Hospital Costs > In Texas > Christus Hospital, 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 | 252 | 264 / 30 | $48.647,40 | 1743 / 99 | $10.214,60 | 221 / 10 | $8.978,59 | 221 / 13 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 251 | 313 / 26 | $73.911,00 | 2091 / 143 | $12.571,50 | 259 / 43 | $9.857,52 | 259 / 36 |
| Heart Failure & Shock W Mcc | 142 | 142 / 21 | $40.385,90 | 1679 / 88 | $8.302,32 | 346 / 15 | $7.476,82 | 346 / 23 |
| Heart Failure & Shock W Cc | 132 | 146 / 19 | $31.424,60 | 2033 / 127 | $6.291,66 | 376 / 81 | $4.758,00 | 376 / 31 |
| Renal Failure W Cc | 111 | 110 / 17 | $29.404,30 | 1668 / 97 | $5.598,12 | 294 / 24 | $4.528,81 | 292 / 20 |
| G.I. Hemorrhage W Cc | 108 | 110 / 13 | $30.426,20 | 1585 / 78 | $6.110,59 | 178 / 43 | $4.531,89 | 178 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 102 | 173 / 29 | $25.189,70 | 1897 / 112 | $4.556,87 | 340 / 29 | $3.275,73 | 339 / 31 |
| Simple Pneumonia & Pleurisy W Cc | 101 | 102 / 16 | $29.899,60 | 1942 / 108 | $5.763,95 | 334 / 31 | $4.488,82 | 332 / 21 |
| Hip & Femur Procedures Except Major Joint W Cc | 99 | 44 / 10 | $57.689,70 | 1293 / 69 | $10.837,10 | 160 / 16 | $9.376,50 | 159 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 95 | 112 / 18 | $33.611,20 | 1798 / 110 | $5.975,41 | 442 / 8 | $5.140,04 | 440 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 91 | 75 / 11 | $18.852,20 | 1438 / 62 | $4.234,03 | 395 / 28 | $3.237,93 | 395 / 36 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 82 | 100 / 20 | $29.537,50 | 1119 / 40 | $6.101,43 | 153 / 14 | $4.728,87 | 153 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 81 | 121 / 21 | $35.934,70 | 1794 / 104 | $6.506,88 | 336 / 12 | $5.600,41 | 335 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 79 | 82 / 11 | $23.738,40 | 1333 / 61 | $4.687,25 | 284 / 21 | $3.589,82 | 284 / 24 |
| Red Blood Cell Disorders W/O Mcc | 77 | 66 / 10 | $22.600,60 | 1106 / 55 | $4.771,08 | 240 / 20 | $3.687,14 | 240 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 75 | 104 / 14 | $29.945,90 | 1715 / 84 | $5.547,84 | 148 / 24 | $4.088,79 | 148 / 11 |
| Cellulitis W/O Mcc | 73 | 116 / 23 | $23.919,80 | 1813 / 106 | $4.979,42 | 329 / 31 | $3.732,00 | 326 / 19 |
| Renal Failure W Mcc | 72 | 123 / 33 | $37.886,70 | 1198 / 64 | $8.249,75 | 206 / 5 | $7.558,42 | 206 / 15 |
| Simple Pneumonia & Pleurisy W Mcc | 71 | 134 / 29 | $44.174,00 | 1726 / 94 | $7.842,62 | 311 / 7 | $7.040,13 | 311 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 70 | 163 / 47 | $22.368,90 | 1791 / 109 | $4.526,36 | 535 / 25 | $3.644,99 | 534 / 42 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 67 | 64 / 12 | $69.831,70 | 1146 / 68 | $12.372,90 | 136 / 6 | $11.353,20 | 136 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 67 | 129 / 18 | $84.055,60 | 939 / 63 | $11.726,70 | 106 / 10 | $9.446,93 | 106 / 17 |
| Spinal Fusion Except Cervical W/O Mcc | 65 | 129 / 24 | $153.604,00 | 1130 / 90 | $25.839,30 | 500 / 54 | $21.783,80 | 497 / 58 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 64 | 124 / 18 | $35.945,50 | 800 / 31 | $6.296,22 | 163 / 14 | $4.894,98 | 163 / 18 |
| Extracranial Procedures W/O Cc/Mcc | 58 | 40 / 8 | $32.786,10 | 497 / 31 | $5.952,95 | 167 / 8 | $4.891,43 | 167 / 13 |
| Cervical Spinal Fusion W/O Cc/Mcc | 56 | 48 / 7 | $89.796,10 | 729 / 61 | $13.752,60 | 94 / 26 | $10.355,10 | 94 / 16 |
| Pulmonary Edema & Respiratory Failure | 55 | 148 / 32 | $31.832,00 | 1135 / 40 | $6.817,35 | 424 / 7 | $6.254,29 | 424 / 27 |
