Hospital Costs > In Texas > Baylor Scott & White Medical Center- Waxahachie, 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 | 99 | 465 / 86 | $48.316,10 | 1212 / 58 | $12.619,00 | 854 / 46 | $10.834,00 | 840 / 102 |
Heart Failure & Shock W Cc | 70 | 208 / 48 | $19.100,60 | 1058 / 31 | $5.497,23 | 375 / 11 | $4.756,66 | 375 / 30 |
Simple Pneumonia & Pleurisy W Cc | 61 | 142 / 48 | $21.041,30 | 1250 / 47 | $5.551,44 | 362 / 18 | $4.525,59 | 360 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 58 | 458 / 108 | $34.389,00 | 1020 / 42 | $9.809,59 | 133 / 1 | $8.745,05 | 133 / 6 |
Renal Failure W Cc | 49 | 172 / 58 | $17.173,00 | 688 / 14 | $5.238,10 | 188 / 4 | $4.353,20 | 187 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 72 | $15.216,80 | 786 / 21 | $4.406,85 | 193 / 18 | $3.103,60 | 193 / 18 |
Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 54 | $20.389,80 | 754 / 24 | $6.536,74 | 81 / 14 | $5.095,87 | 81 / 4 |
G.I. Hemorrhage W Cc | 37 | 181 / 53 | $19.851,20 | 739 / 13 | $5.679,16 | 150 / 16 | $4.471,81 | 150 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 56 | $25.018,80 | 1256 / 53 | $6.203,75 | 318 / 17 | $5.016,94 | 317 / 26 |
Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 74 | $15.190,90 | 966 / 37 | $4.566,56 | 136 / 29 | $3.203,42 | 136 / 11 |
Heart Failure & Shock W Mcc | 34 | 250 / 88 | $27.424,20 | 937 / 29 | $8.219,06 | 288 / 9 | $7.399,29 | 288 / 16 |
Cellulitis W/O Mcc | 29 | 160 / 60 | $15.697,60 | 948 / 29 | $4.663,52 | 216 / 9 | $3.581,03 | 214 / 15 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 69 | $26.712,00 | 818 / 23 | $8.175,56 | 566 / 20 | $7.399,88 | 566 / 41 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 61 | $13.125,50 | 703 / 21 | $4.005,76 | 243 / 14 | $3.065,64 | 243 / 19 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 48 | $37.651,00 | 525 / 7 | $11.484,10 | 293 / 40 | $9.716,17 | 292 / 26 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 33 | $14.049,50 | 729 / 18 | $3.944,13 | 179 / 18 | $2.933,61 | 177 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 52 | $16.495,30 | 659 / 10 | $5.210,39 | 299 / 10 | $4.315,78 | 298 / 28 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 52 | $14.592,90 | 477 / 5 | $4.447,86 | 199 / 7 | $3.469,57 | 199 / 17 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 62 | $26.604,60 | 829 / 14 | $7.448,85 | 285 / 33 | $6.065,20 | 285 / 16 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 34 | $18.111,40 | 1037 / 46 | $4.004,80 | 415 / 10 | $3.156,80 | 413 / 32 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 48 | $17.155,70 | 638 / 19 | $4.572,47 | 134 / 11 | $3.496,26 | 134 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 64 | $19.868,50 | 465 / 6 | $6.023,05 | 74 / 11 | $4.496,47 | 74 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 48 | $50.133,90 | 622 / 20 | $13.055,00 | 361 / 25 | $12.050,60 | 357 / 34 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 39 | $15.523,50 | 844 / 17 | $4.008,18 | 247 / 5 | $3.087,71 | 247 / 15 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 21 | $14.320,20 | 481 / 13 | $3.595,75 | 35 / 7 | $2.119,12 | 35 / 2 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 12 | $34.106,30 | 218 / 11 | $7.778,00 | 8 / 22 | $4.710,73 | 8 / 1 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 62 | $20.201,60 | 587 / 10 | $6.143,86 | 324 / 10 | $5.453,57 | 323 / 24 |
Renal Failure W Mcc | 14 | 181 / 82 | $25.700,60 | 496 / 16 | $8.112,00 | 132 / 2 | $7.381,71 | 132 / 11 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 52 | $12.653,10 | 674 / 13 | $3.163,92 | 152 / 7 | $2.046,38 | 152 / 16 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 52 | $32.454,50 | 485 / 10 | $10.487,50 | 208 / 8 | $9.783,50 | 208 / 16 |
Transient Ischemia | 12 | 113 / 51 | $16.892,80 | 408 / 3 | $4.319,58 | 45 / 18 | $2.642,00 | 45 / 3 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 23 | $24.399,40 | 456 / 12 | $6.502,58 | 44 / 3 | $5.271,92 | 44 / 3 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 31 | $18.635,50 | 332 / 6 | $4.961,27 | 238 / 5 | $4.187,45 | 235 / 19 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 33 | $94.769,50 | 341 / 7 | $27.699,70 | 15 / 17 | $21.869,00 | 15 / 3 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 33 | $15.490,70 | 167 / 2 | $5.517,00 | 240 / 8 | $4.751,91 | 237 / 20 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 26 | $18.199,50 | 305 / 1 | $5.558,09 | 238 / 4 | $4.676,64 | 238 / 17 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 21 | $38.875,60 | 278 / 12 | $10.043,20 | 78 / 19 | $7.406,45 | 78 / 7 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 39 | $59.663,30 | 628 / 21 | $14.325,60 | 417 / 15 | $13.281,30 | 414 / 39 | Total 38 procedures | 1.016 | 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.