Hospital Costs > In Texas > Memorial Hospital Gonzales, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 91 | $8.368,61 | 143 / 7 | $5.315,17 | 1534 / 118 | $4.379,61 | 1523 / 134 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 73 | $5.150,38 | 12 / 1 | $4.804,77 | 1169 / 90 | $3.788,15 | 1166 / 92 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 79 | $9.243,67 | 41 / 2 | $6.314,00 | 876 / 23 | $5.553,50 | 874 / 73 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 94 | $9.290,25 | 75 / 1 | $6.735,92 | 1601 / 125 | $5.606,92 | 1594 / 136 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 41 | $7.638,85 | 74 / 1 | $5.007,08 | 1178 / 85 | $3.877,85 | 1172 / 97 |
| Spinal Fusion Except Cervical W/O Mcc | 17 | 177 / 56 | $49.162,20 | 112 / 3 | $24.495,20 | 669 / 37 | $22.882,50 | 665 / 78 | Total 6 procedures | 85 | 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.