Hospital Costs > In Texas > East Texas Medical Center Crockett, 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 Cc | 31 | 247 / 81 | $26.074,70 | 1749 / 86 | $5.984,00 | 767 / 50 | $5.119,97 | 766 / 58 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 58 | $20.995,20 | 1643 / 84 | $4.454,21 | 845 / 50 | $3.544,50 | 842 / 67 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 29 | $24.041,80 | 1499 / 73 | $4.455,07 | 438 / 31 | $3.267,26 | 437 / 31 |
Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 53 | $29.344,50 | 1685 / 79 | $5.624,14 | 1057 / 32 | $5.019,05 | 1053 / 79 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 21 | 495 / 136 | $35.079,40 | 1058 / 43 | $10.585,40 | 693 / 30 | $9.776,24 | 692 / 57 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 36 | $23.404,30 | 1479 / 87 | $4.301,60 | 679 / 45 | $3.453,60 | 676 / 46 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 91 | $21.399,10 | 1542 / 72 | $4.740,90 | 930 / 50 | $3.716,90 | 924 / 69 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 81 | $36.214,40 | 1806 / 106 | $7.176,58 | 1128 / 58 | $6.373,92 | 1123 / 94 |
Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 97 | $30.872,70 | 2252 / 170 | $4.766,50 | 860 / 52 | $3.862,50 | 854 / 71 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 79 | $28.986,10 | 1556 / 82 | $6.460,08 | 651 / 45 | $5.358,75 | 649 / 42 |
Renal Failure W Cc | 11 | 210 / 94 | $30.528,00 | 1717 / 104 | $9.769,27 | 287 / 174 | $4.522,09 | 285 / 19 |
Cellulitis W/O Mcc | 11 | 178 / 78 | $24.901,00 | 1865 / 115 | $5.302,64 | 1060 / 57 | $4.316,45 | 1054 / 82 | Total 12 procedures | 227 | 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.