Hospital Costs > In Texas > Baylor Medical Center At Uptown, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 31 | $36.198,60 | 137 / 4 | $15.144,60 | 57 / 44 | $10.041,40 | 57 / 13 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 218 | 346 / 33 | $37.766,80 | 628 / 21 | $12.891,40 | 248 / 65 | $9.835,94 | 248 / 35 |
Spinal Fusion Except Cervical W/O Mcc | 34 | 160 / 42 | $69.453,00 | 360 / 19 | $24.901,80 | 587 / 43 | $22.380,30 | 583 / 66 | Total 3 procedures | 268 | 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.