Hospital Costs > In Texas > Baylor Medical Center At Garland, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 170 | 346 / 52 | $42.302,90 | 1435 / 66 | $11.810,70 | 1307 / 103 | $10.659,00 | 1285 / 113 |
Kidney & Urinary Tract Infections W/O Mcc | 106 | 127 / 22 | $18.410,20 | 1400 / 67 | $5.286,40 | 1388 / 116 | $4.237,93 | 1379 / 121 |
Heart Failure & Shock W Cc | 104 | 174 / 29 | $23.301,80 | 1520 / 59 | $6.813,64 | 1391 / 134 | $5.633,16 | 1386 / 115 |
Renal Failure W Cc | 103 | 118 / 20 | $22.624,20 | 1244 / 46 | $6.555,50 | 1198 / 103 | $5.381,58 | 1190 / 98 |
Simple Pneumonia & Pleurisy W Cc | 99 | 104 / 17 | $24.057,70 | 1545 / 68 | $6.597,58 | 1447 / 111 | $5.461,72 | 1441 / 117 |
Heart Failure & Shock W Mcc | 97 | 187 / 41 | $33.731,00 | 1322 / 53 | $9.637,68 | 1166 / 105 | $8.530,10 | 1163 / 95 |
Chronic Obstructive Pulmonary Disease W Cc | 92 | 87 / 8 | $21.036,50 | 1115 / 25 | $6.191,14 | 1298 / 84 | $5.269,92 | 1293 / 99 |
G.I. Hemorrhage W Cc | 80 | 138 / 23 | $22.106,20 | 948 / 18 | $6.543,16 | 1105 / 78 | $5.470,45 | 1103 / 84 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 78 | 129 / 29 | $27.409,10 | 1457 / 71 | $7.160,95 | 1023 / 103 | $5.688,37 | 1020 / 87 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 76 | 199 / 45 | $20.505,00 | 1453 / 61 | $5.167,61 | 1343 / 102 | $4.005,04 | 1332 / 109 |
Cellulitis W/O Mcc | 73 | 116 / 23 | $19.659,00 | 1445 / 69 | $5.802,85 | 1173 / 106 | $4.408,22 | 1167 / 96 |
Renal Failure W Mcc | 72 | 123 / 33 | $31.790,10 | 866 / 40 | $9.879,68 | 1022 / 78 | $8.965,76 | 1022 / 93 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 67 | 64 / 12 | $54.901,30 | 765 / 31 | $14.994,70 | 832 / 80 | $13.445,40 | 824 / 80 |
Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 30 | $22.824,30 | 960 / 31 | $7.696,12 | 1177 / 94 | $6.428,37 | 1171 / 99 |
Kidney & Urinary Tract Infections W Mcc | 58 | 86 / 22 | $21.575,40 | 677 / 18 | $7.284,48 | 1008 / 76 | $6.409,07 | 1005 / 84 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 56 | 126 / 34 | $29.358,00 | 1108 / 38 | $6.942,79 | 939 / 61 | $5.739,46 | 936 / 71 |
Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 45 | $34.626,90 | 1325 / 51 | $9.420,72 | 1345 / 103 | $8.397,93 | 1345 / 119 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 53 | 143 / 26 | $76.731,50 | 811 / 48 | $14.215,10 | 796 / 71 | $11.646,90 | 791 / 94 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 48 | 113 / 25 | $18.448,20 | 896 / 20 | $5.408,58 | 1076 / 79 | $4.376,71 | 1072 / 90 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 45 | 75 / 12 | $18.354,60 | 1142 / 38 | $5.002,71 | 1036 / 78 | $3.771,18 | 1027 / 75 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 44 | 520 / 120 | $41.618,40 | 854 / 34 | $13.431,20 | 1549 / 87 | $12.193,60 | 1514 / 173 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 42 | 84 / 34 | $25.453,20 | 736 / 31 | $7.373,98 | 820 / 63 | $6.627,40 | 817 / 76 |
Red Blood Cell Disorders W/O Mcc | 42 | 101 / 28 | $22.694,80 | 1111 / 56 | $5.509,67 | 1027 / 73 | $4.545,76 | 1020 / 86 |
Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 34 | $39.249,00 | 597 / 9 | $12.242,00 | 1010 / 81 | $11.060,20 | 997 / 93 |
Pulmonary Edema & Respiratory Failure | 40 | 163 / 44 | $29.061,70 | 984 / 26 | $7.996,92 | 1199 / 67 | $7.226,73 | 1197 / 96 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 48 | $15.052,90 | 962 / 34 | $4.817,21 | 1151 / 93 | $3.773,13 | 1148 / 91 |
