Hospital Costs > In Texas > Baylor Regional Medical Center At Grapevine, 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 | 142 | 374 / 65 | $42.317,40 | 1438 / 68 | $10.702,20 | 424 / 39 | $9.387,56 | 424 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 119 | 445 / 72 | $50.444,30 | 1311 / 64 | $13.209,70 | 301 / 75 | $9.968,36 | 301 / 43 |
| Renal Failure W Cc | 82 | 139 / 32 | $23.231,50 | 1293 / 50 | $5.423,17 | 141 / 17 | $4.271,52 | 141 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 82 | 193 / 42 | $20.368,80 | 1432 / 58 | $4.362,16 | 186 / 16 | $3.091,24 | 186 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 73 | 160 / 44 | $17.761,60 | 1315 / 60 | $4.229,81 | 137 / 8 | $3.205,53 | 137 / 12 |
| Cellulitis W/O Mcc | 68 | 121 / 26 | $17.501,20 | 1190 / 50 | $4.769,90 | 188 / 19 | $3.538,71 | 188 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 36 | $30.449,10 | 1503 / 66 | $6.507,90 | 258 / 13 | $5.518,80 | 257 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 56 | 151 / 40 | $24.108,10 | 1172 / 47 | $6.170,12 | 60 / 14 | $4.515,30 | 60 / 5 |
| G.I. Hemorrhage W Cc | 55 | 163 / 39 | $24.131,50 | 1134 / 33 | $5.482,33 | 156 / 5 | $4.477,29 | 156 / 12 |
| Renal Failure W Mcc | 53 | 142 / 48 | $31.362,30 | 839 / 36 | $8.246,42 | 133 / 4 | $7.382,42 | 133 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 46 | $30.047,00 | 1036 / 37 | $7.842,49 | 305 / 6 | $7.031,82 | 305 / 18 |
| Major Small & Large Bowel Procedures W Cc | 50 | 58 / 11 | $52.927,00 | 486 / 8 | $14.764,60 | 87 / 21 | $11.829,40 | 87 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 26 | $18.118,00 | 868 / 17 | $4.503,55 | 88 / 8 | $3.250,55 | 88 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 61 | $25.870,50 | 1686 / 81 | $5.601,53 | 167 / 21 | $4.259,70 | 167 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 46 | 136 / 39 | $27.206,90 | 944 / 20 | $6.008,46 | 211 / 10 | $4.840,96 | 211 / 14 |
| Heart Failure & Shock W Mcc | 46 | 238 / 77 | $39.728,10 | 1644 / 81 | $8.450,78 | 586 / 25 | $7.796,87 | 586 / 45 |
| Red Blood Cell Disorders W/O Mcc | 46 | 97 / 24 | $21.794,30 | 1056 / 50 | $4.492,98 | 109 / 7 | $3.445,43 | 109 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 30 | $43.043,80 | 766 / 18 | $11.282,40 | 165 / 30 | $9.397,47 | 164 / 12 |
| Heart Failure & Shock W Cc | 45 | 233 / 68 | $24.086,40 | 1597 / 69 | $5.384,31 | 321 / 7 | $4.701,64 | 321 / 26 |
| Kidney & Urinary Tract Infections W Mcc | 42 | 102 / 35 | $23.526,00 | 821 / 31 | $6.096,05 | 137 / 5 | $5.120,05 | 137 / 9 |
| Pulmonary Edema & Respiratory Failure | 41 | 162 / 43 | $32.612,40 | 1183 / 48 | $6.750,66 | 345 / 5 | $6.146,56 | 345 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 50 | $21.887,50 | 1710 / 93 | $3.850,76 | 330 / 5 | $3.166,65 | 330 / 30 |
| Syncope & Collapse | 37 | 132 / 31 | $20.892,20 | 935 / 26 | $4.023,76 | 129 / 4 | $3.042,08 | 129 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 40 | $25.869,30 | 760 / 32 | $6.307,89 | 201 / 15 | $5.539,00 | 199 / 24 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 33 | 63 / 22 | $26.142,80 | 484 / 13 | $6.740,48 | 97 / 6 | $5.689,58 | 97 / 7 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 22 | $17.957,20 | 1021 / 44 | $3.950,00 | 152 / 9 | $2.823,25 | 151 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 43 | $26.466,90 | 1544 / 62 | $5.161,94 | 263 / 7 | $4.272,94 | 263 / 23 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 43 | $67.031,90 | 619 / 30 | $13.023,40 | 64 / 43 | $9.206,58 | 64 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 36 | $14.049,40 | 875 / 21 | $3.154,10 | 96 / 6 | $1.924,76 | 96 / 12 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 28 | $21.743,80 | 1388 / 62 | $4.676,89 | 140 / 47 | $2.910,21 | 140 / 6 |
