Hospital Costs > In Georgia > Houston 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 Cc | 12 | 79 / 20 | $27.737,20 | 637 / 21 | $6.577,25 | 591 / 21 | $5.644,92 | 590 / 26 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 24 | $41.663,00 | 884 / 27 | $10.418,00 | 157 / 30 | $8.158,80 | 157 / 6 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 5 | $24.992,10 | 455 / 12 | $4.785,75 | 304 / 6 | $3.779,00 | 301 / 11 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 37 | 87 / 3 | $18.144,30 | 442 / 11 | $4.640,16 | 215 / 7 | $3.568,16 | 215 / 5 |
| Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 11 | $12.677,20 | 122 / 2 | $5.651,94 | 242 / 11 | $4.202,56 | 239 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 46 | 115 / 13 | $18.928,60 | 948 / 31 | $5.060,65 | 912 / 18 | $4.205,63 | 909 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 39 | 84 / 14 | $23.813,10 | 573 / 10 | $7.331,79 | 582 / 11 | $6.497,23 | 579 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 37 | 113 / 16 | $11.689,10 | 550 / 12 | $3.769,19 | 1042 / 19 | $2.858,68 | 1037 / 36 |
| Cellulitis W Mcc | 15 | 43 / 9 | $22.560,60 | 180 / 6 | $8.779,13 | 321 / 6 | $7.946,07 | 320 / 8 |
| Cellulitis W/O Mcc | 82 | 107 / 3 | $15.282,30 | 894 / 25 | $5.419,59 | 931 / 28 | $4.225,38 | 925 / 23 |
| Chest Pain | 62 | 89 / 6 | $14.545,10 | 453 / 12 | $4.267,61 | 596 / 28 | $3.017,66 | 592 / 20 |
| Chronic Obstructive Pulmonary Disease W Cc | 75 | 104 / 9 | $16.614,80 | 670 / 20 | $5.906,97 | 971 / 26 | $4.932,19 | 968 / 40 |
| Chronic Obstructive Pulmonary Disease W Mcc | 132 | 70 / 7 | $22.289,20 | 926 / 30 | $7.367,88 | 1184 / 36 | $6.443,11 | 1178 / 49 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 58 | 62 / 7 | $12.062,10 | 452 / 10 | $4.714,14 | 805 / 20 | $3.579,24 | 801 / 23 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 13 | $39.242,10 | 144 / 9 | $11.955,80 | 219 / 3 | $11.142,00 | 214 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 64 | 124 / 13 | $27.853,30 | 417 / 11 | $6.694,14 | 458 / 10 | $5.374,84 | 456 / 14 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 12 | $16.493,20 | 128 / 5 | $5.489,69 | 195 / 4 | $4.644,46 | 195 / 8 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 9 | $19.281,70 | 210 / 7 | $6.140,20 | 289 / 8 | $5.231,93 | 289 / 11 |
| Diabetes W Cc | 39 | 53 / 7 | $15.840,70 | 392 / 9 | $5.309,72 | 664 / 18 | $4.488,79 | 662 / 25 |
| Diabetes W Mcc | 17 | 40 / 11 | $30.002,90 | 277 / 9 | $9.111,06 | 131 / 12 | $7.162,76 | 131 / 5 |
| Diabetes W/O Cc/Mcc | 15 | 23 / 2 | $11.213,70 | 59 / 1 | $3.946,27 | 118 / 3 | $3.207,07 | 118 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 10 | $27.743,70 | 72 / 2 | $10.898,30 | 149 / 4 | $10.462,00 | 149 / 7 |
| Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 5 | $19.292,30 | 283 / 4 | $5.826,11 | 431 / 10 | $5.090,74 | 430 / 16 |
| Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 6 | $44.072,10 | 157 / 8 | $11.295,70 | 131 / 4 | $10.710,30 | 131 / 6 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 6 | $20.335,10 | 74 / 2 | $6.533,36 | 156 / 4 | $5.857,73 | 156 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 32 | 64 / 11 | $17.443,70 | 122 / 1 | $7.302,12 | 483 / 11 | $6.587,88 | 480 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 107 | 168 / 8 | $14.330,30 | 660 / 22 | $4.798,26 | 1023 / 27 | $3.774,90 | 1015 / 37 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 15 | 29 / 5 | $46.515,10 | 41 / 1 | $15.390,00 | 44 / 1 | $13.956,10 | 43 / 2 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 11 | $63.580,60 | 43 / 1 | $27.229,30 | 153 / 5 | $26.434,30 | 153 / 7 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 12 | $19.342,50 | 490 / 14 | $4.726,83 | 264 / 10 | $3.380,25 | 265 / 6 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 6 | $17.822,50 | 297 / 6 | $5.184,23 | 172 / 8 | $3.529,23 | 172 / 4 |
| G.I. Hemorrhage W Cc | 58 | 160 / 21 | $21.356,30 | 881 / 27 | $6.295,07 | 1110 / 28 | $5.482,93 | 1108 / 45 |
| G.I. Hemorrhage W Mcc | 27 | 94 / 22 | $31.197,50 | 360 / 10 | $10.415,40 | 441 / 16 | $9.496,26 | 442 / 17 |
| G.I. Hemorrhage W/O Cc/Mcc | 30 | 38 / 4 | $13.338,90 | 244 / 5 | $4.540,67 | 294 / 4 | $3.347,43 | 292 / 6 |
| G.I. Obstruction W Cc | 19 | 73 / 18 | $21.642,30 | 765 / 16 | $5.714,26 | 800 / 21 | $4.813,21 | 798 / 30 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 11 | $14.955,30 | 524 / 11 | $4.320,59 | 496 / 15 | $2.960,76 | 495 / 13 |
| Heart Failure & Shock W Cc | 127 | 151 / 13 | $16.557,20 | 750 / 22 | $6.168,21 | 1037 / 33 | $5.315,97 | 1035 / 41 |
| Heart Failure & Shock W Mcc | 120 | 164 / 16 | $27.360,60 | 931 / 26 | $9.051,80 | 871 / 31 | $8.125,93 | 871 / 28 |
| Heart Failure & Shock W/O Cc/Mcc | 37 | 73 / 10 | $12.201,40 | 499 / 13 | $4.400,57 | 735 / 19 | $3.498,03 | 731 / 18 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 20 | $35.260,60 | 419 / 10 | $11.543,20 | 865 / 22 | $10.724,70 | 854 / 35 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 9 | $46.724,40 | 112 / 2 | $17.312,90 | 241 / 8 | $16.146,60 | 239 / 9 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 16 | $30.485,60 | 197 / 7 | $9.690,31 | 369 / 14 | $8.722,92 | 367 / 19 |
| Hypertension W/O Mcc | 40 | 25 / 1 | $15.131,70 | 226 / 6 | $4.206,38 | 217 / 6 | $2.931,82 | 215 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 21 | $88.461,60 | 344 / 9 | $30.571,60 | 344 / 14 | $28.267,30 | 344 / 13 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 53 | 129 / 18 | $28.010,00 | 1008 / 35 | $6.794,42 | 793 / 30 | $5.539,30 | 791 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 32 | $39.489,40 | 679 / 23 | $10.199,90 | 278 / 19 | $8.730,58 | 277 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 24 | $21.678,20 | 695 / 22 | $5.161,20 | 277 / 20 | $3.344,33 | 275 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 36 | 108 / 17 | $26.048,10 | 980 / 36 | $6.986,64 | 738 / 31 | $6.005,97 | 737 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 133 | 100 / 4 | $16.003,60 | 1076 / 37 | $5.016,47 | 1160 / 35 | $4.060,02 | 1152 / 35 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 10 | $32.266,50 | 132 / 1 | $9.525,73 | 19 / 4 | $7.055,73 | 19 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 6 | $53.179,00 | 122 / 2 | $16.978,50 | 176 / 9 | $14.043,70 | 175 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 4 | $26.816,10 | 111 / 4 | $7.489,79 | 250 / 5 | $6.357,79 | 250 / 9 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 6 | $22.716,90 | 30 / 1 | $9.029,58 | 215 / 4 | $8.009,25 | 215 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 28 | 45 / 5 | $21.160,50 | 324 / 7 | $7.130,14 | 247 / 7 | $6.006,93 | 246 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 7 | $32.644,70 | 177 / 7 | $11.711,40 | 258 / 10 | $11.002,90 | 257 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 11 | $59.038,80 | 243 / 3 | $19.106,80 | 350 / 12 | $18.006,50 | 348 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 165 | 399 / 29 | $34.489,20 | 427 / 15 | $12.344,40 | 896 / 13 | $10.887,30 | 877 / 29 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 23 | $44.127,50 | 273 / 6 | $14.789,40 | 363 / 10 | $13.074,90 | 360 / 10 |
| Major Small & Large Bowel Procedures W Mcc | 21 | 64 / 15 | $64.782,60 | 97 / 2 | $26.763,40 | 64 / 3 | $24.293,90 | 64 / 3 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 19 | $27.732,20 | 92 / 2 | $9.733,67 | 306 / 9 | $8.613,33 | 306 / 15 |
| Medical Back Problems W/O Mcc | 23 | 98 / 12 | $18.228,50 | 401 / 10 | $5.229,57 | 396 / 9 | $4.096,57 | 396 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 39 | 87 / 18 | $17.312,30 | 261 / 8 | $6.879,10 | 579 / 22 | $6.157,15 | 576 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 70 | 96 / 7 | $13.384,30 | 744 / 26 | $4.640,89 | 760 / 32 | $3.493,60 | 757 / 24 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 12 | $17.534,90 | 137 / 7 | $5.864,27 | 108 / 7 | $4.751,18 | 108 / 5 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 24 | $27.484,00 | 161 / 3 | $10.451,40 | 49 / 3 | $8.793,75 | 49 / 4 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 18 | $18.377,50 | 309 / 5 | $5.908,15 | 54 / 7 | $4.222,15 | 54 / 3 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 13 | $22.100,90 | 61 / 3 | $9.832,36 | 170 / 3 | $9.210,18 | 170 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 9 | $13.986,10 | 88 / 1 | $6.357,53 | 209 / 6 | $5.230,12 | 209 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 22 | 78 / 16 | $64.172,80 | 111 / 1 | $17.776,60 | 140 / 2 | $16.712,60 | 140 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 43 | 153 / 19 | $46.668,20 | 166 / 1 | $11.625,60 | 358 / 3 | $10.293,00 | 358 / 12 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 11 | 34 / 5 | $54.626,30 | 23 / 1 | $16.156,10 | 9 / 1 | $14.281,00 | 9 / 2 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 7 | $46.305,90 | 115 / 2 | $10.745,50 | 196 / 6 | $9.692,64 | 196 / 7 |
| Peripheral Vascular Disorders W Cc | 29 | 55 / 5 | $13.228,20 | 115 / 1 | $5.959,34 | 362 / 10 | $5.037,55 | 360 / 11 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 9 | $23.338,20 | 92 / 4 | $7.865,92 | 83 / 3 | $6.915,25 | 83 / 4 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 18 | 27 / 2 | $10.715,90 | 60 / 2 | $4.413,61 | 96 / 3 | $3.219,06 | 96 / 3 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 9 | $31.431,00 | 52 / 2 | $12.568,50 | 235 / 4 | $11.532,80 | 234 / 7 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 13 | $32.569,50 | 405 / 14 | $8.501,85 | 243 / 9 | $7.459,69 | 242 / 11 |
| Psychoses | 104 | 188 / 8 | $17.956,10 | 268 / 4 | $6.262,36 | 141 / 5 | $5.277,25 | 141 / 4 |
| Pulmonary Edema & Respiratory Failure | 82 | 121 / 11 | $26.356,60 | 815 / 24 | $7.546,15 | 732 / 26 | $6.636,76 | 732 / 26 |
