Hospital Costs > In Texas > Hunt Regional 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 | 167 | 349 / 53 | $31.964,90 | 886 / 34 | $11.472,60 | 1008 / 79 | $10.200,50 | 999 / 86 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 109 | 455 / 78 | $40.537,50 | 781 / 27 | $13.701,90 | 1246 / 98 | $11.474,80 | 1215 / 138 |
Simple Pneumonia & Pleurisy W Cc | 79 | 124 / 31 | $19.190,40 | 1051 / 37 | $6.213,62 | 1237 / 75 | $5.253,34 | 1233 / 96 |
Heart Failure & Shock W Mcc | 69 | 215 / 58 | $30.518,10 | 1113 / 41 | $9.180,00 | 992 / 75 | $8.288,10 | 991 / 76 |
Heart Failure & Shock W Cc | 67 | 211 / 51 | $19.865,70 | 1171 / 36 | $6.539,40 | 1263 / 110 | $5.512,09 | 1259 / 108 |
Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 30 | $20.722,20 | 782 / 26 | $7.534,58 | 1170 / 82 | $6.420,80 | 1164 / 98 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 65 | 142 / 34 | $20.356,20 | 816 / 29 | $7.059,09 | 1018 / 99 | $5.679,95 | 1015 / 86 |
Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 67 | $13.835,30 | 773 / 30 | $5.012,34 | 1130 / 79 | $4.041,84 | 1122 / 94 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 68 | $18.081,50 | 1142 / 36 | $5.122,14 | 1370 / 97 | $4.023,89 | 1359 / 111 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 42 | 51 / 13 | $15.749,30 | 809 / 26 | $4.872,43 | 1080 / 74 | $3.759,43 | 1074 / 89 |
Pulmonary Edema & Respiratory Failure | 39 | 164 / 45 | $28.507,60 | 940 / 20 | $8.007,87 | 989 / 68 | $6.930,79 | 988 / 72 |
Renal Failure W Cc | 38 | 183 / 68 | $16.414,10 | 604 / 9 | $6.075,58 | 982 / 64 | $5.165,11 | 974 / 78 |
Cellulitis W/O Mcc | 38 | 151 / 52 | $14.359,70 | 775 / 20 | $5.957,45 | 714 / 114 | $4.056,68 | 710 / 59 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 37 | 83 / 19 | $15.806,00 | 881 / 19 | $4.946,19 | 975 / 76 | $3.712,78 | 966 / 69 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 50 | $13.501,40 | 757 / 24 | $4.708,16 | 1224 / 72 | $3.825,76 | 1220 / 97 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 36 | 87 / 28 | $25.834,60 | 712 / 14 | $7.813,00 | 872 / 58 | $6.930,61 | 869 / 74 |
Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 41 | $18.517,80 | 845 / 16 | $5.981,44 | 1041 / 65 | $4.995,35 | 1038 / 77 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 42 | $37.644,40 | 522 / 6 | $12.735,20 | 605 / 93 | $10.251,20 | 602 / 51 |
G.I. Hemorrhage W Cc | 30 | 188 / 60 | $21.378,40 | 885 / 17 | $6.592,63 | 1240 / 80 | $5.628,97 | 1238 / 90 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 44 | $21.508,70 | 1165 / 47 | $5.292,00 | 953 / 72 | $4.249,14 | 950 / 79 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 36 | $12.651,30 | 673 / 12 | $3.947,59 | 993 / 61 | $2.816,21 | 988 / 75 |
Red Blood Cell Disorders W/O Mcc | 29 | 114 / 38 | $19.935,70 | 891 / 34 | $5.430,79 | 1029 / 68 | $4.547,38 | 1022 / 87 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 58 | $20.477,70 | 507 / 7 | $6.393,72 | 497 / 37 | $5.219,20 | 496 / 38 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 31 | $18.858,30 | 504 / 4 | $4.986,12 | 714 / 30 | $3.874,12 | 710 / 51 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 42 | $46.329,10 | 520 / 10 | $14.322,70 | 835 / 53 | $13.456,50 | 827 / 81 |
Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 32 | $13.798,50 | 700 / 17 | $4.643,17 | 841 / 75 | $3.589,58 | 837 / 65 |
Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 70 | $28.192,60 | 918 / 27 | $8.999,71 | 1125 / 72 | $8.024,29 | 1125 / 87 |
Diabetes W Cc | 23 | 69 / 28 | $18.858,30 | 611 / 10 | $5.526,61 | 770 / 43 | $4.656,83 | 767 / 61 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 26 | $27.029,80 | 571 / 19 | $8.612,32 | 817 / 55 | $8.042,53 | 812 / 78 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 18 | 11 / 2 | $17.664,00 | 35 / 1 | $6.281,94 | 67 / 7 | $5.581,33 | 67 / 10 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 48 | $34.016,90 | 554 / 16 | $12.081,80 | 922 / 58 | $11.475,20 | 912 / 77 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 48 | $27.414,40 | 347 / 4 | $10.531,10 | 864 / 47 | $9.896,86 | 863 / 71 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 33 | $92.746,10 | 141 / 4 | $36.574,40 | 162 / 39 | $31.164,10 | 162 / 19 |
Diabetes W/O Cc/Mcc | 13 | 25 / 6 | $11.903,30 | 74 / 1 | $4.152,31 | 68 / 7 | $2.841,46 | 68 / 6 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 26 | $21.384,40 | 139 / 2 | $8.458,92 | 84 / 15 | $6.762,83 | 84 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 20 | $41.789,80 | 162 / 3 | $12.584,20 | 354 / 12 | $11.853,20 | 352 / 28 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 21 | $32.374,90 | 248 / 7 | $10.002,20 | 400 / 33 | $8.806,33 | 398 / 41 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 20 | $17.527,90 | 452 / 14 | $4.798,25 | 525 / 33 | $3.831,33 | 521 / 47 |
Chest Pain | 12 | 139 / 54 | $15.011,90 | 494 / 10 | $4.320,75 | 534 / 50 | $2.959,00 | 530 / 36 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 10 | $14.799,20 | 127 / 5 | $4.526,91 | 301 / 11 | $3.899,73 | 300 / 24 |
G.I. Obstruction W Cc | 11 | 81 / 39 | $26.938,30 | 1083 / 42 | $6.009,91 | 933 / 51 | $4.992,27 | 930 / 69 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 18 | $9.471,09 | 44 / 1 | $5.040,18 | 400 / 20 | $3.993,64 | 397 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 62 | $31.869,40 | 402 / 2 | $10.057,50 | 347 / 24 | $8.946,45 | 346 / 26 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 28 | $31.327,70 | 490 / 28 | $8.103,45 | 521 / 35 | $7.567,91 | 519 / 49 | Total 44 procedures | 1.511 | 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.