Hospital Costs > In Texas > Good Shepherd Medical Center Marshall, 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 | 181 | 335 / 47 | $32.151,20 | 894 / 35 | $10.467,80 | 494 / 24 | $9.505,12 | 494 / 31 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 63 | 501 / 105 | $45.850,50 | 1077 / 48 | $12.243,60 | 1008 / 27 | $11.064,00 | 988 / 119 |
Heart Failure & Shock W Mcc | 54 | 230 / 69 | $25.304,50 | 766 / 22 | $8.738,04 | 739 / 44 | $7.981,59 | 739 / 58 |
Renal Failure W Cc | 44 | 177 / 63 | $16.328,60 | 594 / 8 | $5.915,11 | 643 / 51 | $4.873,66 | 637 / 55 |
Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 55 | $18.277,60 | 588 / 17 | $7.086,74 | 810 / 48 | $6.052,63 | 805 / 60 |
Pulmonary Edema & Respiratory Failure | 35 | 168 / 48 | $32.595,70 | 1179 / 47 | $7.606,49 | 1000 / 43 | $6.947,29 | 999 / 75 |
Renal Failure W Mcc | 35 | 160 / 62 | $29.276,90 | 718 / 27 | $8.893,51 | 300 / 35 | $7.736,37 | 300 / 27 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 61 | $26.445,80 | 797 / 21 | $8.126,43 | 540 / 18 | $7.366,66 | 540 / 39 |
Heart Failure & Shock W Cc | 33 | 245 / 79 | $20.018,70 | 1188 / 37 | $6.018,33 | 872 / 52 | $5.188,70 | 871 / 64 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 79 | $17.202,10 | 1027 / 30 | $4.777,53 | 992 / 56 | $3.759,53 | 984 / 76 |
G.I. Hemorrhage W Cc | 29 | 189 / 61 | $22.378,30 | 972 / 21 | $6.189,41 | 899 / 47 | $5.272,45 | 897 / 68 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 63 | $17.017,40 | 516 / 16 | $6.378,68 | 779 / 37 | $5.460,39 | 777 / 59 |
Chest Pain | 27 | 124 / 40 | $13.690,70 | 369 / 6 | $4.020,48 | 638 / 29 | $3.065,81 | 634 / 45 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 50 | $17.392,00 | 743 / 12 | $5.768,92 | 294 / 47 | $4.310,84 | 293 / 26 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 83 | $17.379,80 | 837 / 25 | $5.809,35 | 602 / 34 | $4.745,22 | 599 / 42 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 63 | $21.847,30 | 1706 / 92 | $4.873,74 | 1489 / 98 | $4.056,22 | 1484 / 130 |
Cellulitis W/O Mcc | 22 | 167 / 67 | $16.204,70 | 1021 / 33 | $5.316,55 | 1145 / 61 | $4.385,64 | 1139 / 93 |
Syncope & Collapse | 20 | 149 / 45 | $18.303,40 | 708 / 7 | $4.682,35 | 889 / 35 | $3.932,75 | 884 / 65 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 57 | $15.296,30 | 273 / 4 | $6.698,21 | 402 / 43 | $5.573,58 | 401 / 30 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 55 | $24.780,30 | 686 / 25 | $6.635,06 | 485 / 28 | $5.998,61 | 482 / 42 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 56 | $46.906,10 | 930 / 29 | $11.084,60 | 417 / 22 | $9.950,62 | 416 / 35 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 48 | $64.594,40 | 140 / 1 | $28.036,00 | 81 / 13 | $25.260,50 | 81 / 8 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 17 | $13.947,40 | 304 / 11 | $4.138,19 | 357 / 18 | $3.228,19 | 356 / 28 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 50 | $48.214,30 | 572 / 14 | $12.171,90 | 182 / 1 | $11.491,90 | 181 / 12 |
Transient Ischemia | 16 | 109 / 47 | $20.030,10 | 672 / 14 | $5.180,06 | 543 / 63 | $3.416,50 | 540 / 35 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 48 | $41.104,10 | 826 / 31 | $10.920,40 | 452 / 20 | $10.390,40 | 449 / 34 |
G.I. Hemorrhage W Mcc | 16 | 105 / 41 | $20.598,20 | 79 / 1 | $9.606,69 | 209 / 10 | $8.926,69 | 209 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 58 | $16.363,10 | 672 / 8 | $4.955,00 | 751 / 45 | $4.069,67 | 748 / 58 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 40 | $16.021,80 | 829 / 27 | $4.505,79 | 502 / 45 | $3.238,07 | 500 / 43 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 42 | $14.137,20 | 739 / 19 | $4.348,64 | 914 / 46 | $3.656,07 | 907 / 74 |
G.I. Obstruction W Cc | 14 | 78 / 36 | $21.240,40 | 739 / 13 | $5.494,50 | 861 / 29 | $4.897,93 | 859 / 61 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 42 | $44.111,40 | 608 / 27 | $9.895,29 | 3 / 3 | $7.555,93 | 3 / 1 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 42 | $14.731,40 | 749 / 16 | $4.548,86 | 942 / 40 | $3.687,14 | 933 / 65 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 20 | $38.999,20 | 382 / 18 | $9.325,00 | 280 / 14 | $8.399,46 | 279 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 70 | $23.152,70 | 672 / 10 | $6.213,31 | 390 / 24 | $5.093,31 | 389 / 33 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 24 | $35.727,80 | 180 / 1 | $9.685,33 | 332 / 17 | $8.781,33 | 332 / 34 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 43 | $24.089,10 | 396 / 7 | $7.200,50 | 436 / 14 | $6.496,50 | 433 / 29 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 53 | $15.803,30 | 1084 / 37 | $3.761,50 | 1041 / 43 | $2.857,50 | 1036 / 77 |
Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 97 | $16.805,00 | 1199 / 51 | $4.938,17 | 960 / 67 | $3.935,50 | 953 / 79 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 52 | $28.204,10 | 864 / 28 | $7.012,73 | 414 / 19 | $6.238,91 | 412 / 31 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 39 | $49.678,00 | 409 / 5 | $14.505,00 | 569 / 17 | $13.847,50 | 563 / 49 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 27 | $26.514,30 | 262 / 9 | $8.039,73 | 87 / 7 | $6.780,55 | 87 / 6 | Total 42 procedures | 1.088 | 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.