Hospital Costs > In Texas > Laredo 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 | 166 | 350 / 54 | $80.917,00 | 2443 / 173 | $13.038,60 | 1566 / 159 | $11.145,20 | 1534 / 147 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 157 | 407 / 54 | $166.382,00 | 2676 / 222 | $14.636,90 | 1658 / 141 | $12.448,70 | 1621 / 180 |
Kidney & Urinary Tract Infections W/O Mcc | 126 | 107 / 15 | $36.198,10 | 2414 / 191 | $6.110,43 | 2085 / 173 | $5.161,86 | 2074 / 188 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 118 | 157 / 21 | $33.691,40 | 2313 / 161 | $6.175,00 | 2060 / 167 | $4.910,42 | 2046 / 177 |
Simple Pneumonia & Pleurisy W Mcc | 113 | 92 / 14 | $68.032,90 | 2215 / 159 | $10.076,70 | 1742 / 131 | $9.233,70 | 1742 / 154 |
Heart Failure & Shock W Mcc | 108 | 176 / 36 | $83.810,60 | 2490 / 192 | $10.818,70 | 1694 / 159 | $9.463,47 | 1689 / 150 |
Cellulitis W/O Mcc | 69 | 120 / 25 | $30.370,00 | 2139 / 148 | $6.459,19 | 1930 / 150 | $5.419,84 | 1922 / 173 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 69 | 97 / 24 | $33.976,20 | 2237 / 166 | $5.769,09 | 2010 / 165 | $4.909,72 | 2002 / 178 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 68 | 139 / 32 | $41.610,40 | 2087 / 143 | $7.880,32 | 1886 / 146 | $7.010,68 | 1878 / 166 |
Simple Pneumonia & Pleurisy W Cc | 65 | 138 / 44 | $52.205,40 | 2591 / 200 | $7.474,66 | 2007 / 175 | $6.177,32 | 1999 / 179 |
Heart Failure & Shock W Cc | 60 | 218 / 56 | $45.278,70 | 2465 / 181 | $7.444,32 | 2003 / 167 | $6.540,32 | 1998 / 180 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 30 | $62.731,40 | 1908 / 127 | $8.329,78 | 1431 / 115 | $6.644,23 | 1428 / 117 |
Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 36 | $55.723,50 | 2290 / 166 | $8.406,07 | 1801 / 135 | $7.436,58 | 1793 / 158 |
Red Blood Cell Disorders W/O Mcc | 56 | 87 / 16 | $37.477,00 | 1721 / 131 | $6.349,21 | 1505 / 117 | $5.508,07 | 1496 / 135 |
Chest Pain | 53 | 98 / 19 | $32.527,40 | 1456 / 94 | $5.430,28 | 1231 / 101 | $4.068,57 | 1224 / 102 |
Respiratory Infections & Inflammations W Mcc | 52 | 84 / 17 | $86.050,60 | 1552 / 96 | $13.010,50 | 1070 / 87 | $11.943,80 | 1056 / 95 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 52 | 72 / 18 | $213.119,00 | 1306 / 89 | $30.538,50 | 475 / 31 | $29.273,20 | 471 / 46 |
Kidney & Urinary Tract Infections W Mcc | 51 | 93 / 27 | $53.012,60 | 1718 / 126 | $9.389,98 | 1327 / 137 | $7.068,78 | 1323 / 121 |
Renal Failure W Mcc | 49 | 146 / 51 | $71.235,10 | 1905 / 141 | $10.324,60 | 1240 / 94 | $9.528,16 | 1240 / 119 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 48 | 78 / 29 | $58.850,10 | 1587 / 125 | $8.164,65 | 1054 / 94 | $7.239,62 | 1051 / 97 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 46 | 25 / 5 | $219.378,00 | 799 / 59 | $31.154,90 | 364 / 29 | $30.103,00 | 364 / 42 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 44 | 124 / 33 | $111.519,00 | 1554 / 110 | $13.177,80 | 942 / 86 | $10.820,20 | 938 / 73 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 43 | 53 / 14 | $45.271,40 | 1072 / 64 | $8.578,28 | 910 / 58 | $7.806,56 | 905 / 75 |
