Hospital Costs > In Texas > Baylor Regional Medical Center At Plano, 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 | 205 | 311 / 41 | $39.372,00 | 1291 / 56 | $11.088,10 | 823 / 60 | $9.949,08 | 822 / 71 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 103 | 461 / 82 | $54.927,40 | 1506 / 85 | $13.880,30 | 468 / 105 | $10.269,10 | 465 / 60 |
| G.I. Hemorrhage W Cc | 78 | 140 / 25 | $24.503,30 | 1163 / 36 | $5.620,40 | 187 / 11 | $4.542,13 | 187 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 76 | 131 / 30 | $24.658,90 | 1220 / 50 | $6.276,59 | 325 / 20 | $5.023,14 | 324 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 76 | 199 / 45 | $19.742,60 | 1355 / 48 | $4.270,13 | 153 / 11 | $3.037,08 | 153 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 67 | 136 / 42 | $21.542,60 | 1306 / 51 | $5.451,67 | 123 / 8 | $4.188,28 | 123 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 63 | 170 / 52 | $16.951,00 | 1219 / 52 | $4.288,11 | 222 / 13 | $3.333,83 | 222 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 49 | 156 / 48 | $35.450,30 | 1379 / 58 | $8.405,55 | 790 / 35 | $7.644,10 | 790 / 65 |
| Cellulitis W/O Mcc | 48 | 141 / 42 | $19.180,40 | 1395 / 66 | $4.783,42 | 135 / 21 | $3.452,17 | 135 / 9 |
| Renal Failure W Cc | 47 | 174 / 60 | $20.155,00 | 994 / 29 | $5.348,85 | 364 / 11 | $4.607,74 | 361 / 29 |
| Renal Failure W Mcc | 45 | 150 / 55 | $28.561,10 | 685 / 24 | $8.577,00 | 142 / 15 | $7.420,31 | 142 / 13 |
| Kidney & Urinary Tract Infections W Mcc | 42 | 102 / 35 | $21.429,50 | 669 / 15 | $6.117,43 | 114 / 8 | $5.050,88 | 114 / 6 |
| Heart Failure & Shock W Mcc | 39 | 245 / 83 | $38.068,90 | 1559 / 73 | $10.140,30 | 1508 / 126 | $9.072,05 | 1504 / 132 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 38 | 12 / 1 | $183.940,00 | 47 / 6 | $56.192,70 | 65 / 10 | $51.267,20 | 65 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 38 | 130 / 38 | $46.374,70 | 864 / 29 | $10.833,30 | 661 / 43 | $9.773,50 | 660 / 48 |
| Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 56 | $28.685,80 | 1387 / 54 | $7.014,30 | 502 / 45 | $5.783,30 | 501 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 54 | $18.672,00 | 1413 / 59 | $3.925,39 | 154 / 8 | $2.936,27 | 154 / 10 |
| Heart Failure & Shock W Cc | 33 | 245 / 79 | $22.691,50 | 1456 / 54 | $5.476,61 | 76 / 9 | $4.286,82 | 76 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 51 | $25.989,40 | 855 / 16 | $5.847,52 | 62 / 7 | $4.443,15 | 62 / 3 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 30 | 47 / 18 | $46.423,80 | 229 / 14 | $9.691,33 | 22 / 5 | $6.882,30 | 22 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 35 | $106.332,00 | 563 / 14 | $32.361,80 | 669 / 45 | $31.243,30 | 663 / 68 |
| Revision Of Hip Or Knee Replacement W Cc | 27 | 59 / 12 | $97.588,30 | 429 / 17 | $21.255,00 | 370 / 16 | $20.350,70 | 369 / 34 |
| G.I. Obstruction W Cc | 26 | 66 / 24 | $19.866,80 | 644 / 7 | $4.949,23 | 177 / 5 | $4.018,77 | 176 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 48 | $22.256,00 | 543 / 15 | $6.207,50 | 89 / 10 | $5.252,42 | 88 / 8 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 19 | $20.948,60 | 463 / 6 | $5.390,84 | 196 / 5 | $4.655,48 | 194 / 11 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 27 | $53.764,10 | 501 / 10 | $14.080,50 | 343 / 8 | $13.023,20 | 340 / 34 |
| Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 49 | $106.019,00 | 803 / 56 | $26.806,20 | 942 / 66 | $25.651,50 | 937 / 107 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 51 | $19.214,50 | 926 / 20 | $5.341,21 | 84 / 16 | $3.968,17 | 84 / 8 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 44 | $19.495,10 | 857 / 32 | $4.421,96 | 119 / 4 | $3.461,61 | 119 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 50 | $42.680,60 | 750 / 15 | $10.812,60 | 238 / 14 | $9.587,18 | 237 / 18 |
| G.I. Hemorrhage W Mcc | 20 | 101 / 37 | $42.797,30 | 799 / 30 | $10.360,00 | 239 / 26 | $8.994,20 | 239 / 27 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 19 | 24 / 6 | $136.716,00 | 131 / 11 | $36.811,30 | 144 / 13 | $30.205,20 | 144 / 13 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 35 | $15.110,30 | 745 / 22 | $3.918,32 | 164 / 8 | $2.842,11 | 163 / 12 |
