Hospital Costs > In Texas > Denton Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 177 | 387 / 46 | $137.504,00 | 2642 / 217 | $14.974,40 | 218 / 161 | $9.770,34 | 218 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 172 | 344 / 51 | $104.819,00 | 2674 / 204 | $11.044,40 | 673 / 58 | $9.750,83 | 672 / 53 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 97 | 178 / 32 | $39.242,70 | 2458 / 178 | $4.703,21 | 726 / 45 | $3.584,20 | 722 / 57 |
| Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 43 | $60.913,10 | 2706 / 213 | $6.122,73 | 522 / 61 | $4.664,42 | 519 / 37 |
| Chronic Obstructive Pulmonary Disease W Mcc | 66 | 136 / 29 | $76.099,40 | 2491 / 191 | $7.770,52 | 744 / 101 | $6.004,53 | 739 / 54 |
| Kidney & Urinary Tract Infections W/O Mcc | 66 | 167 / 50 | $39.731,90 | 2492 / 200 | $4.867,20 | 721 / 63 | $3.768,65 | 717 / 58 |
| Chest Pain | 61 | 90 / 14 | $30.500,90 | 1400 / 88 | $3.853,31 | 369 / 18 | $2.778,15 | 368 / 21 |
| Heart Failure & Shock W Cc | 58 | 220 / 58 | $53.262,00 | 2593 / 200 | $5.942,53 | 1009 / 45 | $5.297,57 | 1007 / 84 |
| Pulmonary Edema & Respiratory Failure | 55 | 148 / 32 | $82.653,70 | 2142 / 153 | $8.042,91 | 655 / 70 | $6.524,65 | 655 / 37 |
| Respiratory Infections & Inflammations W Mcc | 55 | 81 / 14 | $105.171,00 | 1678 / 113 | $15.272,00 | 161 / 118 | $9.604,60 | 161 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 45 | $89.068,00 | 2408 / 182 | $9.698,35 | 600 / 117 | $7.435,20 | 600 / 44 |
| Renal Failure W Cc | 51 | 170 / 56 | $45.031,60 | 2151 / 154 | $6.285,75 | 520 / 83 | $4.777,33 | 516 / 46 |
| Cellulitis W/O Mcc | 51 | 138 / 40 | $47.420,20 | 2529 / 195 | $5.156,90 | 682 / 47 | $4.029,67 | 678 / 56 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 46 | 150 / 31 | $108.213,00 | 1239 / 97 | $15.811,80 | 121 / 104 | $9.540,26 | 121 / 18 |
| Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 30 | $108.401,00 | 1940 / 134 | $11.302,00 | 645 / 31 | $10.339,90 | 642 / 54 |
| Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 31 | $61.587,90 | 2372 / 166 | $6.263,78 | 496 / 87 | $4.543,20 | 495 / 41 |
| Kidney & Urinary Tract Infections W Mcc | 44 | 100 / 33 | $57.489,30 | 1783 / 135 | $7.100,55 | 585 / 72 | $5.806,95 | 584 / 45 |
| Renal Failure W Mcc | 43 | 152 / 57 | $84.756,70 | 2027 / 152 | $9.828,46 | 827 / 73 | $8.592,14 | 827 / 71 |
| Heart Failure & Shock W Mcc | 41 | 243 / 81 | $88.326,30 | 2523 / 199 | $8.902,00 | 820 / 55 | $8.072,95 | 820 / 61 |
| G.I. Hemorrhage W Cc | 39 | 179 / 51 | $61.316,90 | 2318 / 164 | $6.173,97 | 517 / 46 | $4.924,79 | 516 / 33 |
| Signs & Symptoms W/O Mcc | 38 | 53 / 9 | $37.722,90 | 1179 / 70 | $4.448,00 | 199 / 20 | $3.238,11 | 199 / 11 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 18 | $35.341,30 | 1860 / 128 | $5.368,47 | 479 / 101 | $3.306,13 | 478 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 38 | 88 / 38 | $62.731,90 | 1618 / 129 | $6.702,42 | 318 / 31 | $5.742,08 | 315 / 35 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 50 | $37.349,80 | 2315 / 182 | $4.345,32 | 1064 / 41 | $3.691,49 | 1061 / 85 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 37 | $56.405,90 | 2109 / 161 | $6.842,89 | 706 / 139 | $4.018,08 | 703 / 54 |
| Medical Back Problems W/O Mcc | 36 | 85 / 17 | $43.355,10 | 1317 / 86 | $5.071,67 | 411 / 12 | $4.108,56 | 411 / 28 |
| Syncope & Collapse | 36 | 133 / 32 | $39.556,40 | 1688 / 106 | $4.484,11 | 422 / 22 | $3.477,78 | 420 / 26 |
