Hospital Costs > In Texas > Lubbock Heart Hospital Lp, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 415 | 173 / 13 | $37.694,00 | 623 / 20 | $11.574,10 | 292 / 6 | $9.942,18 | 292 / 41 |
| Heart Failure & Shock W Mcc | 70 | 214 / 57 | $33.825,20 | 1332 / 56 | $8.284,91 | 345 / 11 | $7.475,31 | 345 / 22 |
| Heart Failure & Shock W Cc | 70 | 208 / 48 | $21.695,80 | 1366 / 48 | $5.190,04 | 95 / 3 | $4.336,61 | 95 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 60 | 136 / 21 | $63.053,90 | 525 / 17 | $11.314,90 | 329 / 3 | $10.227,40 | 329 / 41 |
| Spinal Fusion Except Cervical W/O Mcc | 56 | 138 / 29 | $48.483,50 | 103 / 2 | $19.055,80 | 31 / 2 | $17.553,30 | 31 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 47 | 141 / 28 | $30.153,40 | 525 / 9 | $5.798,55 | 109 / 1 | $4.769,11 | 109 / 10 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 34 | 62 / 9 | $45.391,20 | 251 / 7 | $11.929,00 | 98 / 3 | $10.423,10 | 98 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 35 | $12.488,70 | 654 / 11 | $3.005,33 | 34 / 1 | $1.801,70 | 34 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 27 | $16.018,60 | 959 / 26 | $3.605,14 | 82 / 3 | $2.732,31 | 81 / 3 |
| Other Vascular Procedures W Cc | 28 | 74 / 26 | $64.378,90 | 433 / 24 | $13.543,00 | 119 / 3 | $12.857,20 | 119 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 46 | $19.360,90 | 998 / 32 | $4.218,44 | 58 / 1 | $3.184,96 | 58 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 23 | 77 / 23 | $85.528,40 | 339 / 14 | $17.533,10 | 41 / 2 | $15.480,00 | 41 / 5 |
| Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 26 | $70.807,50 | 268 / 8 | $18.389,10 | 171 / 2 | $17.498,70 | 171 / 13 |
| Extracranial Procedures W/O Cc/Mcc | 22 | 76 / 27 | $38.733,60 | 610 / 46 | $5.597,45 | 87 / 1 | $4.608,36 | 87 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 71 | $29.056,90 | 1408 / 57 | $6.172,82 | 104 / 3 | $5.182,27 | 104 / 6 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 20 | 68 / 18 | $93.915,70 | 213 / 6 | $20.304,40 | 129 / 4 | $19.278,80 | 128 / 14 |
| Other Vascular Procedures W/O Cc/Mcc | 18 | 38 / 14 | $50.700,40 | 294 / 18 | $9.096,67 | 55 / 1 | $8.156,22 | 55 / 4 |
| Syncope & Collapse | 17 | 152 / 48 | $18.378,10 | 716 / 8 | $3.869,71 | 222 / 2 | $3.231,59 | 221 / 14 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 19 | $134.695,00 | 294 / 7 | $26.628,80 | 230 / 7 | $25.563,30 | 230 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 46 | $21.385,10 | 414 / 6 | $6.394,94 | 26 / 1 | $5.270,53 | 26 / 2 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 17 | 78 / 16 | $52.261,20 | 120 / 5 | $10.657,80 | 69 / 1 | $9.767,47 | 68 / 8 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 20 | $46.297,40 | 255 / 3 | $11.257,50 | 71 / 1 | $10.259,80 | 71 / 4 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 14 | $55.775,60 | 158 / 2 | $14.763,60 | 97 / 2 | $13.632,30 | 97 / 9 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 24 | $60.700,70 | 357 / 16 | $14.277,70 | 85 / 3 | $13.228,10 | 85 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 79 | $41.018,50 | 1595 / 81 | $7.780,60 | 271 / 5 | $6.972,07 | 271 / 17 |
| Other Vascular Procedures W Mcc | 14 | 83 / 36 | $59.653,20 | 154 / 4 | $16.812,40 | 28 / 1 | $16.033,00 | 28 / 4 |
| Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 13 | 10 / 1 | $21.549,60 | 7 / 1 | $6.533,23 | 9 / 1 | $5.602,77 | 9 / 2 |
| Renal Failure W Mcc | 13 | 182 / 83 | $38.578,30 | 1225 / 68 | $8.231,38 | 219 / 3 | $7.579,08 | 219 / 16 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 14 | $47.585,30 | 111 / 2 | $12.914,60 | 23 / 1 | $11.797,10 | 23 / 2 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 54 | $18.475,10 | 754 / 24 | $4.277,62 | 105 / 2 | $3.443,15 | 105 / 10 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 12 | $56.670,50 | 219 / 4 | $9.758,15 | 58 / 1 | $8.645,54 | 58 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 49 | $41.732,80 | 887 / 30 | $9.213,77 | 192 / 3 | $8.283,31 | 192 / 6 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 12 | 51 / 13 | $59.793,20 | 63 / 4 | $18.800,50 | 65 / 2 | $17.701,80 | 65 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 55 | $49.066,60 | 590 / 16 | $12.220,20 | 165 / 3 | $11.449,30 | 165 / 10 |
| G.I. Hemorrhage W Cc | 11 | 207 / 78 | $24.072,70 | 1130 / 32 | $5.175,36 | 122 / 1 | $4.410,27 | 122 / 8 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 20 | $13.408,30 | 60 / 1 | $5.071,00 | 40 / 1 | $4.410,64 | 40 / 2 | Total 36 procedures | 1.263 | 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.