Hospital Costs > In Texas > Memorial Medical Center Of East Texas, 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 | 137 | 379 / 68 | $70.306,60 | 2290 / 154 | $10.406,20 | 508 / 21 | $9.526,07 | 508 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 91 | 112 / 24 | $44.990,50 | 2461 / 179 | $5.731,76 | 608 / 26 | $4.746,74 | 605 / 45 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 81 | 483 / 93 | $81.048,20 | 2227 / 157 | $11.780,60 | 760 / 10 | $10.709,60 | 750 / 89 |
| Pulmonary Edema & Respiratory Failure | 60 | 143 / 27 | $51.796,80 | 1788 / 103 | $6.925,88 | 428 / 11 | $6.264,82 | 428 / 28 |
| Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 43 | $58.869,60 | 2082 / 144 | $8.040,04 | 449 / 14 | $7.249,46 | 449 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 54 | 221 / 60 | $27.989,30 | 2063 / 129 | $4.394,76 | 321 / 17 | $3.259,89 | 320 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 59 | $27.692,20 | 2110 / 151 | $4.539,67 | 342 / 27 | $3.483,85 | 342 / 30 |
| Cellulitis W/O Mcc | 49 | 140 / 41 | $33.455,40 | 2253 / 161 | $4.908,86 | 396 / 28 | $3.793,61 | 393 / 25 |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 45 | $50.126,80 | 2186 / 156 | $6.730,29 | 395 / 21 | $5.675,25 | 394 / 27 |
| Other Vascular Procedures W Cc | 47 | 55 / 13 | $69.616,10 | 512 / 30 | $14.156,70 | 218 / 7 | $13.463,60 | 218 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 46 | 142 / 29 | $76.123,50 | 1541 / 129 | $6.315,00 | 194 / 15 | $4.955,65 | 194 / 20 |
| Heart Failure & Shock W Cc | 46 | 232 / 67 | $37.871,10 | 2260 / 157 | $6.237,98 | 221 / 75 | $4.575,00 | 221 / 18 |
| Heart Failure & Shock W Mcc | 45 | 239 / 78 | $49.189,70 | 1968 / 123 | $8.308,40 | 425 / 16 | $7.586,62 | 425 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 45 | 105 / 21 | $22.061,80 | 1512 / 81 | $3.429,89 | 305 / 17 | $2.263,47 | 303 / 25 |
| Renal Failure W Cc | 45 | 176 / 62 | $34.614,40 | 1886 / 123 | $5.665,51 | 610 / 30 | $4.849,53 | 604 / 51 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 29 | $32.268,50 | 1711 / 110 | $4.653,07 | 189 / 19 | $3.458,82 | 189 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 43 | 125 / 34 | $76.027,60 | 1332 / 75 | $9.779,12 | 303 / 15 | $8.797,54 | 302 / 22 |
| Renal Failure W Mcc | 43 | 152 / 57 | $53.578,10 | 1648 / 111 | $8.695,77 | 413 / 24 | $7.938,19 | 413 / 40 |
| G.I. Hemorrhage W Cc | 43 | 175 / 48 | $35.982,90 | 1820 / 104 | $5.712,53 | 515 / 19 | $4.922,21 | 514 / 32 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 40 | 156 / 36 | $107.223,00 | 1231 / 96 | $11.252,20 | 319 / 1 | $10.194,60 | 319 / 38 |
| Kidney & Urinary Tract Infections W Mcc | 39 | 105 / 38 | $43.536,30 | 1578 / 113 | $6.374,13 | 464 / 22 | $5.661,10 | 463 / 36 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 46 | $49.402,90 | 1724 / 104 | $6.145,44 | 334 / 17 | $5.020,05 | 333 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 29 | $50.243,40 | 1534 / 98 | $6.890,34 | 261 / 14 | $5.976,06 | 260 / 22 |
| Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 41 | $38.020,70 | 2022 / 124 | $5.331,82 | 309 / 14 | $4.337,94 | 308 / 29 |
| Transient Ischemia | 33 | 92 / 30 | $32.784,50 | 1272 / 67 | $4.258,70 | 165 / 14 | $2.950,42 | 165 / 11 |
| Extracranial Procedures W/O Cc/Mcc | 32 | 66 / 17 | $39.730,30 | 632 / 49 | $5.999,59 | 175 / 9 | $4.905,59 | 175 / 14 |
| Respiratory Infections & Inflammations W Mcc | 31 | 105 / 34 | $68.793,60 | 1395 / 85 | $10.707,70 | 240 / 15 | $9.866,42 | 240 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 36 | $82.681,20 | 1336 / 85 | $12.407,60 | 195 / 8 | $11.525,40 | 193 / 14 |
| Red Blood Cell Disorders W/O Mcc | 30 | 113 / 37 | $26.145,30 | 1322 / 76 | $4.695,67 | 438 / 17 | $3.911,67 | 437 / 41 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 36 | $139.604,00 | 920 / 54 | $26.026,70 | 54 / 2 | $24.572,30 | 54 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 44 | $75.238,50 | 1638 / 95 | $10.688,50 | 282 / 10 | $9.691,89 | 281 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 28 | $31.772,00 | 1157 / 60 | $4.425,46 | 255 / 10 | $3.303,18 | 253 / 15 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 35 | $79.042,60 | 1547 / 94 | $9.628,22 | 442 / 17 | $8.868,52 | 442 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 65 | $50.036,40 | 2262 / 162 | $6.413,85 | 702 / 42 | $5.392,31 | 700 / 47 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 26 | 45 / 17 | $165.338,00 | 630 / 40 | $27.514,80 | 109 / 4 | $26.582,80 | 109 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 22 | $56.179,20 | 1259 / 71 | $6.039,46 | 357 / 6 | $5.239,46 | 356 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 63 | $27.073,60 | 2003 / 138 | $4.194,39 | 335 / 24 | $3.174,17 | 335 / 31 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 51 | $38.070,60 | 1257 / 81 | $6.192,00 | 178 / 9 | $5.484,52 | 176 / 21 |
