Hospital Costs > In Texas > Brazosport Regional Health System, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 43 | $22.970,30 | 1449 / 60 | $6.033,92 | 880 / 54 | $4.975,26 | 877 / 67 |
Cellulitis W/O Mcc | 60 | 129 / 32 | $15.811,40 | 969 / 31 | $5.050,07 | 724 / 34 | $4.063,93 | 720 / 61 |
Heart Failure & Shock W Cc | 56 | 222 / 60 | $21.380,40 | 1340 / 47 | $5.770,93 | 418 / 27 | $4.811,79 | 418 / 36 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 65 | $20.398,10 | 1439 / 59 | $4.641,71 | 417 / 38 | $3.337,38 | 415 / 38 |
Renal Failure W Cc | 45 | 176 / 62 | $21.035,50 | 1084 / 32 | $5.748,40 | 795 / 37 | $4.996,04 | 788 / 66 |
Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 69 | $22.225,50 | 1774 / 105 | $4.680,74 | 550 / 43 | $3.652,90 | 549 / 43 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 41 | 52 / 14 | $17.459,20 | 962 / 36 | $4.382,00 | 403 / 33 | $3.145,00 | 401 / 31 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 18 | $17.638,90 | 1073 / 32 | $4.458,29 | 469 / 33 | $3.296,34 | 468 / 33 |
Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 22 | $20.272,30 | 1302 / 60 | $4.200,62 | 830 / 37 | $3.582,26 | 826 / 62 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 60 | $21.985,30 | 900 / 28 | $6.950,12 | 685 / 41 | $5.964,91 | 681 / 51 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 33 | 531 / 130 | $43.809,30 | 968 / 37 | $12.756,20 | 910 / 52 | $10.906,60 | 891 / 104 |
Pulmonary Edema & Respiratory Failure | 28 | 175 / 55 | $26.630,70 | 832 / 15 | $7.334,39 | 266 / 28 | $6.038,64 | 266 / 13 |
Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 48 | $21.506,60 | 1162 / 31 | $5.647,74 | 365 / 37 | $4.389,85 | 364 / 36 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 39 | $55.661,40 | 787 / 32 | $13.238,40 | 272 / 33 | $11.825,90 | 270 / 22 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 69 | $32.059,90 | 1175 / 45 | $8.367,24 | 627 / 30 | $7.462,92 | 627 / 49 |
Renal Failure W Mcc | 25 | 170 / 71 | $42.756,80 | 1374 / 86 | $9.634,72 | 970 / 61 | $8.861,64 | 970 / 89 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 50 | $41.576,40 | 993 / 58 | $6.586,33 | 556 / 28 | $5.529,00 | 554 / 54 |
Heart Failure & Shock W Mcc | 24 | 260 / 96 | $34.219,70 | 1351 / 58 | $8.810,29 | 837 / 49 | $8.094,96 | 837 / 63 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 64 | $18.863,30 | 1440 / 63 | $4.277,45 | 656 / 31 | $3.422,23 | 654 / 52 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 21 | 495 / 136 | $41.348,60 | 1378 / 61 | $10.282,50 | 553 / 14 | $9.601,33 | 552 / 39 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 44 | $14.774,40 | 962 / 29 | $3.603,95 | 425 / 35 | $2.376,76 | 422 / 33 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 57 | $26.846,00 | 1024 / 42 | $6.593,58 | 707 / 35 | $5.960,32 | 706 / 60 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 48 | $17.523,40 | 677 / 20 | $4.930,42 | 442 / 28 | $3.913,16 | 441 / 42 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 21 | $19.493,20 | 146 / 2 | $7.521,67 | 231 / 17 | $6.652,33 | 231 / 20 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 28 | $29.608,90 | 674 / 23 | $8.302,41 | 251 / 36 | $6.858,88 | 249 / 18 |
G.I. Hemorrhage W Cc | 16 | 202 / 73 | $24.136,60 | 1135 / 34 | $6.041,94 | 701 / 39 | $5.090,94 | 700 / 52 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 76 | $28.628,70 | 1535 / 81 | $6.374,13 | 620 / 36 | $5.330,93 | 618 / 40 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 59 | $18.477,60 | 901 / 22 | $4.860,43 | 964 / 35 | $4.254,71 | 961 / 80 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 41 | $24.251,50 | 403 / 8 | $7.177,79 | 383 / 13 | $6.400,64 | 381 / 24 |
G.I. Obstruction W Cc | 14 | 78 / 36 | $21.509,60 | 758 / 17 | $5.366,79 | 379 / 21 | $4.329,07 | 378 / 31 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 16 | $29.703,10 | 567 / 20 | $4.655,54 | 188 / 8 | $3.540,46 | 187 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 61 | $64.064,80 | 541 / 20 | $12.073,20 | 608 / 17 | $10.963,10 | 604 / 70 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 13 | 16 / 6 | $19.465,80 | 45 / 2 | $5.928,38 | 64 / 2 | $5.465,62 | 64 / 9 |
Syncope & Collapse | 12 | 157 / 53 | $20.407,80 | 890 / 21 | $4.539,50 | 490 / 28 | $3.546,25 | 488 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 71 | $28.182,40 | 1021 / 31 | $5.723,00 | 255 / 4 | $4.915,00 | 255 / 20 |
G.I. Hemorrhage W Mcc | 11 | 110 / 46 | $27.827,60 | 257 / 3 | $10.475,00 | 638 / 29 | $10.035,70 | 639 / 54 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 22 | $39.476,70 | 392 / 21 | $9.718,36 | 372 / 25 | $8.732,18 | 370 / 35 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 61 | $42.825,60 | 758 / 16 | $11.677,60 | 728 / 48 | $10.473,30 | 722 / 60 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 53 | $32.602,10 | 497 / 12 | $11.846,90 | 321 / 53 | $10.058,00 | 321 / 23 | Total 39 procedures | 993 | 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.