Hospital Costs > In Texas > Baylor Medical Center At Frisco, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 16 | 50 / 19 | $49.271,40 | 265 / 17 | $12.253,50 | 94 / 23 | $9.339,38 | 94 / 11 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 27 | $43.810,20 | 521 / 34 | $7.686,46 | 343 / 34 | $5.769,85 | 342 / 41 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 33 | $61.894,60 | 482 / 32 | $14.055,30 | 117 / 30 | $10.498,60 | 117 / 19 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 324 | 248 / 19 | $57.065,00 | 1581 / 93 | $13.322,70 | 335 / 79 | $10.038,20 | 334 / 49 |
| Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 23 | $74.118,40 | 249 / 7 | $18.944,50 | 195 / 6 | $17.936,50 | 195 / 18 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 13 | $77.281,60 | 314 / 11 | $18.531,60 | 16 / 18 | $12.217,00 | 16 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 60 | 134 / 26 | $110.927,00 | 844 / 61 | $32.954,40 | 728 / 103 | $23.449,50 | 724 / 88 | Total 7 procedures | 458 | 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.