Hospital Costs > In Texas > Etmc Henderson, 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 | 31 | 244 / 80 | $24.542,70 | 1844 / 105 | $5.060,13 | 1492 / 91 | $4.122,84 | 1481 / 124 |
Cellulitis W/O Mcc | 26 | 163 / 63 | $24.982,30 | 1871 / 117 | $5.585,15 | 1518 / 90 | $4.753,15 | 1511 / 131 |
Heart Failure & Shock W Cc | 26 | 252 / 86 | $30.524,40 | 1979 / 116 | $6.520,92 | 1505 / 106 | $5.776,31 | 1500 / 129 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 50 | $35.893,50 | 1951 / 112 | $6.086,96 | 1347 / 77 | $5.315,12 | 1342 / 105 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 34 | $29.316,30 | 1689 / 100 | $4.982,14 | 1248 / 77 | $4.016,32 | 1239 / 98 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 64 | $23.767,10 | 1820 / 106 | $4.901,68 | 1392 / 103 | $3.964,95 | 1387 / 123 |
Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 84 | $36.527,00 | 2233 / 145 | $6.621,55 | 1507 / 114 | $5.526,27 | 1501 / 124 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 21 | 543 / 140 | $65.520,40 | 1874 / 122 | $14.288,40 | 810 / 121 | $10.773,80 | 796 / 96 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 71 | $36.628,70 | 1917 / 123 | $6.972,60 | 1361 / 93 | $6.063,80 | 1356 / 122 |
Renal Failure W Cc | 18 | 203 / 88 | $26.529,20 | 1522 / 72 | $6.142,11 | 1085 / 68 | $5.271,00 | 1077 / 89 |
Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 91 | $25.243,70 | 1983 / 133 | $5.119,89 | 1311 / 95 | $4.177,67 | 1302 / 111 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 139 | $46.735,40 | 1658 / 86 | $11.860,40 | 1463 / 105 | $10.956,40 | 1434 / 134 |
Heart Failure & Shock W Mcc | 13 | 271 / 107 | $40.577,10 | 1685 / 89 | $8.933,92 | 931 / 59 | $8.190,54 | 930 / 72 |
Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 82 | $48.995,10 | 1885 / 114 | $8.816,67 | 1244 / 60 | $8.216,67 | 1244 / 104 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 81 | $38.739,30 | 1880 / 116 | $7.412,17 | 1071 / 71 | $6.310,83 | 1066 / 87 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 56 | $35.180,70 | 1668 / 125 | $5.508,45 | 1225 / 72 | $4.848,09 | 1217 / 112 | Total 16 procedures | 315 | 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.