Hospital Costs > In Texas > Medical Center Of Lewisville, 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 | 142 | 374 / 65 | $89.447,50 | 2541 / 180 | $13.051,90 | 1238 / 160 | $10.529,00 | 1217 / 106 |
Simple Pneumonia & Pleurisy W Mcc | 60 | 145 / 39 | $75.339,10 | 2297 / 169 | $10.334,00 | 1249 / 141 | $8.220,48 | 1249 / 107 |
Chest Pain | 55 | 96 / 17 | $34.556,80 | 1489 / 98 | $5.524,84 | 811 / 103 | $3.270,09 | 806 / 60 |
Heart Failure & Shock W Mcc | 54 | 230 / 69 | $76.239,10 | 2423 / 184 | $10.862,30 | 1842 / 160 | $9.848,67 | 1837 / 168 |
Kidney & Urinary Tract Infections W/O Mcc | 49 | 184 / 62 | $34.817,40 | 2371 / 185 | $5.351,51 | 1779 / 121 | $4.658,71 | 1768 / 164 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 123 | $104.094,00 | 2524 / 200 | $17.359,60 | 317 / 204 | $10.005,80 | 317 / 46 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 41 | 234 / 71 | $39.999,10 | 2476 / 182 | $5.336,46 | 1287 / 115 | $3.959,29 | 1276 / 101 |
Syncope & Collapse | 35 | 134 / 33 | $37.753,70 | 1649 / 100 | $5.112,23 | 1156 / 64 | $4.314,34 | 1149 / 92 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 58 | $46.248,40 | 2103 / 141 | $7.699,00 | 1542 / 95 | $6.898,63 | 1535 / 134 |
Pulmonary Edema & Respiratory Failure | 32 | 171 / 51 | $56.303,20 | 1864 / 118 | $8.054,09 | 1294 / 71 | $7.407,47 | 1291 / 104 |
Red Blood Cell Disorders W/O Mcc | 28 | 115 / 39 | $40.274,50 | 1767 / 133 | $6.828,93 | 214 / 132 | $3.650,75 | 214 / 21 |
Heart Failure & Shock W Cc | 25 | 253 / 87 | $46.021,20 | 2480 / 182 | $6.582,08 | 1447 / 118 | $5.709,36 | 1442 / 123 |
Renal Failure W Mcc | 23 | 172 / 73 | $49.253,90 | 1564 / 105 | $9.707,96 | 910 / 67 | $8.740,91 | 910 / 83 |
Cellulitis W/O Mcc | 22 | 167 / 67 | $32.912,00 | 2228 / 157 | $5.709,45 | 1592 / 102 | $4.828,59 | 1585 / 137 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 62 | $55.977,50 | 1821 / 113 | $7.127,38 | 1120 / 66 | $6.029,24 | 1117 / 88 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 54 | $40.895,60 | 2089 / 127 | $6.824,19 | 1459 / 118 | $5.456,71 | 1453 / 117 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 56 | $45.838,40 | 1618 / 119 | $7.279,75 | 989 / 75 | $6.365,90 | 986 / 82 |
Transient Ischemia | 20 | 105 / 43 | $39.582,60 | 1424 / 87 | $5.006,65 | 820 / 55 | $3.738,35 | 816 / 57 |
Renal Failure W Cc | 20 | 201 / 86 | $47.968,20 | 2220 / 165 | $6.345,30 | 1266 / 89 | $5.466,20 | 1258 / 106 |
G.I. Hemorrhage W Cc | 20 | 198 / 69 | $52.676,90 | 2210 / 153 | $6.735,20 | 1488 / 85 | $5.945,55 | 1484 / 118 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 46 | $31.233,90 | 1786 / 120 | $4.154,37 | 1237 / 77 | $3.074,00 | 1232 / 93 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 68 | $42.788,30 | 2414 / 196 | $5.127,72 | 960 / 129 | $3.624,72 | 957 / 78 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 44 | $83.016,90 | 1581 / 97 | $11.639,70 | 746 / 80 | $9.583,17 | 745 / 57 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 74 | $42.449,90 | 2110 / 147 | $6.735,94 | 1084 / 71 | $5.741,12 | 1081 / 94 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 30 | $293.120,00 | 987 / 77 | $65.028,10 | 191 / 84 | $31.572,10 | 191 / 23 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 56 | $92.977,60 | 1833 / 119 | $11.611,10 | 803 / 44 | $10.624,70 | 794 / 67 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 91 | $35.467,40 | 2200 / 141 | $6.514,67 | 1371 / 103 | $5.387,13 | 1366 / 111 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 58 | $37.200,20 | 1851 / 124 | $5.423,47 | 1079 / 82 | $4.377,60 | 1075 / 91 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 49 | $101.580,00 | 1664 / 111 | $12.973,60 | 1231 / 84 | $12.641,70 | 1216 / 106 |
G.I. Hemorrhage W Mcc | 14 | 107 / 43 | $102.784,00 | 1569 / 111 | $12.891,60 | 1173 / 96 | $12.017,40 | 1165 / 103 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 59 | $49.017,10 | 1476 / 108 | $7.359,79 | 699 / 61 | $6.385,36 | 696 / 62 |
Hypertension W/O Mcc | 13 | 52 / 20 | $29.003,80 | 625 / 45 | $4.533,92 | 426 / 28 | $3.510,08 | 424 / 35 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 32 | $55.613,50 | 1254 / 70 | $6.885,85 | 697 / 34 | $5.857,69 | 695 / 48 |
G.I. Obstruction W Cc | 13 | 79 / 37 | $45.230,00 | 1540 / 91 | $6.163,54 | 963 / 57 | $5.043,69 | 960 / 72 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 62 | $108.613,00 | 1242 / 99 | $19.737,80 | 19 / 123 | $8.603,58 | 19 / 5 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 25 | $32.930,40 | 1154 / 79 | $4.705,50 | 814 / 54 | $3.475,25 | 811 / 67 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 42 | $30.451,70 | 1629 / 118 | $5.003,33 | 1195 / 83 | $3.902,00 | 1189 / 99 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 34 | $51.521,20 | 1171 / 78 | $8.833,82 | 743 / 64 | $7.835,91 | 738 / 66 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 35 | $153.257,00 | 845 / 59 | $22.388,50 | 305 / 54 | $17.956,20 | 303 / 32 | Total 39 procedures | 1.038 | 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.