Hospital Costs > In Texas > Christus Spohn Hospital Beeville, 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 | 38 | 195 / 72 | $21.164,70 | 1690 / 94 | $5.620,82 | 1786 / 149 | $4.672,61 | 1775 / 166 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 57 | $33.809,40 | 1681 / 90 | $8.661,97 | 1796 / 146 | $7.429,92 | 1788 / 157 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 78 | $39.131,60 | 2302 / 157 | $7.177,14 | 1952 / 161 | $6.079,41 | 1944 / 174 |
| Renal Failure W Cc | 27 | 194 / 79 | $29.912,00 | 1690 / 98 | $7.034,93 | 1743 / 128 | $6.251,52 | 1733 / 154 |
| Heart Failure & Shock W Cc | 27 | 251 / 85 | $29.034,60 | 1908 / 105 | $7.561,59 | 1812 / 174 | $6.170,78 | 1807 / 162 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 26 | 490 / 134 | $44.333,30 | 1536 / 79 | $13.434,60 | 2112 / 173 | $12.821,30 | 2075 / 195 |
| Heart Failure & Shock W Mcc | 21 | 263 / 99 | $30.072,40 | 1086 / 38 | $10.907,70 | 1957 / 164 | $10.215,90 | 1950 / 179 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 71 | $30.362,20 | 1645 / 90 | $7.633,95 | 1771 / 133 | $6.730,95 | 1764 / 157 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 56 | $35.450,30 | 1929 / 110 | $6.824,53 | 1696 / 119 | $5.871,26 | 1689 / 138 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 96 | $25.731,40 | 1932 / 117 | $5.355,53 | 1845 / 116 | $4.549,13 | 1832 / 158 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 41 | $27.039,80 | 1615 / 87 | $5.202,00 | 1489 / 91 | $4.395,60 | 1478 / 120 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 71 | $24.553,80 | 1863 / 114 | $5.119,47 | 1635 / 125 | $4.232,00 | 1630 / 144 |
| Chest Pain | 13 | 138 / 53 | $23.603,70 | 1146 / 54 | $4.710,08 | 992 / 77 | $3.538,38 | 986 / 79 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 41 | $33.327,40 | 1696 / 129 | $5.120,23 | 1248 / 94 | $3.965,77 | 1242 / 106 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 81 | $42.810,30 | 1674 / 89 | $10.448,60 | 1900 / 148 | $9.705,23 | 1900 / 171 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 64 | $39.767,50 | 1495 / 100 | $8.211,75 | 1432 / 114 | $7.409,08 | 1428 / 126 |
| Renal Failure W Mcc | 12 | 183 / 84 | $43.179,60 | 1387 / 89 | $11.180,80 | 1580 / 123 | $10.578,10 | 1578 / 147 |
| Diabetes W Cc | 12 | 80 / 39 | $29.204,30 | 1146 / 67 | $6.027,00 | 1029 / 64 | $5.216,33 | 1025 / 81 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 44 | $18.274,20 | 1172 / 46 | $4.940,00 | 1456 / 97 | $4.332,00 | 1444 / 123 |
| Cellulitis W/O Mcc | 11 | 178 / 78 | $23.900,40 | 1812 / 105 | $6.139,64 | 1810 / 132 | $5.150,55 | 1802 / 164 | Total 20 procedures | 386 | 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.