G.I. Hemorrhage W Cc | 42 | 176 / 49 | $41.479,90 | 1992 / 122 | $7.492,83 | 1751 / 129 | $6.477,60 | 1747 / 142 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 42 | 50 / 10 | $242.449,00 | 870 / 66 | $34.590,00 | 295 / 30 | $33.163,00 | 294 / 39 |
Other Vascular Procedures W Mcc | 42 | 55 / 15 | $231.967,00 | 988 / 82 | $22.927,40 | 583 / 66 | $21.806,80 | 580 / 73 |
Renal Failure W Cc | 41 | 180 / 65 | $47.062,90 | 2205 / 163 | $7.197,85 | 1714 / 133 | $6.189,51 | 1704 / 151 |
G.I. Hemorrhage W Mcc | 40 | 81 / 19 | $88.688,70 | 1505 / 101 | $12.113,30 | 999 / 76 | $11.252,50 | 992 / 87 |
Diabetes W Cc | 38 | 54 / 14 | $39.347,10 | 1387 / 97 | $6.673,68 | 1165 / 83 | $5.632,84 | 1160 / 93 |
Atherosclerosis W/O Mcc | 36 | 22 / 1 | $32.239,50 | 469 / 24 | $5.389,36 | / | $4.221,22 | / |
Other Circulatory System Diagnoses W Mcc | 35 | 81 / 23 | $69.230,00 | 1040 / 71 | $12.176,00 | 566 / 50 | $11.003,00 | 564 / 57 |
Other Circulatory System O.R. Procedures | 33 | 22 / 7 | $121.291,00 | 377 / 30 | $17.936,40 | 89 / 19 | $14.835,10 | 89 / 9 |
Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 23 | $35.445,20 | 1822 / 141 | $5.604,30 | 1599 / 127 | $4.724,79 | 1586 / 136 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 32 | 32 / 7 | $409.333,00 | 446 / 39 | $60.423,80 | 209 / 20 | $59.326,80 | 209 / 26 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 43 | $48.757,80 | 2226 / 145 | $7.124,00 | 1813 / 130 | $6.144,00 | 1806 / 148 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 42 | $119.221,00 | 1994 / 143 | $12.974,80 | 1277 / 101 | $11.884,80 | 1260 / 116 |
Red Blood Cell Disorders W Mcc | 31 | 40 / 10 | $51.981,10 | 870 / 61 | $8.911,23 | 657 / 57 | $8.094,71 | 653 / 67 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 27 | $40.180,60 | 1958 / 133 | $6.757,97 | 1660 / 142 | $4.819,83 | 1649 / 135 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 37 | $71.626,00 | 1168 / 70 | $14.459,00 | 874 / 56 | $13.629,20 | 866 / 85 |
Pulmonary Edema & Respiratory Failure | 29 | 174 / 54 | $65.119,50 | 1993 / 136 | $8.737,66 | 1532 / 101 | $7.918,34 | 1527 / 130 |
Syncope & Collapse | 28 | 141 / 38 | $57.670,70 | 1893 / 134 | $5.916,14 | 1487 / 100 | $5.094,43 | 1480 / 116 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 37 | $72.525,90 | 1798 / 126 | $8.683,81 | 1263 / 89 | $7.781,04 | 1260 / 106 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 39 | $41.732,70 | 1937 / 139 | $4.919,08 | 1593 / 112 | $3.715,38 | 1587 / 121 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 29 | $34.132,60 | 1712 / 132 | $5.674,28 | 1529 / 124 | $4.504,00 | 1521 / 137 |
G.I. Hemorrhage W/O Cc/Mcc | 25 | 43 / 8 | $30.373,00 | 812 / 59 | $5.721,36 | 748 / 59 | $4.602,96 | 744 / 67 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 38 | $122.903,00 | 1772 / 128 | $11.977,10 | 1228 / 86 | $11.122,40 | 1219 / 105 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 32 | $55.799,50 | 1541 / 102 | $7.216,71 | 1152 / 96 | $4.698,08 | 1148 / 90 |
