Hospital Costs > In Texas > Memorial Hermann Katy 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 | 137 | 379 / 68 | $33.482,40 | 972 / 39 | $11.557,60 | 1247 / 87 | $10.550,10 | 1226 / 109 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 129 | 435 / 67 | $49.045,40 | 1246 / 62 | $15.709,30 | 968 / 183 | $11.004,60 | 949 / 111 |
Heart Failure & Shock W Mcc | 77 | 207 / 52 | $26.460,90 | 860 / 24 | $10.171,60 | 1051 / 129 | $8.356,57 | 1049 / 83 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 72 | 203 / 48 | $20.637,10 | 1470 / 67 | $5.547,83 | 1372 / 132 | $4.024,92 | 1361 / 112 |
Simple Pneumonia & Pleurisy W Mcc | 66 | 139 / 33 | $26.095,40 | 776 / 20 | $9.247,65 | 1073 / 88 | $7.954,00 | 1073 / 85 |
Simple Pneumonia & Pleurisy W Cc | 53 | 150 / 55 | $19.741,10 | 1107 / 43 | $6.690,25 | 1349 / 118 | $5.357,08 | 1344 / 108 |
Kidney & Urinary Tract Infections W/O Mcc | 53 | 180 / 60 | $17.589,70 | 1295 / 58 | $5.494,98 | 1259 / 131 | $4.131,83 | 1250 / 109 |
Cellulitis W/O Mcc | 52 | 137 / 39 | $17.868,90 | 1230 / 54 | $6.339,60 | 1241 / 146 | $4.462,13 | 1235 / 104 |
Respiratory Infections & Inflammations W Mcc | 46 | 90 / 20 | $31.627,90 | 439 / 8 | $11.761,30 | 650 / 49 | $10.816,60 | 642 / 52 |
Chronic Obstructive Pulmonary Disease W Mcc | 46 | 156 / 47 | $22.905,20 | 965 / 32 | $7.685,91 | 1237 / 92 | $6.503,78 | 1231 / 103 |
Heart Failure & Shock W Cc | 43 | 235 / 69 | $20.320,80 | 1220 / 38 | $6.552,86 | 1436 / 111 | $5.694,81 | 1431 / 121 |
G.I. Hemorrhage W Cc | 38 | 180 / 52 | $28.362,20 | 1467 / 61 | $7.290,79 | 1215 / 120 | $5.594,79 | 1213 / 87 |
Kidney & Urinary Tract Infections W Mcc | 33 | 111 / 44 | $24.005,40 | 861 / 32 | $6.932,61 | 788 / 60 | $6.081,70 | 787 / 64 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 55 | $20.369,50 | 1590 / 79 | $4.936,47 | 1260 / 107 | $3.852,28 | 1256 / 103 |
Renal Failure W Mcc | 32 | 163 / 65 | $27.731,30 | 632 / 20 | $10.075,40 | 801 / 85 | $8.544,84 | 801 / 67 |
Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 41 | $46.846,60 | 926 / 28 | $13.302,90 | 836 / 112 | $10.670,80 | 826 / 69 |
Renal Failure W Cc | 31 | 190 / 75 | $22.539,20 | 1229 / 45 | $6.411,55 | 1179 / 93 | $5.359,68 | 1171 / 95 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 54 | $27.970,00 | 1002 / 26 | $7.869,34 | 803 / 103 | $5.553,59 | 801 / 63 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 46 | $26.899,00 | 811 / 37 | $7.336,79 | 768 / 59 | $6.521,93 | 765 / 71 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 48 | $33.631,70 | 473 / 5 | $10.449,30 | 609 / 31 | $9.646,23 | 608 / 45 |
Pulmonary Edema & Respiratory Failure | 25 | 178 / 58 | $25.467,70 | 761 / 11 | $7.886,68 | 1164 / 60 | $7.183,96 | 1162 / 91 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 51 | $19.750,50 | 972 / 22 | $6.234,88 | 425 / 86 | $4.458,33 | 424 / 39 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 45 | $20.939,70 | 982 / 39 | $5.526,18 | 1020 / 74 | $4.537,09 | 1013 / 85 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 41 | $26.650,40 | 767 / 16 | $7.896,27 | 1018 / 63 | $7.179,18 | 1015 / 86 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 44 | $36.721,10 | 247 / 2 | $15.800,90 | 649 / 99 | $12.818,20 | 641 / 62 |
G.I. Obstruction W Cc | 21 | 71 / 29 | $22.702,90 | 839 / 21 | $6.587,43 | 883 / 72 | $4.933,29 | 881 / 66 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 70 | $25.659,90 | 1304 / 56 | $7.461,24 | 928 / 120 | $5.602,62 | 925 / 80 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 44 | $69.408,50 | 170 / 2 | $27.443,30 | 187 / 7 | $26.777,80 | 187 / 14 |
