Hospital Costs > In Texas > Detar Hospital Navarro, 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 | 153 | 411 / 56 | $98.035,30 | 2449 / 193 | $13.276,00 | 688 / 76 | $10.609,10 | 678 / 81 |
Heart Failure & Shock W Mcc | 85 | 199 / 47 | $67.037,40 | 2298 / 168 | $8.938,64 | 733 / 60 | $7.974,04 | 733 / 57 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 85 | 431 / 92 | $96.079,20 | 2606 / 192 | $10.763,90 | 685 / 44 | $9.762,66 | 684 / 55 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 80 | 195 / 43 | $43.352,40 | 2548 / 194 | $4.948,26 | 1185 / 73 | $3.880,59 | 1176 / 94 |
Kidney & Urinary Tract Infections W/O Mcc | 66 | 167 / 50 | $40.345,90 | 2502 / 203 | $5.128,61 | 936 / 98 | $3.914,94 | 929 / 76 |
Heart Failure & Shock W Cc | 65 | 213 / 53 | $56.132,20 | 2629 / 207 | $6.199,60 | 909 / 72 | $5.222,34 | 908 / 66 |
Cellulitis W/O Mcc | 64 | 125 / 29 | $41.861,80 | 2451 / 183 | $5.415,47 | 1083 / 71 | $4.338,95 | 1077 / 88 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 62 | 104 / 29 | $36.829,70 | 2300 / 177 | $4.744,10 | 870 / 80 | $3.557,03 | 867 / 74 |
G.I. Hemorrhage W Cc | 55 | 163 / 39 | $50.028,40 | 2165 / 141 | $6.276,15 | 708 / 54 | $5.096,84 | 707 / 54 |
Renal Failure W Cc | 51 | 170 / 56 | $54.644,60 | 2309 / 172 | $6.073,25 | 765 / 63 | $4.975,41 | 758 / 62 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 49 | 76 / 16 | $85.900,60 | 1597 / 101 | $10.017,80 | 348 / 31 | $8.654,02 | 348 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 29 | $46.073,00 | 2017 / 150 | $5.106,39 | 830 / 51 | $4.133,66 | 827 / 66 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 44 | 152 / 32 | $120.380,00 | 1319 / 108 | $12.921,40 | 322 / 40 | $10.211,60 | 322 / 40 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 41 | 85 / 35 | $54.832,90 | 1546 / 118 | $6.943,71 | 454 / 42 | $5.963,02 | 451 / 41 |
Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 66 | $57.849,10 | 2673 / 211 | $6.183,85 | 1215 / 73 | $5.235,85 | 1211 / 93 |
Hip & Femur Procedures Except Major Joint W Cc | 40 | 103 / 35 | $94.517,10 | 1843 / 122 | $11.958,30 | 557 / 67 | $10.159,50 | 555 / 47 |
Renal Failure W Mcc | 39 | 156 / 59 | $62.413,70 | 1789 / 122 | $9.106,21 | 739 / 42 | $8.435,44 | 739 / 62 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 48 | $57.929,70 | 1844 / 117 | $6.961,50 | 545 / 62 | $5.262,42 | 544 / 42 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 61 | $71.970,40 | 2258 / 164 | $8.513,29 | 665 / 44 | $7.514,89 | 665 / 52 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 31 | $34.882,30 | 1862 / 133 | $3.810,41 | 943 / 49 | $2.780,76 | 938 / 71 |
Major Small & Large Bowel Procedures W Cc | 32 | 76 / 20 | $122.860,00 | 1355 / 80 | $15.028,50 | 553 / 23 | $13.801,00 | 547 / 47 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 61 | $68.034,30 | 2479 / 192 | $8.245,53 | 707 / 163 | $5.396,10 | 705 / 48 |
Other Circulatory System Diagnoses W Mcc | 29 | 87 / 29 | $71.016,70 | 1061 / 75 | $10.926,30 | 372 / 15 | $10.257,60 | 371 / 27 |
Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 64 | $71.073,60 | 2451 / 188 | $7.470,83 | 978 / 78 | $6.221,07 | 973 / 77 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 49 | $67.056,30 | 1469 / 115 | $6.860,40 | 497 / 41 | $5.441,76 | 495 / 47 |
Diabetes W Cc | 24 | 68 / 27 | $42.279,30 | 1445 / 102 | $5.251,33 | 623 / 28 | $4.418,00 | 622 / 42 |
Other Digestive System Diagnoses W Cc | 23 | 74 / 21 | $41.260,90 | 1154 / 64 | $6.083,26 | 632 / 23 | $5.453,00 | 628 / 42 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 53 | $54.458,50 | 1737 / 129 | $7.088,96 | 466 / 70 | $5.664,22 | 465 / 37 |
Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 22 | $181.090,00 | 976 / 57 | $27.698,40 | 105 / 16 | $25.110,20 | 105 / 12 |
