Hospital Costs > In Texas > Cypress Fairbanks Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 49 | 467 / 116 | $86.623,70 | 2511 / 178 | $14.522,90 | 2338 / 193 | $13.835,90 | 2296 / 204 |
Kidney & Urinary Tract Infections W/O Mcc | 49 | 184 / 62 | $39.625,60 | 2487 / 198 | $7.860,84 | 2495 / 211 | $6.655,75 | 2484 / 212 |
Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 70 | $51.451,00 | 2581 / 198 | $9.087,89 | 2563 / 202 | $8.175,46 | 2554 / 211 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 75 | $37.267,60 | 2409 / 174 | $7.674,00 | 2506 / 195 | $6.573,16 | 2491 / 196 |
Cellulitis W/O Mcc | 32 | 157 / 58 | $33.564,90 | 2257 / 162 | $9.142,88 | 2074 / 192 | $5.745,28 | 2066 / 181 |
Chest Pain | 30 | 121 / 37 | $38.086,60 | 1554 / 108 | $7.465,30 | 1565 / 121 | $5.807,00 | 1556 / 121 |
Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 70 | $68.018,80 | 2214 / 158 | $11.830,00 | 2172 / 173 | $11.078,00 | 2167 / 182 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 51 | $48.233,40 | 2221 / 144 | $8.866,62 | 2231 / 161 | $7.958,62 | 2224 / 164 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 35 | $50.898,00 | 766 / 48 | $13.840,50 | 991 / 80 | $13.510,30 | 984 / 94 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 67 | $46.053,90 | 2460 / 201 | $7.346,58 | 2308 / 190 | $6.118,68 | 2300 / 191 |
Syncope & Collapse | 19 | 150 / 46 | $46.974,50 | 1809 / 121 | $7.705,84 | 1694 / 128 | $6.098,16 | 1686 / 127 |
Hypertension W/O Mcc | 18 | 47 / 15 | $45.579,30 | 763 / 69 | $6.994,06 | 715 / 65 | $5.661,17 | 713 / 65 |
Heart Failure & Shock W Cc | 16 | 262 / 96 | $49.019,50 | 2529 / 191 | $9.229,50 | 2513 / 203 | $8.399,50 | 2507 / 205 |
G.I. Hemorrhage W Cc | 16 | 202 / 73 | $46.556,90 | 2103 / 136 | $8.969,94 | 2117 / 155 | $7.839,38 | 2113 / 160 |
Renal Failure W Mcc | 16 | 179 / 80 | $88.858,90 | 2061 / 159 | $13.439,10 | 1906 / 153 | $12.782,10 | 1902 / 153 |
Renal Failure W Cc | 15 | 206 / 90 | $43.419,40 | 2118 / 149 | $9.136,87 | 2191 / 171 | $8.037,53 | 2181 / 174 |
Heart Failure & Shock W Mcc | 15 | 269 / 105 | $67.723,50 | 2310 / 169 | $12.343,90 | 2235 / 183 | $11.483,10 | 2225 / 191 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 62 | $62.436,20 | 1418 / 109 | $9.991,67 | 1361 / 121 | $7.882,67 | 1358 / 124 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 61 | $60.406,20 | 1603 / 126 | $9.938,17 | 1446 / 125 | $9.033,50 | 1443 / 126 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 42 | $32.025,10 | 1670 / 125 | $7.415,67 | 1888 / 155 | $6.511,67 | 1880 / 156 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 51 | $99.599,70 | 1699 / 114 | $14.490,70 | 1551 / 117 | $13.498,70 | 1538 / 122 |
Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 82 | $59.203,80 | 2343 / 172 | $10.451,40 | 2113 / 182 | $8.343,45 | 2105 / 180 | Total 22 procedures | 496 | 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.