Hospital Costs > In Texas > Medical Center Hospital, 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 | 174 | 390 / 47 | $48.887,40 | 1240 / 61 | $15.590,70 | 1547 / 180 | $12.190,90 | 1512 / 172 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 173 | 343 / 50 | $46.984,90 | 1668 / 88 | $13.704,50 | 1696 / 179 | $11.441,60 | 1663 / 159 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 109 | 166 / 25 | $18.141,00 | 1152 / 37 | $5.738,47 | 1843 / 144 | $4.543,97 | 1830 / 157 |
| Heart Failure & Shock W Cc | 90 | 188 / 36 | $20.651,20 | 1255 / 42 | $7.198,93 | 1753 / 157 | $6.065,08 | 1748 / 155 |
| Kidney & Urinary Tract Infections W/O Mcc | 76 | 157 / 42 | $18.262,20 | 1380 / 63 | $6.342,63 | 1692 / 185 | $4.542,53 | 1681 / 153 |
| Simple Pneumonia & Pleurisy W Mcc | 74 | 131 / 27 | $43.268,40 | 1690 / 92 | $11.281,00 | 1511 / 164 | $8.699,50 | 1511 / 135 |
| Heart Failure & Shock W Mcc | 72 | 212 / 55 | $31.610,30 | 1193 / 45 | $10.594,30 | 1652 / 149 | $9.383,74 | 1647 / 144 |
| Transient Ischemia | 68 | 57 / 13 | $19.950,70 | 668 / 12 | $6.191,69 | 909 / 95 | $3.884,21 | 904 / 67 |
| Chronic Obstructive Pulmonary Disease W Mcc | 67 | 135 / 28 | $26.423,10 | 1235 / 44 | $8.878,31 | 1449 / 155 | $6.766,33 | 1443 / 121 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 66 | 54 / 7 | $19.106,40 | 1192 / 42 | $6.164,92 | 1142 / 129 | $3.874,98 | 1133 / 87 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 64 | 102 / 28 | $16.710,30 | 1167 / 42 | $5.567,41 | 1644 / 154 | $4.240,80 | 1639 / 147 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 63 | 39 / 8 | $24.025,10 | 841 / 23 | $6.100,06 | 1025 / 76 | $4.396,90 | 1021 / 77 |
| Cellulitis W/O Mcc | 58 | 131 / 33 | $23.320,50 | 1761 / 100 | $7.009,98 | 1608 / 170 | $4.850,16 | 1601 / 140 |
| G.I. Hemorrhage W Cc | 57 | 161 / 38 | $19.132,10 | 673 / 10 | $7.442,82 | 1476 / 126 | $5.937,79 | 1472 / 116 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 55 | 95 / 16 | $13.641,70 | 823 / 18 | $4.420,27 | 1355 / 98 | $3.231,84 | 1350 / 101 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 53 | 108 / 21 | $23.064,10 | 1287 / 55 | $6.017,40 | 1394 / 113 | $4.796,06 | 1389 / 122 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 43 | $30.724,40 | 1662 / 93 | $7.901,37 | 1639 / 147 | $6.488,69 | 1632 / 142 |
| Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 56 | $26.962,60 | 1765 / 89 | $7.508,92 | 1934 / 176 | $6.051,77 | 1926 / 171 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 51 | 137 / 26 | $34.030,90 | 705 / 25 | $9.140,04 | 892 / 109 | $6.108,18 | 889 / 85 |
| Pulmonary Edema & Respiratory Failure | 50 | 153 / 35 | $28.223,40 | 920 / 18 | $8.744,88 | 1387 / 104 | $7.570,14 | 1383 / 113 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 49 | 147 / 30 | $65.429,60 | 579 / 24 | $14.337,30 | 876 / 75 | $11.967,10 | 870 / 106 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 48 | 134 / 38 | $29.469,50 | 1115 / 39 | $7.979,06 | 1235 / 106 | $6.191,52 | 1232 / 99 |