Syncope & Collapse | 20 | 149 / 45 | $28.701,90 | 1381 / 67 | $5.120,30 | 933 / 65 | $3.982,25 | 927 / 68 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 43 | $35.607,40 | 641 / 13 | $10.114,60 | 673 / 35 | $9.356,68 | 672 / 52 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 36 | $24.743,80 | 423 / 11 | $7.795,74 | 614 / 33 | $6.908,16 | 609 / 42 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 54 | $21.372,30 | 1152 / 45 | $5.878,42 | 778 / 109 | $4.094,84 | 775 / 62 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 28 | $77.408,30 | 77 / 2 | $28.956,80 | 6 / 1 | $25.421,90 | 6 / 2 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 39 | $16.201,90 | 930 / 21 | $4.814,29 | 783 / 62 | $3.561,06 | 780 / 56 |
Transient Ischemia | 16 | 109 / 47 | $20.967,90 | 734 / 16 | $6.732,75 | 853 / 106 | $3.781,94 | 849 / 62 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 27 | $15.022,90 | 193 / 2 | $5.927,40 | 547 / 33 | $4.920,47 | 543 / 46 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 39 | $17.233,90 | 943 / 35 | $6.198,07 | 618 / 142 | $3.336,00 | 615 / 49 |
Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 11 | $15.675,00 | 143 / 3 | $4.604,00 | 185 / 15 | $3.486,46 | 185 / 20 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 16 | $18.949,70 | 470 / 16 | $4.799,15 | 391 / 22 | $3.686,54 | 392 / 24 |
G.I. Hemorrhage W Mcc | 13 | 108 / 44 | $40.893,50 | 724 / 24 | $12.688,90 | 447 / 89 | $9.514,62 | 448 / 38 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 31 | $31.789,90 | 927 / 47 | $6.488,85 | 736 / 33 | $5.649,46 | 732 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 42 | $24.634,80 | 887 / 30 | $7.105,92 | 386 / 93 | $3.485,77 | 383 / 24 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 31 | $92.938,30 | 321 / 6 | $27.059,50 | 188 / 7 | $26.222,60 | 187 / 21 |
Cellulitis W Mcc | 13 | 45 / 20 | $22.224,50 | 174 / 3 | $9.359,15 | 472 / 24 | $8.618,23 | 470 / 45 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 33 | $22.232,50 | 360 / 7 | $8.803,17 | 668 / 63 | $7.696,50 | 664 / 57 |
Medical Back Problems W/O Mcc | 12 | 109 / 38 | $26.558,70 | 895 / 39 | $7.534,25 | 197 / 92 | $3.741,58 | 197 / 15 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 24 | $54.873,10 | 521 / 33 | $10.481,20 | 460 / 31 | $9.369,25 | 458 / 49 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 44 | $17.905,20 | 1141 / 43 | $4.715,00 | 1155 / 80 | $3.907,00 | 1146 / 94 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 21 | $27.311,80 | 99 / 2 | $11.235,80 | 203 / 9 | $10.633,10 | 203 / 17 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 26 | $20.476,80 | 406 / 3 | $8.623,09 | 478 / 64 | $5.158,73 | 476 / 30 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 30 | $71.551,10 | 437 / 14 | $17.826,60 | 328 / 25 | $16.748,80 | 325 / 27 |
Seizures W/O Mcc | 11 | 97 / 36 | $18.718,00 | 478 / 7 | $7.539,00 | 259 / 78 | $3.673,55 | 258 / 20 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 24 | $70.525,90 | 384 / 11 | $17.829,90 | 222 / 6 | $16.951,40 | 221 / 15 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 26 | $18.702,70 | 764 / 36 | $4.885,36 | 458 / 59 | $2.909,18 | 457 / 38 | Total 54 procedures | 1.596 | 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.