Other Vascular Procedures W Cc | 24 | 78 / 30 | $156.356,00 | 1076 / 90 | $19.564,50 | 444 / 81 | $14.603,70 | 441 / 57 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 22 | $167.352,00 | 886 / 67 | $19.835,50 | 420 / 26 | $18.979,50 | 417 / 48 |
Transient Ischemia | 23 | 102 / 40 | $67.255,20 | 1648 / 114 | $5.761,91 | 1294 / 85 | $4.817,22 | 1288 / 99 |
Spinal Fusion Except Cervical W/O Mcc | 22 | 172 / 51 | $255.878,00 | 1337 / 117 | $20.901,40 | 123 / 3 | $19.204,10 | 122 / 18 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 22 | 34 / 14 | $77.243,80 | 714 / 52 | $11.227,70 | 590 / 48 | $10.125,20 | 588 / 62 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 51 | $53.475,00 | 2092 / 159 | $6.986,68 | 1477 / 145 | $4.942,86 | 1472 / 129 |
Bronchitis & Asthma W Cc/Mcc | 22 | 54 / 20 | $40.342,20 | 891 / 63 | $6.680,05 | 739 / 56 | $5.666,36 | 735 / 69 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 52 | $118.420,00 | 1310 / 106 | $15.190,50 | 814 / 93 | $11.713,40 | 809 / 96 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 53 | $61.475,60 | 1406 / 108 | $7.893,48 | 1173 / 83 | $6.910,62 | 1170 / 112 |
G.I. Obstruction W Cc | 21 | 71 / 29 | $46.924,20 | 1562 / 94 | $6.848,00 | 1303 / 77 | $5.871,24 | 1298 / 97 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 21 | 21 / 11 | $63.532,00 | 216 / 19 | $11.567,90 | 126 / 13 | $10.861,60 | 126 / 17 |
Seizures W/O Mcc | 21 | 87 / 26 | $43.407,60 | 1172 / 71 | $6.116,86 | 908 / 56 | $5.121,05 | 905 / 71 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 21 | 70 / 11 | $19.968,80 | 67 / 2 | $8.063,38 | 165 / 9 | $7.282,24 | 165 / 13 |
Seizures W Mcc | 21 | 45 / 13 | $86.468,50 | 704 / 54 | $10.427,00 | 401 / 31 | $9.567,57 | 401 / 41 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 20 | 43 / 15 | $183.784,00 | 596 / 41 | $26.971,20 | 138 / 10 | $25.986,30 | 138 / 15 |
O.R. Procedures For Obesity W/O Cc/Mcc | 19 | 58 / 24 | $90.562,40 | 392 / 34 | $10.784,80 | 264 / 13 | $9.641,21 | 264 / 29 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 15 | $103.419,00 | 897 / 73 | $11.085,60 | 652 / 55 | $10.210,90 | 649 / 70 |
Transurethral Procedures W Cc | 17 | 24 / 4 | $63.411,70 | 326 / 15 | $9.378,88 | 211 / 12 | $7.444,94 | 211 / 12 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 27 | $39.551,40 | 1124 / 61 | $7.301,94 | 980 / 56 | $6.411,59 | 976 / 73 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 17 | 59 / 15 | $83.780,90 | 455 / 47 | $12.229,60 | 215 / 25 | $11.176,90 | 215 / 31 |
Cellulitis W Mcc | 16 | 42 / 17 | $57.043,70 | 790 / 53 | $12.112,00 | 235 / 64 | $7.585,44 | 234 / 23 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 16 | 16 / 5 | $107.864,00 | 147 / 17 | $16.851,90 | 101 / 13 | $16.319,90 | 101 / 16 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 26 | $32.615,00 | 874 / 49 | $7.245,44 | 864 / 58 | $6.491,44 | 861 / 74 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 11 | $71.096,20 | 524 / 49 | $9.342,94 | 393 / 46 | $7.247,88 | 392 / 46 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 11 | $93.150,30 | 495 / 26 | $10.388,10 | 339 / 14 | $9.176,40 | 339 / 22 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 29 | $181.301,00 | 979 / 58 | $27.805,80 | 242 / 18 | $26.845,80 | 240 / 27 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 10 | $136.103,00 | 424 / 33 | $16.797,70 | 318 / 21 | $16.133,10 | 317 / 35 |