| Renal Failure W Cc | 48 | 173 / 59 | $19.951,00 | 978 / 27 | $7.286,83 | 1466 / 140 | $5.702,81 | 1457 / 129 |
| Syncope & Collapse | 48 | 121 / 24 | $16.897,30 | 564 / 5 | $5.490,56 | 1231 / 82 | $4.449,79 | 1224 / 96 |
| Chronic Obstructive Pulmonary Disease W Cc | 47 | 132 / 30 | $24.322,60 | 1403 / 47 | $7.517,83 | 1351 / 143 | $5.320,15 | 1346 / 107 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 46 | 77 / 20 | $29.581,40 | 934 / 36 | $8.835,80 | 1015 / 92 | $7.173,07 | 1012 / 84 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 31 | $42.977,60 | 764 / 17 | $13.209,30 | 1180 / 110 | $11.569,30 | 1166 / 105 |
| Chest Pain | 41 | 110 / 27 | $13.191,00 | 328 / 3 | $4.719,41 | 1019 / 78 | $3.593,63 | 1013 / 84 |
| Diabetes W Cc | 40 | 52 / 12 | $21.497,10 | 794 / 26 | $6.207,15 | 978 / 71 | $5.081,52 | 974 / 76 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 26 | $40.894,80 | 847 / 25 | $13.987,30 | 1025 / 112 | $10.379,20 | 1022 / 86 |
| Signs & Symptoms W/O Mcc | 37 | 54 / 10 | $16.446,30 | 440 / 6 | $5.314,59 | 751 / 55 | $4.161,30 | 748 / 50 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 30 | $68.872,40 | 1122 / 64 | $17.067,60 | 1218 / 117 | $15.176,40 | 1205 / 120 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 35 | 56 / 13 | $28.206,60 | 665 / 12 | $8.147,74 | 901 / 68 | $6.369,03 | 899 / 72 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 34 | 22 / 5 | $39.798,40 | 404 / 22 | $12.359,60 | 455 / 70 | $9.058,91 | 453 / 49 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 21 | $23.543,80 | 1391 / 85 | $5.518,12 | 1361 / 118 | $4.144,52 | 1353 / 121 |
| Heart Failure & Shock W/O Cc/Mcc | 32 | 78 / 24 | $16.532,90 | 1021 / 32 | $5.252,19 | 1359 / 117 | $4.167,34 | 1348 / 114 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 26 | $34.423,60 | 783 / 35 | $9.542,41 | 851 / 80 | $7.591,38 | 846 / 70 |
| Extracranial Procedures W/O Cc/Mcc | 29 | 69 / 20 | $29.039,70 | 409 / 24 | $8.969,52 | 640 / 68 | $6.259,41 | 638 / 62 |
| Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 49 | $29.917,80 | 1171 / 59 | $8.247,70 | 1284 / 115 | $6.952,85 | 1280 / 115 |
| G.I. Hemorrhage W/O Cc/Mcc | 26 | 42 / 7 | $13.687,40 | 259 / 5 | $5.273,69 | 670 / 48 | $4.267,73 | 666 / 61 |
| Seizures W/O Mcc | 26 | 82 / 21 | $18.224,70 | 449 / 6 | $5.744,46 | 777 / 49 | $4.676,08 | 774 / 62 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 48 | $47.449,90 | 905 / 35 | $12.842,70 | 1120 / 83 | $11.655,80 | 1114 / 90 |
| Other Vascular Procedures W Cc | 25 | 77 / 29 | $60.411,10 | 371 / 19 | $21.496,10 | 548 / 88 | $15.239,60 | 545 / 71 |
| Renal Failure W Mcc | 25 | 170 / 71 | $47.300,50 | 1507 / 95 | $12.360,00 | 1619 / 142 | $10.749,80 | 1617 / 148 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 50 | $25.966,70 | 767 / 33 | $8.115,88 | 964 / 92 | $6.942,75 | 961 / 89 |
| G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 15 | $16.363,50 | 620 / 19 | $4.898,78 | 846 / 60 | $3.537,00 | 843 / 70 |
