Hospital Costs > In Texas > Etmc Carthage, 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 | 17 | 172 / 72 | $33.270,40 | 2244 / 159 | $5.622,82 | 1323 / 95 | $4.555,53 | 1317 / 112 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 45 | $29.988,00 | 1709 / 103 | $4.836,36 | 1209 / 67 | $3.957,82 | 1200 / 93 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 93 | $26.863,60 | 1991 / 119 | $5.108,00 | 1177 / 95 | $3.874,89 | 1168 / 92 |
| Heart Failure & Shock W Cc | 19 | 259 / 93 | $38.274,20 | 2273 / 158 | $6.474,11 | 1404 / 102 | $5.645,47 | 1399 / 117 |
| Heart Failure & Shock W Mcc | 14 | 270 / 106 | $59.343,50 | 2186 / 154 | $9.657,93 | 1408 / 106 | $8.878,50 | 1404 / 124 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 95 | $30.342,60 | 2232 / 166 | $5.088,00 | 1637 / 85 | $4.480,00 | 1626 / 149 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 139 | $59.194,20 | 2068 / 133 | $11.954,40 | 1548 / 111 | $11.105,90 | 1517 / 145 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 76 | $29.327,10 | 1576 / 84 | $6.886,13 | 1370 / 85 | $6.079,73 | 1365 / 123 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 82 | $37.416,30 | 2261 / 149 | $6.694,50 | 1717 / 120 | $5.742,50 | 1709 / 150 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 79 | $63.861,70 | 2161 / 150 | $9.922,67 | 1618 / 124 | $8.954,20 | 1618 / 144 | Total 10 procedures | 163 | 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.