Hospital Costs > In Texas > Graham Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 46 | 518 / 118 | $42.166,80 | 875 / 35 | $14.687,00 | 1980 / 142 | $13.530,80 | 1938 / 205 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 70 | $12.625,00 | 155 / 4 | $7.461,78 | 1352 / 76 | $6.643,70 | 1346 / 114 |
| Heart Failure & Shock W Cc | 22 | 256 / 90 | $10.611,20 | 161 / 4 | $6.565,27 | 1480 / 112 | $5.747,82 | 1475 / 126 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 87 | $9.893,45 | 287 / 14 | $5.168,91 | 1252 / 107 | $4.126,00 | 1243 / 107 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 87 | $11.903,30 | 245 / 9 | $6.610,37 | 1595 / 113 | $5.601,53 | 1588 / 134 |
| Cellulitis W/O Mcc | 16 | 173 / 73 | $11.169,40 | 377 / 12 | $5.777,38 | 1561 / 105 | $4.791,38 | 1554 / 135 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 41 | $8.444,40 | 144 / 2 | $4.730,33 | 1038 / 83 | $3.770,33 | 1030 / 85 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 79 | $10.521,00 | 72 / 3 | $6.784,50 | 1294 / 75 | $5.973,83 | 1289 / 111 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 43 | $9.866,64 | 203 / 3 | $4.722,45 | 944 / 65 | $3.631,55 | 939 / 77 | Total 9 procedures | 186 | 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.