Hospital Costs > In Texas > Fort Duncan Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 102 | 414 / 81 | $67.481,40 | 2251 / 149 | $10.787,50 | 860 / 46 | $10.001,00 | 859 / 77 |
Kidney & Urinary Tract Infections W/O Mcc | 53 | 180 / 60 | $30.357,60 | 2234 / 167 | $5.417,45 | 1428 / 130 | $4.275,47 | 1419 / 124 |
Heart Failure & Shock W Mcc | 46 | 238 / 77 | $50.523,90 | 1997 / 127 | $9.007,48 | 1101 / 65 | $8.432,17 | 1098 / 88 |
Heart Failure & Shock W Cc | 45 | 233 / 68 | $40.030,30 | 2327 / 161 | $6.473,40 | 1392 / 101 | $5.633,93 | 1387 / 116 |
Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 71 | $52.866,70 | 2605 / 202 | $6.767,64 | 1822 / 127 | $5.881,42 | 1814 / 159 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 60 | $52.149,50 | 1968 / 132 | $8.682,72 | 983 / 56 | $7.857,17 | 983 / 77 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 40 | $33.044,30 | 1854 / 100 | $6.156,74 | 1173 / 82 | $5.121,77 | 1169 / 88 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 60 | $38.687,80 | 1990 / 132 | $6.811,56 | 1265 / 77 | $5.944,56 | 1260 / 108 |
Renal Failure W Mcc | 30 | 165 / 67 | $56.448,40 | 1699 / 115 | $9.132,23 | 576 / 44 | $8.165,83 | 576 / 53 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 81 | $28.364,40 | 2084 / 132 | $5.201,40 | 1645 / 104 | $4.275,53 | 1632 / 142 |
Renal Failure W Cc | 30 | 191 / 76 | $38.521,80 | 2003 / 134 | $6.271,17 | 1194 / 80 | $5.377,03 | 1186 / 96 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 46 | $40.147,00 | 1308 / 87 | $7.039,25 | 613 / 50 | $6.217,54 | 610 / 56 |
Cellulitis W/O Mcc | 27 | 162 / 62 | $28.512,70 | 2065 / 142 | $6.254,15 | 1267 / 142 | $4.493,26 | 1261 / 106 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 33 | $28.526,00 | 1663 / 93 | $5.064,91 | 1213 / 84 | $3.965,78 | 1204 / 94 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 45 | $28.110,60 | 1419 / 90 | $5.502,73 | 1032 / 71 | $4.552,18 | 1025 / 89 |
Respiratory Infections & Inflammations W Mcc | 21 | 115 / 43 | $86.294,80 | 1557 / 97 | $11.748,30 | 686 / 48 | $10.884,30 | 678 / 58 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 21 | 543 / 140 | $75.653,20 | 2128 / 146 | $12.352,80 | 1088 / 30 | $11.200,80 | 1064 / 129 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 27 | $71.227,50 | 1343 / 99 | $9.345,33 | 1007 / 79 | $8.709,78 | 1002 / 100 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 39 | $46.652,70 | 668 / 33 | $10.826,70 | 309 / 12 | $10.021,30 | 308 / 21 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 17 | 59 / 15 | $41.745,80 | 227 / 20 | $10.351,10 | 113 / 8 | $9.993,47 | 113 / 18 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 59 | $34.162,80 | 1338 / 82 | $7.162,94 | 1014 / 73 | $6.420,35 | 1011 / 85 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 70 | $34.318,20 | 2244 / 168 | $4.993,00 | 1636 / 115 | $4.233,00 | 1631 / 145 |
Atherosclerosis W/O Mcc | 16 | 42 / 11 | $33.974,30 | 486 / 26 | $4.511,56 | / | $3.457,56 | / |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 48 | $103.460,00 | 533 / 12 | $27.830,40 | 192 / 11 | $26.848,40 | 192 / 16 |
Pulmonary Edema & Respiratory Failure | 15 | 188 / 66 | $58.197,10 | 1896 / 126 | $7.638,93 | 863 / 46 | $6.779,20 | 863 / 58 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 39 | $44.754,10 | 1872 / 155 | $5.003,20 | 1175 / 82 | $3.874,67 | 1169 / 96 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 51 | $76.783,40 | 1263 / 79 | $13.066,90 | 462 / 26 | $12.348,00 | 457 / 45 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 21 | $23.346,10 | 252 / 22 | $6.113,57 | 239 / 18 | $5.597,00 | 239 / 27 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 69 | $39.027,10 | 1485 / 80 | $6.814,14 | 1128 / 53 | $6.039,29 | 1125 / 89 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 80 | $37.079,50 | 1836 / 112 | $7.401,85 | 1044 / 68 | $6.286,77 | 1039 / 85 |
G.I. Hemorrhage W Cc | 13 | 205 / 76 | $52.960,00 | 2222 / 156 | $6.503,62 | 1352 / 71 | $5.757,77 | 1349 / 102 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 27 | $49.823,00 | 828 / 57 | $7.706,00 | 292 / 23 | $6.807,33 | 292 / 29 |
Hypertension W/O Mcc | 12 | 53 / 21 | $34.902,30 | 695 / 59 | $4.584,75 | 414 / 29 | $3.478,08 | 412 / 34 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 14 | $61.589,50 | 184 / 6 | $14.058,80 | 88 / 7 | $12.965,00 | 88 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 62 | $39.656,50 | 1902 / 131 | $5.436,82 | 1381 / 84 | $4.782,27 | 1376 / 120 | Total 35 procedures | 880 | 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.