Hospital Costs > In Texas > Huguley Memorial 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 | 153 | 363 / 60 | $51.921,60 | 1852 / 110 | $11.471,40 | 702 / 78 | $9.793,90 | 701 / 58 |
Psychoses | 125 | 170 / 10 | $14.172,80 | 166 / 2 | $6.339,42 | 181 / 5 | $5.418,94 | 181 / 6 |
Heart Failure & Shock W Mcc | 120 | 164 / 29 | $41.977,90 | 1742 / 99 | $8.798,71 | 777 / 48 | $8.024,26 | 777 / 59 |
Simple Pneumonia & Pleurisy W Mcc | 75 | 130 / 26 | $41.111,60 | 1600 / 83 | $8.896,95 | 844 / 65 | $7.709,01 | 844 / 68 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 73 | 491 / 97 | $79.058,70 | 2192 / 152 | $14.835,70 | 982 / 149 | $11.024,70 | 962 / 116 |
Pulmonary Edema & Respiratory Failure | 67 | 136 / 22 | $39.760,30 | 1493 / 68 | $7.572,79 | 773 / 42 | $6.680,04 | 773 / 48 |
Heart Failure & Shock W Cc | 67 | 211 / 51 | $30.943,50 | 2005 / 121 | $6.200,79 | 943 / 73 | $5.254,21 | 942 / 71 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 57 | 218 / 57 | $29.453,70 | 2136 / 139 | $4.911,61 | 1250 / 68 | $3.930,07 | 1239 / 99 |
Renal Failure W Mcc | 45 | 150 / 55 | $35.523,00 | 1073 / 52 | $9.051,80 | 578 / 40 | $8.168,20 | 578 / 54 |
Cellulitis W/O Mcc | 45 | 144 / 45 | $24.242,60 | 1830 / 108 | $5.399,42 | 1187 / 69 | $4.418,67 | 1181 / 99 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 48 | $36.698,40 | 1821 / 109 | $6.999,84 | 1018 / 43 | $6.261,22 | 1013 / 81 |
Renal Failure W Cc | 45 | 176 / 62 | $28.793,30 | 1650 / 93 | $6.047,98 | 1013 / 60 | $5.195,44 | 1005 / 82 |
Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 67 | $33.224,20 | 2110 / 129 | $6.081,75 | 883 / 59 | $4.978,73 | 880 / 68 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 38 | 150 / 36 | $48.632,80 | 1169 / 81 | $6.797,84 | 719 / 39 | $5.771,79 | 717 / 65 |
G.I. Hemorrhage W Cc | 37 | 181 / 53 | $31.293,60 | 1631 / 86 | $6.217,14 | 877 / 49 | $5.249,92 | 875 / 67 |
Respiratory Infections & Inflammations W Mcc | 36 | 100 / 29 | $54.066,00 | 1157 / 56 | $11.508,50 | 288 / 37 | $9.985,97 | 288 / 21 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 57 | $32.923,40 | 1767 / 105 | $6.840,91 | 793 / 81 | $5.467,14 | 791 / 63 |
Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 41 | $28.384,90 | 1647 / 78 | $6.113,26 | 680 / 80 | $4.708,88 | 678 / 52 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 32 | $133.079,00 | 866 / 46 | $31.895,90 | 436 / 43 | $28.944,50 | 433 / 39 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 42 | $83.642,30 | 933 / 62 | $12.227,30 | 658 / 19 | $11.123,70 | 654 / 75 |
Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 46 | $29.833,80 | 1163 / 58 | $6.641,00 | 515 / 38 | $5.722,55 | 514 / 40 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 42 | $30.351,40 | 1643 / 101 | $5.126,77 | 969 / 53 | $4.257,06 | 966 / 81 |
Cellulitis W Mcc | 27 | 31 / 9 | $44.915,70 | 681 / 41 | $9.022,41 | 189 / 20 | $7.382,22 | 188 / 15 |
Syncope & Collapse | 26 | 143 / 40 | $30.416,10 | 1446 / 73 | $4.767,38 | 649 / 42 | $3.697,38 | 646 / 47 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 49 | $29.664,20 | 949 / 50 | $6.791,56 | 552 / 35 | $6.106,20 | 549 / 50 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 62 | $20.347,50 | 1588 / 78 | $4.534,58 | 1053 / 54 | $3.684,96 | 1050 / 83 |
G.I. Hemorrhage W Mcc | 24 | 97 / 33 | $47.045,60 | 920 / 43 | $10.307,20 | 477 / 25 | $9.597,96 | 478 / 39 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 40 | $46.685,70 | 1053 / 42 | $9.957,45 | 671 / 29 | $9.354,00 | 670 / 50 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 44 | $22.683,00 | 1537 / 88 | $3.982,05 | 667 / 67 | $2.569,38 | 663 / 47 |
Diabetes W Cc | 20 | 72 / 31 | $26.490,10 | 1059 / 57 | $5.492,55 | 732 / 40 | $4.579,00 | 730 / 54 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 89 | $26.249,80 | 2043 / 144 | $4.864,00 | 970 / 62 | $3.943,45 | 963 / 82 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 17 | $64.301,80 | 611 / 43 | $10.881,70 | 259 / 38 | $8.540,00 | 259 / 21 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 48 | $27.854,80 | 1407 / 88 | $5.200,26 | 415 / 49 | $3.884,74 | 414 / 39 |
