Hospital Costs > In Texas > Medical Center Of Mckinney, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 49 | $97.017,80 | 1687 / 112 | $10.299,00 | 737 / 40 | $9.558,08 | 736 / 56 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 30 | $49.053,30 | 996 / 70 | $6.325,50 | 120 / 45 | $3.858,75 | 119 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 59 | $46.609,90 | 2023 / 152 | $5.244,50 | 1339 / 65 | $4.723,36 | 1334 / 112 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 32 | $86.414,50 | 1866 / 133 | $8.841,59 | 1188 / 94 | $7.561,44 | 1185 / 99 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 41 | $35.984,30 | 1880 / 136 | $4.327,00 | 665 / 90 | $2.568,92 | 661 / 46 |
Cellulitis W Mcc | 16 | 42 / 17 | $74.453,20 | 890 / 66 | $12.214,10 | 207 / 65 | $7.487,88 | 206 / 20 |
Cellulitis W/O Mcc | 37 | 152 / 53 | $43.002,00 | 2473 / 186 | $5.973,24 | 1196 / 116 | $4.425,43 | 1190 / 100 |
Chest Pain | 27 | 124 / 40 | $36.725,10 | 1533 / 104 | $4.182,11 | 876 / 38 | $3.375,00 | 871 / 65 |
Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 31 | $55.505,10 | 2316 / 159 | $7.030,31 | 1095 / 128 | $5.051,96 | 1091 / 81 |
Chronic Obstructive Pulmonary Disease W Mcc | 65 | 137 / 30 | $69.571,40 | 2444 / 187 | $8.429,02 | 914 / 136 | $6.168,89 | 909 / 72 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 35 | $44.541,70 | 2007 / 141 | $5.096,71 | 574 / 87 | $3.387,86 | 573 / 40 |
Diabetes W Cc | 16 | 76 / 35 | $46.030,20 | 1499 / 105 | $5.471,25 | 663 / 38 | $4.487,25 | 661 / 47 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 20 | $87.608,70 | 467 / 49 | $18.235,20 | 157 / 50 | $10.607,60 | 157 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 27 | $60.006,60 | 1273 / 78 | $7.540,11 | 635 / 26 | $6.966,96 | 630 / 45 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 93 | 182 / 34 | $43.485,90 | 2553 / 195 | $5.144,32 | 1402 / 99 | $4.049,45 | 1391 / 115 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 21 | $170.263,00 | 546 / 34 | $29.176,20 | 269 / 17 | $28.363,60 | 269 / 30 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 18 | $35.013,40 | 808 / 54 | $4.688,82 | 397 / 18 | $3.693,91 | 398 / 26 |
G.I. Hemorrhage W Cc | 37 | 181 / 53 | $50.912,50 | 2183 / 147 | $6.534,24 | 1075 / 77 | $5.435,22 | 1073 / 83 |
G.I. Hemorrhage W Mcc | 21 | 100 / 36 | $71.868,00 | 1360 / 83 | $11.037,20 | 492 / 48 | $9.628,29 | 493 / 41 |
G.I. Obstruction W Cc | 14 | 78 / 36 | $58.088,20 | 1664 / 106 | $6.223,00 | 303 / 64 | $4.205,57 | 302 / 22 |
Heart Failure & Shock W Cc | 56 | 222 / 60 | $60.630,40 | 2677 / 211 | $6.493,14 | 1224 / 104 | $5.472,45 | 1221 / 102 |
Heart Failure & Shock W Mcc | 90 | 194 / 43 | $81.930,60 | 2473 / 191 | $9.384,59 | 1310 / 88 | $8.728,68 | 1307 / 111 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 36 | $41.161,90 | 1912 / 153 | $4.598,10 | 1073 / 70 | $3.812,50 | 1065 / 87 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 50 | $119.896,00 | 1995 / 144 | $11.699,00 | 856 / 50 | $10.709,90 | 845 / 72 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 30 | $190.638,00 | 942 / 64 | $20.873,50 | 688 / 52 | $20.323,60 | 685 / 61 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 49 | $313.264,00 | 1521 / 113 | $38.078,90 | 1129 / 87 | $37.475,20 | 1121 / 103 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 60 | $66.759,10 | 1960 / 133 | $6.911,13 | 981 / 59 | $5.806,43 | 978 / 72 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 38 | 130 / 38 | $93.958,30 | 1462 / 91 | $11.952,10 | 439 / 65 | $9.188,08 | 438 / 32 |
Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 46 | $49.271,60 | 1673 / 122 | $7.036,81 | 924 / 67 | $6.256,42 | 921 / 77 |
Kidney & Urinary Tract Infections W/O Mcc | 79 | 154 / 40 | $34.252,30 | 2350 / 181 | $5.053,20 | 1367 / 80 | $4.220,39 | 1358 / 119 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 20 | $78.159,50 | 1082 / 67 | $7.441,00 | 605 / 24 | $6.995,13 | 603 / 47 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 111 | 453 / 77 | $144.790,00 | 2654 / 218 | $14.915,90 | 1135 / 155 | $11.277,10 | 1109 / 133 |
