Hospital Costs > In Texas > Brownwood Regional Medical Center, 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 | 74 | 442 / 98 | $59.999,30 | 2087 / 138 | $11.267,30 | 343 / 63 | $9.261,70 | 343 / 21 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 68 | 496 / 101 | $73.099,00 | 2074 / 139 | $11.940,60 | 685 / 15 | $10.606,20 | 675 / 79 |
Simple Pneumonia & Pleurisy W Cc | 64 | 139 / 45 | $43.756,50 | 2427 / 175 | $5.680,64 | 509 / 24 | $4.650,97 | 506 / 35 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 60 | 106 / 30 | $33.557,20 | 2227 / 165 | $4.124,88 | 234 / 18 | $3.055,60 | 234 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 29 | $56.805,70 | 1271 / 64 | $10.950,80 | 411 / 18 | $9.943,48 | 410 / 33 |
Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 65 | $28.100,30 | 2135 / 157 | $4.623,04 | 250 / 34 | $3.366,98 | 250 / 21 |
Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 49 | $40.357,40 | 1936 / 121 | $6.492,73 | 390 / 10 | $5.668,73 | 389 / 26 |
Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 35 | $36.760,30 | 1983 / 115 | $5.498,17 | 287 / 20 | $4.302,56 | 286 / 24 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 18 | $32.409,00 | 1776 / 112 | $4.114,55 | 294 / 9 | $3.132,66 | 294 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 76 | $34.942,30 | 2345 / 165 | $4.294,53 | 242 / 13 | $3.165,11 | 242 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 56 | $39.487,70 | 2018 / 136 | $6.275,83 | 78 / 19 | $4.557,19 | 78 / 6 |
Renal Failure W Cc | 35 | 186 / 71 | $32.334,60 | 1807 / 111 | $5.407,06 | 249 / 15 | $4.475,40 | 248 / 17 |
Heart Failure & Shock W Cc | 34 | 244 / 78 | $36.655,50 | 2235 / 154 | $5.580,00 | 430 / 15 | $4.817,82 | 430 / 37 |
Cellulitis W/O Mcc | 32 | 157 / 58 | $32.051,70 | 2196 / 154 | $4.763,44 | 699 / 17 | $4.047,44 | 695 / 58 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 31 | 62 / 23 | $30.101,10 | 1615 / 117 | $4.071,77 | 308 / 15 | $3.058,10 | 306 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 45 | $27.392,50 | 1517 / 80 | $4.513,00 | 274 / 9 | $3.582,29 | 274 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 57 | $31.848,30 | 1239 / 52 | $6.032,73 | 394 / 13 | $5.104,73 | 393 / 34 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 62 | $44.953,80 | 1645 / 84 | $6.755,55 | 305 / 6 | $6.093,15 | 305 / 18 |
G.I. Hemorrhage W Cc | 19 | 199 / 70 | $43.950,60 | 2050 / 130 | $5.623,84 | 326 / 12 | $4.737,95 | 326 / 27 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 27 | $54.965,00 | 1211 / 80 | $8.497,44 | 625 / 49 | $7.628,11 | 622 / 52 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 38 | $20.780,10 | 635 / 12 | $4.499,76 | 262 / 13 | $3.313,76 | 260 / 16 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 50 | $31.107,50 | 1543 / 107 | $4.571,47 | 268 / 10 | $3.718,76 | 268 / 26 |
Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 12 | $23.641,60 | 616 / 33 | $4.102,82 | 174 / 4 | $3.184,24 | 175 / 8 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 34 | $106.941,00 | 1272 / 73 | $14.964,90 | 486 / 22 | $13.574,10 | 482 / 45 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 17 | $49.454,60 | 564 / 41 | $9.056,50 | 180 / 9 | $8.076,50 | 180 / 16 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 78 | $66.044,50 | 2191 / 154 | $8.073,94 | 445 / 16 | $7.245,94 | 445 / 29 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 40 | $25.436,20 | 1577 / 101 | $3.924,00 | 515 / 16 | $3.318,00 | 513 / 40 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 51 | $61.548,80 | 946 / 46 | $12.679,70 | 331 / 17 | $11.958,70 | 327 / 31 |
Signs & Symptoms W/O Mcc | 15 | 76 / 27 | $43.900,30 | 1270 / 82 | $5.161,33 | 766 / 45 | $4.192,80 | 763 / 52 |
Diabetes W Cc | 14 | 78 / 37 | $26.806,90 | 1070 / 58 | $4.714,79 | 61 / 6 | $3.505,64 | 61 / 4 |
Heart Failure & Shock W Mcc | 13 | 271 / 107 | $46.188,50 | 1880 / 116 | $8.327,77 | 355 / 18 | $7.493,31 | 355 / 24 |
Medical Back Problems W/O Mcc | 13 | 108 / 37 | $26.058,20 | 873 / 36 | $4.806,69 | 312 / 5 | $3.972,23 | 312 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 60 | $62.430,90 | 1616 / 128 | $6.500,31 | 223 / 21 | $5.574,69 | 221 / 28 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 14 | $39.542,60 | 217 / 4 | $8.378,67 | 96 / 1 | $7.173,33 | 96 / 5 |
Syncope & Collapse | 12 | 157 / 53 | $28.799,40 | 1389 / 68 | $4.191,00 | 149 / 8 | $3.084,33 | 149 / 11 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 22 | $24.951,80 | 683 / 45 | $3.671,64 | 102 / 4 | $2.685,45 | 101 / 4 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 54 | $17.802,50 | 1255 / 53 | $3.424,64 | 423 / 16 | $2.375,36 | 420 / 32 | Total 37 procedures | 1.042 | 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.