Hospital Costs > In Texas > Christus Spohn Hospital Alice, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 61 | $27.790,40 | 2118 / 154 | $4.871,46 | 966 / 64 | $3.939,77 | 959 / 80 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 50 | 466 / 115 | $46.383,00 | 1644 / 84 | $10.367,90 | 612 / 17 | $9.681,34 | 611 / 43 |
| Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 62 | $36.744,80 | 2240 / 146 | $5.854,85 | 1018 / 41 | $5.093,11 | 1015 / 79 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 46 | $45.821,80 | 1095 / 69 | $6.598,89 | 360 / 29 | $5.245,36 | 359 / 31 |
| Heart Failure & Shock W Cc | 28 | 250 / 84 | $41.145,80 | 2358 / 165 | $6.426,39 | 755 / 96 | $5.108,21 | 754 / 57 |
| Chest Pain | 26 | 125 / 41 | $29.219,20 | 1366 / 84 | $4.200,65 | 512 / 41 | $2.942,81 | 509 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 66 | $33.303,30 | 1780 / 107 | $6.329,52 | 798 / 27 | $5.473,84 | 796 / 64 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 91 | $23.798,30 | 1784 / 98 | $4.788,00 | 1182 / 57 | $3.879,20 | 1173 / 93 |
| Cellulitis W/O Mcc | 20 | 169 / 69 | $27.465,10 | 2010 / 137 | $5.262,30 | 528 / 55 | $3.908,80 | 525 / 41 |
| Renal Failure W Cc | 19 | 202 / 87 | $28.115,20 | 1609 / 86 | $5.856,79 | 910 / 48 | $5.092,16 | 902 / 74 |
| Heart Failure & Shock W Mcc | 19 | 265 / 101 | $51.747,70 | 2029 / 129 | $8.512,32 | 454 / 28 | $7.619,68 | 454 / 35 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 19 | 51 / 16 | $29.291,40 | 358 / 35 | $5.582,32 | 142 / 10 | $5.008,00 | 142 / 17 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 74 | $35.179,70 | 1747 / 95 | $6.881,21 | 723 / 32 | $5.991,95 | 718 / 53 |
| G.I. Hemorrhage W Cc | 17 | 201 / 72 | $37.699,10 | 1885 / 111 | $6.103,88 | 632 / 42 | $5.034,71 | 631 / 46 |
| Diabetes W Cc | 17 | 75 / 34 | $24.333,20 | 964 / 42 | $5.178,24 | 478 / 24 | $4.254,00 | 478 / 32 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 51 | $26.661,10 | 1346 / 81 | $5.085,00 | 830 / 43 | $4.329,00 | 825 / 72 |
| G.I. Obstruction W Cc | 15 | 77 / 35 | $28.079,10 | 1122 / 45 | $5.419,27 | 697 / 24 | $4.693,93 | 696 / 48 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 72 | $24.055,20 | 1841 / 110 | $4.526,29 | 903 / 52 | $3.577,71 | 900 / 75 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 81 | $51.872,70 | 1961 / 131 | $8.377,23 | 615 / 33 | $7.451,69 | 615 / 46 |
| Syncope & Collapse | 12 | 157 / 53 | $25.881,50 | 1260 / 55 | $4.704,00 | 702 / 39 | $3.749,33 | 699 / 53 |
| Other Vascular Procedures W Cc | 12 | 90 / 42 | $100.296,00 | 843 / 62 | $14.675,20 | 253 / 16 | $13.677,80 | 252 / 28 |
| Psychoses | 12 | 263 / 22 | $41.386,20 | 552 / 33 | $6.068,75 | 239 / 1 | $5.666,08 | 239 / 11 |
| Hypertension W/O Mcc | 11 | 54 / 22 | $31.505,80 | 654 / 51 | $4.171,82 | 272 / 15 | $3.075,09 | 270 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 45 | $28.256,60 | 1664 / 120 | $4.297,64 | 892 / 44 | $3.634,36 | 886 / 70 | Total 24 procedures | 521 | 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.