Hospital Costs > In Texas > East Texas Medical Center - Gilmer, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 69 | $39.383,70 | 1893 / 117 | $7.856,04 | 1438 / 108 | $6.756,00 | 1432 / 119 |
| Heart Failure & Shock W Mcc | 15 | 269 / 105 | $43.031,30 | 1783 / 104 | $9.411,73 | 1338 / 92 | $8.765,33 | 1335 / 115 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 61 | $30.475,60 | 1740 / 89 | $6.287,21 | 1280 / 91 | $5.254,07 | 1275 / 97 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 75 | $24.636,00 | 1865 / 115 | $4.825,27 | 1022 / 96 | $3.666,91 | 1019 / 80 |
| Renal Failure W Cc | 11 | 210 / 94 | $32.188,50 | 1795 / 110 | $6.444,64 | 1248 / 94 | $5.442,82 | 1240 / 103 | Total 5 procedures | 75 | 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.