Chest Pain | 19 | 132 / 47 | $25.871,00 | 1247 / 67 | $4.061,26 | 721 / 32 | $3.162,68 | 716 / 54 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 18 | $72.799,50 | 608 / 35 | $15.670,90 | 105 / 46 | $10.495,30 | 102 / 7 |
Other Vascular Procedures W Cc | 18 | 84 / 36 | $113.628,00 | 938 / 74 | $15.209,00 | 439 / 25 | $14.587,20 | 436 / 55 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 18 | 12 / 4 | $64.191,80 | 136 / 14 | $12.481,50 | 36 / 8 | $9.940,44 | 36 / 4 |
Other Vascular Procedures W Mcc | 18 | 79 / 33 | $115.249,00 | 693 / 55 | $20.368,10 | 412 / 41 | $19.742,40 | 410 / 54 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 17 | 46 / 18 | $107.259,00 | 274 / 10 | $22.915,10 | 20 / 1 | $22.213,90 | 20 / 2 |
Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 31 | $26.350,60 | 315 / 14 | $6.584,18 | 472 / 27 | $5.654,24 | 471 / 46 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 46 | $34.225,20 | 1136 / 50 | $7.515,12 | 746 / 48 | $6.722,35 | 743 / 64 |
Other Circulatory System Diagnoses W Mcc | 17 | 99 / 40 | $44.782,10 | 622 / 30 | $11.167,40 | 418 / 22 | $10.442,00 | 417 / 32 |
Other Resp System O.R. Procedures W Mcc | 16 | 47 / 13 | $95.682,80 | 321 / 18 | $19.391,40 | 79 / 2 | $18.683,40 | 79 / 8 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 26 | $32.918,20 | 880 / 50 | $6.383,12 | 322 / 31 | $4.919,12 | 320 / 22 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 57 | $46.693,50 | 876 / 31 | $9.578,25 | 81 / 9 | $8.017,69 | 81 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 30 | $114.985,00 | 628 / 43 | $18.695,10 | 295 / 12 | $17.848,10 | 293 / 29 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 40 | $20.320,10 | 1307 / 63 | $4.739,94 | 440 / 84 | $3.248,56 | 438 / 28 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 20 | $93.147,50 | 598 / 22 | $18.973,90 | 347 / 16 | $17.984,10 | 345 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 68 | $31.771,10 | 1234 / 50 | $7.171,93 | 297 / 67 | $4.976,73 | 296 / 24 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 52 | $69.773,90 | 1142 / 66 | $14.456,90 | 327 / 55 | $11.951,40 | 323 / 29 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 30 | $105.627,00 | 437 / 15 | $29.778,10 | 60 / 26 | $24.260,40 | 60 / 7 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 10 | $13.069,70 | 250 / 2 | $4.545,00 | 166 / 5 | $3.429,93 | 166 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 58 | $78.965,40 | 1691 / 107 | $11.781,90 | 905 / 56 | $10.810,60 | 892 / 79 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 30 | $49.572,90 | 1260 / 74 | $6.210,36 | 667 / 26 | $5.501,86 | 663 / 45 |
Transient Ischemia | 13 | 112 / 50 | $26.619,80 | 1036 / 41 | $5.243,15 | 450 / 69 | $3.314,46 | 449 / 31 |
Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 26 | $86.623,00 | 673 / 37 | $16.555,60 | 26 / 32 | $12.545,40 | 26 / 2 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 26 | $50.723,20 | 715 / 35 | $8.656,25 | 288 / 18 | $7.632,33 | 287 / 20 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 33 | $41.523,50 | 995 / 60 | $8.139,08 | 468 / 30 | $7.269,75 | 465 / 40 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 13 | $82.624,00 | 298 / 21 | $16.717,00 | 17 / 20 | $11.681,40 | 17 / 2 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 30 | $25.438,10 | 600 / 24 | $6.472,75 | 78 / 50 | $3.742,83 | 78 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 43 | $31.177,00 | 683 / 22 | $7.409,67 | 487 / 20 | $6.594,17 | 484 / 35 |
Seizures W/O Mcc | 11 | 97 / 36 | $22.505,50 | 667 / 20 | $4.871,09 | 249 / 18 | $3.659,73 | 248 / 19 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 43 | $24.818,20 | 1444 / 93 | $4.632,00 | 1161 / 57 | $3.848,09 | 1155 / 94 |
Medical Back Problems W/O Mcc | 11 | 110 / 39 | $28.229,20 | 952 / 48 | $5.301,55 | 607 / 26 | $4.416,91 | 605 / 44 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 45 | $28.733,10 | 1667 / 94 | $4.910,36 | 345 / 74 | $3.179,45 | 345 / 22 | Total 65 procedures | 1.982 | 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.