Hospital Costs > In Texas > Las Colinas 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 | 33 | 483 / 128 | $98.779,50 | 2626 / 197 | $11.487,50 | 840 / 80 | $9.980,03 | 839 / 73 |
| Heart Failure & Shock W Cc | 22 | 256 / 90 | $56.184,10 | 2631 / 208 | $6.372,50 | 1296 / 90 | $5.546,32 | 1292 / 110 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 92 | $39.478,40 | 2466 / 179 | $5.045,32 | 959 / 85 | $3.734,63 | 951 / 73 |
| Heart Failure & Shock W Mcc | 18 | 266 / 102 | $69.398,30 | 2336 / 174 | $9.002,44 | 1030 / 64 | $8.332,22 | 1028 / 79 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 94 | $35.994,70 | 2408 / 188 | $5.203,73 | 673 / 112 | $3.735,07 | 669 / 54 |
| Chest Pain | 15 | 136 / 51 | $41.635,00 | 1616 / 119 | $4.243,93 | 656 / 45 | $3.081,60 | 652 / 47 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 72 | $43.717,60 | 2426 / 198 | $4.826,00 | 373 / 97 | $3.211,00 | 373 / 34 |
| Renal Failure W Cc | 13 | 208 / 92 | $46.115,30 | 2184 / 160 | $6.212,46 | 1196 / 75 | $5.378,00 | 1188 / 97 |
| Cellulitis W/O Mcc | 13 | 176 / 76 | $47.045,20 | 2526 / 194 | $5.533,46 | 1072 / 85 | $4.324,85 | 1066 / 85 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 93 | $42.289,40 | 2388 / 169 | $6.281,77 | 1250 / 79 | $5.260,23 | 1246 / 100 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 12 | 552 / 147 | $159.369,00 | 2668 / 219 | $13.295,80 | 1546 / 78 | $12.189,10 | 1511 / 171 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 62 | $57.905,50 | 1584 / 124 | $7.023,64 | 742 / 48 | $6.476,73 | 739 / 66 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 52 | $51.340,50 | 1556 / 102 | $7.318,64 | 616 / 37 | $6.547,73 | 613 / 54 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 61 | $129.783,00 | 2017 / 146 | $11.865,10 | 980 / 60 | $10.983,60 | 967 / 89 | Total 14 procedures | 220 | 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.