| Cervical Spinal Fusion W/O Cc/Mcc | 23 | 81 / 24 | $52.253,40 | 364 / 21 | $14.737,50 | 579 / 36 | $13.440,30 | 576 / 65 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 23 | $121.609,00 | 328 / 18 | $38.675,60 | 483 / 48 | $36.411,00 | 482 / 60 |
| Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 17 | $53.333,20 | 254 / 6 | $17.644,50 | 565 / 51 | $16.393,30 | 564 / 59 |
| Spinal Fusion Except Cervical W/O Mcc | 21 | 173 / 52 | $77.098,60 | 484 / 29 | $27.644,20 | 742 / 75 | $23.553,30 | 738 / 89 |
| Major Cardiovasc Procedures W/O Mcc | 21 | 80 / 28 | $84.836,30 | 435 / 17 | $22.932,70 | 621 / 47 | $21.666,50 | 621 / 62 |
| Other Vascular Procedures W Mcc | 21 | 76 / 30 | $63.414,60 | 189 / 6 | $20.666,00 | 360 / 43 | $19.335,00 | 358 / 46 |
| Diabetes W/O Cc/Mcc | 21 | 17 / 2 | $16.240,70 | 143 / 4 | $4.551,33 | 160 / 14 | $3.559,10 | 160 / 12 |
| Red Blood Cell Disorders W/O Mcc | 21 | 122 / 46 | $16.313,10 | 562 / 14 | $6.292,00 | 803 / 113 | $4.301,10 | 798 / 67 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 20 | 50 / 15 | $19.757,10 | 182 / 9 | $7.670,75 | 202 / 46 | $5.355,80 | 202 / 22 |
| G.I. Obstruction W Cc | 20 | 72 / 30 | $22.872,90 | 849 / 23 | $6.504,50 | 1057 / 71 | $5.210,05 | 1054 / 80 |
| Coronary Bypass W Cardiac Cath W Mcc | 20 | 36 / 10 | $161.538,00 | 136 / 5 | $47.135,60 | 251 / 32 | $44.951,10 | 251 / 37 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 21 | $102.956,00 | 271 / 5 | $34.610,90 | 515 / 54 | $32.827,80 | 514 / 60 |
| Other Vascular Procedures W/O Cc/Mcc | 19 | 37 / 13 | $46.808,90 | 255 / 14 | $11.793,50 | 346 / 33 | $10.498,30 | 345 / 39 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 26 | $29.516,90 | 845 / 39 | $7.329,22 | 930 / 57 | $6.245,78 | 926 / 69 |
| Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 23 | $81.189,70 | 543 / 26 | $21.136,70 | 591 / 53 | $19.225,20 | 588 / 52 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 14 | $45.831,70 | 884 / 41 | $11.911,60 | 912 / 44 | $9.581,76 | 911 / 44 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 33 | $51.178,50 | 449 / 6 | $16.783,60 | 926 / 57 | $15.372,40 | 917 / 80 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 47 | $133.664,00 | 869 / 47 | $38.306,40 | 1023 / 91 | $35.793,50 | 1017 / 97 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 25 | $24.360,60 | 608 / 22 | $7.203,06 | 832 / 55 | $6.323,59 | 829 / 70 |
| Medical Back Problems W/O Mcc | 16 | 105 / 34 | $23.591,70 | 756 / 21 | $6.662,06 | 791 / 75 | $4.726,50 | 788 / 58 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 21 | $25.858,20 | 684 / 17 | $7.337,38 | 1029 / 44 | $6.673,31 | 1026 / 67 |
| Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 12 | $86.361,40 | 249 / 9 | $26.856,80 | 434 / 32 | $25.340,60 | 434 / 36 |
| Hypertension W/O Mcc | 16 | 49 / 17 | $15.274,10 | 236 / 5 | $4.783,25 | 474 / 37 | $3.665,81 | 472 / 45 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 10 | $63.680,40 | 295 / 7 | $12.229,40 | 344 / 16 | $10.878,60 | 343 / 20 |
