Hospital Costs > In Texas > Hillcrest Baptist Medical Center, 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 | 184 | 332 / 46 | $43.007,00 | 1477 / 75 | $13.125,30 | 1080 / 167 | $10.295,20 | 1067 / 94 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 166 | 398 / 49 | $57.281,40 | 1592 / 94 | $15.287,80 | 954 / 171 | $10.974,10 | 935 / 109 |
Heart Failure & Shock W Mcc | 98 | 186 / 40 | $31.429,80 | 1183 / 44 | $9.307,78 | 1113 / 84 | $8.441,51 | 1110 / 89 |
Hip & Femur Procedures Except Major Joint W Cc | 75 | 68 / 17 | $50.249,30 | 1052 / 44 | $13.610,40 | 602 / 121 | $10.244,20 | 599 / 50 |
Simple Pneumonia & Pleurisy W Mcc | 72 | 133 / 28 | $28.911,50 | 969 / 30 | $9.879,46 | 1029 / 123 | $7.906,74 | 1029 / 81 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 69 | 113 / 25 | $25.393,10 | 821 / 14 | $7.682,96 | 932 / 92 | $5.728,71 | 929 / 69 |
G.I. Hemorrhage W Cc | 60 | 158 / 36 | $28.240,40 | 1456 / 60 | $7.285,83 | 1265 / 118 | $5.658,38 | 1262 / 94 |
Renal Failure W Cc | 55 | 166 / 52 | $19.410,70 | 918 / 23 | $6.623,51 | 1317 / 107 | $5.524,31 | 1309 / 113 |
Heart Failure & Shock W Cc | 53 | 225 / 62 | $25.829,50 | 1734 / 84 | $7.034,00 | 1563 / 145 | $5.835,04 | 1558 / 135 |
Respiratory Infections & Inflammations W Mcc | 50 | 86 / 18 | $42.698,90 | 873 / 35 | $12.976,60 | 608 / 86 | $10.694,80 | 600 / 51 |
Pulmonary Edema & Respiratory Failure | 49 | 154 / 36 | $30.809,20 | 1081 / 35 | $8.073,65 | 1056 / 73 | $7.032,00 | 1054 / 84 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 30 | $37.141,20 | 592 / 11 | $10.481,30 | 501 / 32 | $9.344,23 | 500 / 34 |
Renal Failure W Mcc | 45 | 150 / 55 | $25.239,90 | 475 / 12 | $10.850,40 | 507 / 117 | $8.074,84 | 507 / 47 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 50 | $23.428,40 | 1017 / 34 | $7.849,12 | 1114 / 106 | $6.353,58 | 1109 / 93 |
Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 64 | $22.289,00 | 1381 / 55 | $6.730,37 | 1496 / 123 | $5.512,67 | 1490 / 123 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 40 | 86 / 36 | $19.802,10 | 397 / 7 | $7.371,27 | 849 / 62 | $6.689,08 | 846 / 77 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 72 | $16.773,40 | 973 / 28 | $5.463,08 | 1795 / 126 | $4.470,92 | 1782 / 153 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 35 | $21.452,60 | 1159 / 46 | $5.711,92 | 1313 / 96 | $4.677,84 | 1308 / 110 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 49 | $14.097,40 | 847 / 28 | $5.197,84 | 1670 / 134 | $4.277,05 | 1665 / 151 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 36 | 160 / 39 | $76.027,50 | 798 / 45 | $13.970,80 | 601 / 62 | $10.949,30 | 597 / 69 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 33 | $57.251,50 | 844 / 37 | $15.052,50 | 499 / 81 | $12.429,50 | 492 / 51 |
Cellulitis W/O Mcc | 28 | 161 / 61 | $19.911,40 | 1471 / 71 | $8.753,82 | 1348 / 190 | $4.576,75 | 1342 / 114 |
Spinal Fusion Except Cervical W/O Mcc | 27 | 167 / 47 | $107.120,00 | 810 / 58 | $23.376,90 | 541 / 25 | $22.053,80 | 538 / 62 |
Hip & Femur Procedures Except Major Joint W Mcc | 27 | 35 / 15 | $55.888,70 | 252 / 3 | $16.850,90 | 180 / 15 | $15.758,90 | 179 / 15 |
Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 82 | $16.169,50 | 1098 / 46 | $5.602,78 | 1721 / 148 | $4.582,44 | 1710 / 159 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 64 | $20.711,30 | 847 / 30 | $7.171,11 | 1291 / 104 | $5.971,85 | 1286 / 110 |
Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 50 | $21.537,80 | 675 / 17 | $7.354,00 | 1035 / 81 | $6.454,96 | 1032 / 89 |
G.I. Obstruction W Cc | 25 | 67 / 25 | $22.055,90 | 803 / 19 | $6.198,44 | 1060 / 61 | $5.223,16 | 1057 / 81 |
Medical Back Problems W/O Mcc | 25 | 96 / 25 | $24.965,90 | 826 / 26 | $5.988,64 | 917 / 53 | $5.018,84 | 914 / 72 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 40 | $120.164,00 | 737 / 36 | $31.192,00 | 545 / 38 | $29.912,10 | 541 / 57 |
G.I. Hemorrhage W Mcc | 24 | 97 / 33 | $35.115,40 | 511 / 11 | $10.641,50 | 527 / 35 | $9.737,75 | 528 / 46 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 23 | 42 / 13 | $66.126,10 | 328 / 7 | $19.450,30 | 202 / 22 | $16.829,70 | 201 / 14 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 39 | $39.237,40 | 781 / 22 | $10.763,10 | 726 / 58 | $9.511,87 | 725 / 55 |
