Hospital Costs > In Texas > Christus Spohn Hospital Kleberg, 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 | 70 | 163 / 47 | $27.908,70 | 2127 / 155 | $5.005,30 | 1056 / 78 | $3.996,47 | 1048 / 91 |
| Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 56 | $46.612,80 | 2499 / 185 | $6.441,92 | 1454 / 99 | $5.464,46 | 1448 / 119 |
| Cellulitis W/O Mcc | 51 | 138 / 40 | $26.949,50 | 1986 / 134 | $5.271,31 | 909 / 56 | $4.208,55 | 903 / 71 |
| Heart Failure & Shock W Cc | 40 | 238 / 72 | $41.431,40 | 2369 / 169 | $6.224,88 | 932 / 74 | $5.239,52 | 931 / 69 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 17 | $31.853,60 | 1667 / 124 | $4.528,81 | 894 / 46 | $3.585,24 | 890 / 72 |
| Heart Failure & Shock W Mcc | 31 | 253 / 91 | $53.830,50 | 2085 / 141 | $8.781,61 | 856 / 45 | $8.116,84 | 856 / 66 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 80 | $26.918,60 | 1997 / 122 | $4.711,10 | 936 / 46 | $3.722,71 | 930 / 71 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 56 | $24.982,70 | 1884 / 120 | $4.480,03 | 861 / 51 | $3.550,97 | 858 / 72 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 29 | 487 / 131 | $65.907,40 | 2218 / 145 | $11.465,30 | 331 / 77 | $9.237,14 | 331 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 65 | $45.630,50 | 2181 / 150 | $6.503,27 | 787 / 51 | $5.465,04 | 785 / 62 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 42 | $17.990,00 | 714 / 21 | $5.028,68 | 839 / 38 | $4.339,40 | 834 / 73 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 34 | $25.297,70 | 1571 / 100 | $4.385,32 | 871 / 48 | $3.612,95 | 866 / 68 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 72 | $44.301,80 | 2053 / 136 | $6.920,38 | 815 / 39 | $6.057,90 | 810 / 61 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 58 | $40.604,00 | 1522 / 103 | $6.724,33 | 683 / 45 | $5.924,33 | 682 / 54 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 49 | $26.633,60 | 1672 / 105 | $3.769,75 | 1056 / 44 | $2.865,75 | 1051 / 78 |
| Syncope & Collapse | 15 | 154 / 50 | $35.530,90 | 1599 / 95 | $4.647,20 | 635 / 33 | $3.680,80 | 632 / 44 |
| Chest Pain | 14 | 137 / 52 | $24.891,30 | 1205 / 63 | $4.017,43 | 558 / 27 | $2.979,71 | 554 / 38 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 81 | $64.733,30 | 2172 / 152 | $8.383,85 | 758 / 34 | $7.612,15 | 758 / 63 |
| Transient Ischemia | 13 | 112 / 50 | $27.790,80 | 1098 / 48 | $4.497,92 | 881 / 29 | $3.843,15 | 877 / 65 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 63 | $30.311,40 | 1729 / 88 | $5.726,92 | 821 / 41 | $4.817,58 | 818 / 56 |
| Diabetes W Cc | 11 | 81 / 40 | $28.426,80 | 1123 / 64 | $5.171,45 | 416 / 22 | $4.176,55 | 416 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 62 | $28.184,10 | 1551 / 90 | $5.480,45 | 126 / 88 | $3.352,64 | 126 / 13 | Total 22 procedures | 588 | 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.