| Kidney & Urinary Tract Infections W Mcc | 54 | 90 / 26 | $31.132,60 | 1225 / 69 | $6.221,11 | 280 / 16 | $5.393,83 | 279 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 54 | 114 / 26 | $43.519,50 | 798 / 23 | $9.349,81 | 138 / 5 | $8.262,65 | 137 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 53 | 70 / 16 | $36.087,10 | 1197 / 57 | $7.030,17 | 319 / 22 | $6.071,25 | 318 / 25 |
| Heart Failure & Shock W/O Cc/Mcc | 50 | 60 / 9 | $21.854,80 | 1398 / 74 | $4.209,60 | 219 / 38 | $2.988,02 | 217 / 12 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 50 | 27 / 7 | $60.039,90 | 324 / 27 | $8.835,60 | 46 / 1 | $7.310,92 | 46 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 50 | 76 / 27 | $28.483,50 | 889 / 44 | $6.323,02 | 132 / 17 | $5.375,96 | 131 / 13 |
| G.I. Hemorrhage W Mcc | 49 | 72 / 12 | $48.787,30 | 972 / 46 | $10.129,10 | 90 / 21 | $8.430,86 | 90 / 7 |
| Major Small & Large Bowel Procedures W Cc | 45 | 63 / 13 | $84.362,10 | 1051 / 53 | $13.783,10 | 45 / 3 | $11.433,80 | 45 / 5 |
| Syncope & Collapse | 44 | 125 / 28 | $27.599,50 | 1339 / 62 | $4.533,84 | 322 / 26 | $3.361,59 | 320 / 22 |
| Medical Back Problems W/O Mcc | 42 | 79 / 14 | $25.722,00 | 860 / 31 | $4.945,81 | 259 / 8 | $3.893,79 | 259 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 39 | 111 / 26 | $17.980,00 | 1271 / 57 | $3.561,46 | 359 / 31 | $2.319,05 | 357 / 28 |
| Peripheral Vascular Disorders W Cc | 36 | 48 / 9 | $25.745,40 | 667 / 28 | $5.317,50 | 114 / 3 | $4.445,50 | 114 / 6 |
| G.I. Obstruction W Cc | 34 | 58 / 18 | $25.814,90 | 1032 / 37 | $5.455,59 | 116 / 27 | $3.832,71 | 115 / 7 |
| Transient Ischemia | 33 | 92 / 30 | $23.635,50 | 895 / 27 | $4.179,88 | 298 / 12 | $3.154,91 | 298 / 19 |
| Atherosclerosis W/O Mcc | 32 | 26 / 2 | $19.565,00 | 300 / 9 | $3.717,62 | / | $2.732,62 | / |
| Major Cardiovasc Procedures W/O Mcc | 32 | 69 / 19 | $108.470,00 | 661 / 36 | $20.443,10 | 35 / 22 | $16.032,30 | 35 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 31 | 71 / 25 | $22.494,40 | 752 / 16 | $4.617,74 | 204 / 17 | $3.210,06 | 202 / 13 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 30 | 41 / 14 | $126.150,00 | 420 / 20 | $28.433,50 | 7 / 11 | $22.530,80 | 7 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 35 | $102.286,00 | 519 / 11 | $26.363,90 | 47 / 3 | $24.330,40 | 47 / 4 |
| Respiratory Infections & Inflammations W Cc | 29 | 59 / 17 | $36.613,20 | 887 / 46 | $7.360,41 | 132 / 4 | $6.590,76 | 132 / 8 |
| Major Small & Large Bowel Procedures W Mcc | 29 | 56 / 15 | $156.558,00 | 844 / 46 | $28.586,80 | 308 / 22 | $27.545,20 | 306 / 32 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 28 | 64 / 18 | $143.035,00 | 478 / 29 | $29.521,20 | 45 / 2 | $28.284,70 | 45 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 28 | 37 / 11 | $93.242,90 | 599 / 23 | $19.175,50 | 43 / 17 | $15.100,40 | 43 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 26 | $23.406,90 | 1384 / 83 | $4.167,29 | 349 / 19 | $3.090,71 | 347 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 28 | $36.959,80 | 876 / 44 | $6.877,04 | 62 / 9 | $5.542,33 | 62 / 3 |
| Other Vascular Procedures W Cc | 27 | 75 / 27 | $70.040,90 | 517 / 31 | $14.846,30 | 8 / 19 | $11.494,70 | 8 / 2 |
| Other Digestive System Diagnoses W Cc | 27 | 70 / 17 | $29.029,50 | 835 / 36 | $5.556,56 | 146 / 11 | $4.530,96 | 145 / 8 |
| Other Circulatory System Diagnoses W Mcc | 26 | 90 / 31 | $43.593,10 | 590 / 25 | $9.303,77 | 42 / 1 | $8.701,92 | 42 / 2 |
| Red Blood Cell Disorders W Mcc | 26 | 45 / 13 | $31.373,60 | 492 / 29 | $7.209,85 | 80 / 10 | $6.029,50 | 80 / 7 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 30 | $23.978,50 | 1497 / 72 | $4.367,77 | 437 / 23 | $3.266,73 | 436 / 30 |