| Other Vascular Procedures W Cc | 33 | 69 / 22 | $121.728,00 | 978 / 79 | $16.814,00 | 21 / 57 | $11.845,50 | 21 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 59 | $56.029,00 | 2353 / 174 | $6.501,58 | 720 / 48 | $5.406,85 | 718 / 51 |
| Respiratory Infections & Inflammations W Cc | 33 | 55 / 13 | $65.457,40 | 1296 / 93 | $8.546,00 | 382 / 51 | $7.133,76 | 379 / 30 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 24 | $48.103,40 | 1893 / 159 | $4.318,67 | 385 / 28 | $3.128,27 | 383 / 29 |
| Transient Ischemia | 29 | 96 / 34 | $44.498,00 | 1510 / 99 | $4.327,59 | 418 / 19 | $3.288,14 | 417 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 55 | $65.730,80 | 1948 / 131 | $7.269,75 | 375 / 74 | $5.073,18 | 374 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 38 | $25.128,90 | 1629 / 102 | $3.628,96 | 289 / 38 | $2.250,37 | 287 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 49 | $66.144,20 | 1458 / 114 | $6.901,16 | 362 / 43 | $5.248,96 | 361 / 32 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 19 | $54.841,20 | 1319 / 81 | $6.322,68 | 236 / 30 | $4.743,32 | 233 / 19 |
| G.I. Hemorrhage W Mcc | 24 | 97 / 33 | $88.813,50 | 1506 / 102 | $10.889,50 | 687 / 43 | $10.182,80 | 688 / 58 |
| Other Circulatory System Diagnoses W Mcc | 24 | 92 / 33 | $94.468,60 | 1236 / 93 | $11.693,70 | 574 / 39 | $11.028,40 | 572 / 58 |
| Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 25 | $195.295,00 | 963 / 69 | $23.750,50 | 12 / 52 | $15.520,50 | 12 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 32 | $81.210,80 | 1418 / 95 | $8.878,13 | 823 / 69 | $7.492,39 | 818 / 64 |
| G.I. Obstruction W Cc | 23 | 69 / 27 | $38.959,50 | 1435 / 81 | $5.388,26 | 358 / 22 | $4.288,87 | 357 / 30 |
| Extracranial Procedures W/O Cc/Mcc | 23 | 75 / 26 | $53.164,70 | 790 / 63 | $6.855,26 | 183 / 34 | $4.924,09 | 183 / 16 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 23 | 77 / 23 | $179.690,00 | 913 / 70 | $22.487,40 | 209 / 55 | $17.228,50 | 208 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 51 | $102.656,00 | 1518 / 103 | $10.810,10 | 749 / 42 | $10.039,10 | 748 / 58 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 43 | $282.121,00 | 1484 / 109 | $37.341,90 | 553 / 84 | $29.963,80 | 549 / 58 |
| Other Vascular Procedures W/O Cc/Mcc | 21 | 35 / 11 | $88.323,90 | 500 / 42 | $10.250,90 | 243 / 16 | $9.389,95 | 242 / 22 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 42 | $101.855,00 | 1707 / 115 | $10.563,90 | 331 / 49 | $8.616,75 | 331 / 14 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 19 | 42 / 12 | $33.012,90 | 788 / 32 | $4.267,26 | 97 / 7 | $2.901,47 | 97 / 6 |
| Other Vascular Procedures W Mcc | 19 | 78 / 32 | $146.389,00 | 856 / 66 | $18.959,20 | 249 / 18 | $18.308,20 | 248 / 32 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 23 | $335.760,00 | 946 / 75 | $40.063,40 | 526 / 67 | $33.030,90 | 525 / 62 |
| Seizures W/O Mcc | 18 | 90 / 29 | $30.633,70 | 976 / 48 | $4.901,50 | 123 / 24 | $3.366,17 | 122 / 7 |
| Cellulitis W Mcc | 18 | 40 / 15 | $86.786,60 | 926 / 71 | $11.159,50 | 342 / 55 | $8.063,11 | 341 / 30 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 48 | $128.801,00 | 1712 / 130 | $12.884,50 | 386 / 21 | $12.112,90 | 382 / 37 |
| Peripheral Vascular Disorders W Cc | 18 | 66 / 24 | $41.126,30 | 1027 / 64 | $6.739,44 | 18 / 39 | $3.865,83 | 18 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 38 | $33.193,80 | 1786 / 135 | $4.196,89 | 606 / 35 | $3.391,56 | 604 / 43 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 46 | $51.314,80 | 1555 / 101 | $7.211,29 | 395 / 31 | $6.213,65 | 393 / 28 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 17 | 78 / 16 | $109.515,00 | 495 / 37 | $13.585,80 | 31 / 28 | $9.226,35 | 30 / 4 |
