Hospital Costs > In Texas > Baylor Orthopedic And Spine Hospital At Arlington, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 205 | 359 / 36 | $52.952,70 | 1418 / 76 | $14.054,00 | 159 / 111 | $9.578,36 | 159 / 19 |
| Spinal Fusion Except Cervical W/O Mcc | 46 | 148 / 35 | $103.767,00 | 772 / 48 | $28.656,80 | 198 / 90 | $19.879,60 | 197 / 31 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 17 | $62.523,70 | 507 / 24 | $12.440,90 | 225 / 9 | $11.238,40 | 223 / 23 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 17 | 46 / 10 | $89.561,10 | 150 / 13 | $25.447,80 | 31 / 13 | $16.435,10 | 31 / 3 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 18 | $84.150,90 | 354 / 14 | $18.012,20 | 203 / 12 | $14.853,40 | 203 / 19 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 35 | $39.877,30 | 190 / 6 | $19.899,40 | 1 / 70 | $7.485,67 | 1 / 1 | Total 6 procedures | 311 | 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.