Hospital Costs > In Texas > East Texas Medical Center - Fairfield, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 33 | 483 / 128 | $30.173,70 | 789 / 30 | $11.706,30 | 1425 / 93 | $10.903,40 | 1398 / 128 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 90 | $31.093,10 | 2008 / 118 | $6.608,12 | 762 / 112 | $4.872,44 | 759 / 57 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 93 | $23.538,20 | 1890 / 122 | $4.904,88 | 945 / 65 | $3.918,88 | 938 / 78 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 83 | $29.244,30 | 989 / 32 | $9.255,18 | 1218 / 89 | $8.161,36 | 1218 / 98 | Total 4 procedures | 76 | 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.