Hospital Costs > In Texas > Cedar Park Regional Medical Center, 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 | 72 | 492 / 98 | $103.597,00 | 2519 / 199 | $16.258,80 | 296 / 194 | $9.953,35 | 296 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 51 | 465 / 114 | $61.995,50 | 2130 / 143 | $11.037,40 | 1029 / 57 | $10.222,40 | 1018 / 88 |
| Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 73 | $25.301,90 | 1985 / 134 | $4.818,57 | 649 / 57 | $3.723,05 | 645 / 50 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 62 | $46.150,40 | 2099 / 140 | $6.827,58 | 401 / 26 | $5.686,13 | 400 / 29 |
| G.I. Hemorrhage W Cc | 22 | 196 / 67 | $38.481,10 | 1907 / 113 | $5.865,95 | 633 / 26 | $5.038,32 | 632 / 47 |
| Cellulitis W/O Mcc | 20 | 169 / 69 | $23.505,10 | 1775 / 102 | $5.144,85 | 1000 / 46 | $4.271,25 | 994 / 78 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 86 | $34.490,20 | 2163 / 136 | $5.586,90 | 394 / 19 | $4.558,10 | 391 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 72 | $41.798,10 | 2094 / 144 | $6.356,79 | 564 / 30 | $5.278,89 | 562 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 93 | $35.286,10 | 2359 / 168 | $5.633,06 | 458 / 138 | $3.367,67 | 456 / 41 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 37 | $27.760,60 | 1549 / 105 | $4.412,06 | 632 / 36 | $3.348,53 | 629 / 52 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 40 | $27.484,90 | 1629 / 88 | $4.473,56 | 979 / 36 | $3.715,56 | 970 / 70 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 17 | $66.020,70 | 759 / 58 | $9.353,31 | 222 / 16 | $8.219,31 | 222 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 58 | $34.113,50 | 1779 / 117 | $4.889,00 | 698 / 39 | $4.010,07 | 695 / 53 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 79 | $67.303,30 | 2207 / 156 | $8.736,87 | 1052 / 59 | $7.928,40 | 1052 / 83 |
| Renal Failure W Mcc | 13 | 182 / 83 | $48.659,50 | 1547 / 101 | $8.709,23 | 435 / 27 | $7.970,77 | 435 / 42 |
| Renal Failure W Cc | 13 | 208 / 92 | $38.492,70 | 1999 / 133 | $5.798,31 | 637 / 44 | $4.867,85 | 631 / 54 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 73 | $22.177,80 | 1731 / 96 | $4.406,77 | 730 / 46 | $3.473,85 | 728 / 58 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 19 | $23.245,20 | 663 / 39 | $4.380,08 | 242 / 17 | $3.257,62 | 240 / 21 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 62 | $97.112,80 | 1129 / 87 | $14.416,30 | 226 / 77 | $9.917,83 | 226 / 34 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 69 | $45.753,00 | 1661 / 85 | $7.267,42 | 611 / 23 | $6.464,75 | 611 / 33 |
| Heart Failure & Shock W Cc | 11 | 267 / 101 | $47.865,20 | 2514 / 188 | $6.028,82 | 950 / 53 | $5.257,91 | 949 / 73 |
| Heart Failure & Shock W Mcc | 11 | 273 / 109 | $39.697,50 | 1642 / 80 | $8.575,00 | 594 / 32 | $7.807,00 | 594 / 46 | Total 22 procedures | 467 | 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.