Hospital Costs > In Texas > Citizens Medical Center Victoria, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 162 | 402 / 52 | $53.530,60 | 1452 / 78 | $12.904,70 | 464 / 67 | $10.260,40 | 461 / 59 |
| Kidney & Urinary Tract Infections W/O Mcc | 98 | 135 / 26 | $19.205,70 | 1479 / 73 | $4.529,17 | 419 / 26 | $3.559,99 | 419 / 34 |
| Cellulitis W/O Mcc | 97 | 92 / 11 | $20.126,10 | 1497 / 76 | $4.902,64 | 397 / 27 | $3.793,79 | 394 / 26 |
| Heart Failure & Shock W Cc | 93 | 185 / 34 | $20.531,90 | 1243 / 39 | $5.579,61 | 505 / 14 | $4.901,09 | 505 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 93 | 423 / 85 | $36.128,90 | 1103 / 47 | $10.100,40 | 170 / 8 | $8.861,94 | 170 / 10 |
| Heart Failure & Shock W Mcc | 87 | 197 / 45 | $29.012,10 | 1024 / 33 | $8.422,06 | 323 / 23 | $7.448,61 | 323 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 75 | 128 / 35 | $27.109,20 | 1778 / 91 | $5.524,19 | 590 / 16 | $4.734,47 | 587 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 70 | 205 / 50 | $19.228,40 | 1305 / 46 | $4.551,66 | 373 / 28 | $3.305,19 | 372 / 33 |
| Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 41 | $37.288,30 | 1463 / 66 | $8.326,69 | 474 / 27 | $7.289,91 | 474 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 58 | 68 / 22 | $19.915,10 | 404 / 8 | $6.158,10 | 203 / 7 | $5.540,36 | 201 / 25 |
| Renal Failure W Cc | 54 | 167 / 53 | $21.766,80 | 1157 / 38 | $5.769,04 | 344 / 42 | $4.583,78 | 342 / 26 |
| Renal Failure W Mcc | 51 | 144 / 50 | $31.624,70 | 857 / 38 | $9.622,67 | 75 / 60 | $7.139,00 | 75 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 49 | 147 / 30 | $58.096,20 | 408 / 11 | $13.531,20 | 152 / 55 | $9.652,08 | 152 / 22 |
| Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 31 | $24.573,70 | 1425 / 50 | $5.771,69 | 250 / 48 | $4.260,29 | 250 / 21 |
| Hip & Femur Procedures Except Major Joint W Cc | 42 | 101 / 33 | $48.438,50 | 992 / 37 | $10.571,50 | 218 / 4 | $9.527,45 | 217 / 15 |
| Kidney & Urinary Tract Infections W Mcc | 41 | 103 / 36 | $30.029,50 | 1175 / 62 | $6.155,17 | 220 / 11 | $5.291,63 | 220 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 46 | $18.632,80 | 1405 / 56 | $4.085,12 | 255 / 17 | $3.077,10 | 255 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 41 | 120 / 32 | $19.986,70 | 1058 / 36 | $4.545,02 | 359 / 12 | $3.682,68 | 359 / 32 |
| Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 52 | $27.492,90 | 1307 / 49 | $7.749,39 | 180 / 98 | $5.374,46 | 180 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 17 | $20.077,70 | 1269 / 49 | $4.152,62 | 379 / 11 | $3.215,08 | 378 / 26 |
| G.I. Hemorrhage W Cc | 39 | 179 / 51 | $25.342,90 | 1227 / 41 | $5.689,15 | 531 / 17 | $4.935,28 | 530 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 47 | $27.673,30 | 971 / 22 | $6.454,97 | 163 / 40 | $4.756,51 | 163 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 55 | $24.921,60 | 1247 / 52 | $6.501,62 | 134 / 49 | $4.720,05 | 134 / 13 |
| Syncope & Collapse | 31 | 138 / 35 | $20.675,30 | 921 / 24 | $4.207,90 | 223 / 9 | $3.232,16 | 222 / 15 |
| Pulmonary Edema & Respiratory Failure | 31 | 172 / 52 | $28.263,30 | 921 / 19 | $6.725,35 | 243 / 3 | $6.007,84 | 243 / 10 |
| Red Blood Cell Disorders W/O Mcc | 31 | 112 / 36 | $18.896,90 | 794 / 27 | $4.608,52 | 238 / 13 | $3.685,26 | 238 / 22 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 32 | $31.636,60 | 499 / 7 | $9.278,81 | 227 / 5 | $8.376,90 | 227 / 8 |
| Extracranial Procedures W/O Cc/Mcc | 29 | 69 / 20 | $32.944,00 | 499 / 32 | $6.720,17 | 110 / 33 | $4.723,07 | 110 / 8 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 27 | 50 / 20 | $43.657,30 | 208 / 10 | $9.742,15 | 39 / 7 | $7.237,74 | 39 / 4 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 24 | $62.201,50 | 687 / 27 | $15.233,80 | 213 / 26 | $12.541,50 | 211 / 21 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 27 | 64 / 8 | $18.310,50 | 54 / 1 | $6.223,33 | 32 / 1 | $5.859,67 | 32 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 39 | $15.669,20 | 1074 / 36 | $5.060,23 | 88 / 117 | $1.916,19 | 88 / 10 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 28 | $18.575,10 | 1084 / 55 | $4.088,73 | 369 / 16 | $3.108,42 | 367 / 27 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 30 | $17.695,90 | 1127 / 41 | $3.941,38 | 249 / 17 | $3.031,04 | 247 / 15 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 31 | $34.244,10 | 776 / 33 | $6.709,92 | 198 / 5 | $5.995,83 | 197 / 11 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 43 | $47.281,00 | 545 / 12 | $12.486,30 | 237 / 10 | $11.690,90 | 235 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 51 | $31.746,30 | 599 / 15 | $6.092,74 | 303 / 6 | $5.147,22 | 303 / 29 |
| Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 20 | $21.631,50 | 447 / 12 | $4.976,41 | 181 / 6 | $4.038,41 | 178 / 15 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 35 | $36.137,10 | 553 / 12 | $9.463,14 | 32 / 7 | $8.098,91 | 32 / 5 |
| G.I. Obstruction W Cc | 21 | 71 / 29 | $22.748,70 | 843 / 22 | $5.066,90 | 340 / 12 | $4.255,76 | 339 / 28 |
| G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 11 | $13.061,20 | 223 / 3 | $4.338,00 | 82 / 15 | $2.877,52 | 82 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 24 | $22.777,60 | 412 / 5 | $6.814,57 | 144 / 30 | $4.820,76 | 144 / 9 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 38 | $27.298,80 | 158 / 3 | $13.002,70 | 52 / 66 | $8.805,21 | 52 / 3 |
| Transient Ischemia | 19 | 106 / 44 | $24.283,10 | 933 / 29 | $4.062,42 | 179 / 8 | $2.974,79 | 179 / 12 |
| Transurethral Procedures W Cc | 17 | 24 / 4 | $29.334,60 | 114 / 1 | $10.164,00 | 13 / 17 | $5.620,24 | 13 / 1 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 20 | $24.310,10 | 625 / 14 | $6.556,53 | 51 / 28 | $4.140,76 | 51 / 5 |
| Cellulitis W Mcc | 17 | 41 / 16 | $33.619,00 | 454 / 21 | $7.954,41 | 149 / 3 | $7.235,24 | 149 / 12 |
| Medical Back Problems W/O Mcc | 17 | 104 / 33 | $20.448,20 | 571 / 11 | $5.847,24 | 42 / 45 | $3.347,06 | 42 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 46 | $23.323,90 | 544 / 9 | $6.699,76 | 191 / 8 | $5.834,47 | 191 / 15 |
| Diabetes W Cc | 16 | 76 / 35 | $21.980,30 | 813 / 30 | $4.745,25 | 318 / 7 | $4.041,25 | 318 / 20 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 21 | $12.065,00 | 284 / 5 | $4.236,00 | 64 / 35 | $2.226,50 | 64 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 20 | $41.080,80 | 291 / 7 | $9.137,19 | 149 / 5 | $8.079,12 | 149 / 12 |
| Seizures W/O Mcc | 16 | 92 / 31 | $16.319,80 | 325 / 3 | $4.381,00 | 273 / 6 | $3.698,00 | 272 / 22 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 26 | $18.772,40 | 349 / 8 | $5.446,06 | 120 / 8 | $4.459,94 | 120 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 24 | $20.470,10 | 263 / 6 | $6.258,79 | 42 / 12 | $4.469,36 | 42 / 3 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 27 | $61.577,60 | 321 / 5 | $15.980,10 | 124 / 5 | $15.292,90 | 124 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 41 | $26.225,70 | 958 / 35 | $4.273,64 | 163 / 6 | $3.141,86 | 161 / 11 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 18 | $51.047,60 | 473 / 31 | $9.059,93 | 175 / 7 | $7.930,93 | 175 / 18 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 28 | $18.391,40 | 565 / 12 | $4.031,71 | 208 / 6 | $3.250,00 | 207 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 23 | $36.100,80 | 101 / 1 | $13.388,40 | 3 / 26 | $8.714,43 | 3 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 22 | $15.391,20 | 129 / 1 | $6.589,15 | 173 / 7 | $5.847,23 | 173 / 9 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 27 | $58.869,00 | 330 / 13 | $14.519,80 | 126 / 5 | $13.511,00 | 126 / 12 |
| Other Vascular Procedures W Cc | 12 | 90 / 42 | $62.409,40 | 407 / 21 | $13.700,90 | 167 / 4 | $13.166,90 | 167 / 18 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 21 | $11.888,20 | 207 / 4 | $3.614,42 | 107 / 3 | $2.701,25 | 106 / 6 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 32 | $17.829,20 | 277 / 4 | $5.488,00 | 261 / 7 | $4.779,08 | 258 / 21 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 53 | $35.695,70 | 617 / 21 | $10.216,90 | 91 / 4 | $9.332,36 | 91 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 30 | $27.098,80 | 304 / 6 | $8.204,27 | 85 / 4 | $7.491,27 | 85 / 6 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 34 | $32.127,20 | 757 / 31 | $7.610,82 | 238 / 11 | $6.839,82 | 236 / 15 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 25 | $152.271,00 | 364 / 15 | $26.268,10 | 208 / 6 | $25.044,60 | 208 / 19 | Total 69 procedures | 2.329 | 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.