.569,50 | 283 / 6 | $4.176,82 | / | $3.177,45 | / |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 26 | $32.751,40 | 772 / 50 | $5.822,25 | 565 / 28 | $4.981,38 | 561 / 51 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 54 | 107 / 20 | $21.228,90 | 1144 / 44 | $5.206,57 | 777 / 61 | $4.094,09 | 774 / 61 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 32 | $27.348,30 | 811 / 21 | $7.333,12 | 574 / 39 | $6.481,88 | 571 / 51 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 27 | $16.115,90 | 1109 / 40 | $3.924,71 | 1122 / 58 | $2.927,95 | 1117 / 82 |
| Cellulitis W/O Mcc | 82 | 107 / 17 | $20.047,50 | 1487 / 75 | $5.494,88 | 1076 / 80 | $4.331,77 | 1070 / 87 |
| Chest Pain | 34 | 117 / 33 | $21.538,20 | 1021 / 39 | $4.162,82 | 717 / 37 | $3.157,09 | 712 / 52 |
| Chronic Obstructive Pulmonary Disease W Cc | 65 | 114 / 20 | $24.948,70 | 1445 / 51 | $5.703,91 | 914 / 40 | $4.887,08 | 911 / 65 |
| Chronic Obstructive Pulmonary Disease W Mcc | 70 | 132 / 26 | $26.324,80 | 1227 / 42 | $7.086,94 | 440 / 49 | $5.733,36 | 439 / 32 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 54 | 66 / 9 | $18.578,20 | 1159 / 39 | $4.759,35 | 832 / 57 | $3.602,43 | 828 / 59 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 21 | 72 / 16 | $64.599,40 | 528 / 25 | $12.502,90 | 257 / 15 | $11.329,50 | 252 / 21 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 40 | 148 / 34 | $38.854,10 | 912 / 46 | $6.703,52 | 580 / 35 | $5.556,75 | 578 / 57 |
| Complications Of Treatment W Cc | 11 | 41 / 11 | $26.713,40 | 180 / 6 | $6.132,73 | 114 / 2 | $5.559,82 | 114 / 7 |
| Coronary Bypass W Cardiac Cath W Mcc | 15 | 41 / 13 | $241.110,00 | 312 / 31 | $39.414,30 | 94 / 3 | $38.143,20 | 94 / 10 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 18 | 58 / 18 | $156.437,00 | 381 / 21 | $25.247,50 | 137 / 3 | $24.003,20 | 137 / 12 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 17 | $23.298,80 | 306 / 12 | $5.614,50 | 263 / 8 | $4.895,33 | 263 / 17 |
| Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 16 | $31.950,10 | 540 / 24 | $5.675,50 | 185 / 6 | $4.921,71 | 185 / 9 |
| Diabetes W Cc | 27 | 65 / 24 | $18.604,10 | 593 / 7 | $5.280,33 | 788 / 32 | $4.686,67 | 785 / 63 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 22 | 54 / 12 | $34.885,20 | 158 / 11 | $10.230,60 | 94 / 6 | $9.878,05 | 94 / 12 |
| Disorders Of Pancreas Except Malignancy W Mcc | 16 | 30 / 10 | $25.724,30 | 39 / 3 | $9.880,00 | 17 / 3 | $8.441,81 | 17 / 1 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 8 | $21.243,20 | 278 / 16 | $4.927,77 | 85 / 20 | $2.875,15 | 85 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 89 | 186 / 36 | $20.579,40 | 1461 / 64 | $4.893,19 | 1220 / 65 | $3.906,54 | 1209 / 97 |
| Extracranial Procedures W Cc | 19 | 27 / 10 | $57.730,90 | 277 / 21 | $9.346,79 | 118 / 7 | $8.378,63 | 118 / 13 |
| Extracranial Procedures W/O Cc/Mcc | 47 | 51 / 10 | $38.444,30 | 604 / 44 | $6.474,49 | 417 / 22 | $5.519,53 | 416 / 41 |
| Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 12 | $17.601,80 | 415 / 11 | $4.594,12 | 380 / 15 | $3.653,41 | 381 / 22 |
| G.I. Hemorrhage W Cc | 86 | 132 / 20 | $28.651,30 | 1481 / 64 | $6.275,24 | 749 / 53 | $5.134,53 | 747 / 57 |
| G.I. Hemorrhage W Mcc | 36 | 85 / 22 | $44.569,60 | 855 / 34 | $10.064,90 | 404 / 20 | $9.409,89 | 404 / 33 |
| G.I. Obstruction W Cc | 28 | 64 / 23 | $27.254,20 | 1099 / 44 | $5.551,64 | 582 / 30 | $4.563,82 | 581 / 41 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 19 | $16.324,80 | 617 / 18 | $4.144,28 | 699 / 31 | $3.258,72 | 697 / 54 |
| Heart Failure & Shock W Cc | 100 | 178 / 30 | $27.848,00 | 1849 / 98 | $6.179,26 | 999 / 71 | $5.292,31 | 997 / 81 |
| Heart Failure & Shock W Mcc | 123 | 161 / 27 | $34.163,80 | 1348 / 57 | $8.781,85 | 663 / 46 | $7.885,38 | 663 / 51 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 27 | $20.155,30 | 1294 / 59 | $4.717,24 | 972 / 81 | $3.705,24 | 964 / 77 |
| Hip & Femur Procedures Except Major Joint W Cc | 59 | 84 / 22 | $51.383,10 | 1092 / 52 | $11.147,10 | 370 / 26 | $9.867,58 | 369 / 30 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 26 | $79.302,80 | 522 / 23 | $16.613,20 | 154 / 11 | $15.527,90 | 154 / 11 |
| Hypertension W/O Mcc | 16 | 49 / 17 | $18.495,50 | 360 / 15 | $4.255,56 | 392 / 17 | $3.415,12 | 390 / 30 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 39 | $119.299,00 | 728 / 35 | $27.643,30 | 188 / 8 | $26.798,00 | 188 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 32 | $35.025,50 | 1362 / 63 | $6.346,72 | 775 / 33 | $5.520,43 | 773 / 59 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 42 | 126 / 35 | $45.697,50 | 850 / 25 | $9.476,12 | 272 / 8 | $8.709,05 | 271 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 27 | $28.258,50 | 1028 / 46 | $5.446,55 | 678 / 55 | $3.833,52 | 674 / 48 |
| Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 45 | $27.941,90 | 1094 / 51 | $6.395,69 | 432 / 24 | $5.609,50 | 431 / 34 |
| Kidney & Urinary Tract Infections W/O Mcc | 72 | 161 / 45 | $20.225,90 | 1600 / 86 | $4.926,58 | 1047 / 66 | $3.990,19 | 1039 / 89 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 21 | 35 / 15 | $45.464,30 | 379 / 15 | $9.643,10 | 274 / 15 | $8.592,05 | 274 / 23 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 12 | $67.181,60 | 224 / 10 | $13.743,50 | 39 / 4 | $12.185,60 | 39 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 11 | $38.657,60 | 285 / 21 | $7.479,69 | 62 / 18 | $5.392,88 | 62 / 8 |
| Major Cardiovasc Procedures W Mcc | 16 | 52 / 17 | $141.514,00 | 318 / 14 | $28.258,40 | 78 / 5 | $27.313,10 | 78 / 10 |
| Major Cardiovasc Procedures W/O Mcc | 30 | 71 / 20 | $111.210,00 | 680 / 39 | $18.778,50 | 186 / 4 | $17.711,10 | 186 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 149 | 415 / 59 | $65.194,70 | 1867 / 121 | $12.411,40 | 836 / 35 | $10.809,90 | 822 / 98 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 24 | $70.311,90 | 865 / 43 | $14.204,30 | 185 / 14 | $12.402,00 | 184 / 19 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 32 | $133.036,00 | 681 / 34 | $27.168,20 | 129 / 9 | $25.436,10 | 129 / 14 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 17 | $46.342,70 | 408 / 26 | $9.565,60 | 269 / 13 | $8.418,73 | 269 / 28 |
