Hospital Costs > In Texas > Dallas Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 62 | $41.813,20 | 1937 / 137 | $6.014,82 | 817 / 112 | $4.125,55 | 814 / 65 |
| Cellulitis W/O Mcc | 17 | 172 / 72 | $34.050,50 | 2274 / 163 | $5.420,76 | 1016 / 72 | $4.281,94 | 1010 / 80 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 54 | $37.592,00 | 2007 / 122 | $5.951,57 | 324 / 61 | $4.347,95 | 323 / 33 |
| Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 66 | $50.461,50 | 2192 / 159 | $7.191,41 | 983 / 60 | $6.224,07 | 978 / 78 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 85 | $45.267,80 | 2592 / 202 | $5.025,19 | 878 / 82 | $3.678,65 | 873 / 64 |
| Heart Failure & Shock W Cc | 24 | 254 / 88 | $40.349,40 | 2335 / 163 | $6.124,83 | 801 / 62 | $5.142,17 | 800 / 60 |
| Heart Failure & Shock W Mcc | 49 | 235 / 74 | $65.771,40 | 2279 / 163 | $9.037,67 | 986 / 68 | $8.278,16 | 985 / 75 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 60 | $100.449,00 | 1507 / 101 | $10.366,20 | 572 / 28 | $9.529,31 | 571 / 39 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 98 | $41.150,50 | 2519 / 205 | $5.059,18 | 752 / 82 | $3.793,73 | 747 / 63 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 24 | 540 / 137 | $200.234,00 | 2694 / 225 | $13.024,70 | 1172 / 69 | $11.331,00 | 1144 / 135 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 62 | $33.051,90 | 1100 / 69 | $6.968,91 | 412 / 44 | $5.896,91 | 409 / 38 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 59 | $146.405,00 | 1426 / 124 | $12.363,80 | 769 / 24 | $11.478,50 | 764 / 90 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 23 | $66.632,20 | 846 / 52 | $9.961,80 | 148 / 38 | $7.031,20 | 148 / 10 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 51 | $48.813,30 | 1734 / 94 | $7.633,56 | 801 / 45 | $6.709,56 | 801 / 50 |
| Renal Failure W Cc | 24 | 197 / 82 | $43.781,80 | 2123 / 150 | $5.982,62 | 1000 / 55 | $5.178,62 | 992 / 79 |
| Renal Failure W Mcc | 45 | 150 / 55 | $57.943,70 | 1723 / 118 | $8.895,51 | 561 / 36 | $8.144,58 | 561 / 52 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 52 | $91.878,80 | 1604 / 104 | $11.152,10 | 669 / 25 | $10.853,40 | 661 / 54 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 45 | $105.598,00 | 1564 / 113 | $14.046,40 | 398 / 50 | $12.145,50 | 394 / 39 |
| Seizures W/O Mcc | 12 | 96 / 35 | $47.207,70 | 1205 / 79 | $4.891,25 | 560 / 22 | $4.187,25 | 557 / 43 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 20 | 72 / 26 | $251.187,00 | 901 / 70 | $33.185,90 | 219 / 17 | $31.993,10 | 219 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 123 | 393 / 75 | $96.031,60 | 2605 / 191 | $11.325,90 | 1050 / 69 | $10.258,00 | 1037 / 90 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 69 | $49.405,50 | 2246 / 158 | $6.632,00 | 1090 / 60 | $5.750,55 | 1087 / 95 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 70 | $75.614,00 | 2299 / 170 | $8.356,54 | 981 / 29 | $7.856,54 | 981 / 76 |
| Syncope & Collapse | 13 | 156 / 52 | $40.611,30 | 1707 / 109 | $4.691,46 | 576 / 38 | $3.628,69 | 573 / 42 | Total 24 procedures | 612 | 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.