Hospital Costs > In Texas > Houston Orthopedic And Spine 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 | 350 | 225 / 17 | $54.155,50 | 1471 / 80 | $12.513,40 | 234 / 39 | $9.804,07 | 234 / 32 |
| Spinal Fusion Except Cervical W/O Mcc | 122 | 73 / 5 | $98.812,70 | 720 / 43 | $25.546,00 | 518 / 50 | $21.925,70 | 515 / 59 |
| Cervical Spinal Fusion W/O Cc/Mcc | 43 | 61 / 10 | $58.668,10 | 444 / 29 | $13.080,10 | 228 / 16 | $11.245,20 | 228 / 33 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 35 | 54 / 11 | $37.869,10 | 428 / 25 | $6.486,89 | 246 / 8 | $5.413,51 | 246 / 31 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 34 | 35 / 5 | $75.556,20 | 301 / 9 | $16.333,00 | 174 / 6 | $14.502,90 | 174 / 16 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 23 | 73 / 14 | $53.021,90 | 384 / 11 | $14.977,30 | 13 / 34 | $9.159,43 | 13 / 2 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 21 | 26 / 3 | $152.377,00 | 59 / 9 | $37.712,60 | 43 / 4 | $34.063,50 | 43 / 9 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 16 | 30 / 6 | $168.798,00 | 42 / 5 | $48.112,30 | 44 / 4 | $46.908,30 | 44 / 9 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 20 | $58.548,50 | 341 / 26 | $10.908,40 | 103 / 9 | $9.392,93 | 103 / 13 |
| Medical Back Problems W/O Mcc | 14 | 107 / 36 | $18.326,90 | 411 / 3 | $4.938,36 | 55 / 7 | $3.417,71 | 55 / 4 |
| Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 23 | $104.162,00 | 470 / 22 | $20.718,60 | 337 / 13 | $19.913,30 | 336 / 29 |
| Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 11 | 12 / 2 | $41.612,50 | 28 / 2 | $7.881,27 | 1 / 2 | $4.522,45 | 1 / 1 |
| Cervical Spinal Fusion W Cc | 11 | 42 / 15 | $73.710,50 | 188 / 9 | $16.654,50 | 135 / 6 | $15.886,50 | 134 / 16 | Total 13 procedures | 707 | 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.