Hospital Costs > In Texas > Hopkins County Memorial Hospital, 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 Cc | 25 | 66 / 21 | $19.609,50 | 269 / 2 | $6.415,72 | 559 / 20 | $5.577,96 | 558 / 38 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 45 | $26.039,50 | 316 / 3 | $9.140,12 | 222 / 2 | $8.365,47 | 222 / 7 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 18 | $19.481,00 | 279 / 3 | $4.752,64 | 294 / 10 | $3.763,55 | 291 / 15 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 62 | $10.031,10 | 110 / 1 | $4.797,82 | 839 / 30 | $4.140,36 | 836 / 68 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 49 | $17.265,90 | 204 / 1 | $7.026,29 | 419 / 21 | $6.246,86 | 417 / 33 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 33 | $6.966,19 | 73 / 1 | $3.729,75 | 889 / 42 | $2.736,41 | 885 / 64 |
Cellulitis W/O Mcc | 23 | 166 / 66 | $10.097,00 | 249 / 8 | $5.613,39 | 567 / 94 | $3.945,65 | 564 / 43 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 58 | $9.444,82 | 72 / 1 | $5.741,82 | 1153 / 44 | $5.103,71 | 1149 / 87 |
Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 69 | $13.511,90 | 219 / 6 | $6.786,08 | 562 / 25 | $5.830,08 | 561 / 44 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 40 | $9.762,81 | 220 / 4 | $4.606,50 | 1093 / 42 | $3.819,50 | 1084 / 80 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 50 | $22.718,50 | 179 / 3 | $6.479,88 | 485 / 19 | $5.419,88 | 483 / 45 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 90 | $9.883,38 | 201 / 5 | $4.757,38 | 935 / 54 | $3.721,19 | 929 / 70 |
G.I. Hemorrhage W Cc | 13 | 205 / 76 | $12.842,60 | 153 / 3 | $5.956,38 | 543 / 30 | $4.951,46 | 542 / 35 |
Heart Failure & Shock W Cc | 30 | 248 / 82 | $15.003,70 | 576 / 13 | $5.891,93 | 537 / 39 | $4.925,27 | 537 / 45 |
Heart Failure & Shock W Mcc | 18 | 266 / 102 | $15.033,20 | 145 / 6 | $8.032,33 | 266 / 4 | $7.360,33 | 266 / 12 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 44 | $10.876,70 | 350 / 8 | $4.170,42 | 448 / 30 | $3.256,83 | 446 / 30 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 63 | $11.616,30 | 50 / 1 | $6.180,15 | 601 / 19 | $5.332,15 | 600 / 47 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 40 | $9.761,93 | 41 / 1 | $4.796,53 | 534 / 26 | $3.670,13 | 530 / 36 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 61 | $11.374,90 | 83 / 1 | $6.531,33 | 394 / 31 | $5.560,67 | 393 / 29 |
Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 75 | $8.688,17 | 170 / 10 | $4.782,14 | 842 / 53 | $3.849,57 | 837 / 69 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 133 | $29.348,80 | 198 / 5 | $12.158,60 | 768 / 25 | $10.723,40 | 757 / 90 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 59 | $13.037,60 | 94 / 1 | $6.783,14 | 375 / 34 | $5.832,29 | 372 / 37 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 51 | $7.541,56 | 107 / 3 | $4.444,14 | 951 / 49 | $3.617,14 | 948 / 76 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 34 | $65.395,30 | 123 / 3 | $19.013,10 | 299 / 14 | $17.905,80 | 297 / 31 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 51 | $57.204,70 | 388 / 10 | $14.661,80 | 1027 / 81 | $12.711,30 | 1020 / 118 |
Pulmonary Edema & Respiratory Failure | 29 | 174 / 54 | $15.801,40 | 184 / 1 | $7.293,28 | 671 / 26 | $6.546,24 | 671 / 41 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 52 | $8.583,87 | 54 / 3 | $5.076,07 | 301 / 42 | $3.759,27 | 300 / 31 |
Renal Failure W Cc | 25 | 196 / 81 | $10.700,00 | 138 / 1 | $5.797,04 | 784 / 43 | $4.988,08 | 777 / 64 |
Renal Failure W Mcc | 14 | 181 / 82 | $19.947,00 | 227 / 3 | $8.703,50 | 396 / 26 | $7.917,79 | 396 / 37 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 18 | $8.089,47 | 58 / 1 | $4.129,07 | 304 / 17 | $3.149,33 | 303 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 148 | 368 / 62 | $16.760,80 | 123 / 8 | $10.052,20 | 288 / 6 | $9.143,20 | 288 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 54 | 153 / 42 | $11.651,70 | 126 / 6 | $6.263,26 | 599 / 18 | $5.318,48 | 597 / 38 |
Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 75 | $11.186,10 | 189 / 7 | $5.917,41 | 606 / 45 | $4.746,44 | 603 / 44 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 65 | $17.363,90 | 231 / 4 | $8.354,74 | 361 / 28 | $7.128,13 | 361 / 25 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 37 | $10.487,20 | 266 / 5 | $4.474,47 | 943 / 43 | $3.629,29 | 938 / 76 |
Transient Ischemia | 11 | 114 / 52 | $12.632,50 | 153 / 1 | $4.519,36 | 648 / 30 | $3.527,36 | 644 / 44 | Total 36 procedures | 899 | 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.