Hospital Costs > In Texas > Memorial Hermann Northeast, 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 | 227 | 289 / 37 | $42.835,50 | 1471 / 74 | $13.053,00 | 1240 / 161 | $10.532,00 | 1219 / 108 |
Heart Failure & Shock W Mcc | 161 | 123 / 15 | $32.683,50 | 1263 / 49 | $9.997,48 | 1364 / 119 | $8.823,38 | 1361 / 118 |
Heart Failure & Shock W Cc | 88 | 190 / 37 | $21.218,10 | 1315 / 44 | $7.093,40 | 1607 / 150 | $5.881,50 | 1602 / 139 |
Pulmonary Edema & Respiratory Failure | 75 | 128 / 18 | $25.096,00 | 737 / 10 | $8.457,91 | 1404 / 89 | $7.598,59 | 1400 / 116 |
Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 35 | $23.894,20 | 1045 / 37 | $9.188,15 | 1359 / 165 | $6.653,50 | 1353 / 115 |
Renal Failure W Mcc | 60 | 135 / 42 | $28.306,50 | 664 / 22 | $10.736,50 | 1028 / 110 | $8.983,75 | 1028 / 94 |
G.I. Hemorrhage W Cc | 57 | 161 / 38 | $27.658,30 | 1416 / 54 | $7.803,47 | 1253 / 138 | $5.647,72 | 1250 / 92 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 54 | 221 / 60 | $20.006,90 | 1390 / 53 | $6.000,39 | 1414 / 162 | $4.057,89 | 1403 / 116 |
Kidney & Urinary Tract Infections W Mcc | 50 | 94 / 28 | $24.018,40 | 863 / 33 | $7.491,16 | 1075 / 86 | $6.526,04 | 1072 / 94 |
Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 63 | $21.155,20 | 1688 / 93 | $5.679,29 | 1696 / 151 | $4.545,54 | 1685 / 155 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 50 | $22.947,90 | 1058 / 39 | $7.937,67 | 1422 / 149 | $6.134,64 | 1417 / 126 |
Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 52 | $30.460,10 | 1063 / 40 | $9.813,64 | 1457 / 119 | $8.609,64 | 1457 / 132 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 43 | 82 / 22 | $41.781,90 | 891 / 31 | $10.821,10 | 936 / 61 | $10.095,90 | 934 / 77 |
Other Circulatory System Diagnoses W Mcc | 41 | 75 / 18 | $44.255,00 | 611 / 28 | $12.071,20 | 515 / 48 | $10.806,70 | 513 / 47 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 41 | 85 / 35 | $30.223,60 | 969 / 52 | $8.358,63 | 988 / 102 | $7.024,61 | 985 / 92 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 24 | $32.226,80 | 1056 / 44 | $8.636,17 | 1080 / 87 | $7.296,10 | 1077 / 91 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 39 | 53 / 12 | $117.862,00 | 302 / 17 | $36.639,10 | 293 / 40 | $33.060,20 | 292 / 37 |
Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 38 | $20.573,50 | 1058 / 24 | $6.587,78 | 1613 / 109 | $5.704,76 | 1606 / 134 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 32 | $103.692,00 | 535 / 13 | $29.107,20 | 301 / 19 | $28.027,20 | 301 / 28 |
G.I. Hemorrhage W Mcc | 31 | 90 / 26 | $34.515,00 | 488 / 10 | $11.326,00 | 715 / 55 | $10.262,60 | 715 / 61 |
Renal Failure W Cc | 30 | 191 / 76 | $24.132,20 | 1355 / 54 | $7.198,30 | 1342 / 134 | $5.547,37 | 1334 / 116 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 30 | 534 / 133 | $57.974,20 | 1622 / 100 | $14.782,30 | 1400 / 147 | $11.803,80 | 1367 / 149 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 47 | $39.479,70 | 678 / 13 | $10.629,70 | 665 / 35 | $9.783,30 | 664 / 50 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 28 | $26.124,80 | 481 / 12 | $8.297,19 | 672 / 51 | $7.054,41 | 667 / 50 |
Respiratory Infections & Inflammations W Mcc | 27 | 109 / 38 | $35.659,10 | 614 / 20 | $13.066,20 | 966 / 89 | $11.611,10 | 956 / 83 |
Other Vascular Procedures W Mcc | 26 | 71 / 26 | $64.827,90 | 206 / 8 | $22.487,20 | 199 / 63 | $17.932,00 | 199 / 23 |
Poisoning & Toxic Effects Of Drugs W Mcc | 25 | 47 / 14 | $36.721,60 | 509 / 21 | $9.733,40 | 580 / 34 | $8.944,28 | 578 / 44 |
Red Blood Cell Disorders W/O Mcc | 25 | 118 / 42 | $20.559,00 | 949 / 37 | $5.835,80 | 1181 / 99 | $4.769,56 | 1173 / 101 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 48 | $21.710,80 | 1180 / 50 | $5.716,32 | 1393 / 97 | $4.796,00 | 1388 / 121 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 50 | $55.182,00 | 345 / 8 | $14.969,20 | 646 / 90 | $11.080,10 | 642 / 72 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 50 | $34.642,70 | 744 / 29 | $8.940,17 | 796 / 108 | $5.898,67 | 794 / 72 |
Cellulitis W/O Mcc | 23 | 166 / 66 | $24.527,40 | 1847 / 113 | $6.797,61 | 1440 / 166 | $4.660,78 | 1433 / 124 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 60 | $29.008,00 | 1087 / 36 | $6.961,96 | 1109 / 63 | $6.015,87 | 1106 / 86 |
