Hospital Costs > In Texas > Connally Memorial Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 16 | 173 / 73 | $13.041,40 | 595 / 18 | $5.103,25 | 401 / 38 | $3.800,00 | 398 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 97 | $15.628,80 | 836 / 23 | $4.596,86 | 821 / 34 | $3.643,71 | 816 / 62 |
| Heart Failure & Shock W Cc | 17 | 261 / 95 | $19.214,20 | 1076 / 32 | $6.580,88 | 836 / 116 | $5.163,24 | 835 / 62 |
| Heart Failure & Shock W Mcc | 13 | 271 / 107 | $22.059,00 | 536 / 12 | $8.943,00 | 1070 / 61 | $8.389,15 | 1067 / 85 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 45 | $16.316,30 | 1000 / 29 | $4.089,91 | 524 / 24 | $3.321,91 | 522 / 41 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 95 | $13.255,30 | 677 / 27 | $4.755,36 | 1163 / 50 | $4.062,79 | 1155 / 97 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 13 | 551 / 146 | $62.449,10 | 1783 / 115 | $14.398,80 | 1909 / 131 | $13.283,80 | 1867 / 200 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 75 | $17.235,60 | 1235 / 46 | $4.233,82 | 561 / 27 | $3.355,27 | 559 / 44 |
| Renal Failure W Cc | 13 | 208 / 92 | $16.092,20 | 574 / 7 | $6.257,54 | 497 / 77 | $4.758,31 | 493 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 42 | 474 / 121 | $20.663,60 | 295 / 13 | $11.298,20 | 649 / 67 | $9.730,60 | 648 / 49 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 72 | $19.769,10 | 762 / 24 | $6.421,37 | 860 / 44 | $5.532,11 | 858 / 72 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 78 | $18.834,20 | 1001 / 34 | $6.069,69 | 927 / 58 | $5.024,72 | 924 / 69 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 36 | $16.476,30 | 882 / 31 | $4.351,83 | 628 / 31 | $3.343,83 | 625 / 51 | Total 13 procedures | 230 | 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.