Diabetes W Mcc | 15 | 42 / 21 | $61.010,80 | 641 / 44 | $9.661,87 | 443 / 30 | $8.974,93 | 443 / 41 |
Other Skin, Subcut Tiss & Breast Proc W Cc | 15 | 9 / 4 | $53.615,30 | 67 / 3 | $10.435,70 | 59 / 3 | $9.793,60 | 59 / 6 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 20 | $44.726,10 | 495 / 56 | $7.000,13 | 351 / 36 | $6.355,87 | 351 / 47 |
Peripheral Vascular Disorders W/O Cc/Mcc | 14 | 31 / 10 | $22.976,90 | 267 / 19 | $5.607,93 | 302 / 22 | $4.654,79 | 302 / 26 |
Peripheral Vascular Disorders W Mcc | 14 | 35 / 13 | $61.355,20 | 486 / 40 | $9.516,64 | 358 / 27 | $8.958,93 | 358 / 40 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 32 | $59.778,30 | 1253 / 85 | $9.620,38 | 964 / 84 | $8.530,54 | 959 / 96 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 24 | $78.491,00 | 647 / 38 | $13.789,90 | 505 / 32 | $12.950,50 | 499 / 51 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 13 | 68 / 18 | $632.578,00 | 341 / 28 | $95.356,70 | 109 / 10 | $94.106,80 | 109 / 15 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 16 | $164.901,00 | 532 / 35 | $22.570,90 | 230 / 17 | $21.272,20 | 230 / 18 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 11 | $133.590,00 | 333 / 25 | $15.473,50 | 172 / 10 | $14.564,20 | 172 / 16 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 33 | $78.958,80 | 1395 / 90 | $7.801,83 | 1073 / 63 | $6.999,17 | 1071 / 79 |
Signs & Symptoms W/O Mcc | 12 | 79 / 30 | $40.031,80 | 1229 / 75 | $5.731,50 | 978 / 65 | $4.852,17 | 975 / 73 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 21 | $56.243,90 | 147 / 6 | $13.054,10 | 197 / 21 | $10.891,20 | 195 / 21 |
Transurethral Prostatectomy W Cc/Mcc | 12 | 12 / 2 | $85.097,00 | 45 / 4 | $9.671,25 | 26 / 2 | $8.567,25 | 26 / 4 |
Hypertension W/O Mcc | 12 | 53 / 21 | $33.380,20 | 672 / 54 | $5.322,83 | 590 / 49 | $4.314,83 | 588 / 57 |
Medical Back Problems W/O Mcc | 12 | 109 / 38 | $37.858,70 | 1205 / 78 | $6.452,58 | 1067 / 72 | $5.444,58 | 1064 / 84 |
Other Skin, Subcut Tiss & Breast Proc W Mcc | 12 | 10 / 3 | $73.626,20 | 30 / 5 | $15.303,80 | 1 / 3 | $11.844,90 | 1 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 19 | $49.006,30 | 860 / 48 | $7.017,42 | 693 / 39 | $6.121,42 | 690 / 52 |
Disorders Of The Biliary Tract W Cc | 11 | 43 / 12 | $53.254,80 | 415 / 22 | $7.547,73 | 259 / 16 | $6.552,82 | 259 / 22 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 18 | $29.885,10 | 746 / 46 | $5.717,27 | 745 / 44 | $4.844,55 | 744 / 57 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 19 | $52.312,20 | 487 / 30 | $11.229,50 | 352 / 33 | $10.461,50 | 351 / 38 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 26 | $31.823,60 | 1142 / 76 | $5.247,27 | 1114 / 70 | $4.371,64 | 1111 / 86 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 11 | $75.380,70 | 154 / 19 | $13.026,00 | 115 / 9 | $11.923,50 | 114 / 18 | Total 97 procedures | 3.316 | 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.