Hospital Costs > In Texas > Houston Methodist St John Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 89 | 475 / 89 | $74.882,30 | 2109 / 144 | $13.968,80 | 409 / 109 | $10.182,80 | 407 / 53 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 72 | 444 / 100 | $49.534,00 | 1767 / 101 | $10.283,70 | 160 / 15 | $8.829,40 | 160 / 7 |
Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 59 | $31.707,40 | 2045 / 119 | $5.443,14 | 485 / 7 | $4.633,35 | 482 / 34 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 66 | $25.587,30 | 1924 / 115 | $4.491,94 | 189 / 20 | $3.096,09 | 189 / 17 |
Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 67 | $24.598,20 | 1958 / 130 | $4.335,80 | 162 / 15 | $3.249,32 | 162 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 57 | $32.622,50 | 1627 / 80 | $6.918,22 | 315 / 38 | $5.582,42 | 314 / 21 |
Heart Failure & Shock W Mcc | 33 | 251 / 89 | $52.540,20 | 2057 / 135 | $9.261,61 | 1121 / 80 | $8.451,91 | 1118 / 90 |
Heart Failure & Shock W Cc | 32 | 246 / 80 | $30.000,60 | 1957 / 113 | $5.802,59 | 176 / 30 | $4.493,50 | 176 / 15 |
Cellulitis W/O Mcc | 28 | 161 / 61 | $18.950,80 | 1361 / 65 | $5.141,32 | 77 / 45 | $3.355,46 | 77 / 5 |
Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 48 | $26.914,30 | 1031 / 43 | $6.212,18 | 264 / 14 | $5.369,89 | 264 / 20 |
Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 67 | $44.202,10 | 1728 / 95 | $8.838,48 | 187 / 62 | $6.791,89 | 187 / 11 |
Renal Failure W Cc | 26 | 195 / 80 | $31.195,60 | 1758 / 107 | $5.665,27 | 127 / 29 | $4.242,73 | 127 / 7 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 40 | $55.936,20 | 1192 / 62 | $11.127,00 | 453 / 24 | $10.396,30 | 450 / 35 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 52 | $32.684,80 | 1835 / 97 | $5.185,43 | 181 / 8 | $4.137,78 | 181 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 70 | $30.920,40 | 1676 / 96 | $7.235,05 | 40 / 107 | $4.420,62 | 40 / 4 |
Syncope & Collapse | 20 | 149 / 45 | $34.113,80 | 1561 / 87 | $5.101,35 | 294 / 61 | $3.326,15 | 292 / 18 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 47 | $24.071,40 | 1589 / 93 | $3.463,78 | 22 / 21 | $1.773,39 | 22 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 68 | $25.233,10 | 1900 / 124 | $4.250,61 | 115 / 29 | $2.864,17 | 115 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 55 | $30.783,10 | 998 / 58 | $6.244,11 | 130 / 12 | $5.371,22 | 129 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 45 | $35.709,70 | 1183 / 54 | $6.633,39 | 43 / 5 | $5.382,06 | 43 / 3 |
Renal Failure W Mcc | 17 | 178 / 79 | $51.244,50 | 1608 / 108 | $9.384,12 | 824 / 53 | $8.583,18 | 824 / 70 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 50 | $26.814,60 | 1354 / 82 | $4.608,47 | 185 / 12 | $3.601,59 | 185 / 18 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 37 | $21.683,00 | 1290 / 72 | $4.175,24 | 80 / 20 | $2.663,24 | 80 / 4 |
G.I. Hemorrhage W Cc | 17 | 201 / 72 | $27.675,60 | 1417 / 55 | $6.230,53 | 60 / 50 | $4.233,18 | 60 / 5 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 40 | $24.740,10 | 1527 / 78 | $4.026,75 | 357 / 6 | $3.194,75 | 357 / 24 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 41 | $50.014,20 | 740 / 45 | $10.970,70 | 431 / 16 | $10.488,60 | 430 / 36 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 59 | $38.023,60 | 878 / 41 | $6.143,20 | 222 / 8 | $5.012,53 | 222 / 22 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 57 | $82.113,50 | 1736 / 110 | $11.068,70 | 398 / 21 | $9.915,60 | 397 / 31 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 30 | $44.375,20 | 1048 / 66 | $7.660,33 | 248 / 13 | $6.853,93 | 246 / 17 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 48 | $61.571,90 | 1348 / 76 | $9.419,86 | 388 / 8 | $8.734,14 | 388 / 23 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 36 | $89.981,90 | 1109 / 57 | $18.811,60 | 84 / 78 | $11.808,90 | 84 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 60 | $25.931,70 | 1446 / 76 | $4.756,77 | 97 / 26 | $3.277,31 | 97 / 10 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 52 | $98.151,70 | 468 / 9 | $23.944,20 | 6 / 1 | $20.512,20 | 6 / 1 |
Signs & Symptoms W/O Mcc | 12 | 79 / 30 | $21.995,20 | 768 / 26 | $4.196,83 | 130 / 11 | $3.069,50 | 130 / 7 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 55 | $74.026,50 | 1214 / 74 | $13.332,40 | 368 / 34 | $12.061,10 | 364 / 35 |
G.I. Obstruction W Cc | 11 | 81 / 39 | $31.396,10 | 1244 / 61 | $5.004,18 | 256 / 6 | $4.134,36 | 255 / 20 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 25 | $54.305,80 | 516 / 31 | $9.336,45 | 185 / 9 | $8.242,64 | 185 / 16 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 33 | $31.659,90 | 924 / 46 | $5.456,18 | 121 / 6 | $4.467,09 | 120 / 5 | Total 38 procedures | 924 | 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.