| Diabetes W Cc | 25 | 67 / 26 | $21.770,80 | 807 / 29 | $4.928,00 | 255 / 12 | $3.926,84 | 255 / 12 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 24 | 64 / 14 | $125.648,00 | 395 / 28 | $20.522,10 | 50 / 5 | $17.770,50 | 50 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 23 | 33 / 13 | $58.453,80 | 563 / 38 | $9.025,00 | 172 / 2 | $8.183,26 | 172 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 39 | $60.330,30 | 1331 / 75 | $9.572,61 | 297 / 15 | $8.526,35 | 297 / 12 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 22 | 34 / 12 | $46.589,10 | 520 / 35 | $9.964,09 | 36 / 29 | $7.281,68 | 36 / 5 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 42 | $47.008,50 | 1003 / 45 | $9.825,05 | 41 / 1 | $8.990,50 | 41 / 2 |
| Extracranial Procedures W Cc | 22 | 24 / 8 | $39.574,80 | 157 / 6 | $8.733,95 | 57 / 1 | $7.801,59 | 57 / 5 |
| Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 20 | $24.101,50 | 552 / 20 | $5.168,32 | 110 / 11 | $3.834,27 | 109 / 10 |
| Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 17 | $68.690,60 | 467 / 22 | $15.223,20 | 27 / 11 | $12.585,80 | 27 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 24 | $35.878,30 | 932 / 41 | $6.070,95 | 102 / 9 | $4.702,43 | 102 / 7 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 21 | 32 / 3 | $31.839,70 | 236 / 10 | $7.296,38 | 13 / 6 | $5.191,90 | 13 / 3 |
| Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 20 | $83.104,80 | 562 / 30 | $16.691,60 | 24 / 13 | $13.996,40 | 24 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 18 | $50.769,80 | 716 / 36 | $7.729,35 | 199 / 2 | $7.249,35 | 198 / 13 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 19 | 28 / 8 | $45.873,10 | 273 / 8 | $8.743,74 | 41 / 2 | $6.618,32 | 41 / 1 |
| G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 13 | $21.605,70 | 612 / 30 | $4.144,16 | 175 / 7 | $3.131,95 | 175 / 14 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 19 | $16.958,90 | 658 / 24 | $3.677,22 | 381 / 12 | $2.806,11 | 381 / 31 |
| Hypertension W/O Mcc | 18 | 47 / 15 | $17.894,70 | 333 / 13 | $4.023,00 | 83 / 11 | $2.573,72 | 83 / 4 |
| Other Vascular Procedures W/O Cc/Mcc | 18 | 38 / 14 | $55.913,50 | 347 / 28 | $9.266,39 | 99 / 2 | $8.459,28 | 99 / 7 |
| Other Circulatory System Diagnoses W Cc | 18 | 48 / 14 | $27.017,10 | 346 / 16 | $5.284,78 | 49 / 2 | $4.477,67 | 49 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 28 | $126.767,00 | 709 / 47 | $19.496,40 | 364 / 20 | $18.419,10 | 362 / 39 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 19 | $27.627,30 | 750 / 23 | $5.826,06 | 75 / 10 | $4.236,17 | 75 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 19 | $59.557,30 | 459 / 20 | $12.296,90 | 8 / 13 | $9.296,72 | 8 / 2 |
| Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 12 | $195.735,00 | 225 / 19 | $40.886,90 | 15 / 10 | $31.898,10 | 15 / 1 |
| Signs & Symptoms W/O Mcc | 17 | 74 / 25 | $21.635,60 | 739 / 23 | $4.095,53 | 468 / 8 | $3.616,00 | 467 / 23 |
| Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 12 | $27.325,70 | 699 / 43 | $4.179,65 | 206 / 6 | $3.261,06 | 207 / 12 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 17 | 37 / 8 | $29.158,70 | 271 / 12 | $5.597,76 | 59 / 2 | $4.828,94 | 59 / 5 |
| Dysequilibrium | 15 | 50 / 13 | $21.425,10 | 275 / 8 | $3.794,40 | 97 / 3 | $2.751,20 | 97 / 6 |
| Chest Pain | 15 | 136 / 51 | $20.654,70 | 969 / 31 | $3.692,60 | 458 / 13 | $2.890,47 | 456 / 24 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 15 | 83 / 17 | $162.195,00 | 381 / 24 | $26.756,60 | 164 / 14 | $25.790,20 | 164 / 20 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 12 | $46.359,90 | 386 / 37 | $6.855,67 | 132 / 3 | $5.806,07 | 132 / 12 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 19 | $15.960,60 | 411 / 19 | $3.762,71 | 145 / 8 | $2.816,43 | 144 / 10 |