| Pulmonary Embolism W Mcc | 23 | 20 / 2 | $27.234,30 | 121 / 2 | $8.574,00 | 103 / 2 | $7.690,65 | 103 / 3 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 13 | $17.873,90 | 283 / 3 | $6.102,90 | 593 / 13 | $5.339,10 | 590 / 23 |
| Red Blood Cell Disorders W Mcc | 24 | 47 / 8 | $20.930,50 | 178 / 3 | $7.583,54 | 48 / 11 | $5.847,83 | 48 / 1 |
| Red Blood Cell Disorders W/O Mcc | 54 | 89 / 13 | $14.830,80 | 440 / 17 | $5.198,96 | 719 / 25 | $4.201,94 | 714 / 20 |
| Renal Failure W Cc | 142 | 81 / 4 | $17.611,20 | 740 / 24 | $6.006,32 | 801 / 29 | $5.002,59 | 794 / 25 |
| Renal Failure W Mcc | 116 | 80 / 6 | $25.983,20 | 522 / 19 | $9.583,45 | 666 / 36 | $8.321,38 | 666 / 23 |
| Renal Failure W/O Cc/Mcc | 39 | 17 / 1 | $11.891,40 | 208 / 5 | $4.206,85 | 393 / 6 | $3.295,15 | 392 / 13 |
| Respiratory Infections & Inflammations W Cc | 32 | 56 / 6 | $30.087,60 | 694 / 23 | $8.422,06 | 651 / 23 | $7.667,06 | 648 / 24 |
| Respiratory Infections & Inflammations W Mcc | 30 | 106 / 13 | $39.536,20 | 771 / 27 | $11.979,50 | 506 / 35 | $10.491,30 | 501 / 20 |
| Respiratory Neoplasms W Mcc | 15 | 37 / 6 | $31.239,90 | 120 / 3 | $10.090,20 | 178 / 5 | $9.341,13 | 178 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 17 | $51.658,20 | 667 / 20 | $13.947,00 | 618 / 16 | $12.753,20 | 610 / 23 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 21 | $95.602,10 | 220 / 10 | $29.582,20 | 261 / 7 | $28.610,80 | 261 / 11 |
| Seizures W Mcc | 18 | 48 / 10 | $31.964,80 | 208 / 5 | $9.251,39 | 195 / 6 | $8.365,83 | 195 / 6 |
| Seizures W/O Mcc | 32 | 76 / 6 | $17.573,40 | 397 / 12 | $4.842,94 | 316 / 11 | $3.784,59 | 314 / 13 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 16 | $98.336,50 | 172 / 5 | $33.542,10 | 259 / 4 | $32.511,40 | 258 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 231 | 285 / 15 | $35.638,00 | 1081 / 34 | $11.103,70 | 914 / 31 | $10.078,90 | 911 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 70 | 137 / 9 | $20.640,80 | 840 / 27 | $6.645,99 | 1009 / 32 | $5.672,67 | 1006 / 39 |
| Signs & Symptoms W/O Mcc | 17 | 74 / 14 | $14.001,10 | 275 / 7 | $4.588,76 | 600 / 15 | $3.870,41 | 599 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 15 | $20.367,60 | 1162 / 39 | $6.251,77 | 1117 / 39 | $5.171,35 | 1113 / 41 |
| Simple Pneumonia & Pleurisy W Mcc | 98 | 107 / 9 | $29.206,30 | 987 / 33 | $8.917,23 | 967 / 41 | $7.843,34 | 967 / 42 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 9 | $15.819,60 | 815 / 23 | $4.652,00 | 966 / 20 | $3.646,43 | 961 / 31 |
| Spinal Fusion Except Cervical W/O Mcc | 47 | 147 / 24 | $31.606,10 | 15 / 1 | $21.526,40 | 200 / 2 | $19.886,40 | 199 / 8 |
| Syncope & Collapse | 75 | 94 / 4 | $18.607,40 | 737 / 17 | $4.794,32 | 516 / 14 | $3.565,55 | 514 / 12 |
| Transient Ischemia | 43 | 82 / 8 | $18.762,80 | 568 / 15 | $5.014,37 | 591 / 32 | $3.467,00 | 588 / 21 |
| Transurethral Procedures W Cc | 14 | 27 / 3 | $25.904,20 | 74 / 1 | $7.332,43 | 48 / 1 | $6.143,36 | 48 / 1 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 12 | 34 / 3 | $17.323,50 | 112 / 1 | $4.589,17 | 130 / 1 | $3.363,17 | 130 / 3 | Total 105 procedures | 4.091 | 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.