Hospital Costs > In Texas > Memorial Medical Center Livingston, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Pulmonary Edema & Respiratory Failure | 77 | 126 / 17 | $38.271,90 | 1441 / 63 | $7.887,01 | 944 / 61 | $6.861,25 | 944 / 65 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 48 | 516 / 116 | $76.462,80 | 2136 / 147 | $13.472,70 | 1461 / 90 | $11.948,80 | 1428 / 160 |
| Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 64 | $46.693,20 | 2500 / 186 | $6.732,67 | 1292 / 124 | $5.296,12 | 1288 / 104 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 70 | $27.478,50 | 2034 / 125 | $4.994,55 | 1290 / 76 | $3.959,88 | 1279 / 102 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 17 | $30.516,70 | 1630 / 119 | $4.713,92 | 1247 / 62 | $3.964,95 | 1241 / 105 |
| Cellulitis W/O Mcc | 33 | 156 / 57 | $26.413,40 | 1958 / 131 | $5.597,27 | 1197 / 92 | $4.425,88 | 1191 / 101 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 27 | $31.633,60 | 1756 / 109 | $4.848,66 | 1117 / 69 | $3.842,10 | 1108 / 84 |
| Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 66 | $39.933,70 | 1919 / 119 | $7.450,59 | 1325 / 73 | $6.599,63 | 1319 / 110 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 26 | 490 / 134 | $46.900,40 | 1665 / 87 | $11.429,80 | 1106 / 76 | $10.335,60 | 1092 / 96 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 85 | $28.600,10 | 2157 / 159 | $5.072,21 | 1416 / 83 | $4.269,54 | 1407 / 123 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 63 | $28.986,20 | 2098 / 150 | $4.689,26 | 1283 / 71 | $3.872,04 | 1279 / 105 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 71 | $51.689,20 | 1954 / 129 | $8.934,00 | 990 / 68 | $7.865,96 | 990 / 78 |
| Heart Failure & Shock W Mcc | 23 | 261 / 97 | $52.770,40 | 2063 / 137 | $9.403,87 | 1168 / 91 | $8.538,52 | 1165 / 96 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 55 | $33.424,00 | 1757 / 113 | $5.278,33 | 837 / 71 | $4.138,78 | 834 / 67 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 74 | $35.053,60 | 1863 / 116 | $6.646,41 | 901 / 62 | $5.577,24 | 899 / 76 |
| Renal Failure W Cc | 16 | 205 / 89 | $29.981,80 | 1693 / 100 | $6.332,81 | 1487 / 86 | $5.730,81 | 1478 / 132 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 60 | $40.916,30 | 2091 / 128 | $6.040,40 | 1256 / 72 | $5.234,00 | 1251 / 94 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 59 | $67.201,60 | 1492 / 83 | $11.923,60 | 986 / 65 | $10.998,10 | 973 / 90 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 14 | $62.339,20 | 414 / 17 | $9.571,75 | 273 / 7 | $8.462,42 | 273 / 16 |
| Heart Failure & Shock W Cc | 11 | 267 / 101 | $28.692,40 | 1891 / 101 | $6.259,55 | 1118 / 78 | $5.383,91 | 1116 / 91 | Total 20 procedures | 557 | 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.