Heart Failure & Shock W/O Cc/Mcc | 38 | 72 / 18 | $15.996,30 | 955 / 25 | $4.810,00 | 754 / 90 | $3.513,58 | 750 / 54 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 20 | $17.065,00 | 936 / 34 | $4.884,38 | 1109 / 75 | $3.792,79 | 1103 / 92 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 42 | $49.431,00 | 950 / 37 | $10.611,70 | 538 / 34 | $9.440,62 | 537 / 36 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 34 | 66 / 13 | $105.814,00 | 552 / 34 | $20.938,50 | 519 / 39 | $19.854,20 | 515 / 60 |
Other Vascular Procedures W Mcc | 33 | 64 / 21 | $77.171,30 | 347 / 18 | $20.938,50 | 372 / 47 | $19.403,40 | 370 / 50 |
Bronchitis & Asthma W Cc/Mcc | 30 | 46 / 13 | $22.695,30 | 488 / 14 | $5.923,37 | 528 / 32 | $4.868,00 | 524 / 43 |
Transient Ischemia | 30 | 95 / 33 | $21.254,30 | 754 / 17 | $4.973,17 | 683 / 52 | $3.563,67 | 679 / 47 |
Extracranial Procedures W/O Cc/Mcc | 28 | 70 / 21 | $23.342,20 | 232 / 11 | $7.073,50 | 500 / 40 | $5.744,64 | 499 / 48 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 39 | $16.130,60 | 1113 / 41 | $3.976,62 | 974 / 66 | $2.799,38 | 969 / 73 |
Chest Pain | 25 | 126 / 42 | $19.540,80 | 887 / 26 | $4.364,80 | 774 / 54 | $3.233,16 | 769 / 57 |
G.I. Hemorrhage W Mcc | 25 | 96 / 32 | $40.316,30 | 700 / 20 | $11.350,10 | 419 / 57 | $9.438,56 | 420 / 34 |
Seizures W/O Mcc | 25 | 83 / 22 | $27.255,70 | 856 / 36 | $5.278,08 | 602 / 34 | $4.258,20 | 599 / 46 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 39 | $30.660,80 | 992 / 40 | $7.861,54 | 745 / 61 | $6.719,92 | 742 / 63 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 33 | $24.202,20 | 859 / 25 | $5.067,04 | 675 / 37 | $3.826,26 | 671 / 46 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 51 | $41.030,00 | 978 / 56 | $7.736,78 | 1082 / 81 | $6.631,91 | 1079 / 102 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 42 | $115.159,00 | 690 / 28 | $32.775,10 | 695 / 48 | $31.461,00 | 689 / 72 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 34 | $24.634,60 | 418 / 9 | $8.744,86 | 228 / 65 | $6.066,71 | 227 / 14 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 25 | $108.946,00 | 242 / 11 | $37.089,40 | 154 / 43 | $31.042,60 | 154 / 18 |
Diabetes W Cc | 20 | 72 / 31 | $19.108,30 | 628 / 12 | $5.652,50 | 759 / 47 | $4.638,60 | 757 / 59 |
Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 30 | $63.714,90 | 170 / 2 | $20.671,30 | 408 / 24 | $19.466,70 | 408 / 43 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 43 | $37.006,60 | 702 / 15 | $10.810,80 | 829 / 60 | $9.800,21 | 828 / 67 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 22 | $97.793,60 | 241 / 3 | $29.712,60 | 256 / 21 | $28.571,30 | 256 / 29 |
Syncope & Collapse | 19 | 150 / 46 | $21.045,10 | 945 / 27 | $5.009,11 | 977 / 59 | $4.033,95 | 971 / 74 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 19 | $14.185,20 | 469 / 11 | $4.459,78 | 405 / 44 | $2.835,89 | 404 / 34 |
Major Cardiovasc Procedures W Mcc | 18 | 50 / 15 | $115.455,00 | 187 / 7 | $32.986,60 | 250 / 15 | $31.763,30 | 250 / 26 |
Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 22 | $54.746,30 | 282 / 8 | $17.350,60 | 288 / 48 | $14.541,60 | 287 / 29 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 17 | 21 / 5 | $17.845,60 | 201 / 11 | $4.703,94 | 165 / 13 | $3.214,29 | 165 / 13 |
