Hospital Costs > In Texas > Cuero Community Hospital, 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 | 17 | 172 / 72 | $10.482,80 | 298 / 9 | $5.384,06 | 924 / 67 | $4.220,06 | 918 / 73 |
Heart Failure & Shock W Cc | 26 | 252 / 86 | $12.804,00 | 350 / 9 | $6.105,23 | 1000 / 57 | $5.292,77 | 998 / 82 |
Heart Failure & Shock W Mcc | 20 | 264 / 100 | $15.973,50 | 193 / 7 | $9.276,05 | 386 / 82 | $7.546,20 | 386 / 28 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 41 | $9.650,93 | 228 / 5 | $4.484,20 | 1016 / 58 | $3.750,60 | 1008 / 80 |
Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 78 | $8.752,38 | 175 / 11 | $5.109,84 | 1231 / 91 | $4.109,59 | 1222 / 102 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 58 | $7.911,46 | 136 / 5 | $4.672,46 | 1114 / 70 | $3.731,32 | 1111 / 87 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 34 | $14.099,40 | 75 / 2 | $8.199,36 | 517 / 32 | $7.378,36 | 514 / 45 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 144 | $15.212,80 | 76 / 5 | $10.610,70 | 625 / 33 | $9.700,91 | 624 / 45 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 74 | $13.845,20 | 267 / 12 | $6.901,47 | 1305 / 86 | $5.988,41 | 1300 / 112 |
Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 76 | $15.865,50 | 668 / 19 | $6.149,90 | 1433 / 69 | $5.450,42 | 1427 / 115 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 39 | $11.772,90 | 399 / 8 | $4.626,07 | 842 / 55 | $3.545,53 | 838 / 67 | Total 11 procedures | 223 | 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.