Hospital Costs > In Texas > East Texas Medical Center Trinity, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 100 | $27.454,90 | 2033 / 124 | $5.055,91 | 1140 / 89 | $3.851,55 | 1132 / 89 |
| Heart Failure & Shock W Cc | 15 | 263 / 97 | $29.271,70 | 1921 / 108 | $6.574,27 | 1408 / 114 | $5.655,53 | 1403 / 118 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 40 | $27.847,00 | 1650 / 116 | $4.639,88 | 919 / 74 | $3.659,88 | 912 / 75 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 88 | $36.325,00 | 2418 / 192 | $5.237,43 | 1473 / 114 | $4.330,00 | 1464 / 128 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 72 | $31.603,40 | 2186 / 162 | $4.761,93 | 1242 / 83 | $3.839,07 | 1238 / 99 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 95 | $29.311,00 | 1918 / 106 | $6.584,36 | 1736 / 110 | $5.761,09 | 1728 / 152 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 42 | $34.569,60 | 1722 / 135 | $4.815,50 | 1204 / 70 | $3.908,83 | 1198 / 100 | Total 7 procedures | 100 | 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.