Hospital Costs > In Texas > Falls Community Hospital And Clinic, 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 | 14 | 219 / 95 | $12.145,60 | 530 / 23 | $5.853,64 | 1997 / 165 | $4.994,21 | 1986 / 184 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 75 | $17.621,00 | 574 / 19 | $8.110,00 | 2063 / 157 | $7.508,00 | 2055 / 183 |
| Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 69 | $19.528,70 | 1077 / 39 | $7.426,66 | 2159 / 169 | $6.508,76 | 2151 / 193 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 21 | $15.428,10 | 780 / 24 | $5.327,70 | 1449 / 108 | $4.304,67 | 1441 / 129 | Total 4 procedures | 101 | 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.