| Seizures W/O Mcc | 14 | 94 / 33 | $20.890,20 | 595 / 14 | $4.425,21 | 242 / 7 | $3.648,07 | 241 / 18 |
| Cellulitis W Mcc | 14 | 44 / 19 | $38.862,60 | 573 / 34 | $13.910,20 | 3 / 69 | $5.661,00 | 3 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 17 | $27.225,10 | 549 / 23 | $5.301,64 | 103 / 5 | $4.181,64 | 103 / 7 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 18 | $51.422,60 | 317 / 29 | $10.362,30 | 10 / 9 | $8.474,29 | 10 / 2 |
| Other Vascular Procedures W Mcc | 13 | 84 / 37 | $95.275,20 | 547 / 39 | $19.284,80 | 2 / 23 | $13.537,00 | 2 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 13 | 56 / 10 | $266.566,00 | 158 / 6 | $50.912,10 | 36 / 2 | $49.893,00 | 36 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 12 | $69.355,70 | 235 / 13 | $13.191,30 | 56 / 1 | $12.447,90 | 56 / 7 |
| Other Disorders Of Nervous System W Mcc | 13 | 27 / 10 | $48.447,80 | 199 / 9 | $9.325,85 | 17 / 4 | $7.510,54 | 17 / 1 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 11 | $16.933,50 | 163 / 4 | $4.658,69 | 2 / 6 | $2.374,08 | 2 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 19 | $61.684,80 | 381 / 18 | $11.229,70 | 15 / 4 | $8.914,15 | 15 / 2 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 18 | $59.279,20 | 546 / 37 | $9.865,25 | 141 / 11 | $9.059,83 | 141 / 13 |
| Cervical Spinal Fusion W Cc | 12 | 41 / 14 | $86.739,40 | 247 / 18 | $15.478,90 | 46 / 3 | $14.369,60 | 46 / 6 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 17 | $36.023,20 | 552 / 28 | $5.111,33 | 60 / 3 | $4.004,67 | 60 / 3 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 24 | $155.765,00 | 379 / 20 | $25.071,50 | 155 / 1 | $24.263,50 | 155 / 13 |
| Coagulation Disorders | 12 | 15 / 5 | $37.179,90 | 27 / 2 | $9.676,50 | 1 / 1 | $7.899,92 | 1 / 1 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 11 | 27 / 7 | $48.907,60 | 72 / 5 | $10.009,50 | 3 / 1 | $8.200,91 | 3 / 1 |
| G.I. Obstruction W Mcc | 11 | 31 / 15 | $50.684,00 | 350 / 15 | $8.332,00 | 19 / 1 | $7.561,09 | 19 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 12 | $59.700,80 | 166 / 11 | $13.255,20 | 44 / 5 | $12.266,10 | 44 / 7 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 15 | $27.945,20 | 342 / 13 | $5.173,64 | 85 / 3 | $4.292,18 | 85 / 8 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 18 | $22.705,10 | 118 / 4 | $5.875,64 | 27 / 2 | $4.994,18 | 27 / 4 |
| Seizures W Mcc | 11 | 55 / 23 | $60.472,40 | 577 / 36 | $10.277,50 | 21 / 29 | $6.847,00 | 21 / 3 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 22 | $208.329,00 | 165 / 13 | $53.471,40 | 96 / 13 | $52.419,00 | 96 / 16 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 15 | $43.227,20 | 297 / 10 | $9.661,18 | 7 / 2 | $7.658,00 | 7 / 1 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 13 | $23.646,00 | 251 / 17 | $3.901,00 | 63 / 5 | $2.693,73 | 63 / 5 |
| Respiratory Signs & Symptoms | 11 | 35 / 11 | $26.178,50 | 199 / 11 | $4.349,27 | 15 / 2 | $2.741,45 | 15 / 1 |
| Diabetes W Mcc | 11 | 46 / 25 | $41.937,20 | 483 / 28 | $7.747,91 | 16 / 5 | $6.107,91 | 16 / 2 |
| O.R. Procedures For Obesity W Cc | 11 | 23 / 5 | $75.492,40 | 99 / 11 | $10.479,70 | 11 / 1 | $9.269,55 | 11 / 3 |
| Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 7 | $49.982,50 | 85 / 5 | $9.846,73 | 10 / 1 | $7.402,91 | 10 / 2 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 10 | $19.012,90 | 150 / 4 | $5.331,36 | 8 / 8 | $2.425,18 | 8 / 1 | Total 117 procedures | 4.627 | 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.