Hospital Costs > In Texas > Glen Rose Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 76 | $18.804,40 | 629 / 18 | $8.263,06 | 687 / 131 | $5.965,53 | 683 / 52 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 36 | $14.092,00 | 673 / 12 | $4.371,25 | 425 / 25 | $3.254,60 | 424 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 99 | $9.071,50 | 152 / 3 | $4.585,83 | 709 / 32 | $3.572,50 | 705 / 56 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 71 | $8.206,87 | 163 / 7 | $4.280,00 | 767 / 32 | $3.498,13 | 764 / 60 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 20 | 496 / 137 | $21.368,00 | 332 / 16 | $10.895,40 | 939 / 52 | $10.109,80 | 934 / 84 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 77 | $13.036,70 | 216 / 10 | $6.585,86 | 778 / 57 | $5.459,00 | 776 / 58 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 83 | $17.788,90 | 889 / 26 | $5.967,91 | 931 / 52 | $5.027,39 | 928 / 71 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 40 | $13.516,90 | 554 / 14 | $4.338,64 | 670 / 29 | $3.390,07 | 667 / 56 | Total 8 procedures | 135 | 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.