| Signs & Symptoms W Mcc | 16 | 25 / 5 | $53.825,10 | 248 / 18 | $7.264,50 | 30 / 7 | $5.747,19 | 30 / 6 |
| Diabetes W Cc | 16 | 76 / 35 | $58.686,80 | 1584 / 115 | $5.055,25 | 455 / 17 | $4.225,25 | 455 / 29 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 17 | $95.926,40 | 885 / 72 | $9.506,75 | 379 / 20 | $8.750,75 | 377 / 37 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 12 | $43.865,10 | 758 / 36 | $5.316,81 | 171 / 16 | $3.527,56 | 171 / 10 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 30 | $242.606,00 | 871 / 67 | $33.933,80 | 274 / 23 | $32.818,80 | 273 / 35 |
| Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 27 | $40.644,70 | 897 / 64 | $5.496,33 | 137 / 17 | $3.897,60 | 136 / 13 |
| Other Digestive System Diagnoses W Mcc | 15 | 47 / 15 | $63.905,20 | 586 / 43 | $9.716,73 | 128 / 7 | $8.989,27 | 128 / 11 |
| Bronchitis & Asthma W/O Cc/Mcc | 15 | 30 / 9 | $35.627,70 | 343 / 31 | $4.011,73 | 140 / 7 | $3.203,20 | 140 / 12 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 30 | $207.084,00 | 1066 / 66 | $30.328,50 | 422 / 31 | $28.794,10 | 420 / 42 |
| Peritoneal Adhesiolysis W Cc | 14 | 25 / 8 | $91.939,40 | 229 / 11 | $13.869,30 | 35 / 2 | $11.341,80 | 35 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 15 | $39.320,60 | 851 / 56 | $5.617,43 | 186 / 42 | $3.217,79 | 187 / 9 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 37 | $132.688,00 | 1397 / 85 | $14.404,80 | 419 / 16 | $13.289,80 | 416 / 40 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 23 | $254.282,00 | 560 / 39 | $29.939,30 | 169 / 29 | $24.474,60 | 169 / 14 |
| Seizures W Mcc | 13 | 53 / 21 | $62.328,20 | 590 / 38 | $9.170,23 | 39 / 13 | $7.203,00 | 39 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 22 | $50.879,50 | 950 / 55 | $7.004,00 | 383 / 14 | $6.354,15 | 382 / 24 |
| Cranial & Peripheral Nerve Disorders W Mcc | 12 | 24 / 7 | $64.909,60 | 132 / 11 | $9.538,08 | 3 / 4 | $5.076,42 | 3 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 43 | $51.667,70 | 1511 / 96 | $4.654,75 | 362 / 19 | $3.443,08 | 359 / 23 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 55 | $47.232,20 | 1877 / 147 | $4.903,50 | 664 / 27 | $4.151,50 | 660 / 58 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 18 | $268.208,00 | 582 / 48 | $40.374,70 | 87 / 48 | $18.870,20 | 87 / 10 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 18 | $64.163,40 | 484 / 36 | $6.772,18 | 54 / 8 | $5.307,09 | 54 / 6 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 26 | $30.628,90 | 1121 / 74 | $4.185,27 | 123 / 32 | $2.382,91 | 123 / 11 |
| Major Chest Procedures W Mcc | 11 | 38 / 15 | $239.715,00 | 299 / 22 | $30.638,80 | 142 / 8 | $30.205,40 | 142 / 16 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 13 | $99.069,80 | 301 / 21 | $12.141,20 | 20 / 9 | $9.372,09 | 20 / 5 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 10 | $33.843,10 | 397 / 29 | $4.335,00 | 57 / 8 | $2.694,18 | 57 / 1 |
| Respiratory Infections & Inflammations W/O Cc/Mcc | 11 | 18 / 7 | $49.702,20 | 118 / 10 | $5.889,00 | 42 / 1 | $5.118,09 | 42 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 34 | $66.407,80 | 1351 / 85 | $6.357,27 | 436 / 18 | $5.368,18 | 435 / 30 | Total 83 procedures | 2.625 | 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.