Hospital Costs > In Texas > Memorial Hermann Sugar Land Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 120 | 444 / 71 | $50.080,90 | 1295 / 63 | $16.580,00 | 1019 / 197 | $11.083,10 | 998 / 122 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 70 | 446 / 101 | $31.330,50 | 849 / 33 | $11.854,60 | 1204 / 104 | $10.484,30 | 1185 / 105 |
| Heart Failure & Shock W Mcc | 49 | 235 / 74 | $26.833,50 | 885 / 26 | $10.906,50 | 1236 / 163 | $8.626,37 | 1233 / 104 |
| Respiratory Infections & Inflammations W Mcc | 35 | 101 / 30 | $34.751,20 | 583 / 17 | $13.227,10 | 759 / 93 | $11.046,50 | 751 / 65 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 78 | $18.530,70 | 1215 / 42 | $5.752,24 | 1534 / 148 | $4.157,00 | 1522 / 129 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 69 | $28.178,50 | 1357 / 52 | $8.085,75 | 1616 / 121 | $7.023,04 | 1608 / 143 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 70 | $23.055,40 | 1076 / 40 | $7.630,29 | 1360 / 132 | $6.063,05 | 1355 / 121 |
| Cellulitis W/O Mcc | 21 | 168 / 68 | $15.248,70 | 889 / 24 | $6.109,05 | 1476 / 127 | $4.695,57 | 1469 / 127 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 88 | $19.827,70 | 1560 / 81 | $5.576,10 | 1810 / 145 | $4.707,33 | 1799 / 169 |
| G.I. Hemorrhage W Cc | 21 | 197 / 68 | $29.065,10 | 1504 / 68 | $9.354,14 | 868 / 158 | $5.244,57 | 866 / 65 |
| Renal Failure W Mcc | 20 | 175 / 76 | $22.565,80 | 345 / 6 | $9.912,80 | 743 / 80 | $8.443,35 | 743 / 63 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 64 | $32.114,30 | 1251 / 53 | $9.190,89 | 687 / 130 | $5.420,32 | 686 / 54 |
| Heart Failure & Shock W Cc | 18 | 260 / 94 | $23.669,20 | 1553 / 63 | $6.967,50 | 1884 / 140 | $6.291,78 | 1879 / 172 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 49 | $20.672,70 | 955 / 38 | $5.840,28 | 1243 / 100 | $4.877,78 | 1235 / 115 |
| Pulmonary Edema & Respiratory Failure | 18 | 185 / 63 | $32.220,00 | 1154 / 44 | $11.271,80 | 1043 / 153 | $7.008,44 | 1041 / 81 |
| Renal Failure W Cc | 18 | 203 / 88 | $21.685,20 | 1150 / 37 | $7.268,44 | 1303 / 139 | $5.496,89 | 1295 / 110 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 62 | $21.738,90 | 1186 / 33 | $6.569,85 | 1519 / 108 | $5.540,00 | 1513 / 127 |
| Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 60 | $68.106,50 | 341 / 16 | $24.539,40 | 726 / 39 | $23.425,50 | 722 / 87 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 33 | $22.884,80 | 384 / 8 | $8.600,67 | 663 / 54 | $7.693,08 | 659 / 56 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 61 | $23.324,90 | 1310 / 58 | $6.807,50 | 1081 / 138 | $4.379,92 | 1077 / 92 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 30 | $17.872,40 | 303 / 5 | $5.990,75 | 504 / 35 | $4.812,83 | 500 / 40 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 60 | $50.713,20 | 1070 / 50 | $13.641,20 | 784 / 122 | $10.579,50 | 776 / 64 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 54 | $43.719,10 | 434 / 8 | $14.476,50 | 842 / 57 | $13.468,30 | 834 / 83 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 26 | $18.945,30 | 777 / 38 | $5.940,36 | 424 / 83 | $2.868,09 | 423 / 36 | Total 24 procedures | 624 | 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.