Hospital Costs > In Texas > Lake Pointe Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 71 | 204 / 49 | $33.683,30 | 2311 / 160 | $5.320,45 | 1454 / 113 | $4.091,03 | 1443 / 120 |
Simple Pneumonia & Pleurisy W Cc | 55 | 148 / 54 | $39.837,50 | 2317 / 160 | $6.563,51 | 1678 / 108 | $5.697,18 | 1671 / 145 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 46 | 74 / 11 | $29.077,70 | 1683 / 97 | $5.071,83 | 1389 / 85 | $4.228,00 | 1378 / 110 |
Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 65 | $28.320,70 | 2147 / 158 | $5.405,74 | 1370 / 129 | $4.221,74 | 1361 / 120 |
Cellulitis W/O Mcc | 43 | 146 / 47 | $36.243,60 | 2326 / 167 | $5.755,77 | 1661 / 104 | $4.917,07 | 1654 / 147 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 36 | 57 / 18 | $28.331,90 | 1571 / 111 | $4.968,56 | 1242 / 80 | $3.957,89 | 1236 / 104 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 52 | $26.754,10 | 1980 / 135 | $5.054,17 | 1340 / 121 | $3.922,09 | 1335 / 113 |
Renal Failure W Cc | 33 | 188 / 73 | $39.379,00 | 2025 / 138 | $6.614,09 | 1331 / 106 | $5.540,55 | 1323 / 115 |
Heart Failure & Shock W Cc | 32 | 246 / 80 | $41.313,00 | 2363 / 166 | $6.703,94 | 1720 / 125 | $6.024,94 | 1715 / 150 |
Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 27 | $22.411,00 | 1417 / 78 | $4.746,14 | 1255 / 86 | $4.038,83 | 1245 / 108 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 46 | $32.259,40 | 1058 / 65 | $7.507,86 | 643 / 69 | $6.285,50 | 640 / 58 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 40 | $27.109,80 | 1686 / 107 | $4.334,24 | 1304 / 91 | $3.173,36 | 1299 / 99 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 136 | $81.444,50 | 2232 / 158 | $13.362,70 | 1592 / 82 | $12.299,00 | 1555 / 176 |
Renal Failure W Mcc | 25 | 170 / 71 | $40.395,50 | 1304 / 76 | $9.611,80 | 985 / 59 | $8.900,76 | 985 / 90 |
Pulmonary Edema & Respiratory Failure | 24 | 179 / 59 | $48.689,30 | 1731 / 93 | $8.739,08 | 1030 / 102 | $6.995,71 | 1029 / 78 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 23 | 493 / 135 | $66.592,10 | 2235 / 148 | $11.959,50 | 1537 / 112 | $11.082,00 | 1506 / 144 |
G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 10 | $35.795,70 | 881 / 69 | $4.965,70 | 626 / 39 | $4.122,57 | 622 / 54 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 34 | $35.509,20 | 1256 / 68 | $5.328,45 | 1078 / 49 | $4.503,73 | 1074 / 81 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 44 | $72.444,30 | 1182 / 72 | $14.945,30 | 656 / 76 | $12.844,10 | 648 / 64 |
Heart Failure & Shock W Mcc | 22 | 262 / 98 | $48.014,00 | 1935 / 119 | $9.385,91 | 1203 / 89 | $8.587,36 | 1200 / 100 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 73 | $51.408,50 | 1948 / 127 | $8.973,43 | 1228 / 71 | $8.187,52 | 1228 / 101 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 54 | $113.899,00 | 1281 / 102 | $12.777,00 | 839 / 34 | $11.812,20 | 833 / 101 |
Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 73 | $42.164,90 | 1992 / 128 | $7.618,30 | 1452 / 87 | $6.771,90 | 1446 / 123 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 55 | $37.455,10 | 2004 / 120 | $6.363,10 | 1101 / 97 | $5.059,60 | 1097 / 82 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 18 | $25.676,60 | 1020 / 65 | $4.452,47 | 768 / 43 | $3.371,21 | 765 / 60 |