| Dysequilibrium | 15 | 50 / 13 | $16.734,00 | 170 / 3 | $4.846,80 | 312 / 14 | $3.627,40 | 312 / 21 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $39.204,40 | 136 / 5 | $14.262,00 | 441 / 24 | $13.090,60 | 440 / 31 |
| Bronchitis & Asthma W/O Cc/Mcc | 15 | 30 / 9 | $15.689,20 | 145 / 4 | $5.013,67 | 202 / 20 | $3.595,67 | 202 / 24 |
| Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 14 | $14.651,80 | 272 / 4 | $5.394,93 | 600 / 37 | $4.240,67 | 600 / 45 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 15 | 23 / 6 | $15.072,20 | 134 / 6 | $5.632,53 | 272 / 27 | $3.704,00 | 271 / 21 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 41 | $50.352,40 | 745 / 46 | $15.493,10 | 1091 / 92 | $14.439,30 | 1083 / 96 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 32 | $92.963,20 | 415 / 19 | $21.123,60 | 492 / 41 | $19.605,60 | 488 / 58 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 30 | $109.550,00 | 473 / 16 | $35.930,10 | 822 / 62 | $34.024,50 | 820 / 69 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 18 | $22.620,80 | 395 / 8 | $6.866,38 | 646 / 36 | $5.832,38 | 643 / 47 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 12 | $24.826,30 | 288 / 23 | $10.710,00 | 199 / 29 | $3.758,50 | 199 / 10 |
| Carotid Artery Stent Procedure W/O Cc/Mcc | 12 | 20 / 9 | $42.188,80 | 43 / 2 | $11.527,30 | 59 / 6 | $10.469,50 | 59 / 8 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 26 | $24.806,80 | 209 / 6 | $9.673,92 | 537 / 33 | $8.691,75 | 535 / 40 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 12 | 62 / 16 | $55.095,70 | 83 / 5 | $21.346,80 | 57 / 21 | $12.575,20 | 57 / 10 |
| Pleural Effusion W Cc | 12 | 16 / 4 | $34.487,90 | 66 / 3 | $8.879,50 | 90 / 6 | $8.264,50 | 90 / 7 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 18 | $77.634,80 | 319 / 12 | $26.023,30 | 309 / 31 | $16.159,70 | 308 / 26 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 19 | $17.058,50 | 122 / 2 | $7.052,83 | 343 / 19 | $5.754,50 | 342 / 24 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 23 | $21.937,80 | 353 / 5 | $8.831,67 | 550 / 52 | $6.780,25 | 548 / 40 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 45 | $32.648,00 | 414 / 7 | $12.077,60 | 833 / 74 | $10.625,60 | 830 / 72 |
| Respiratory Signs & Symptoms | 12 | 34 / 10 | $17.688,20 | 87 / 2 | $6.160,67 | 73 / 17 | $3.454,50 | 73 / 4 |
| Cellulitis W Mcc | 12 | 46 / 21 | $36.827,50 | 519 / 28 | $10.457,20 | 533 / 47 | $8.886,67 | 531 / 54 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 22 | $19.815,10 | 553 / 29 | $5.014,64 | 643 / 44 | $4.126,64 | 642 / 54 |
| Major Cardiovasc Procedures W Mcc | 11 | 57 / 22 | $137.773,00 | 299 / 12 | $37.175,70 | 384 / 31 | $35.326,50 | 383 / 38 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 31 | $33.951,20 | 796 / 53 | $7.850,45 | 818 / 77 | $6.059,73 | 814 / 75 | Total 93 procedures | 3.191 | 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.