Hospital Costs > In Texas > Matagorda Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Pulmonary Edema & Respiratory Failure | 49 | 154 / 36 | $23.526,40 | 629 / 7 | $7.822,51 | 991 / 55 | $6.933,69 | 990 / 74 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 40 | 476 / 122 | $22.959,20 | 416 / 20 | $12.015,30 | 1555 / 116 | $11.125,30 | 1523 / 146 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 61 | $11.890,40 | 141 / 7 | $6.839,37 | 1340 / 80 | $6.034,03 | 1335 / 119 |
| Heart Failure & Shock W Cc | 27 | 251 / 85 | $17.322,30 | 850 / 23 | $6.368,56 | 1512 / 89 | $5.787,81 | 1507 / 130 |
| Renal Failure W Cc | 23 | 198 / 83 | $13.564,20 | 346 / 5 | $6.202,52 | 1127 / 74 | $5.310,70 | 1119 / 93 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 85 | $18.082,20 | 924 / 30 | $6.302,57 | 1264 / 84 | $5.267,90 | 1260 / 102 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 141 | $44.511,90 | 997 / 41 | $13.783,00 | 1702 / 100 | $12.567,00 | 1665 / 186 |
| Heart Failure & Shock W Mcc | 19 | 265 / 101 | $23.168,80 | 608 / 16 | $9.608,63 | 1255 / 101 | $8.657,05 | 1252 / 106 |
| Cellulitis W/O Mcc | 18 | 171 / 71 | $10.817,50 | 338 / 11 | $5.377,78 | 1279 / 66 | $4.508,44 | 1273 / 109 |
| G.I. Hemorrhage W Cc | 17 | 201 / 72 | $19.201,90 | 678 / 11 | $6.863,06 | 976 / 90 | $5.341,88 | 974 / 72 |
| Renal Failure W Mcc | 15 | 180 / 81 | $18.037,00 | 157 / 1 | $9.369,80 | 1058 / 51 | $9.030,00 | 1058 / 99 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 73 | $14.097,70 | 848 / 29 | $4.529,85 | 648 / 53 | $3.417,23 | 646 / 50 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 99 | $15.774,20 | 850 / 24 | $4.766,00 | 1293 / 55 | $3.963,33 | 1282 / 103 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 83 | $26.521,70 | 805 / 22 | $9.320,18 | 1426 / 93 | $8.549,27 | 1426 / 126 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 62 | $14.567,10 | 475 / 4 | $5.057,00 | 877 / 48 | $4.178,45 | 874 / 70 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 63 | $27.704,10 | 411 / 5 | $6.969,82 | 936 / 45 | $6.201,82 | 933 / 87 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 45 | $14.389,70 | 710 / 14 | $4.596,36 | 861 / 41 | $3.618,91 | 856 / 63 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 21 | $15.668,50 | 369 / 8 | $4.515,36 | 382 / 18 | $3.529,18 | 379 / 29 | Total 18 procedures | 359 | 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.