Renal Failure W/O Cc/Mcc | 19 | 37 / 14 | $23.394,60 | 651 / 40 | $4.511,11 | 486 / 31 | $3.556,16 | 485 / 37 |
Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 31 | $122.944,00 | 750 / 50 | $21.240,80 | 312 / 32 | $18.654,80 | 312 / 34 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 58 | $41.297,70 | 1533 / 105 | $7.321,17 | 881 / 77 | $6.191,39 | 879 / 72 |
Syncope & Collapse | 17 | 152 / 48 | $27.622,20 | 1340 / 63 | $5.519,65 | 648 / 87 | $3.695,12 | 645 / 46 |
Chest Pain | 17 | 134 / 49 | $23.193,40 | 1124 / 50 | $4.417,18 | 1004 / 59 | $3.562,59 | 998 / 81 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 66 | $36.959,80 | 1423 / 71 | $6.932,65 | 1068 / 60 | $5.933,12 | 1065 / 81 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 50 | $30.084,20 | 1505 / 100 | $5.577,00 | 986 / 80 | $4.507,82 | 980 / 82 |
Medical Back Problems W/O Mcc | 16 | 105 / 34 | $27.309,70 | 925 / 45 | $5.742,44 | 758 / 43 | $4.682,44 | 755 / 56 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 11 | $51.298,90 | 425 / 42 | $8.045,38 | 352 / 25 | $6.985,38 | 351 / 38 |
G.I. Hemorrhage W Cc | 16 | 202 / 73 | $59.005,80 | 2297 / 162 | $7.117,69 | 1628 / 109 | $6.207,69 | 1624 / 132 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 17 | $60.535,80 | 709 / 52 | $10.397,30 | 535 / 44 | $9.417,31 | 533 / 57 |
Signs & Symptoms W/O Mcc | 15 | 76 / 27 | $30.601,50 | 1045 / 52 | $4.760,67 | 565 / 37 | $3.792,13 | 564 / 32 |
Transient Ischemia | 14 | 111 / 49 | $31.169,50 | 1218 / 59 | $4.973,21 | 986 / 53 | $4.026,93 | 981 / 73 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 14 | 15 / 5 | $32.721,90 | 92 / 5 | $6.145,07 | 44 / 5 | $5.198,79 | 44 / 5 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 23 | $35.679,60 | 976 / 46 | $6.678,79 | 832 / 31 | $5.903,93 | 829 / 55 |
Other Vascular Procedures W Mcc | 13 | 84 / 37 | $129.035,00 | 783 / 61 | $21.660,20 | 510 / 57 | $20.820,80 | 507 / 68 |
Seizures W/O Mcc | 12 | 96 / 35 | $28.843,30 | 915 / 43 | $5.250,33 | 638 / 32 | $4.363,67 | 635 / 52 |
Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 36 | $48.356,50 | 752 / 59 | $7.006,58 | 570 / 36 | $5.995,92 | 569 / 56 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 50 | $58.712,70 | 1303 / 69 | $9.940,33 | 474 / 28 | $8.935,00 | 474 / 31 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 9 | $32.901,60 | 395 / 28 | $4.781,50 | 284 / 15 | $3.770,58 | 283 / 23 |
Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 13 | $20.339,50 | 215 / 12 | $4.652,45 | 193 / 16 | $3.552,82 | 193 / 23 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 34 | $51.064,50 | 1165 / 76 | $8.544,73 | 760 / 50 | $7.881,45 | 755 / 70 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 52 | $34.475,40 | 1144 / 51 | $8.089,64 | 708 / 67 | $6.676,82 | 705 / 61 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 62 | $62.710,80 | 1177 / 63 | $10.902,50 | 747 / 46 | $10.029,70 | 746 / 57 | Total 49 procedures | 1.114 | 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.