Hospital Costs > In Texas > East Texas Medical Center Jacksonville, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 20 | 169 / 69 | $25.687,60 | 1913 / 124 | $5.901,35 | 1708 / 110 | $4.995,75 | 1701 / 151 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 67 | $41.897,90 | 1981 / 125 | $7.918,15 | 1573 / 110 | $6.945,85 | 1565 / 138 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 39 | $32.698,60 | 1786 / 114 | $5.217,71 | 1568 / 92 | $4.579,59 | 1557 / 126 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 97 | $36.275,40 | 2390 / 173 | $5.391,43 | 1777 / 119 | $4.442,86 | 1764 / 151 |
| Heart Failure & Shock W Cc | 16 | 262 / 96 | $49.928,90 | 2541 / 193 | $6.810,00 | 1830 / 132 | $6.202,00 | 1825 / 164 |
| Heart Failure & Shock W Mcc | 15 | 269 / 105 | $54.123,20 | 2093 / 142 | $9.882,20 | 1706 / 117 | $9.479,00 | 1701 / 151 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 41 | $28.244,40 | 1663 / 119 | $4.974,33 | 1177 / 99 | $3.939,67 | 1167 / 96 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 86 | $35.639,70 | 2392 / 186 | $5.523,74 | 1631 / 139 | $4.476,09 | 1620 / 148 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 50 | 514 / 114 | $69.728,60 | 1986 / 129 | $13.899,40 | 1785 / 106 | $12.838,90 | 1745 / 193 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 72 | $32.848,40 | 2210 / 163 | $5.094,36 | 1561 / 123 | $4.141,21 | 1556 / 136 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 65 | $67.591,40 | 2029 / 142 | $8.299,44 | 1468 / 81 | $7.769,44 | 1463 / 119 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 78 | $38.977,00 | 2003 / 134 | $7.369,15 | 1679 / 116 | $6.537,15 | 1672 / 146 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 86 | $43.016,50 | 2408 / 171 | $6.691,40 | 1880 / 119 | $5.965,00 | 1872 / 165 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 41 | $32.728,20 | 1685 / 127 | $5.152,15 | 1296 / 98 | $4.037,08 | 1289 / 116 | Total 14 procedures | 272 | 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.