Hospital Costs > In Texas > Methodist Charlton Medical Center, 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 | 279 | 239 / 28 | $45.976,10 | 1625 / 83 | $12.236,00 | 1444 / 128 | $10.930,70 | 1416 / 132 |
| Heart Failure & Shock W Mcc | 147 | 137 / 18 | $37.182,20 | 1517 / 66 | $10.084,60 | 1281 / 123 | $8.692,95 | 1278 / 109 |
| Renal Failure W Mcc | 146 | 51 / 9 | $38.334,40 | 1214 / 67 | $10.484,00 | 1074 / 100 | $9.080,21 | 1074 / 102 |
| Pulmonary Edema & Respiratory Failure | 126 | 77 / 7 | $32.082,80 | 1145 / 42 | $8.626,35 | 1196 / 95 | $7.220,51 | 1194 / 95 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 111 | 453 / 77 | $37.506,30 | 615 / 18 | $14.746,50 | 1444 / 146 | $11.903,30 | 1411 / 157 |
| Heart Failure & Shock W Cc | 108 | 170 / 27 | $27.794,00 | 1843 / 96 | $7.250,30 | 1683 / 161 | $5.969,04 | 1678 / 144 |
| Renal Failure W Cc | 107 | 114 / 19 | $26.936,90 | 1543 / 76 | $6.746,48 | 1399 / 111 | $5.616,16 | 1390 / 120 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 97 | 36 / 4 | $56.881,50 | 835 / 36 | $14.946,20 | 838 / 77 | $13.461,70 | 830 / 82 |
| Red Blood Cell Disorders W/O Mcc | 85 | 58 / 9 | $27.753,80 | 1395 / 85 | $6.087,87 | 1103 / 107 | $4.656,06 | 1096 / 95 |
| Chronic Obstructive Pulmonary Disease W Mcc | 81 | 121 / 21 | $32.359,90 | 1616 / 78 | $8.228,31 | 1482 / 128 | $6.814,35 | 1476 / 127 |
| Kidney & Urinary Tract Infections W/O Mcc | 80 | 153 / 39 | $23.109,90 | 1856 / 118 | $5.879,45 | 1622 / 166 | $4.463,84 | 1611 / 145 |
| Simple Pneumonia & Pleurisy W Mcc | 80 | 125 / 24 | $35.539,80 | 1387 / 59 | $9.859,14 | 1227 / 121 | $8.185,38 | 1227 / 100 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 77 | 49 / 13 | $32.583,30 | 1074 / 67 | $7.779,30 | 792 / 78 | $6.568,62 | 789 / 72 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 47 | $23.807,50 | 1785 / 99 | $5.789,14 | 1570 / 151 | $4.192,05 | 1557 / 134 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 70 | 96 / 23 | $22.378,70 | 1746 / 98 | $5.295,36 | 1433 / 140 | $4.003,33 | 1428 / 126 |
| Chronic Obstructive Pulmonary Disease W Cc | 70 | 109 / 18 | $25.983,50 | 1514 / 59 | $6.567,69 | 1276 / 107 | $5.249,77 | 1271 / 96 |
| G.I. Hemorrhage W Cc | 67 | 151 / 32 | $38.768,80 | 1917 / 114 | $7.348,02 | 1595 / 123 | $6.152,54 | 1591 / 128 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 60 | 122 / 30 | $35.063,50 | 1364 / 64 | $7.899,85 | 1134 / 104 | $6.047,93 | 1131 / 91 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 57 | 150 / 39 | $30.384,00 | 1648 / 91 | $7.593,35 | 1470 / 129 | $6.206,19 | 1464 / 129 |
| G.I. Hemorrhage W Mcc | 47 | 74 / 14 | $54.679,90 | 1102 / 59 | $11.700,40 | 829 / 63 | $10.619,90 | 826 / 71 |
| Kidney & Urinary Tract Infections W Mcc | 46 | 98 / 31 | $27.335,10 | 1058 / 45 | $7.544,37 | 1115 / 89 | $6.600,17 | 1111 / 96 |
| Respiratory Infections & Inflammations W Mcc | 43 | 93 / 23 | $45.139,80 | 939 / 40 | $12.718,30 | 1038 / 80 | $11.813,50 | 1025 / 89 |
