Hospital Costs > In Texas > Covenant Hospital Plainview, 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 | 11 | 178 / 78 | $17.723,90 | 1207 / 52 | $6.218,18 | 1893 / 140 | $5.339,64 | 1885 / 170 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 63 | $16.991,10 | 702 / 11 | $7.027,00 | 1809 / 126 | $6.125,67 | 1802 / 147 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 81 | $20.102,20 | 720 / 21 | $8.043,17 | 1669 / 117 | $7.139,17 | 1661 / 147 |
| G.I. Hemorrhage W Cc | 16 | 202 / 73 | $18.962,70 | 659 / 9 | $7.084,44 | 1579 / 107 | $6.104,44 | 1575 / 126 |
| Heart Failure & Shock W Cc | 12 | 266 / 100 | $21.343,70 | 1335 / 46 | $7.279,17 | 2114 / 162 | $6.772,50 | 2108 / 186 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 57 | $45.082,40 | 841 / 26 | $13.114,90 | 1327 / 106 | $12.078,10 | 1309 / 120 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 96 | $15.796,50 | 1043 / 42 | $5.918,38 | 1996 / 167 | $4.992,85 | 1985 / 183 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 66 | 498 / 103 | $52.096,70 | 1381 / 72 | $15.051,80 | 1652 / 163 | $12.435,10 | 1615 / 179 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 66 | $13.357,90 | 740 / 23 | $5.521,65 | 1695 / 153 | $4.313,00 | 1690 / 155 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 66 | $24.172,30 | 673 / 9 | $8.715,60 | 1494 / 99 | $7.828,13 | 1489 / 123 |
| Renal Failure W Cc | 12 | 209 / 93 | $15.692,80 | 532 / 6 | $6.874,08 | 1676 / 123 | $6.071,42 | 1667 / 149 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 54 | 462 / 111 | $27.551,70 | 669 / 25 | $12.484,60 | 1291 / 143 | $10.628,20 | 1270 / 112 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 69 | $22.627,00 | 1033 / 37 | $7.716,45 | 1843 / 140 | $6.896,09 | 1835 / 162 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 87 | $22.758,00 | 1423 / 57 | $7.279,32 | 2136 / 163 | $6.450,68 | 2128 / 189 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 76 | $27.316,30 | 853 / 25 | $9.699,11 | 1593 / 118 | $8.899,11 | 1593 / 141 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 17 | 31 / 4 | $63.779,10 | 194 / 15 | $10.244,60 | 125 / 11 | $9.105,76 | 125 / 14 | Total 16 procedures | 334 | 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.