Medical Back Problems W Mcc | 12 | 27 / 10 | $59.140,80 | 249 / 13 | $9.592,75 | 93 / 4 | $8.787,42 | 93 / 5 |
Medical Back Problems W/O Mcc | 21 | 100 / 29 | $42.357,20 | 1299 / 83 | $5.737,33 | 541 / 42 | $4.287,10 | 539 / 41 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 39 | 87 / 37 | $45.409,80 | 1412 / 98 | $7.823,59 | 554 / 80 | $6.109,10 | 551 / 51 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 40 | 126 / 47 | $31.187,90 | 2170 / 159 | $4.745,00 | 1386 / 81 | $3.960,60 | 1381 / 122 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 14 | $73.396,40 | 354 / 23 | $9.922,42 | 130 / 5 | $9.314,42 | 130 / 11 |
Other Circulatory System Diagnoses W Mcc | 20 | 96 / 37 | $75.615,40 | 1108 / 82 | $11.230,00 | 425 / 24 | $10.464,00 | 424 / 34 |
Other Vascular Procedures W Cc | 11 | 91 / 43 | $160.885,00 | 1086 / 93 | $16.875,20 | 632 / 58 | $15.772,50 | 629 / 78 |
Other Vascular Procedures W Mcc | 12 | 85 / 38 | $123.532,00 | 752 / 58 | $21.531,10 | 463 / 55 | $20.331,00 | 461 / 62 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 29 | $183.483,00 | 926 / 73 | $19.155,20 | 343 / 16 | $18.232,80 | 341 / 36 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 54 | $111.776,00 | 1266 / 100 | $14.020,30 | 561 / 66 | $10.803,60 | 557 / 66 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 30 | $41.345,80 | 1029 / 65 | $6.279,00 | 439 / 26 | $5.169,67 | 437 / 29 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 25 | $64.838,30 | 831 / 48 | $8.617,00 | 325 / 17 | $7.777,62 | 324 / 23 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 20 | $30.396,50 | 761 / 30 | $7.336,64 | 70 / 37 | $2.786,00 | 70 / 3 |
Psychoses | 13 | 262 / 21 | $31.709,50 | 494 / 26 | $8.284,69 | 42 / 27 | $4.746,69 | 42 / 3 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 69 | $107.234,00 | 2214 / 161 | $9.509,00 | 1819 / 129 | $9.007,75 | 1814 / 150 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 23 | $75.685,60 | 1055 / 87 | $8.083,62 | 590 / 34 | $7.743,62 | 587 / 60 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 56 | $43.181,00 | 1812 / 140 | $5.687,00 | 67 / 89 | $3.321,91 | 67 / 7 |
Renal Failure W Cc | 61 | 160 / 46 | $45.129,30 | 2158 / 156 | $6.688,92 | 507 / 108 | $4.765,41 | 503 / 45 |
Renal Failure W Mcc | 62 | 133 / 40 | $67.931,90 | 1870 / 135 | $9.419,94 | 931 / 55 | $8.789,48 | 931 / 85 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 32 | $83.600,90 | 1413 / 110 | $8.792,85 | 757 / 62 | $7.864,85 | 752 / 69 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 46 | $98.207,50 | 1637 / 105 | $12.443,70 | 767 / 71 | $11.056,10 | 759 / 67 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 50 | $135.908,00 | 1732 / 133 | $14.822,50 | 955 / 71 | $13.918,50 | 946 / 94 |
Seizures W Mcc | 11 | 55 / 23 | $61.489,50 | 585 / 37 | $9.712,73 | 141 / 22 | $8.006,91 | 141 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 125 | 391 / 74 | $98.316,60 | 2622 / 196 | $11.378,10 | 1175 / 74 | $10.447,00 | 1157 / 101 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 56 | $52.915,70 | 2311 / 168 | $6.995,83 | 1096 / 96 | $5.759,25 | 1093 / 97 |
Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 60 | $70.022,10 | 2766 / 219 | $6.254,56 | 1322 / 78 | $5.323,90 | 1317 / 107 |
Simple Pneumonia & Pleurisy W Mcc | 64 | 141 / 35 | $91.391,20 | 2421 / 186 | $9.534,28 | 1103 / 111 | $7.992,31 | 1103 / 86 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 38 | $52.096,90 | 1918 / 162 | $4.851,06 | 703 / 72 | $3.420,62 | 699 / 58 |
Syncope & Collapse | 19 | 150 / 46 | $50.320,40 | 1838 / 129 | $5.872,21 | 463 / 99 | $3.514,53 | 461 / 30 |
Transient Ischemia | 26 | 99 / 37 | $50.635,00 | 1582 / 107 | $4.727,23 | 879 / 42 | $3.842,31 | 875 / 64 | Total 62 procedures | 1.870 | 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.