Hospital Costs > In Texas > Bayshore Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 24 | $51.299,20 | 1196 / 63 | $8.276,00 | 1167 / 72 | $7.471,43 | 1165 / 84 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 39 | 86 / 25 | $88.039,50 | 1622 / 104 | $12.585,40 | 1190 / 98 | $10.988,70 | 1184 / 99 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 13 | $43.692,20 | 802 / 22 | $5.962,45 | 608 / 18 | $5.022,82 | 607 / 18 |
Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 23 | $43.744,90 | 946 / 67 | $7.245,21 | 873 / 66 | $6.325,63 | 869 / 81 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 48 | $37.508,20 | 1855 / 125 | $7.542,60 | 1569 / 151 | $5.127,40 | 1564 / 135 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 41 | 82 / 23 | $63.463,10 | 1723 / 115 | $9.449,63 | 1420 / 112 | $8.385,32 | 1417 / 119 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 43 | $34.947,10 | 1864 / 134 | $5.386,09 | 1670 / 128 | $3.997,32 | 1664 / 127 |
Cellulitis W Mcc | 16 | 42 / 17 | $58.712,60 | 803 / 56 | $10.829,10 | 243 / 50 | $7.616,62 | 242 / 26 |
Cellulitis W/O Mcc | 63 | 126 / 30 | $41.796,20 | 2450 / 182 | $7.134,57 | 2120 / 174 | $5.863,46 | 2112 / 185 |
Cervical Spinal Fusion W/O Cc/Mcc | 18 | 86 / 29 | $73.734,80 | 617 / 45 | $18.966,10 | 48 / 68 | $9.921,44 | 48 / 12 |
Chest Pain | 94 | 57 / 6 | $36.620,40 | 1531 / 103 | $5.653,65 | 1401 / 107 | $4.664,22 | 1393 / 116 |
Chronic Obstructive Pulmonary Disease W Cc | 74 | 105 / 15 | $50.625,40 | 2254 / 147 | $8.016,97 | 2056 / 154 | $6.906,76 | 2049 / 160 |
Chronic Obstructive Pulmonary Disease W Mcc | 73 | 129 / 24 | $61.570,70 | 2371 / 176 | $9.013,55 | 2080 / 158 | $8.187,25 | 2072 / 177 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 37 | 83 / 19 | $33.857,90 | 1817 / 119 | $6.236,54 | 1807 / 131 | $5.356,11 | 1796 / 140 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 22 | $98.736,60 | 753 / 50 | $24.592,80 | 491 / 60 | $12.857,10 | 485 / 46 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 27 | 161 / 47 | $59.371,70 | 1376 / 102 | $8.871,81 | 1219 / 107 | $7.081,26 | 1216 / 117 |
Cirrhosis & Alcoholic Hepatitis W Cc | 11 | 15 / 6 | $47.535,90 | 80 / 11 | $7.584,09 | 55 / 9 | $6.821,91 | 55 / 10 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 13 | 29 / 17 | $64.078,50 | 219 / 20 | $12.367,60 | 142 / 16 | $11.200,80 | 142 / 20 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 19 | $34.903,70 | 595 / 29 | $7.857,73 | 626 / 39 | $6.868,64 | 626 / 46 |
Diabetes W Cc | 32 | 60 / 19 | $36.510,60 | 1339 / 90 | $7.300,22 | 1234 / 99 | $5.893,81 | 1229 / 98 |
Diabetes W Mcc | 24 | 33 / 12 | $38.106,00 | 431 / 24 | $10.382,60 | 542 / 40 | $9.829,25 | 541 / 47 |
Diabetes W/O Cc/Mcc | 12 | 26 / 7 | $29.247,20 | 254 / 19 | $5.329,33 | 206 / 19 | $4.187,92 | 206 / 19 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 24 | $57.598,50 | 529 / 61 | $7.602,00 | 340 / 42 | $6.256,45 | 340 / 45 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 17 | 59 / 15 | $78.915,40 | 442 / 42 | $12.926,90 | 320 / 37 | $12.497,80 | 320 / 44 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 14 | $53.804,50 | 221 / 12 | $13.226,80 | 146 / 18 | $10.849,50 | 146 / 14 |
Dysequilibrium | 15 | 50 / 13 | $38.474,80 | 496 / 24 | $5.751,07 | 426 / 29 | $4.472,40 | 426 / 30 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 30 | 66 / 25 | $44.748,20 | 1063 / 62 | $9.463,63 | 940 / 79 | $7.941,67 | 935 / 77 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 70 | 205 / 50 | $44.250,90 | 2571 / 198 | $6.664,57 | 2178 / 182 | $5.184,91 | 2164 / 183 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 20 | $222.147,00 | 660 / 44 | $32.295,70 | 390 / 34 | $30.595,40 | 390 / 42 |