| Nonspecific Cerebrovascular Disorders W Cc | 19 | 37 / 12 | $22.205,60 | 170 / 1 | $5.612,00 | 15 / 4 | $4.155,11 | 15 / 1 |
| Combined Anterior/Posterior Spinal Fusion W Mcc | 19 | 4 / 1 | $249.662,00 | 5 / 2 | $103.231,00 | 9 / 2 | $79.155,10 | 9 / 2 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 18 | 48 / 17 | $54.636,90 | 308 / 21 | $12.552,30 | 322 / 31 | $11.473,20 | 320 / 35 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 46 | $32.479,30 | 486 / 11 | $10.978,20 | 463 / 21 | $10.413,80 | 459 / 37 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 17 | 23 / 3 | $160.484,00 | 35 / 2 | $49.983,60 | 26 / 6 | $40.054,90 | 26 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 38 | $25.543,20 | 931 / 32 | $4.182,59 | 233 / 5 | $3.260,24 | 231 / 14 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 27 | $105.233,00 | 431 / 13 | $32.923,10 | 702 / 51 | $32.285,10 | 700 / 64 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 65 | $44.461,80 | 1635 / 82 | $8.739,88 | 1597 / 103 | $8.112,88 | 1592 / 134 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 15 | 33 / 5 | $34.039,50 | 69 / 3 | $8.246,00 | 27 / 2 | $7.119,60 | 27 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 58 | $16.575,80 | 699 / 11 | $4.544,20 | 72 / 11 | $3.221,67 | 72 / 6 |
| Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 12 | $53.100,60 | 280 / 12 | $12.744,10 | 256 / 24 | $10.896,50 | 256 / 22 |
| Transient Ischemia | 14 | 111 / 49 | $21.352,90 | 763 / 18 | $4.526,14 | 5 / 31 | $2.299,86 | 5 / 1 |
| O.R. Procedures For Obesity W Cc | 14 | 20 / 3 | $51.978,00 | 57 / 4 | $11.340,40 | 8 / 4 | $9.020,07 | 8 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 21 | $28.084,70 | 593 / 20 | $6.566,43 | 102 / 6 | $5.596,14 | 102 / 7 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 24 | $21.621,00 | 473 / 7 | $5.866,46 | 58 / 11 | $4.182,23 | 58 / 6 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 29 | $22.811,30 | 531 / 18 | $5.600,46 | 48 / 13 | $4.151,00 | 48 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 50 | $39.280,60 | 1306 / 68 | $7.868,46 | 823 / 62 | $6.842,00 | 820 / 70 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 42 | $24.694,60 | 421 / 10 | $6.649,85 | 82 / 3 | $5.630,77 | 82 / 4 |
| Cellulitis W Mcc | 12 | 46 / 21 | $29.277,50 | 359 / 12 | $7.743,00 | 109 / 1 | $7.039,00 | 109 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 24 | $41.059,80 | 289 / 6 | $9.341,83 | 78 / 10 | $7.708,58 | 78 / 5 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 20 | $16.453,60 | 400 / 10 | $3.885,75 | 50 / 2 | $2.779,08 | 50 / 4 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 10 | $23.487,50 | 113 / 4 | $6.641,33 | 70 / 2 | $5.985,33 | 70 / 6 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 19 | $27.892,80 | 565 / 24 | $6.535,58 | 3 / 29 | $3.140,33 | 3 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 44 | $16.876,50 | 1007 / 27 | $4.287,25 | 64 / 19 | $2.717,25 | 64 / 3 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 33 | $21.900,90 | 342 / 6 | $7.074,83 | 70 / 2 | $6.370,83 | 70 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 30 | $20.873,00 | 416 / 11 | $4.855,75 | 80 / 3 | $3.746,42 | 80 / 6 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 20 | $37.343,20 | 253 / 10 | $9.375,75 | 89 / 10 | $7.476,25 | 89 / 9 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 28 | $37.017,10 | 627 / 40 | $7.383,18 | 30 / 14 | $5.678,64 | 30 / 3 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 16 | $31.070,50 | 224 / 10 | $8.560,00 | 80 / 14 | $6.889,73 | 80 / 8 |
| Cervical Spinal Fusion W Cc | 11 | 42 / 15 | $76.805,60 | 205 / 12 | $18.541,10 | 189 / 14 | $17.051,70 | 188 / 24 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 24 | $67.516,40 | 342 / 8 | $18.448,60 | 266 / 11 | $17.346,10 | 264 / 18 | Total 64 procedures | 1.921 | 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.