Hospital Costs > In Texas > Hill Country Memorial Hospital Inc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 11 | 178 / 78 | $12.130,80 | 485 / 14 | $4.759,09 | 501 / 15 | $3.883,45 | 498 / 38 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 80 | $15.662,60 | 365 / 9 | $6.402,77 | 181 / 8 | $5.376,31 | 181 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 91 | $11.619,80 | 339 / 10 | $4.286,40 | 405 / 12 | $3.329,60 | 403 / 36 |
| G.I. Hemorrhage W Cc | 13 | 205 / 76 | $12.756,10 | 146 / 2 | $5.704,15 | 281 / 18 | $4.682,62 | 281 / 25 |
| Heart Failure & Shock W Cc | 29 | 249 / 83 | $14.279,80 | 499 / 12 | $5.530,66 | 313 / 13 | $4.696,45 | 313 / 24 |
| Heart Failure & Shock W Mcc | 17 | 267 / 103 | $16.315,50 | 213 / 8 | $8.116,47 | 178 / 6 | $7.199,76 | 178 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 43 | $10.315,30 | 291 / 6 | $3.916,31 | 450 / 15 | $3.264,00 | 448 / 31 |
| Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 40 | $30.546,80 | 243 / 2 | $10.585,80 | 229 / 7 | $9.557,94 | 228 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 85 | $10.273,30 | 321 / 16 | $4.425,42 | 228 / 20 | $3.337,75 | 228 / 20 |
| Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 34 | $66.081,90 | 200 / 4 | $20.345,70 | 391 / 21 | $19.298,20 | 391 / 40 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 17 | 79 / 19 | $40.864,50 | 185 / 4 | $12.308,10 | 207 / 5 | $11.101,50 | 205 / 21 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 251 | 313 / 26 | $34.517,50 | 430 / 11 | $12.379,50 | 446 / 31 | $10.244,40 | 443 / 57 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 32 | $41.173,20 | 216 / 2 | $13.620,60 | 216 / 1 | $12.546,80 | 214 / 22 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 21 | 43 / 13 | $30.754,60 | 149 / 3 | $10.477,50 | 39 / 22 | $7.047,10 | 39 / 5 |
| Other Vascular Procedures W Cc | 21 | 81 / 33 | $42.876,00 | 120 / 3 | $14.026,90 | 156 / 6 | $13.103,40 | 156 / 17 |
| Renal Failure W Cc | 15 | 206 / 90 | $12.076,90 | 216 / 4 | $5.391,27 | 157 / 14 | $4.303,27 | 157 / 9 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 52 | $21.453,80 | 134 / 2 | $10.445,30 | 92 / 7 | $9.344,00 | 92 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 46 | 470 / 118 | $18.512,90 | 201 / 11 | $9.988,87 | 289 / 4 | $9.147,83 | 289 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 64 | $13.799,70 | 265 / 11 | $5.949,48 | 221 / 6 | $4.876,89 | 220 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 86 | $16.194,60 | 708 / 21 | $5.474,75 | 234 / 11 | $4.381,95 | 234 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 79 | $15.842,10 | 160 / 3 | $7.912,27 | 60 / 9 | $6.455,93 | 60 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 39 | $12.432,80 | 451 / 11 | $5.102,60 | 168 / 93 | $2.845,87 | 166 / 13 | Total 22 procedures | 666 | 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.