Fractures Of Hip & Pelvis W/O Mcc | 24 | 37 / 7 | $32.199,70 | 775 / 50 | $6.162,96 | 816 / 52 | $5.413,62 | 815 / 59 |
G.I. Hemorrhage W Cc | 39 | 179 / 51 | $47.525,30 | 2112 / 137 | $8.000,15 | 1848 / 142 | $6.749,13 | 1844 / 148 |
G.I. Hemorrhage W Mcc | 31 | 90 / 26 | $87.067,40 | 1495 / 100 | $13.319,20 | 1053 / 99 | $11.519,40 | 1045 / 91 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 20 | $41.271,90 | 932 / 74 | $6.198,00 | 825 / 71 | $5.083,33 | 821 / 74 |
Heart Failure & Shock W Cc | 60 | 218 / 56 | $46.745,00 | 2499 / 185 | $7.861,62 | 2232 / 180 | $7.083,22 | 2226 / 194 |
Heart Failure & Shock W Mcc | 107 | 177 / 37 | $75.756,10 | 2417 / 182 | $11.479,00 | 1915 / 169 | $10.109,90 | 1909 / 175 |
Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 34 | $40.565,20 | 1898 / 152 | $5.976,82 | 1721 / 138 | $5.156,45 | 1708 / 145 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 55 | $95.979,10 | 1859 / 125 | $13.916,40 | 1526 / 125 | $12.922,50 | 1508 / 137 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 30 | $138.327,00 | 855 / 53 | $20.648,80 | 643 / 50 | $19.767,40 | 640 / 58 |
Hypertension W/O Mcc | 26 | 39 / 8 | $32.325,50 | 665 / 53 | $6.036,92 | 615 / 62 | $4.491,31 | 613 / 61 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 34 | 90 / 31 | $214.457,00 | 1314 / 91 | $33.341,00 | 749 / 56 | $31.980,20 | 743 / 77 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 52 | $67.052,80 | 1966 / 134 | $8.709,22 | 1498 / 124 | $6.876,88 | 1495 / 121 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 52 | $94.597,90 | 1476 / 93 | $12.134,60 | 1038 / 71 | $11.261,00 | 1033 / 81 |
Kidney & Urinary Tract Infections W Mcc | 72 | 72 / 16 | $56.111,20 | 1760 / 131 | $8.680,35 | 1500 / 125 | $7.625,36 | 1496 / 134 |
Kidney & Urinary Tract Infections W/O Mcc | 112 | 121 / 20 | $40.194,40 | 2499 / 202 | $6.819,68 | 2203 / 199 | $5.456,21 | 2192 / 197 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 22 | 34 / 14 | $90.151,00 | 774 / 59 | $13.354,10 | 582 / 68 | $10.075,30 | 580 / 61 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 21 | $263.226,00 | 588 / 41 | $33.745,00 | 278 / 17 | $32.270,80 | 278 / 30 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 19 | $88.158,40 | 603 / 36 | $13.021,60 | 374 / 24 | $11.983,30 | 373 / 29 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 24 | 540 / 137 | $86.954,20 | 2318 / 172 | $18.368,70 | 1518 / 210 | $12.094,50 | 1483 / 170 |
Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 24 | $217.798,00 | 1095 / 72 | $31.904,60 | 609 / 43 | $30.860,60 | 607 / 57 |
Medical Back Problems W/O Mcc | 15 | 106 / 35 | $38.732,10 | 1225 / 80 | $6.798,07 | 1157 / 79 | $5.829,53 | 1153 / 89 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 66 | 60 / 18 | $46.607,30 | 1436 / 101 | $8.705,32 | 1286 / 108 | $8.036,70 | 1283 / 121 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 49 | 117 / 38 | $38.117,10 | 2332 / 183 | $6.290,18 | 2101 / 179 | $5.197,94 | 2093 / 186 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 14 | $59.718,80 | 309 / 18 | $11.047,60 | 213 / 15 | $10.398,20 | 213 / 18 |
Organic Disturbances & Mental Retardation | 28 | 31 / 5 | $44.992,60 | 473 / 20 | $7.796,79 | 359 / 15 | $6.882,86 | 359 / 16 |
Other Circulatory System Diagnoses W Cc | 13 | 53 / 18 | $66.643,00 | 648 / 39 | $9.015,15 | 483 / 34 | $6.666,23 | 482 / 34 |
Other Circulatory System Diagnoses W Mcc | 21 | 95 / 36 | $98.609,80 | 1263 / 95 | $13.615,70 | 917 / 77 | $12.838,60 | 911 / 89 |
Other Digestive System Diagnoses W Cc | 22 | 75 / 22 | $50.129,20 | 1268 / 75 | $7.887,45 | 1089 / 70 | $6.833,05 | 1085 / 79 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 17 | $158.669,00 | 494 / 36 | $25.554,40 | 246 / 36 | $21.290,60 | 245 / 25 |
