Hospital Costs > In Texas > Foundation Surgical Hospital Of San Antonio, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 36 | $168.274,00 | 873 / 75 | $46.072,50 | 883 / 76 | $43.900,80 | 880 / 76 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 21 | 75 / 15 | $139.038,00 | 806 / 48 | $36.378,00 | 821 / 49 | $35.163,60 | 817 / 49 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 71 | 493 / 99 | $109.422,00 | 2555 / 202 | $24.210,80 | 2648 / 221 | $21.787,90 | 2602 / 223 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 63 | 17 / 2 | $77.045,00 | 372 / 31 | $14.732,60 | 370 / 36 | $12.712,20 | 369 / 37 |
| Spinal Fusion Except Cervical W/O Mcc | 22 | 172 / 51 | $218.066,00 | 1307 / 111 | $64.923,70 | 1362 / 119 | $62.078,30 | 1357 / 119 | Total 5 procedures | 188 | 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.