| Chest Pain | 28 | 123 / 39 | $20.987,00 | 988 / 32 | $3.417,54 | 178 / 3 | $2.519,07 | 177 / 12 |
| Transient Ischemia | 27 | 98 / 36 | $16.909,10 | 410 / 4 | $3.927,44 | 33 / 2 | $2.605,00 | 33 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 26 | 59 / 18 | $115.942,00 | 524 / 20 | $31.802,20 | 532 / 41 | $29.937,90 | 530 / 48 |
| Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 18 | $21.985,30 | 460 / 13 | $4.998,44 | 55 / 7 | $3.651,44 | 55 / 2 |
| Pulmonary Embolism W/O Mcc | 24 | 50 / 13 | $28.668,40 | 792 / 24 | $6.164,92 | 28 / 18 | $3.950,17 | 28 / 3 |
| Other Digestive System Diagnoses W Cc | 23 | 74 / 21 | $24.121,80 | 628 / 19 | $5.352,39 | 199 / 3 | $4.670,65 | 197 / 13 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 43 | $61.378,70 | 937 / 45 | $16.149,40 | 59 / 106 | $10.853,40 | 59 / 3 |
| G.I. Obstruction W Cc | 22 | 70 / 28 | $26.666,30 | 1070 / 41 | $5.035,86 | 137 / 8 | $3.902,95 | 136 / 8 |
| G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 17 | $19.346,50 | 790 / 42 | $3.594,86 | 56 / 6 | $2.189,71 | 56 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 42 | $29.007,00 | 906 / 33 | $6.702,67 | 194 / 9 | $5.841,71 | 194 / 16 |
| Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 18 | $57.704,40 | 311 / 11 | $16.248,60 | 136 / 26 | $13.588,20 | 136 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 53 | $36.740,20 | 573 / 9 | $9.056,45 | 141 / 3 | $8.272,45 | 140 / 10 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 45 | $39.467,70 | 766 / 26 | $10.503,10 | 141 / 9 | $9.551,47 | 141 / 11 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 45 | $107.674,00 | 582 / 17 | $30.355,40 | 509 / 29 | $29.558,70 | 505 / 50 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 38 | $34.146,40 | 321 / 8 | $9.623,11 | 66 / 2 | $8.925,84 | 66 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 37 | $16.627,60 | 1027 / 33 | $3.747,89 | 184 / 7 | $2.943,53 | 182 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 56 | $38.507,90 | 898 / 44 | $6.601,44 | 64 / 30 | $4.621,67 | 64 / 7 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 39 | $38.773,10 | 651 / 15 | $9.584,06 | 188 / 9 | $8.844,50 | 188 / 18 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 18 | 38 / 18 | $51.706,10 | 484 / 26 | $9.731,56 | 54 / 20 | $7.523,83 | 54 / 2 |
| Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 12 | $153.016,00 | 119 / 3 | $41.388,50 | 158 / 12 | $40.328,80 | 158 / 22 |
| Medical Back Problems W/O Mcc | 16 | 105 / 34 | $20.109,30 | 535 / 7 | $5.734,50 | 123 / 41 | $3.597,75 | 123 / 8 |
| Hypertension W/O Mcc | 16 | 49 / 17 | $18.194,90 | 347 / 14 | $3.432,75 | 86 / 2 | $2.581,75 | 86 / 5 |
| Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 14 | $25.789,40 | 406 / 15 | $5.751,19 | 142 / 7 | $4.773,19 | 142 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 46 | $37.413,00 | 715 / 17 | $9.762,00 | 336 / 21 | $8.628,00 | 336 / 15 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 19 | $25.485,40 | 498 / 14 | $6.112,50 | 82 / 1 | $5.506,50 | 82 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 58 | $105.520,00 | 796 / 53 | $29.259,20 | 127 / 93 | $19.241,10 | 126 / 19 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 24 | $23.796,20 | 260 / 8 | $6.918,60 | 144 / 2 | $6.314,87 | 144 / 11 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 27 | $17.915,60 | 531 / 10 | $3.830,73 | 114 / 3 | $3.022,20 | 114 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 31 | $93.536,10 | 418 / 20 | $22.915,50 | 147 / 61 | $16.785,50 | 147 / 11 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 27 | $18.052,50 | 318 / 6 | $5.299,40 | 202 / 2 | $4.655,13 | 202 / 14 |
| Respiratory Infections & Inflammations W Cc | 15 | 73 / 30 | $20.914,80 | 298 / 5 | $7.577,07 | 23 / 7 | $5.927,60 | 23 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 41 | $21.034,50 | 652 / 13 | $4.932,00 | 3 / 28 | $2.321,57 | 3 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 15 | $13.575,40 | 226 / 3 | $3.847,50 | 90 / 2 | $2.901,21 | 91 / 4 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 22 | $106.482,00 | 267 / 8 | $27.818,00 | 173 / 12 | $26.796,40 | 173 / 18 |
| Other Resp System O.R. Procedures W Cc | 13 | 34 / 11 | $50.124,10 | 159 / 6 | $11.343,50 | 70 / 4 | $10.195,20 | 70 / 9 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 28 | $67.804,20 | 390 / 9 | $16.021,30 | 78 / 6 | $14.999,80 | 78 / 6 |
| Seizures W/O Mcc | 13 | 95 / 34 | $19.713,20 | 540 / 9 | $4.057,92 | 37 / 1 | $3.031,46 | 37 / 4 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 17 | $42.804,30 | 355 / 15 | $9.184,62 | 23 / 3 | $7.974,77 | 23 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 13 | $48.888,80 | 275 / 9 | $13.536,90 | 42 / 16 | $10.208,60 | 42 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 12 | $87.528,20 | 314 / 23 | $20.448,80 | 417 / 36 | $19.515,80 | 416 / 38 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 36 | $68.948,00 | 243 / 7 | $19.314,50 | 274 / 9 | $18.379,20 | 274 / 29 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 14 | $36.643,50 | 261 / 16 | $7.026,77 | 44 / 8 | $5.252,00 | 44 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 32 | $28.315,00 | 668 / 13 | $5.847,08 | 228 / 2 | $5.010,15 | 228 / 14 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 20 | $37.370,50 | 254 / 11 | $9.232,92 | 4 / 9 | $6.323,75 | 4 / 2 |
| Cellulitis W Mcc | 12 | 46 / 21 | $35.808,40 | 504 / 27 | $8.010,08 | 190 / 6 | $7.382,75 | 189 / 16 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 37 | $23.566,80 | 243 / 12 | $5.802,45 | 108 / 4 | $4.705,73 | 108 / 7 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 22 | $62.274,10 | 208 / 10 | $11.841,80 | 8 / 9 | $8.571,73 | 8 / 2 |
| Seizures W Mcc | 11 | 55 / 23 | $24.243,50 | 95 / 1 | $8.120,55 | 68 / 3 | $7.460,18 | 68 / 9 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 13 | $16.333,50 | 156 / 6 | $3.727,91 | 17 / 2 | $2.349,55 | 17 / 2 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 18 | $25.082,60 | 359 / 16 | $4.874,73 | 78 / 1 | $4.103,82 | 78 / 7 |
| Other Vascular Procedures W Mcc | 11 | 86 / 39 | $56.809,00 | 129 / 3 | $17.594,80 | 70 / 6 | $16.599,80 | 70 / 8 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 16 | $14.840,50 | 184 / 1 | $4.187,09 | 85 / 2 | $3.203,82 | 85 / 3 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 22 | $235.566,00 | 215 / 19 | $62.380,60 | 206 / 23 | $59.206,80 | 206 / 25 | Total 83 procedures | 2.458 | 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.