Hospital Costs > In Texas > Baylor Medical Center At Irving, 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 | 114 | 402 / 77 | $47.608,90 | 1689 / 90 | $12.147,50 | 1480 / 124 | $10.988,70 | 1451 / 137 |
Kidney & Urinary Tract Infections W/O Mcc | 82 | 151 / 37 | $21.240,20 | 1697 / 95 | $5.361,66 | 1449 / 123 | $4.300,54 | 1440 / 126 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 80 | 484 / 94 | $45.499,60 | 1058 / 46 | $14.951,30 | 978 / 159 | $11.017,50 | 959 / 114 |
Heart Failure & Shock W Cc | 77 | 201 / 45 | $23.902,10 | 1577 / 68 | $6.600,26 | 1536 / 120 | $5.813,14 | 1531 / 131 |
Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 36 | $23.625,20 | 1504 / 61 | $6.667,70 | 1240 / 116 | $5.255,07 | 1236 / 97 |
Chronic Obstructive Pulmonary Disease W Mcc | 67 | 135 / 28 | $32.096,30 | 1594 / 72 | $7.628,30 | 1448 / 88 | $6.765,25 | 1442 / 120 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 53 | $20.853,40 | 1491 / 69 | $5.245,87 | 1527 / 108 | $4.152,88 | 1515 / 128 |
Pulmonary Edema & Respiratory Failure | 64 | 139 / 24 | $29.302,90 | 999 / 28 | $8.058,23 | 1090 / 72 | $7.079,56 | 1088 / 87 |
Renal Failure W Cc | 60 | 161 / 47 | $25.026,20 | 1421 / 63 | $6.459,05 | 1301 / 95 | $5.492,77 | 1293 / 109 |
Renal Failure W Mcc | 59 | 136 / 43 | $35.303,70 | 1059 / 51 | $9.793,78 | 1033 / 71 | $8.988,63 | 1033 / 96 |
Cellulitis W/O Mcc | 57 | 132 / 34 | $22.373,00 | 1676 / 91 | $5.856,77 | 1424 / 108 | $4.647,54 | 1417 / 121 |
Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 45 | $35.377,70 | 1375 / 57 | $9.412,37 | 1337 / 102 | $8.381,00 | 1337 / 115 |
Chronic Obstructive Pulmonary Disease W Cc | 49 | 130 / 28 | $25.127,70 | 1462 / 53 | $6.288,61 | 1437 / 92 | $5.426,57 | 1432 / 116 |
Heart Failure & Shock W Mcc | 48 | 236 / 75 | $39.818,50 | 1651 / 83 | $9.512,12 | 1258 / 97 | $8.659,12 | 1255 / 107 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 39 | $20.225,00 | 1575 / 75 | $4.974,56 | 1627 / 112 | $4.226,90 | 1622 / 141 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 26 | $19.010,10 | 962 / 27 | $5.547,49 | 908 / 93 | $4.204,11 | 905 / 72 |
G.I. Hemorrhage W Cc | 47 | 171 / 45 | $29.291,20 | 1520 / 70 | $6.663,32 | 1313 / 82 | $5.714,21 | 1310 / 96 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 45 | 81 / 32 | $27.198,40 | 821 / 38 | $7.301,60 | 763 / 56 | $6.515,69 | 760 / 70 |
Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 37 | $31.800,30 | 1247 / 70 | $7.959,17 | 1315 / 105 | $7.046,33 | 1311 / 118 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 54 | $30.384,20 | 1649 / 92 | $7.447,95 | 1646 / 119 | $6.493,82 | 1639 / 143 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 29 | $50.100,60 | 620 / 19 | $14.691,10 | 856 / 65 | $13.551,00 | 848 / 84 |
Heart Failure & Shock W/O Cc/Mcc | 35 | 75 / 21 | $19.076,40 | 1229 / 52 | $4.742,23 | 1210 / 85 | $3.982,46 | 1200 / 101 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 30 | $12.874,00 | 696 / 14 | $4.188,69 | 1213 / 80 | $3.041,80 | 1208 / 88 |
Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 39 | $43.410,60 | 781 / 20 | $12.181,40 | 788 / 78 | $10.596,20 | 780 / 65 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 30 | $27.252,30 | 803 / 20 | $7.993,32 | 820 / 66 | $6.839,35 | 817 / 68 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 50 | $34.748,60 | 1347 / 62 | $7.327,94 | 1078 / 78 | $5.948,85 | 1075 / 82 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 25 | $18.863,60 | 1108 / 58 | $5.127,41 | 1123 / 95 | $3.801,34 | 1117 / 93 |
Bronchitis & Asthma W Cc/Mcc | 29 | 47 / 14 | $24.160,20 | 559 / 22 | $6.497,66 | 481 / 52 | $4.740,52 | 477 / 38 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 27 | $20.412,20 | 1293 / 53 | $5.028,14 | 1299 / 80 | $4.071,17 | 1288 / 101 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 27 | 46 / 9 | $24.502,10 | 459 / 13 | $7.579,74 | 559 / 28 | $6.821,22 | 557 / 41 |
Red Blood Cell Disorders W/O Mcc | 25 | 118 / 42 | $21.993,00 | 1070 / 51 | $5.547,76 | 1187 / 76 | $4.773,36 | 1179 / 103 |
Diabetes W Cc | 24 | 68 / 27 | $24.901,00 | 991 / 47 | $5.898,88 | 633 / 57 | $4.427,42 | 632 / 44 |
Extracranial Procedures W/O Cc/Mcc | 24 | 74 / 25 | $24.727,50 | 274 / 13 | $7.010,62 | 386 / 37 | $5.450,25 | 386 / 37 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 32 | $19.933,40 | 567 / 8 | $5.441,92 | 717 / 54 | $3.877,38 | 713 / 52 |
G.I. Obstruction W Cc | 21 | 71 / 29 | $26.079,80 | 1045 / 38 | $6.052,48 | 1007 / 53 | $5.129,05 | 1004 / 76 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 35 | $37.067,40 | 881 / 45 | $8.017,70 | 741 / 43 | $7.235,30 | 736 / 58 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 44 | $56.992,40 | 1217 / 66 | $12.474,20 | 1036 / 73 | $11.810,20 | 1023 / 88 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 19 | 45 / 15 | $219.542,00 | 184 / 15 | $64.149,60 | 256 / 28 | $62.812,40 | 256 / 32 |
Major Small & Large Bowel Procedures W Cc | 19 | 89 / 31 | $62.659,40 | 704 / 29 | $15.951,80 | 507 / 38 | $13.630,10 | 502 / 46 |
G.I. Hemorrhage W Mcc | 19 | 102 / 38 | $40.645,70 | 713 / 23 | $10.876,50 | 739 / 42 | $10.367,80 | 738 / 63 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 55 | $62.653,60 | 1175 / 62 | $14.499,60 | 1360 / 97 | $13.564,50 | 1354 / 103 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 56 | $85.654,10 | 976 / 72 | $14.487,80 | 853 / 78 | $11.875,80 | 847 / 103 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 46 | $125.079,00 | 785 / 39 | $33.813,40 | 539 / 61 | $29.830,90 | 535 / 56 |
Renal Failure W/O Cc/Mcc | 17 | 39 / 16 | $24.700,60 | 679 / 42 | $4.612,24 | 460 / 34 | $3.472,71 | 459 / 33 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 17 | $34.690,10 | 212 / 6 | $10.602,10 | 106 / 24 | $7.597,93 | 106 / 10 |
Hypertension W/O Mcc | 15 | 50 / 18 | $20.039,30 | 413 / 20 | $4.641,60 | 330 / 31 | $3.248,20 | 328 / 21 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $55.321,50 | 345 / 12 | $13.426,00 | 368 / 15 | $12.459,60 | 367 / 25 |
Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 24 | $59.682,60 | 341 / 14 | $16.375,00 | 412 / 28 | $15.244,30 | 411 / 41 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 41 | $43.323,40 | 582 / 23 | $11.733,50 | 661 / 41 | $11.411,30 | 659 / 66 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 22 | $28.715,30 | 793 / 25 | $6.765,33 | 527 / 33 | $5.244,67 | 525 / 34 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 29 | $81.128,90 | 204 / 3 | $31.388,00 | 179 / 38 | $26.133,70 | 179 / 20 |
G.I. Hemorrhage W/O Cc/Mcc | 15 | 53 / 17 | $18.984,50 | 513 / 19 | $4.902,60 | 542 / 36 | $3.855,13 | 538 / 49 |
Syncope & Collapse | 14 | 155 / 51 | $20.345,10 | 885 / 19 | $5.110,29 | 1128 / 63 | $4.265,71 | 1121 / 88 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 17 | $16.726,10 | 382 / 3 | $4.484,71 | 351 / 13 | $3.465,93 | 350 / 18 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 48 | $35.155,60 | 623 / 11 | $10.903,50 | 852 / 62 | $9.865,79 | 851 / 70 |
Chest Pain | 14 | 137 / 52 | $19.104,60 | 855 / 24 | $4.400,71 | 907 / 58 | $3.406,43 | 902 / 73 |
Other Vascular Procedures W Cc | 13 | 89 / 41 | $51.631,00 | 228 / 11 | $15.613,80 | 441 / 32 | $14.592,20 | 438 / 56 |
Transient Ischemia | 13 | 112 / 50 | $22.254,80 | 814 / 23 | $4.952,00 | 988 / 51 | $4.028,92 | 983 / 74 |
Pulmonary Embolism W Mcc | 13 | 30 / 11 | $41.957,30 | 347 / 12 | $9.906,23 | 247 / 15 | $8.563,23 | 247 / 13 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 24 | $17.115,20 | 673 / 27 | $4.432,08 | 783 / 40 | $3.405,62 | 780 / 61 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 32 | $24.978,60 | 677 / 22 | $6.514,83 | 719 / 36 | $5.610,83 | 715 / 49 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 29 | $59.226,90 | 294 / 4 | $17.454,20 | 283 / 20 | $16.446,20 | 281 / 26 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 33 | $25.811,30 | 506 / 14 | $8.372,75 | 733 / 42 | $7.817,42 | 728 / 65 |
Psychoses | 11 | 264 / 23 | $15.966,80 | 210 / 5 | $6.731,18 | 333 / 8 | $6.178,45 | 333 / 17 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 21 | $36.896,50 | 105 / 1 | $12.472,30 | 340 / 11 | $11.707,20 | 338 / 26 |
Seizures W Mcc | 11 | 55 / 23 | $40.908,40 | 371 / 16 | $9.039,91 | 178 / 10 | $8.269,00 | 178 / 18 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 35 | $113.024,00 | 275 / 15 | $34.141,80 | 310 / 27 | $33.370,90 | 309 / 41 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 18 | $70.927,30 | 157 / 5 | $21.197,60 | 111 / 13 | $19.312,60 | 111 / 14 |
Medical Back Problems W/O Mcc | 11 | 110 / 39 | $20.641,80 | 580 / 12 | $5.835,00 | 735 / 44 | $4.630,64 | 732 / 55 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 14 | $24.484,30 | 29 / 2 | $11.185,80 | 55 / 8 | $9.228,64 | 55 / 5 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 17 | $86.177,40 | 248 / 8 | $22.610,30 | 246 / 18 | $21.597,20 | 246 / 22 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 11 | 34 / 9 | $74.541,20 | 84 / 3 | $17.530,00 | 31 / 3 | $15.533,90 | 31 / 4 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 31 | $29.881,70 | 803 / 41 | $6.294,09 | 543 / 27 | $5.415,55 | 541 / 38 | Total 73 procedures | 2.200 | 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.