Hospital Costs > In Texas > Baylor Medical Center At Mckinney, 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 | 72 | 444 / 100 | $45.854,00 | 1614 / 82 | $13.081,70 | 407 / 164 | $9.358,71 | 407 / 26 |
Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 45 | $23.714,80 | 1513 / 64 | $6.851,50 | 14 / 133 | $3.785,42 | 14 / 1 |
Heart Failure & Shock W Cc | 42 | 236 / 70 | $19.060,60 | 1053 / 30 | $6.374,67 | 37 / 91 | $4.150,81 | 37 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 76 | $20.600,00 | 1466 / 65 | $5.581,11 | 24 / 136 | $2.747,78 | 24 / 3 |
Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 76 | $20.999,00 | 1672 / 90 | $5.370,32 | 33 / 125 | $2.933,62 | 33 / 3 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 32 | $14.082,70 | 879 / 22 | $3.781,48 | 99 / 46 | $1.932,27 | 99 / 13 |
G.I. Hemorrhage W Cc | 32 | 186 / 58 | $23.585,90 | 1084 / 28 | $6.462,34 | 37 / 66 | $4.142,03 | 37 / 3 |
Heart Failure & Shock W Mcc | 31 | 253 / 91 | $32.466,20 | 1245 / 48 | $10.430,20 | 66 / 141 | $6.836,65 | 66 / 3 |
Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 63 | $35.227,90 | 1750 / 96 | $8.521,87 | 204 / 142 | $5.428,00 | 203 / 13 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 133 | $48.389,40 | 1219 / 60 | $13.437,80 | 190 / 88 | $9.682,23 | 190 / 24 |
Cellulitis W/O Mcc | 29 | 160 / 60 | $19.951,20 | 1477 / 73 | $6.493,10 | 9 / 153 | $2.921,72 | 9 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 64 | $26.502,00 | 1380 / 64 | $7.355,44 | 8 / 113 | $3.960,19 | 8 / 1 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 48 | $33.938,90 | 701 / 24 | $7.103,85 | 157 / 50 | $4.882,23 | 157 / 17 |
Renal Failure W Cc | 26 | 195 / 80 | $21.058,00 | 1087 / 33 | $6.898,73 | 61 / 126 | $4.075,19 | 61 / 4 |
Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 70 | $34.123,70 | 1294 / 49 | $10.147,80 | 116 / 134 | $6.630,25 | 116 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 49 | $40.950,00 | 683 / 11 | $11.705,30 | 36 / 51 | $8.837,70 | 36 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 33 | $18.754,00 | 1099 / 56 | $5.094,62 | 25 / 91 | $2.481,86 | 25 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 53 | $23.312,30 | 1308 / 57 | $6.209,90 | 28 / 121 | $3.078,35 | 28 / 1 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 55 | $21.380,70 | 1151 / 30 | $6.316,65 | 6 / 95 | $3.410,20 | 6 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 67 | $20.346,70 | 1587 / 77 | $5.120,79 | 17 / 126 | $2.528,37 | 17 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 56 | $65.202,10 | 571 / 23 | $15.288,20 | 6 / 94 | $8.056,78 | 6 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 65 | $27.500,70 | 961 / 21 | $7.460,78 | 19 / 82 | $4.196,56 | 19 / 1 |
Pulmonary Edema & Respiratory Failure | 17 | 186 / 64 | $39.917,60 | 1499 / 69 | $9.994,94 | 893 / 140 | $6.802,35 | 893 / 60 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 40 | $15.955,40 | 901 / 20 | $4.661,81 | 66 / 46 | $2.721,19 | 66 / 4 |
Renal Failure W Mcc | 15 | 180 / 81 | $31.127,10 | 824 / 35 | $11.062,00 | 8 / 121 | $6.323,13 | 8 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 48 | $32.376,80 | 1064 / 45 | $9.662,07 | 85 / 114 | $5.563,47 | 85 / 6 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 52 | $23.551,30 | 1154 / 63 | $5.374,33 | 22 / 64 | $3.084,20 | 22 / 3 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 35 | $49.118,30 | 399 / 4 | $13.971,30 | 22 / 6 | $11.053,30 | 22 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 48 | $40.676,70 | 835 / 24 | $11.150,60 | 61 / 71 | $7.623,29 | 61 / 1 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 23 | $23.721,00 | 589 / 12 | $6.776,36 | 5 / 34 | $3.588,21 | 5 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 60 | $23.398,90 | 615 / 21 | $7.326,69 | 157 / 58 | $5.450,54 | 156 / 16 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 21 | $36.853,70 | 341 / 13 | $10.085,20 | 20 / 36 | $7.134,00 | 20 / 2 |
Syncope & Collapse | 12 | 157 / 53 | $23.156,80 | 1118 / 39 | $4.448,42 | 5 / 20 | $2.583,92 | 5 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 19 | $28.063,60 | 572 / 25 | $6.711,58 | 12 / 33 | $3.535,75 | 12 / 2 |
G.I. Obstruction W Cc | 12 | 80 / 38 | $25.111,60 | 996 / 35 | $6.992,08 | 42 / 83 | $3.586,67 | 42 / 4 |
G.I. Hemorrhage W Mcc | 12 | 109 / 45 | $50.808,80 | 1021 / 53 | $12.366,10 | 403 / 81 | $9.407,25 | 403 / 32 | Total 36 procedures | 869 | 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.