G.I. Hemorrhage W Mcc | 21 | 100 / 36 | $68.023,30 | 1314 / 80 | $10.432,70 | 208 / 28 | $8.916,48 | 208 / 19 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 35 | $35.332,10 | 1858 / 127 | $4.637,29 | 1153 / 44 | $3.889,10 | 1144 / 88 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 35 | $42.970,50 | 1934 / 156 | $4.426,62 | 1192 / 52 | $3.966,43 | 1182 / 98 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 21 | 36 / 7 | $99.016,60 | 652 / 32 | $12.957,90 | 168 / 12 | $11.146,20 | 167 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 42 | $67.254,20 | 1757 / 121 | $7.282,29 | 457 / 36 | $6.305,52 | 454 / 40 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 44 | $166.455,00 | 1109 / 70 | $27.093,30 | 78 / 6 | $25.239,80 | 78 / 7 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 25 | $52.502,40 | 1213 / 66 | $6.937,35 | 590 / 37 | $5.643,50 | 589 / 40 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 35 | $41.074,10 | 1821 / 146 | $4.627,42 | 1063 / 56 | $3.741,53 | 1057 / 85 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 54 | $85.270,70 | 1405 / 80 | $10.338,00 | 516 / 26 | $9.378,00 | 515 / 35 |
Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 57 | $42.051,80 | 2116 / 130 | $5.880,39 | 905 / 57 | $4.879,50 | 902 / 64 |
Syncope & Collapse | 18 | 151 / 47 | $52.659,10 | 1853 / 132 | $4.922,56 | 497 / 54 | $3.551,17 | 495 / 32 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 48 | $107.658,00 | 1591 / 116 | $14.577,50 | 153 / 59 | $11.411,60 | 153 / 8 |
Transient Ischemia | 18 | 107 / 45 | $52.196,50 | 1591 / 109 | $4.791,56 | 502 / 48 | $3.376,94 | 500 / 32 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 19 | $32.867,70 | 1152 / 77 | $4.100,22 | 731 / 28 | $3.296,67 | 728 / 56 |
G.I. Obstruction W Cc | 18 | 74 / 32 | $54.605,90 | 1642 / 104 | $5.648,78 | 727 / 33 | $4.731,89 | 726 / 50 |
Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 20 | $50.416,90 | 753 / 44 | $7.167,50 | 146 / 25 | $5.001,83 | 146 / 8 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 52 | $50.702,20 | 1915 / 152 | $5.256,60 | 534 / 51 | $4.018,93 | 532 / 48 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 40 | $51.691,90 | 1512 / 97 | $5.215,60 | 446 / 45 | $3.566,53 | 443 / 26 |
Chest Pain | 15 | 136 / 51 | $43.389,90 | 1635 / 122 | $4.289,87 | 625 / 48 | $3.051,93 | 621 / 43 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 14 | 34 / 6 | $73.722,50 | 210 / 17 | $9.007,29 | 30 / 4 | $7.255,43 | 30 / 6 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 15 | $65.834,80 | 839 / 43 | $4.892,00 | 335 / 13 | $3.852,00 | 332 / 17 |
Cellulitis W Mcc | 13 | 45 / 20 | $58.116,10 | 800 / 55 | $8.576,00 | 163 / 15 | $7.292,31 | 163 / 13 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 51 | $122.812,00 | 1740 / 123 | $11.829,50 | 522 / 51 | $10.527,20 | 516 / 39 |
Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 26 | $117.408,00 | 854 / 56 | $15.480,50 | 290 / 13 | $14.547,50 | 289 / 30 |
Medical Back Problems W/O Mcc | 12 | 109 / 38 | $45.309,80 | 1349 / 90 | $5.265,33 | 522 / 24 | $4.254,67 | 520 / 37 |
Other Vascular Procedures W Mcc | 12 | 85 / 38 | $104.416,00 | 632 / 49 | $18.112,10 | 77 / 10 | $16.693,40 | 77 / 9 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 30 | $51.596,10 | 1013 / 76 | $5.547,33 | 520 / 21 | $4.840,67 | 516 / 42 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 21 | $166.733,00 | 413 / 21 | $24.944,50 | 13 / 1 | $24.088,50 | 13 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 20 | $50.991,00 | 898 / 46 | $4.268,27 | 269 / 8 | $3.276,27 | 268 / 13 |
Other Circulatory System O.R. Procedures | 11 | 44 / 17 | $78.977,90 | 263 / 17 | $15.327,50 | 76 / 5 | $14.562,40 | 76 / 6 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 21 | $43.578,60 | 950 / 75 | $5.907,18 | 21 / 65 | $2.577,27 | 21 / 1 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 22 | $39.894,50 | 816 / 64 | $4.197,27 | 284 / 20 | $3.100,55 | 283 / 23 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 25 | $108.360,00 | 777 / 45 | $13.320,30 | 149 / 19 | $10.776,60 | 148 / 16 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 18 | $39.676,40 | 856 / 57 | $4.446,00 | 248 / 12 | $3.346,36 | 249 / 13 |
Signs & Symptoms W/O Mcc | 11 | 80 / 31 | $38.786,70 | 1198 / 72 | $4.571,36 | 511 / 26 | $3.689,91 | 510 / 28 | Total 64 procedures | 1.952 | 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.