Hospital Costs > In Texas > Baylor Medical Center At Carrollton, 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 | 88 | 476 / 90 | $52.929,50 | 1416 / 75 | $14.151,50 | 1474 / 116 | $11.979,40 | 1440 / 164 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 66 | 450 / 105 | $42.664,40 | 1454 / 71 | $12.415,00 | 1393 / 139 | $10.831,60 | 1366 / 123 |
Chronic Obstructive Pulmonary Disease W Cc | 51 | 128 / 27 | $28.190,90 | 1631 / 75 | $6.777,33 | 1559 / 115 | $5.607,39 | 1553 / 131 |
Heart Failure & Shock W Mcc | 38 | 246 / 84 | $33.034,70 | 1285 / 52 | $9.698,13 | 1130 / 109 | $8.466,89 | 1127 / 92 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 76 | $23.749,60 | 1780 / 97 | $5.619,06 | 1814 / 137 | $4.508,36 | 1801 / 154 |
Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 72 | $29.287,70 | 1915 / 105 | $7.050,46 | 1664 / 152 | $5.682,34 | 1657 / 143 |
Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 64 | $28.990,60 | 1405 / 56 | $8.256,55 | 1340 / 130 | $6.619,83 | 1334 / 112 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 63 | $35.284,80 | 1873 / 118 | $7.543,61 | 1257 / 128 | $5.935,68 | 1252 / 106 |
Simple Pneumonia & Pleurisy W Mcc | 26 | 179 / 68 | $34.834,30 | 1337 / 52 | $9.268,19 | 1368 / 91 | $8.433,73 | 1368 / 122 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 60 | $16.868,00 | 1184 / 43 | $6.150,50 | 1480 / 175 | $4.047,00 | 1475 / 128 |
Cellulitis W/O Mcc | 25 | 164 / 64 | $18.895,00 | 1356 / 64 | $6.160,12 | 1649 / 136 | $4.908,96 | 1642 / 146 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 37 | $43.220,70 | 938 / 33 | $12.847,50 | 759 / 102 | $9.623,96 | 758 / 60 |
Heart Failure & Shock W Cc | 23 | 255 / 89 | $25.906,00 | 1741 / 85 | $7.332,52 | 1995 / 164 | $6.530,43 | 1990 / 179 |
Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 86 | $20.083,60 | 1586 / 84 | $5.760,17 | 1340 / 160 | $4.195,87 | 1331 / 117 |
Renal Failure W Cc | 22 | 199 / 84 | $21.909,20 | 1170 / 40 | $6.809,73 | 1254 / 117 | $5.449,18 | 1246 / 105 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 54 | $43.970,70 | 803 / 23 | $12.488,90 | 1116 / 89 | $11.354,70 | 1102 / 100 |
G.I. Hemorrhage W Cc | 17 | 201 / 72 | $26.931,60 | 1363 / 48 | $6.904,29 | 1347 / 94 | $5.750,82 | 1344 / 101 |
Renal Failure W Mcc | 15 | 180 / 81 | $48.135,70 | 1531 / 97 | $10.329,50 | 1237 / 95 | $9.520,93 | 1237 / 118 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 52 | $19.217,40 | 828 / 28 | $5.845,60 | 1280 / 101 | $4.960,27 | 1272 / 118 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 13 | $76.890,10 | 314 / 12 | $19.687,00 | 396 / 17 | $18.562,40 | 396 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 49 | $37.534,60 | 1243 / 63 | $9.372,43 | 1312 / 111 | $7.961,43 | 1309 / 111 |
Medical Back Problems W/O Mcc | 13 | 108 / 37 | $21.029,30 | 607 / 13 | $5.911,00 | 900 / 47 | $4.983,00 | 897 / 71 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 26 | $54.143,50 | 894 / 67 | $15.745,90 | 772 / 88 | $8.802,54 | 768 / 81 |
Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 61 | $106.708,00 | 807 / 57 | $28.957,50 | 816 / 91 | $24.231,10 | 812 / 99 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 29 | $106.632,00 | 295 / 8 | $31.527,30 | 396 / 33 | $30.628,70 | 396 / 45 |
Chest Pain | 12 | 139 / 54 | $16.840,90 | 674 / 14 | $4.798,67 | 890 / 80 | $3.390,17 | 885 / 68 |
Syncope & Collapse | 12 | 157 / 53 | $21.417,80 | 982 / 31 | $5.361,58 | 1086 / 78 | $4.211,83 | 1079 / 82 |
Pulmonary Edema & Respiratory Failure | 11 | 192 / 70 | $48.379,70 | 1726 / 92 | $9.091,55 | 1471 / 119 | $7.773,73 | 1466 / 120 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 65 | $30.253,40 | 1183 / 64 | $7.445,27 | 1032 / 85 | $6.453,27 | 1029 / 88 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 34 | $29.184,30 | 705 / 14 | $6.945,09 | 775 / 38 | $6.069,45 | 773 / 58 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 34 | $33.830,40 | 812 / 38 | $8.660,36 | 844 / 57 | $8.116,45 | 839 / 79 | Total 31 procedures | 752 | 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.