Hospital Costs > In Texas > Doctors Hospital Tidwell, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Heart Failure & Shock W Mcc | 14 | 270 / 106 | $30.106,20 | 1088 / 39 | $12.362,90 | 2224 / 184 | $11.440,60 | 2214 / 190 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 61 | $38.900,80 | 915 / 48 | $10.843,00 | 1401 / 125 | $8.237,54 | 1398 / 125 |
Heart Failure & Shock W Cc | 13 | 265 / 99 | $27.255,80 | 1821 / 95 | $9.414,92 | 2300 / 204 | $7.327,46 | 2294 / 200 |
Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 97 | $15.384,50 | 995 / 38 | $7.618,75 | 2484 / 209 | $6.608,08 | 2473 / 211 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 100 | $19.404,50 | 1314 / 47 | $7.454,36 | 2492 / 193 | $6.468,18 | 2477 / 195 |
Renal Failure W Mcc | 11 | 184 / 85 | $28.394,80 | 674 / 23 | $12.595,50 | 1783 / 145 | $11.681,40 | 1780 / 151 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 144 | $38.436,20 | 1240 / 52 | $14.375,10 | 1983 / 191 | $12.316,80 | 1946 / 184 | Total 7 procedures | 85 | 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.