| Medical Back Problems W/O Mcc | 29 | 92 / 22 | $30.452,50 | 1025 / 58 | $5.384,72 | 469 / 27 | $4.187,97 | 469 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 40 | $23.179,00 | 603 / 19 | $6.776,83 | 523 / 33 | $6.055,86 | 520 / 49 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 75 | 91 / 18 | $21.687,80 | 1696 / 90 | $4.599,63 | 954 / 61 | $3.620,61 | 951 / 77 |
| Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 15 | $37.927,70 | 175 / 4 | $9.538,00 | 79 / 3 | $8.637,82 | 79 / 5 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 16 | 61 / 27 | $35.385,80 | 137 / 5 | $9.224,12 | 117 / 4 | $8.003,56 | 117 / 12 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 20 | $29.592,70 | 403 / 20 | $5.988,09 | 270 / 9 | $5.423,82 | 269 / 18 |
| Other Circulatory System Diagnoses W Mcc | 23 | 93 / 34 | $48.021,90 | 696 / 37 | $10.894,20 | 379 / 13 | $10.287,20 | 378 / 30 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 19 | $30.057,00 | 866 / 42 | $6.065,08 | 588 / 22 | $5.377,72 | 585 / 36 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 17 | $44.384,30 | 382 / 21 | $9.814,08 | 136 / 9 | $9.044,54 | 136 / 12 |
| Other Disorders Of Nervous System W Cc | 15 | 41 / 11 | $27.895,30 | 340 / 12 | $5.575,40 | 175 / 6 | $4.732,53 | 175 / 12 |
| Other O.R. Procedures For Injuries W Cc | 12 | 23 / 6 | $42.586,90 | 45 / 3 | $9.902,58 | 9 / 1 | $9.276,25 | 9 / 2 |
| Other Resp System O.R. Procedures W Mcc | 14 | 49 / 15 | $82.682,30 | 239 / 9 | $19.796,80 | 84 / 7 | $18.808,20 | 84 / 9 |
| Other Vascular Procedures W Cc | 22 | 80 / 32 | $81.197,50 | 660 / 45 | $14.532,80 | 86 / 14 | $12.648,70 | 86 / 10 |
| Other Vascular Procedures W Mcc | 13 | 84 / 37 | $87.011,10 | 463 / 30 | $20.823,80 | 11 / 46 | $15.550,80 | 11 / 3 |
| Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 18 | $67.221,10 | 426 / 34 | $9.896,07 | 124 / 8 | $8.667,29 | 123 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 46 | 150 / 31 | $92.545,90 | 1079 / 84 | $12.009,50 | 161 / 14 | $9.675,85 | 161 / 25 |
| Peripheral Vascular Disorders W Cc | 21 | 63 / 22 | $22.523,20 | 517 / 16 | $6.106,76 | 331 / 22 | $4.946,19 | 329 / 23 |
| Peripheral Vascular Disorders W Mcc | 14 | 35 / 13 | $33.098,90 | 261 / 16 | $7.819,86 | 115 / 4 | $7.103,86 | 115 / 12 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 14 | 31 / 10 | $20.598,60 | 225 / 11 | $4.462,29 | 137 / 4 | $3.418,50 | 137 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 27 | $57.871,30 | 316 / 12 | $15.064,00 | 37 / 7 | $12.728,90 | 37 / 4 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 18 | $45.585,60 | 645 / 31 | $8.677,90 | 252 / 19 | $7.490,65 | 251 / 18 |
