Hospital Costs > In Texas > East Texas Medical Center Mount Vernon, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Kidney & Urinary Tract Infections W/O Mcc | 49 | 184 / 62 | $23.058,60 | 1851 / 116 | $5.770,37 | 1822 / 161 | $4.720,31 | 1811 / 170 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 83 | $25.635,20 | 1670 / 80 | $6.962,17 | 1932 / 143 | $6.050,39 | 1924 / 170 |
| Heart Failure & Shock W Cc | 21 | 257 / 91 | $24.843,10 | 1656 / 77 | $7.395,52 | 2053 / 165 | $6.630,00 | 2048 / 183 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 74 | $30.653,50 | 1517 / 68 | $8.797,05 | 1864 / 152 | $7.591,16 | 1856 / 160 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 39 | $23.468,20 | 1476 / 70 | $5.330,71 | 1588 / 100 | $4.624,82 | 1577 / 128 |
| Heart Failure & Shock W Mcc | 17 | 267 / 103 | $39.227,60 | 1617 / 76 | $10.609,90 | 1825 / 152 | $9.789,41 | 1820 / 165 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 69 | $20.724,00 | 1623 / 82 | $5.237,41 | 1783 / 137 | $4.456,24 | 1778 / 159 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 43 | $27.390,90 | 1538 / 102 | $5.268,36 | 1401 / 106 | $4.205,91 | 1393 / 124 | Total 8 procedures | 174 | 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.