Syncope & Collapse | 22 | 147 / 43 | $20.483,10 | 901 / 23 | $5.384,86 | 1355 / 79 | $4.727,41 | 1348 / 106 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 44 | $49.518,20 | 600 / 18 | $14.828,20 | 522 / 73 | $12.506,50 | 515 / 53 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 44 | $14.894,50 | 978 / 31 | $5.311,33 | 1169 / 124 | $2.987,81 | 1164 / 86 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 21 | $24.933,60 | 242 / 3 | $9.453,30 | 332 / 16 | $8.492,00 | 332 / 20 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 37 | $20.812,90 | 1342 / 65 | $5.181,68 | 1226 / 111 | $4.004,42 | 1216 / 105 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 38 | $17.659,30 | 1075 / 33 | $5.581,06 | 1184 / 112 | $3.928,06 | 1175 / 91 |
Other Circulatory System O.R. Procedures | 18 | 37 / 11 | $57.807,40 | 142 / 7 | $17.277,20 | 109 / 13 | $15.329,20 | 109 / 15 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 88 | $25.002,90 | 1626 / 75 | $8.886,11 | 1131 / 201 | $5.179,89 | 1127 / 84 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 18 | 75 / 19 | $51.540,20 | 345 / 8 | $16.090,40 | 369 / 48 | $11.968,30 | 364 / 31 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 30 | $32.102,20 | 484 / 30 | $7.878,67 | 296 / 59 | $5.205,67 | 296 / 28 |
Chest Pain | 18 | 133 / 48 | $23.492,90 | 1142 / 53 | $5.768,67 | 855 / 111 | $3.335,67 | 850 / 63 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 33 | $67.131,90 | 802 / 38 | $16.347,00 | 904 / 46 | $15.281,50 | 896 / 78 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 25 | $74.332,90 | 87 / 1 | $31.374,80 | 131 / 32 | $26.924,40 | 131 / 11 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 23 | $29.090,60 | 433 / 20 | $8.477,25 | 572 / 44 | $7.708,25 | 570 / 56 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 56 | $55.871,10 | 1237 / 61 | $12.720,50 | 1209 / 92 | $11.664,50 | 1195 / 107 |
Transient Ischemia | 15 | 110 / 48 | $28.227,30 | 1117 / 50 | $5.225,60 | 1138 / 68 | $4.340,27 | 1132 / 87 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 29 | $28.530,90 | 818 / 32 | $6.814,27 | 851 / 43 | $5.933,20 | 847 / 62 |
Other Digestive System Diagnoses W Mcc | 15 | 47 / 15 | $82.457,80 | 685 / 50 | $18.127,10 | 694 / 51 | $15.741,30 | 693 / 52 |
Diabetes W Cc | 14 | 78 / 37 | $20.812,40 | 749 / 24 | $5.995,57 | 936 / 63 | $4.988,14 | 932 / 74 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 32 | $73.577,50 | 206 / 7 | $19.174,10 | 339 / 17 | $18.223,30 | 337 / 35 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 72 | $20.063,90 | 1563 / 72 | $5.343,14 | 1563 / 142 | $4.143,79 | 1558 / 137 |
Peripheral Vascular Disorders W Mcc | 14 | 35 / 13 | $39.839,70 | 349 / 22 | $10.108,90 | 207 / 32 | $7.722,50 | 207 / 24 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 17 | $29.588,70 | 615 / 27 | $6.526,00 | 603 / 28 | $5.664,29 | 600 / 43 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 32 | $29.796,20 | 677 / 24 | $9.186,46 | 966 / 75 | $8.539,08 | 961 / 97 |
Seizures W Mcc | 13 | 53 / 21 | $52.068,20 | 505 / 27 | $9.856,69 | 328 / 25 | $9.089,92 | 328 / 35 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 17 | $22.199,80 | 267 / 7 | $6.301,25 | 420 / 19 | $5.493,25 | 420 / 29 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 23 | $71.873,10 | 68 / 1 | $25.164,20 | 66 / 6 | $24.353,60 | 66 / 7 |
Other Vascular Procedures W Cc | 12 | 90 / 42 | $55.888,00 | 290 / 16 | $16.128,60 | 494 / 45 | $14.917,90 | 491 / 65 |
Other Kidney & Urinary Tract Procedures W Mcc | 12 | 26 / 13 | $70.990,90 | 79 / 3 | $19.434,70 | 68 / 10 | $18.533,30 | 68 / 12 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 34 | $32.964,80 | 850 / 31 | $7.350,64 | 899 / 52 | $6.364,45 | 897 / 71 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 36 | $41.699,70 | 224 / 11 | $17.550,60 | 359 / 60 | $11.939,70 | 358 / 44 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 21 | $43.355,80 | 360 / 20 | $19.032,20 | 3 / 49 | $6.295,73 | 3 / 1 | Total 65 procedures | 2.109 | 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.