Fractures Of Hip & Pelvis W/O Mcc | 22 | 39 / 9 | $17.328,40 | 399 / 9 | $5.070,18 | 441 / 29 | $3.810,45 | 441 / 28 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 44 | $14.512,40 | 924 / 23 | $4.423,05 | 1361 / 99 | $3.243,52 | 1356 / 103 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 24 | $30.874,70 | 766 / 20 | $7.148,62 | 769 / 45 | $6.058,14 | 767 / 57 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 19 | 36 / 13 | $54.934,50 | 301 / 13 | $12.160,90 | 256 / 8 | $10.946,50 | 256 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 27 | $99.709,80 | 481 / 27 | $22.747,80 | 314 / 58 | $18.026,10 | 312 / 34 |
Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 25 | $122.301,00 | 585 / 25 | $31.606,80 | 543 / 40 | $30.024,30 | 541 / 49 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 17 | $59.298,40 | 466 / 19 | $19.444,10 | 189 / 46 | $10.989,20 | 187 / 18 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 48 | $25.143,20 | 1262 / 69 | $5.798,63 | 1189 / 98 | $4.774,89 | 1181 / 104 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 19 | 47 / 16 | $42.382,50 | 187 / 8 | $11.996,20 | 246 / 20 | $10.657,20 | 244 / 32 |
Transient Ischemia | 18 | 107 / 45 | $19.920,50 | 665 / 11 | $5.191,78 | 996 / 65 | $4.035,94 | 991 / 75 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 45 | $25.509,50 | 689 / 12 | $8.446,44 | 669 / 78 | $6.619,33 | 666 / 58 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 58 | $18.062,70 | 814 / 15 | $6.433,71 | 1342 / 101 | $5.312,24 | 1337 / 104 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 29 | $103.808,00 | 205 / 7 | $33.430,10 | 244 / 21 | $32.295,90 | 243 / 31 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 23 | $23.585,90 | 153 / 4 | $8.110,59 | 358 / 43 | $5.810,82 | 357 / 42 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 17 | 49 / 12 | $31.128,90 | 263 / 11 | $7.461,12 | 189 / 13 | $6.136,06 | 189 / 15 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 57 | $36.779,80 | 828 / 34 | $7.295,24 | 975 / 57 | $6.287,59 | 972 / 91 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 16 | $40.431,50 | 419 / 25 | $10.262,80 | 446 / 40 | $8.991,65 | 444 / 46 |
Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 12 | $180.078,00 | 194 / 10 | $41.996,50 | 168 / 15 | $40.603,80 | 168 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 39 | $19.694,80 | 555 / 7 | $5.414,50 | 899 / 51 | $4.131,50 | 895 / 70 |
Cellulitis W Mcc | 16 | 42 / 17 | $28.998,40 | 353 / 11 | $11.387,40 | 313 / 57 | $7.938,62 | 312 / 28 |
Diabetes W Cc | 16 | 76 / 35 | $20.185,90 | 706 / 22 | $5.922,44 | 933 / 59 | $4.976,00 | 929 / 73 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 35 | $45.854,30 | 309 / 3 | $15.258,80 | 604 / 27 | $14.003,00 | 598 / 52 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 40 | $27.620,30 | 549 / 14 | $7.963,47 | 368 / 41 | $6.382,00 | 366 / 21 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 24 | $24.800,90 | 304 / 11 | $10.307,30 | 295 / 73 | $6.809,53 | 295 / 30 |
G.I. Obstruction W Mcc | 15 | 27 / 11 | $31.049,50 | 146 / 2 | $9.847,80 | 167 / 9 | $8.980,47 | 167 / 10 |
Pulmonary Embolism W Mcc | 15 | 28 / 9 | $37.125,90 | 278 / 6 | $9.175,53 | 199 / 8 | $8.272,27 | 199 / 10 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 12 | $59.130,90 | 386 / 16 | $17.109,60 | 128 / 37 | $10.926,30 | 127 / 7 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 28 | $117.233,00 | 362 / 14 | $29.287,40 | 219 / 16 | $28.184,50 | 219 / 23 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 22 | $24.153,40 | 446 / 10 | $7.776,85 | 509 / 33 | $6.667,54 | 507 / 36 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 25 | $19.585,80 | 231 / 5 | $6.531,00 | 294 / 16 | $5.467,46 | 294 / 17 |
Other Vascular Procedures W Cc | 12 | 90 / 42 | $77.334,00 | 625 / 41 | $17.884,30 | 271 / 69 | $13.764,80 | 270 / 31 |
Diabetes W Mcc | 12 | 45 / 24 | $26.608,50 | 210 / 3 | $8.861,83 | 269 / 18 | $7.912,83 | 269 / 22 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 18 | $61.552,70 | 112 / 3 | $20.028,00 | 96 / 8 | $18.983,30 | 96 / 12 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 22 | $144.681,00 | 48 / 5 | $48.106,60 | 31 / 3 | $46.524,30 | 31 / 5 |
Syncope & Collapse | 11 | 158 / 54 | $24.513,80 | 1193 / 44 | $6.972,09 | 859 / 124 | $3.898,73 | 855 / 64 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 28 | $60.518,00 | 355 / 15 | $15.579,30 | 256 / 16 | $14.373,60 | 255 / 23 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 16 | $27.511,90 | 259 / 15 | $5.376,27 | 208 / 14 | $4.405,18 | 208 / 19 | Total 70 procedures | 2.229 | 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.