| Psychoses | 121 | 174 / 11 | $17.982,80 | 270 / 8 | $6.243,01 | 74 / 2 | $4.959,45 | 74 / 4 |
| Pulmonary Edema & Respiratory Failure | 58 | 145 / 29 | $28.746,00 | 959 / 22 | $7.379,62 | 681 / 30 | $6.569,71 | 681 / 42 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 25 | $39.641,90 | 1047 / 52 | $6.209,42 | 493 / 20 | $5.177,42 | 491 / 31 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 26 | $22.696,70 | 229 / 6 | $7.527,92 | 346 / 18 | $6.953,08 | 344 / 35 |
| Red Blood Cell Disorders W/O Mcc | 51 | 92 / 19 | $22.229,90 | 1088 / 54 | $5.320,25 | 792 / 60 | $4.290,16 | 787 / 66 |
| Renal Failure W Cc | 89 | 132 / 28 | $22.851,20 | 1263 / 48 | $5.913,56 | 748 / 50 | $4.960,06 | 741 / 61 |
| Renal Failure W Mcc | 93 | 102 / 21 | $35.838,40 | 1086 / 54 | $8.896,02 | 450 / 37 | $7.988,19 | 450 / 44 |
| Renal Failure W/O Cc/Mcc | 20 | 36 / 13 | $19.246,40 | 530 / 26 | $4.339,25 | 362 / 24 | $3.234,55 | 361 / 29 |
| Respiratory Infections & Inflammations W Cc | 22 | 66 / 23 | $32.168,50 | 760 / 32 | $7.824,23 | 300 / 17 | $6.979,00 | 298 / 24 |
| Respiratory Infections & Inflammations W Mcc | 46 | 90 / 20 | $40.276,90 | 797 / 28 | $10.570,50 | 192 / 13 | $9.720,02 | 192 / 15 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 15 | $34.998,80 | 176 / 2 | $9.901,55 | 159 / 4 | $9.217,55 | 159 / 9 |
| Respiratory Signs & Symptoms | 20 | 26 / 4 | $20.774,50 | 130 / 5 | $4.566,95 | 91 / 4 | $3.594,05 | 91 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 45 | 86 / 21 | $57.692,60 | 857 / 38 | $13.006,00 | 426 / 24 | $12.248,20 | 421 / 43 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 22 | $113.396,00 | 331 / 11 | $26.845,10 | 9 / 2 | $23.028,70 | 9 / 2 |
| Seizures W Mcc | 16 | 50 / 18 | $57.164,30 | 546 / 31 | $8.584,25 | 130 / 6 | $7.946,94 | 130 / 15 |
| Seizures W/O Mcc | 23 | 85 / 24 | $25.424,00 | 789 / 29 | $4.980,43 | 558 / 26 | $4.185,04 | 555 / 42 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 32 | 60 / 14 | $112.374,00 | 272 / 13 | $29.679,00 | 3 / 3 | $25.105,20 | 3 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 234 | 282 / 34 | $42.732,30 | 1462 / 72 | $10.266,30 | 496 / 12 | $9.509,59 | 496 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 49 | 158 / 46 | $24.402,40 | 1200 / 49 | $6.359,43 | 664 / 33 | $5.365,96 | 662 / 44 |
| Simple Pneumonia & Pleurisy W Cc | 77 | 126 / 33 | $26.190,30 | 1716 / 83 | $6.044,81 | 929 / 56 | $5.026,42 | 926 / 70 |
| Simple Pneumonia & Pleurisy W Mcc | 69 | 136 / 31 | $34.871,80 | 1343 / 53 | $8.264,46 | 617 / 24 | $7.454,23 | 617 / 47 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 39 | $22.939,10 | 1354 / 77 | $4.692,53 | 941 / 60 | $3.627,20 | 936 / 75 |
| Syncope & Collapse | 60 | 109 / 18 | $24.592,00 | 1197 / 45 | $4.805,48 | 813 / 47 | $3.864,05 | 809 / 62 |
| Transient Ischemia | 26 | 99 / 37 | $28.506,80 | 1131 / 53 | $4.656,50 | 838 / 37 | $3.765,27 | 834 / 61 | Total 98 procedures | 3.636 | 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.