Other Vascular Procedures W Mcc | 11 | 86 / 39 | $212.037,00 | 978 / 81 | $23.026,30 | 593 / 67 | $21.981,90 | 590 / 75 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 33 | $129.374,00 | 723 / 49 | $23.000,10 | 384 / 62 | $18.576,40 | 382 / 41 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 56 | $99.732,90 | 1157 / 91 | $15.868,10 | 836 / 106 | $11.797,70 | 830 / 100 |
Peripheral Vascular Disorders W Cc | 19 | 65 / 23 | $44.769,40 | 1089 / 68 | $7.701,53 | 957 / 69 | $6.938,58 | 954 / 78 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 22 | $82.343,20 | 908 / 59 | $10.308,80 | 606 / 45 | $9.153,81 | 604 / 47 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 22 | 39 / 10 | $38.148,00 | 844 / 39 | $5.809,00 | 731 / 33 | $4.984,27 | 730 / 37 |
Psychoses | 311 | 61 / 6 | $39.916,90 | 545 / 32 | $8.065,57 | 448 / 24 | $7.224,35 | 448 / 27 |
Pulmonary Edema & Respiratory Failure | 29 | 174 / 54 | $63.353,20 | 1976 / 133 | $9.702,59 | 1844 / 133 | $9.090,28 | 1839 / 151 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 23 | $65.165,00 | 1237 / 71 | $7.978,71 | 1079 / 56 | $7.011,29 | 1076 / 68 |
Red Blood Cell Disorders W Mcc | 20 | 51 / 19 | $50.728,60 | 844 / 58 | $11.387,40 | 684 / 83 | $8.253,95 | 680 / 70 |
Red Blood Cell Disorders W/O Mcc | 48 | 95 / 22 | $36.636,10 | 1704 / 129 | $6.825,60 | 1645 / 131 | $6.042,27 | 1636 / 143 |
Renal Failure W Cc | 78 | 143 / 35 | $42.515,00 | 2109 / 148 | $8.388,18 | 1803 / 167 | $6.413,13 | 1793 / 159 |
Renal Failure W Mcc | 97 | 98 / 19 | $58.460,80 | 1737 / 120 | $11.201,30 | 1552 / 125 | $10.463,50 | 1550 / 145 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 46 | $91.817,40 | 1603 / 103 | $13.168,10 | 1154 / 91 | $12.295,20 | 1140 / 101 |
Respiratory Neoplasms W Cc | 11 | 36 / 11 | $56.927,90 | 430 / 21 | $9.081,00 | 365 / 14 | $8.420,64 | 364 / 21 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 66 | 65 / 13 | $92.043,60 | 1427 / 93 | $15.982,80 | 1087 / 103 | $14.505,20 | 1077 / 109 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 25 | 46 / 18 | $145.426,00 | 533 / 27 | $32.443,00 | 463 / 37 | $31.733,20 | 463 / 53 |
Seizures W Mcc | 14 | 52 / 20 | $71.893,60 | 643 / 48 | $10.947,60 | 451 / 39 | $9.994,50 | 451 / 47 |
Seizures W/O Mcc | 16 | 92 / 31 | $44.770,20 | 1187 / 74 | $6.508,00 | 1025 / 68 | $5.674,00 | 1023 / 78 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 33 | 59 / 13 | $192.244,00 | 717 / 46 | $37.100,30 | 348 / 44 | $33.913,90 | 347 / 48 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 227 | 289 / 37 | $95.457,80 | 2600 / 189 | $13.757,70 | 1963 / 180 | $12.228,60 | 1927 / 181 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 47 | $55.296,90 | 2346 / 172 | $8.176,06 | 1969 / 159 | $7.221,40 | 1961 / 175 |
Signs & Symptoms W/O Mcc | 18 | 73 / 24 | $32.269,60 | 1074 / 55 | $6.243,39 | 1001 / 73 | $4.934,61 | 998 / 75 |
Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 50 | $53.169,70 | 2611 / 204 | $8.023,92 | 2261 / 189 | $6.771,97 | 2253 / 198 |
Simple Pneumonia & Pleurisy W Mcc | 61 | 144 / 38 | $64.754,90 | 2173 / 153 | $10.777,60 | 1744 / 157 | $9.235,33 | 1744 / 155 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 38 | $33.513,40 | 1702 / 131 | $6.233,62 | 1690 / 144 | $5.103,62 | 1682 / 149 |
Syncope & Collapse | 47 | 122 / 25 | $46.810,40 | 1808 / 120 | $7.105,70 | 1495 / 126 | $5.118,74 | 1488 / 118 |
Transient Ischemia | 27 | 98 / 36 | $44.115,50 | 1505 / 95 | $7.182,00 | 1340 / 109 | $4.989,30 | 1333 / 104 | Total 86 procedures | 3.199 | 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.