Hospital Costs > In Texas > Huntsville Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 59 | $19.868,80 | 1047 / 34 | $5.507,36 | 1123 / 89 | $4.420,07 | 1119 / 97 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 50 | $17.870,90 | 1259 / 54 | $3.962,40 | 860 / 65 | $2.717,60 | 856 / 60 |
Cellulitis W/O Mcc | 25 | 164 / 64 | $16.614,40 | 1067 / 37 | $6.001,52 | 1463 / 119 | $4.684,36 | 1456 / 125 |
Chest Pain | 16 | 135 / 50 | $17.053,70 | 693 / 16 | $4.360,50 | 609 / 53 | $3.035,38 | 605 / 41 |
Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 44 | $23.457,70 | 1342 / 43 | $6.714,26 | 946 / 111 | $4.911,87 | 943 / 68 |
Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 69 | $31.623,00 | 1567 / 69 | $8.201,96 | 1200 / 124 | $6.463,79 | 1194 / 100 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 17 | $17.198,50 | 1032 / 30 | $5.048,15 | 1286 / 82 | $4.049,54 | 1275 / 100 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 60 | $28.657,80 | 450 / 7 | $7.361,14 | 860 / 58 | $6.032,07 | 857 / 81 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 53 | $18.623,10 | 1229 / 43 | $5.295,60 | 1418 / 112 | $4.061,43 | 1407 / 117 |
G.I. Hemorrhage W Cc | 19 | 199 / 70 | $23.095,40 | 1039 / 27 | $6.986,89 | 1472 / 98 | $5.930,58 | 1468 / 115 |
Heart Failure & Shock W Cc | 40 | 238 / 72 | $25.594,50 | 1713 / 82 | $7.035,17 | 1761 / 146 | $6.075,17 | 1756 / 157 |
Heart Failure & Shock W Mcc | 12 | 272 / 108 | $37.952,10 | 1552 / 71 | $10.423,20 | 1761 / 140 | $9.624,42 | 1756 / 158 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 33 | $18.798,00 | 1209 / 49 | $4.810,87 | 1095 / 91 | $3.840,09 | 1086 / 90 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 71 | $23.932,80 | 718 / 11 | $7.498,42 | 1367 / 83 | $6.504,25 | 1364 / 109 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 41 | $27.100,20 | 991 / 42 | $5.415,00 | 785 / 52 | $3.975,50 | 781 / 54 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 64 | $27.679,90 | 1079 / 47 | $7.979,83 | 1245 / 106 | $6.880,00 | 1241 / 109 |
Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 59 | $18.372,30 | 1393 / 64 | $5.522,93 | 1509 / 138 | $4.360,24 | 1498 / 132 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 64 | 500 / 104 | $46.247,50 | 1101 / 50 | $14.951,20 | 1898 / 158 | $13.229,80 | 1856 / 199 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 36 | $59.120,10 | 612 / 19 | $18.106,60 | 873 / 71 | $15.085,10 | 865 / 75 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 47 | $28.824,40 | 908 / 45 | $7.932,07 | 922 / 85 | $6.827,44 | 919 / 84 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 50 | $17.677,80 | 1287 / 49 | $5.072,95 | 1308 / 122 | $3.890,89 | 1304 / 107 |
Other Circulatory System O.R. Procedures | 12 | 43 / 16 | $34.843,00 | 32 / 1 | $17.884,80 | 179 / 18 | $16.614,90 | 179 / 22 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 48 | $18.728,40 | 783 / 26 | $5.660,05 | 1196 / 88 | $4.784,05 | 1188 / 105 |
Renal Failure W Cc | 28 | 193 / 78 | $24.158,50 | 1360 / 55 | $6.829,93 | 1546 / 119 | $5.831,07 | 1537 / 136 |
Renal Failure W Mcc | 19 | 176 / 77 | $35.802,70 | 1085 / 53 | $10.735,50 | 1332 / 109 | $9.745,47 | 1332 / 129 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 30 | $33.726,50 | 810 / 37 | $9.783,93 | 1008 / 89 | $8.716,60 | 1003 / 101 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 20 | 496 / 137 | $42.788,20 | 1466 / 73 | $12.747,00 | 1757 / 150 | $11.632,80 | 1723 / 162 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 76 | $23.381,40 | 1105 / 42 | $7.698,87 | 1092 / 137 | $5.753,33 | 1089 / 96 |
Signs & Symptoms W/O Mcc | 13 | 78 / 29 | $18.791,90 | 586 / 13 | $5.278,62 | 599 / 52 | $3.863,62 | 598 / 39 |
Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 52 | $24.508,70 | 1585 / 71 | $6.943,33 | 1695 / 141 | $5.716,16 | 1688 / 148 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 39 | $15.174,60 | 753 / 23 | $4.999,60 | 1239 / 81 | $3.956,40 | 1233 / 103 | Total 31 procedures | 786 | 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.