Hospital Costs > In Texas > Centennial Medical Center, 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 | 33 | 170 / 74 | $55.403,50 | 2648 / 207 | $5.515,82 | 518 / 14 | $4.662,24 | 515 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 33 | 483 / 128 | $69.971,70 | 2279 / 152 | $10.265,50 | 62 / 11 | $8.482,64 | 62 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 81 | $36.055,40 | 2412 / 190 | $4.264,32 | 313 / 11 | $3.449,46 | 313 / 27 |
| Heart Failure & Shock W Cc | 22 | 256 / 90 | $42.151,40 | 2389 / 172 | $5.348,91 | 260 / 6 | $4.637,64 | 260 / 20 |
| Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 28 | $72.123,90 | 599 / 43 | $18.110,80 | 35 / 63 | $9.708,05 | 35 / 9 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 21 | $41.633,70 | 491 / 31 | $6.761,79 | 29 / 15 | $4.360,16 | 29 / 8 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 17 | 29 / 5 | $136.367,00 | 23 / 2 | $46.796,50 | 21 / 2 | $40.915,40 | 21 / 2 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 18 | $77.199,10 | 454 / 34 | $12.454,20 | 232 / 30 | $10.549,50 | 231 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 94 | $32.836,90 | 2274 / 157 | $4.129,35 | 280 / 7 | $3.212,65 | 280 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 16 | 548 / 144 | $77.209,10 | 2152 / 149 | $11.930,20 | 823 / 14 | $10.794,20 | 809 / 97 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 70 | $35.095,30 | 2264 / 171 | $4.712,25 | 39 / 73 | $2.660,12 | 39 / 4 |
| Heart Failure & Shock W Mcc | 15 | 269 / 105 | $67.971,70 | 2314 / 171 | $8.485,67 | 442 / 27 | $7.602,47 | 442 / 32 |
| Renal Failure W Cc | 14 | 207 / 91 | $41.507,60 | 2087 / 147 | $5.308,57 | 371 / 6 | $4.620,57 | 368 / 32 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 61 | $53.169,70 | 2293 / 155 | $5.519,29 | 35 / 23 | $3.776,71 | 35 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 78 | $51.941,80 | 2297 / 165 | $11.779,60 | 11 / 189 | $4.037,08 | 11 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 33 | $55.513,20 | 1252 / 69 | $7.297,50 | 6 / 49 | $4.012,33 | 6 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 62 | $85.401,30 | 972 / 71 | $11.367,00 | 346 / 4 | $10.263,00 | 346 / 42 |
| G.I. Hemorrhage W Cc | 11 | 207 / 78 | $45.092,60 | 2069 / 132 | $5.541,45 | 500 / 7 | $4.908,73 | 499 / 31 |
| Cellulitis W/O Mcc | 11 | 178 / 78 | $45.721,40 | 2508 / 193 | $4.688,45 | 426 / 11 | $3.815,73 | 423 / 30 |
| Chest Pain | 11 | 140 / 55 | $40.030,40 | 1593 / 116 | $3.486,27 | 67 / 5 | $2.275,45 | 67 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 43 | $34.404,00 | 1716 / 133 | $3.911,73 | 145 / 7 | $2.812,09 | 144 / 8 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 11 | 36 / 9 | $144.860,00 | 54 / 8 | $34.978,60 | 40 / 2 | $33.876,10 | 40 / 7 | Total 22 procedures | 372 | 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.