Hospital Costs > In Texas > Memorial Hospital Nacogdoches, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 35 | $29.348,00 | 1429 / 59 | $6.847,35 | 625 / 29 | $5.890,38 | 622 / 45 |
Simple Pneumonia & Pleurisy W Cc | 56 | 147 / 53 | $36.068,40 | 2222 / 144 | $5.942,36 | 1002 / 48 | $5.081,29 | 999 / 75 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 49 | 44 / 9 | $24.720,30 | 1438 / 90 | $4.438,88 | 1070 / 38 | $3.747,94 | 1064 / 88 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 48 | 516 / 116 | $32.295,80 | 327 / 9 | $12.128,40 | 521 / 23 | $10.346,90 | 517 / 64 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 39 | $17.177,80 | 1222 / 45 | $4.405,33 | 846 / 45 | $3.544,94 | 843 / 68 |
Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 67 | $17.826,00 | 1326 / 61 | $4.806,95 | 925 / 56 | $3.903,68 | 918 / 75 |
Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 35 | $28.214,50 | 1635 / 76 | $5.682,90 | 537 / 38 | $4.586,54 | 535 / 43 |
Heart Failure & Shock W/O Cc/Mcc | 37 | 73 / 19 | $22.101,00 | 1405 / 76 | $4.290,38 | 727 / 43 | $3.494,11 | 723 / 50 |
Heart Failure & Shock W Cc | 36 | 242 / 76 | $25.477,70 | 1704 / 80 | $5.873,14 | 914 / 36 | $5.225,72 | 913 / 68 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 35 | 115 / 30 | $14.685,00 | 949 / 28 | $3.660,23 | 457 / 40 | $2.405,37 | 454 / 36 |
G.I. Hemorrhage W/O Cc/Mcc | 32 | 36 / 3 | $20.068,20 | 550 / 21 | $4.303,09 | 87 / 13 | $2.892,84 | 87 / 8 |
Heart Failure & Shock W Mcc | 32 | 252 / 90 | $38.823,40 | 1596 / 75 | $8.855,19 | 474 / 51 | $7.656,75 | 474 / 36 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 43 | $84.243,70 | 945 / 65 | $13.249,90 | 888 / 49 | $12.017,60 | 882 / 108 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 30 | 90 / 26 | $20.824,40 | 1316 / 56 | $4.473,23 | 611 / 35 | $3.411,57 | 610 / 44 |
Red Blood Cell Disorders W/O Mcc | 30 | 113 / 37 | $19.401,70 | 846 / 31 | $4.972,63 | 325 / 34 | $3.789,47 | 324 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 29 | $24.123,70 | 853 / 24 | $4.793,63 | 464 / 25 | $3.589,22 | 461 / 27 |
Cellulitis W/O Mcc | 26 | 163 / 63 | $22.894,80 | 1723 / 94 | $5.135,35 | 576 / 41 | $3.949,69 | 573 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 88 | $17.428,30 | 1055 / 33 | $4.752,13 | 409 / 52 | $3.332,52 | 407 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 23 | 493 / 135 | $47.634,40 | 1692 / 91 | $11.385,40 | 1346 / 75 | $10.718,40 | 1319 / 119 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 60 | $28.269,00 | 1030 / 32 | $6.340,39 | 632 / 32 | $5.362,26 | 631 / 51 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 73 | $42.177,30 | 1642 / 86 | $8.514,00 | 961 / 45 | $7.838,81 | 961 / 75 |
Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 30 | $77.138,70 | 342 / 12 | $19.728,50 | 309 / 14 | $18.642,20 | 309 / 33 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 27 | $38.110,40 | 927 / 53 | $8.021,28 | 299 / 24 | $6.977,00 | 297 / 23 |
Medical Back Problems W/O Mcc | 18 | 103 / 32 | $20.273,70 | 554 / 9 | $5.209,44 | 414 / 20 | $4.109,56 | 414 / 30 |
Transient Ischemia | 17 | 108 / 46 | $20.901,20 | 729 / 15 | $4.418,65 | 553 / 24 | $3.426,65 | 550 / 37 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 17 | $26.101,10 | 110 / 3 | $9.316,94 | 239 / 13 | $8.293,44 | 239 / 24 |
Major Male Pelvic Procedures W/O Cc/Mcc | 15 | 58 / 14 | $19.137,90 | 15 / 1 | $7.355,53 | 16 / 4 | $5.037,00 | 16 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 76 | $27.485,60 | 1462 / 72 | $6.676,00 | 529 / 63 | $5.236,67 | 527 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 58 | $23.678,10 | 1331 / 60 | $4.908,60 | 547 / 41 | $3.861,13 | 545 / 46 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 60 | $33.283,80 | 668 / 21 | $6.489,43 | 743 / 22 | $5.799,14 | 741 / 68 |
G.I. Hemorrhage W Cc | 14 | 204 / 75 | $25.262,10 | 1217 / 40 | $6.259,43 | 43 / 52 | $4.171,93 | 43 / 4 |
Renal Failure W Cc | 14 | 207 / 91 | $39.125,30 | 2018 / 136 | $6.104,50 | 847 / 66 | $5.039,07 | 840 / 70 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 28 | $109.427,00 | 308 / 9 | $29.714,50 | 270 / 22 | $28.759,70 | 270 / 31 |
Diabetes W Cc | 12 | 80 / 39 | $33.271,80 | 1269 / 79 | $5.542,17 | 556 / 44 | $4.341,17 | 556 / 38 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 54 | $55.694,10 | 789 / 33 | $12.996,10 | 391 / 23 | $12.129,60 | 387 / 38 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 20 | $28.328,80 | 105 / 2 | $9.419,00 | 243 / 11 | $8.313,08 | 243 / 24 |
Syncope & Collapse | 12 | 157 / 53 | $19.157,40 | 778 / 10 | $4.563,08 | 710 / 29 | $3.757,75 | 707 / 55 |
Diabetes W/O Cc/Mcc | 11 | 27 / 8 | $21.631,00 | 195 / 9 | $3.757,64 | 83 / 5 | $2.946,91 | 83 / 7 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 53 | $58.564,90 | 1244 / 68 | $12.461,50 | 1014 / 72 | $11.737,40 | 1001 / 86 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 20 | $19.455,90 | 499 / 7 | $4.099,82 | 190 / 4 | $3.104,91 | 189 / 10 | Total 40 procedures | 1.021 | 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.