| G.I. Hemorrhage W/O Cc/Mcc | 23 | 45 / 10 | $21.116,20 | 594 / 28 | $4.148,26 | 214 / 8 | $3.203,57 | 212 / 17 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 35 | $64.248,20 | 1255 / 73 | $9.707,64 | 99 / 12 | $8.466,91 | 99 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 33 | $27.651,90 | 1545 / 103 | $4.243,10 | 187 / 24 | $2.876,71 | 185 / 16 |
| Atherosclerosis W/O Mcc | 21 | 37 / 7 | $20.116,40 | 310 / 11 | $3.672,86 | / | $2.750,95 | / |
| Seizures W/O Mcc | 20 | 88 / 27 | $38.459,50 | 1114 / 64 | $4.481,15 | 181 / 9 | $3.516,35 | 180 / 11 |
| Major Cardiovasc Procedures W/O Mcc | 19 | 82 / 30 | $128.281,00 | 784 / 54 | $19.741,20 | 330 / 15 | $18.791,30 | 330 / 36 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 37 | $25.191,40 | 1547 / 82 | $4.249,37 | 220 / 17 | $3.041,79 | 220 / 12 |
| Chest Pain | 19 | 132 / 47 | $21.059,70 | 992 / 34 | $3.652,42 | 261 / 9 | $2.633,47 | 260 / 16 |
| Syncope & Collapse | 18 | 151 / 47 | $41.349,30 | 1721 / 112 | $4.755,78 | 773 / 40 | $3.820,67 | 770 / 59 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 39 | $45.554,40 | 644 / 32 | $10.362,40 | 132 / 8 | $9.288,61 | 132 / 7 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 38 | $21.126,40 | 1370 / 71 | $4.101,28 | 356 / 25 | $3.165,22 | 354 / 21 |
| Other Vascular Procedures W Mcc | 18 | 79 / 33 | $95.019,50 | 542 / 37 | $17.322,00 | 63 / 4 | $16.513,10 | 63 / 7 |
| Pulmonary Embolism W/O Mcc | 18 | 56 / 19 | $41.660,30 | 1075 / 57 | $5.639,11 | 456 / 5 | $5.104,00 | 454 / 28 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 28 | $146.318,00 | 785 / 41 | $25.613,30 | 26 / 4 | $22.579,10 | 26 / 4 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 21 | $25.164,50 | 1005 / 61 | $3.676,94 | 415 / 11 | $2.850,94 | 414 / 35 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 13 | $70.461,50 | 847 / 44 | $4.457,88 | 198 / 3 | $3.557,88 | 197 / 9 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 34 | $101.456,00 | 1223 / 70 | $13.978,60 | 321 / 7 | $12.959,60 | 319 / 32 |
| G.I. Obstruction W Cc | 15 | 77 / 35 | $34.376,30 | 1332 / 70 | $5.291,20 | 58 / 17 | $3.661,67 | 58 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 22 | $122.111,00 | 751 / 38 | $18.092,60 | 190 / 8 | $16.748,60 | 190 / 12 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 20 | $51.978,50 | 615 / 47 | $8.919,69 | 211 / 4 | $8.173,85 | 211 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 42 | $41.920,60 | 999 / 55 | $6.756,69 | 179 / 7 | $5.924,69 | 178 / 9 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 10 | $32.871,20 | 247 / 12 | $6.763,67 | 33 / 3 | $5.580,33 | 33 / 4 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 33 | $50.723,60 | 1158 / 75 | $7.917,00 | 145 / 21 | $6.633,25 | 145 / 9 |
| Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 17 | $38.531,90 | 359 / 15 | $5.578,00 | 82 / 3 | $4.770,00 | 82 / 6 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 23 | $136.738,00 | 427 / 24 | $24.296,50 | 43 / 4 | $23.389,80 | 43 / 4 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 21 | $89.025,20 | 403 / 26 | $10.882,20 | 83 / 4 | $9.871,58 | 82 / 13 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 29 | $89.096,20 | 615 / 35 | $16.122,80 | 80 / 7 | $15.026,80 | 80 / 7 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 26 | $125.539,00 | 394 / 27 | $18.368,50 | 31 / 1 | $17.382,40 | 31 / 3 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 29 | $42.554,70 | 506 / 32 | $6.232,73 | 154 / 5 | $5.031,27 | 154 / 20 |
| Extracranial Procedures W Cc | 11 | 35 / 16 | $57.867,20 | 278 / 22 | $8.895,55 | 55 / 2 | $7.795,91 | 55 / 4 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 10 | $21.148,00 | 274 / 15 | $3.893,55 | 93 / 2 | $2.907,36 | 93 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 25 | $63.381,00 | 605 / 42 | $9.199,18 | 131 / 7 | $8.003,55 | 131 / 10 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 31 | $31.826,90 | 857 / 47 | $5.500,27 | 303 / 10 | $4.867,55 | 301 / 21 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 25 | $208.970,00 | 510 / 36 | $26.932,20 | 12 / 8 | $20.221,10 | 12 / 3 | Total 72 procedures | 2.175 | 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.