Hospital Costs > In Texas > Memorial Hermann Baptist Orange Hospital, 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 | 28 | 488 / 132 | $42.037,40 | 1416 / 64 | $10.645,00 | 692 / 36 | $9.774,71 | 691 / 56 |
| Heart Failure & Shock W Cc | 21 | 257 / 91 | $33.441,20 | 2119 / 134 | $7.028,29 | 1788 / 144 | $6.120,86 | 1783 / 161 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 68 | $23.896,60 | 1829 / 107 | $5.331,78 | 1361 / 141 | $3.940,50 | 1356 / 117 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 95 | $20.521,80 | 1456 / 62 | $5.446,88 | 1504 / 123 | $4.128,88 | 1493 / 125 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 78 | $38.672,70 | 1877 / 115 | $8.076,53 | 1699 / 119 | $7.195,47 | 1691 / 149 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 92 | $43.048,40 | 2409 / 172 | $7.027,00 | 1938 / 148 | $6.059,00 | 1930 / 172 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 52 | $24.188,30 | 1595 / 95 | $4.408,77 | 1288 / 97 | $3.153,54 | 1283 / 98 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 43 | $29.107,00 | 1686 / 99 | $5.300,85 | 1556 / 99 | $4.557,46 | 1545 / 125 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 42 | $25.836,70 | 1493 / 99 | $5.328,75 | 1408 / 109 | $4.222,08 | 1400 / 126 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 61 | $23.852,90 | 1343 / 62 | $5.857,50 | 1498 / 107 | $4.981,50 | 1493 / 131 |
| Cellulitis W/O Mcc | 11 | 178 / 78 | $24.321,70 | 1839 / 110 | $6.112,45 | 1725 / 129 | $5.012,82 | 1717 / 153 | Total 11 procedures | 173 | 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.