Hospital Costs > In Texas > Care 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 | 36 | 480 / 125 | $28.572,80 | 717 / 27 | $10.673,70 | 887 / 38 | $10.033,70 | 885 / 79 |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 65 | $24.600,80 | 1097 / 39 | $7.221,14 | 1028 / 61 | $6.272,57 | 1023 / 82 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 57 | $31.173,10 | 1106 / 37 | $7.490,42 | 921 / 36 | $6.839,35 | 921 / 63 |
| Cellulitis W/O Mcc | 19 | 170 / 70 | $14.404,20 | 778 / 21 | $5.261,47 | 873 / 54 | $4.178,53 | 867 / 69 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 90 | $16.682,10 | 1178 / 50 | $4.843,21 | 688 / 61 | $3.745,63 | 684 / 55 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 89 | $21.995,70 | 1347 / 53 | $6.215,82 | 1132 / 76 | $5.180,53 | 1128 / 85 |
| Heart Failure & Shock W Cc | 14 | 264 / 98 | $17.490,60 | 873 / 24 | $5.733,50 | 404 / 25 | $4.791,79 | 404 / 35 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 81 | $28.588,40 | 948 / 29 | $8.616,62 | 827 / 51 | $7.683,69 | 827 / 67 | Total 8 procedures | 172 | 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.