Other Vascular Procedures W Cc | 16 | 86 / 38 | $59.938,30 | 358 / 18 | $16.582,10 | 298 / 54 | $13.921,80 | 296 / 37 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 27 | $21.465,90 | 475 / 13 | $6.793,07 | 454 / 40 | $5.211,33 | 452 / 30 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 18 | $33.896,80 | 283 / 9 | $10.064,70 | 441 / 35 | $8.962,67 | 439 / 44 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 49 | $35.591,80 | 610 / 19 | $11.282,10 | 372 / 30 | $10.195,60 | 371 / 27 |
Seizures W Mcc | 15 | 51 / 19 | $33.624,10 | 233 / 5 | $9.837,87 | 256 / 24 | $8.602,73 | 256 / 27 |
Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 16 | $26.252,90 | 518 / 19 | $6.215,20 | 317 / 19 | $4.817,60 | 316 / 20 |
Degenerative Nervous System Disorders W/O Mcc | 14 | 64 / 16 | $23.859,00 | 356 / 10 | $6.419,57 | 337 / 14 | $5.409,43 | 337 / 20 |
Permanent Cardiac Pacemaker Implant W Mcc | 14 | 38 / 14 | $85.438,10 | 242 / 7 | $24.238,00 | 314 / 24 | $22.895,60 | 314 / 29 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 12 | $41.221,60 | 168 / 6 | $15.593,80 | 102 / 33 | $10.687,10 | 102 / 5 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 36 | $60.127,90 | 640 / 23 | $15.809,20 | 761 / 35 | $14.585,60 | 753 / 64 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 42 | $44.610,60 | 618 / 29 | $11.631,60 | 451 / 37 | $10.559,40 | 450 / 38 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 21 | $20.888,20 | 205 / 14 | $5.966,71 | 131 / 16 | $4.954,57 | 131 / 16 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 21 | $19.350,80 | 270 / 3 | $7.475,14 | 379 / 26 | $6.345,86 | 378 / 23 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 22 | $121.673,00 | 351 / 15 | $32.053,80 | 405 / 32 | $30.789,90 | 405 / 45 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 28 | $28.464,20 | 344 / 10 | $9.656,15 | 445 / 21 | $8.908,69 | 444 / 24 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 31 | $28.427,50 | 812 / 30 | $6.565,23 | 530 / 37 | $5.253,62 | 527 / 32 |
Admit For Renal Dialysis | 13 | 6 / 1 | $20.463,20 | 9 / 2 | $6.308,08 | 5 / 3 | $5.044,46 | 5 / 2 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 25 | $21.632,50 | 475 / 8 | $6.562,33 | 627 / 29 | $5.414,67 | 624 / 43 |
Coronary Bypass W Cardiac Cath W Mcc | 12 | 44 / 16 | $151.341,00 | 117 / 2 | $44.009,10 | 200 / 22 | $42.411,40 | 200 / 27 |
Other Resp System O.R. Procedures W Cc | 12 | 35 / 12 | $55.069,70 | 184 / 10 | $12.453,30 | 142 / 11 | $11.333,00 | 142 / 16 |
Major Chest Procedures W Mcc | 12 | 37 / 14 | $101.062,00 | 94 / 3 | $29.228,20 | 76 / 6 | $27.549,90 | 76 / 8 |
Signs & Symptoms W/O Mcc | 12 | 79 / 30 | $19.992,20 | 656 / 17 | $4.659,83 | 660 / 31 | $3.964,83 | 657 / 45 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 27 | $25.939,60 | 240 / 8 | $9.050,82 | 349 / 23 | $7.878,64 | 348 / 25 |
Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 20 | $39.804,10 | 176 / 7 | $10.848,10 | 295 / 23 | $9.869,64 | 294 / 31 |
Hypertension W/O Mcc | 11 | 54 / 22 | $15.723,10 | 248 / 7 | $4.374,18 | 381 / 22 | $3.368,55 | 379 / 26 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 34 | $38.375,20 | 935 / 55 | $8.956,55 | 789 / 69 | $7.953,18 | 784 / 73 |
G.I. Obstruction W Cc | 11 | 81 / 39 | $18.395,50 | 538 / 5 | $6.123,36 | 756 / 56 | $4.768,09 | 754 / 51 |
Endocrine Disorders W Cc | 11 | 27 / 9 | $23.859,20 | 120 / 5 | $6.453,82 | 95 / 2 | $5.630,00 | 95 / 6 | Total 81 procedures | 2.873 | 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.