Hospital Costs > In Texas > Harlingen Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 41 | $44.693,40 | 981 / 37 | $15.761,00 | 1680 / 123 | $15.070,80 | 1667 / 124 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 28 | 61 / 16 | $39.649,60 | 461 / 29 | $7.925,11 | 532 / 37 | $6.717,04 | 531 / 53 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 56 | $20.502,40 | 1092 / 38 | $5.969,24 | 1230 / 111 | $4.539,82 | 1225 / 106 |
Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 23 | 27 / 4 | $173.280,00 | 177 / 7 | $78.867,30 | 252 / 12 | $77.869,50 | 252 / 12 |
Cellulitis W Mcc | 15 | 43 / 18 | $25.837,10 | 271 / 7 | $9.308,00 | 452 / 23 | $8.499,47 | 450 / 44 |
Cellulitis W/O Mcc | 26 | 163 / 63 | $20.768,00 | 1555 / 82 | $5.536,85 | 1068 / 86 | $4.322,42 | 1062 / 83 |
Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 77 | $29.947,80 | 1476 / 65 | $10.108,00 | 2265 / 179 | $9.169,00 | 2257 / 183 |
Coronary Bypass W Cardiac Cath W Mcc | 15 | 41 / 13 | $174.232,00 | 175 / 6 | $74.923,90 | 429 / 47 | $70.815,90 | 429 / 47 |
Coronary Bypass W Cardiac Cath W/O Mcc | 16 | 60 / 20 | $148.673,00 | 346 / 13 | $65.915,60 | 618 / 44 | $64.859,50 | 618 / 44 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 13 | 75 / 24 | $116.290,00 | 342 / 18 | $46.974,50 | 595 / 48 | $45.948,20 | 594 / 48 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 93 | $26.874,60 | 1992 / 120 | $5.046,50 | 1396 / 87 | $4.043,83 | 1385 / 114 |
G.I. Hemorrhage W Cc | 26 | 192 / 64 | $27.732,70 | 1424 / 57 | $7.782,54 | 1866 / 137 | $6.806,58 | 1862 / 149 |
G.I. Hemorrhage W Mcc | 16 | 105 / 41 | $39.761,90 | 683 / 17 | $11.965,70 | 1008 / 72 | $11.287,70 | 1000 / 88 |
Heart Failure & Shock W Cc | 20 | 258 / 92 | $23.476,80 | 1537 / 60 | $6.637,25 | 1584 / 121 | $5.856,45 | 1579 / 137 |
Heart Failure & Shock W Mcc | 54 | 230 / 69 | $36.176,10 | 1460 / 62 | $11.596,40 | 2140 / 171 | $10.971,70 | 2130 / 186 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 56 | $75.988,10 | 1647 / 97 | $26.010,30 | 2046 / 148 | $24.800,30 | 2024 / 148 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 11 | $76.003,90 | 235 / 19 | $23.297,50 | 340 / 26 | $22.132,20 | 339 / 26 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 41 | $109.897,00 | 615 / 21 | $37.803,40 | 1079 / 86 | $36.640,20 | 1072 / 101 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 54 | $22.686,00 | 767 / 25 | $7.493,14 | 1094 / 87 | $6.559,27 | 1090 / 95 |
Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 82 | $19.590,90 | 1526 / 78 | $5.396,11 | 1566 / 128 | $4.408,85 | 1555 / 139 |
Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 35 | $199.726,00 | 966 / 70 | $74.847,30 | 1003 / 72 | $73.725,00 | 1002 / 72 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 88 | 476 / 90 | $70.536,00 | 2007 / 132 | $22.605,80 | 2633 / 219 | $20.981,10 | 2587 / 222 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 41 | $38.772,50 | 447 / 13 | $11.413,10 | 225 / 30 | $9.672,00 | 225 / 15 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 63 | $31.507,50 | 1121 / 39 | $8.629,39 | 1526 / 96 | $7.891,56 | 1521 / 129 |
Renal Failure W Cc | 42 | 179 / 64 | $26.383,70 | 1514 / 71 | $7.822,98 | 1953 / 155 | $6.829,45 | 1943 / 167 |
Renal Failure W Mcc | 48 | 147 / 52 | $31.671,50 | 859 / 39 | $11.089,90 | 1380 / 122 | $9.890,94 | 1380 / 133 |
Respiratory Infections & Inflammations W Mcc | 28 | 108 / 37 | $43.867,70 | 902 / 37 | $14.394,10 | 1428 / 109 | $13.789,50 | 1413 / 121 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 33 | $139.920,00 | 453 / 27 | $57.932,80 | 1034 / 81 | $56.869,40 | 1033 / 84 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 166 | 350 / 54 | $41.910,50 | 1405 / 63 | $14.936,00 | 2333 / 196 | $13.815,40 | 2291 / 203 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 67 | 140 / 33 | $26.459,80 | 1375 / 63 | $7.521,06 | 1649 / 125 | $6.496,61 | 1642 / 144 |
Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 53 | $34.233,10 | 1300 / 50 | $11.824,30 | 2157 / 172 | $10.983,30 | 2152 / 181 |
Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 53 | $117.164,00 | 916 / 70 | $34.538,10 | 1235 / 112 | $32.113,60 | 1230 / 115 | Total 32 procedures | 986 | 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.