| Chest Pain | 42 | 109 / 26 | $24.748,20 | 1193 / 61 | $4.649,52 | 1030 / 73 | $3.609,95 | 1024 / 87 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 40 | 121 / 33 | $25.292,20 | 1414 / 72 | $5.832,33 | 1354 / 104 | $4.737,52 | 1349 / 116 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 37 | $47.355,70 | 902 / 34 | $12.030,70 | 542 / 69 | $9.444,15 | 541 / 37 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 39 | 53 / 12 | $135.694,00 | 426 / 24 | $42.698,70 | 254 / 62 | $32.407,90 | 253 / 34 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 38 | 86 / 27 | $145.116,00 | 985 / 62 | $37.203,40 | 965 / 82 | $34.991,50 | 959 / 93 |
| Seizures W/O Mcc | 38 | 70 / 15 | $26.490,50 | 829 / 32 | $5.651,87 | 690 / 45 | $4.479,47 | 687 / 58 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 38 | 82 / 18 | $24.759,50 | 1528 / 79 | $5.702,92 | 1189 / 115 | $3.934,82 | 1180 / 92 |
| Diabetes W Cc | 37 | 55 / 15 | $24.383,60 | 968 / 44 | $6.229,70 | 785 / 72 | $4.676,22 | 782 / 62 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 37 | 86 / 27 | $37.248,30 | 1230 / 61 | $8.463,08 | 853 / 81 | $6.894,03 | 850 / 72 |
| Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 70 | $28.238,70 | 1850 / 97 | $7.292,97 | 1545 / 164 | $5.560,86 | 1539 / 129 |
| Cellulitis W/O Mcc | 37 | 152 / 53 | $19.926,20 | 1472 / 72 | $6.086,03 | 1627 / 125 | $4.873,84 | 1620 / 142 |
| Syncope & Collapse | 35 | 134 / 33 | $27.519,70 | 1332 / 61 | $5.416,06 | 1135 / 81 | $4.279,46 | 1128 / 90 |
| Other Vascular Procedures W Mcc | 35 | 62 / 20 | $73.814,70 | 308 / 15 | $21.625,30 | 270 / 56 | $18.429,80 | 269 / 35 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 34 | 37 / 11 | $106.330,00 | 293 / 7 | $32.496,30 | 434 / 38 | $31.261,50 | 434 / 49 |
| Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 39 | $48.264,80 | 981 / 36 | $12.937,20 | 1268 / 100 | $11.844,10 | 1251 / 115 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 30 | $43.425,90 | 943 / 34 | $11.607,90 | 1007 / 79 | $10.343,70 | 1005 / 82 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 42 | $52.924,50 | 279 / 7 | $16.054,60 | 442 / 107 | $10.497,40 | 441 / 53 |
| Other Circulatory System Diagnoses W Mcc | 29 | 87 / 29 | $50.007,90 | 739 / 44 | $13.363,20 | 271 / 74 | $9.876,00 | 271 / 17 |
| Diabetes W Mcc | 28 | 29 / 8 | $31.660,60 | 307 / 9 | $9.338,93 | 320 / 26 | $8.223,75 | 320 / 25 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 27 | 37 / 10 | $175.902,00 | 101 / 9 | $53.184,90 | 47 / 12 | $48.448,10 | 47 / 9 |
| Other Digestive System Diagnoses W Cc | 27 | 70 / 17 | $36.709,00 | 1062 / 55 | $8.276,04 | 708 / 76 | $5.578,81 | 704 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 38 | $16.250,80 | 1125 / 43 | $4.366,48 | 1343 / 94 | $3.222,81 | 1338 / 100 |
| Transient Ischemia | 27 | 98 / 36 | $31.954,10 | 1239 / 61 | $5.793,85 | 1112 / 87 | $4.270,52 | 1106 / 86 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 22 | $77.562,50 | 249 / 9 | $20.186,90 | 239 / 31 | $17.451,60 | 238 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 32 | $29.908,20 | 1098 / 54 | $5.598,33 | 1035 / 62 | $4.423,21 | 1031 / 78 |
| Peripheral Vascular Disorders W Cc | 23 | 61 / 20 | $24.137,50 | 596 / 21 | $6.910,39 | 619 / 45 | $5.596,87 | 616 / 50 |
| Red Blood Cell Disorders W Mcc | 23 | 48 / 16 | $40.186,20 | 684 / 45 | $11.274,00 | 407 / 82 | $7.147,96 | 405 / 39 |
| G.I. Obstruction W Cc | 23 | 69 / 27 | $26.603,40 | 1066 / 40 | $6.430,61 | 878 / 69 | $4.926,52 | 876 / 63 |
| Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 33 | $17.598,60 | 1114 / 40 | $5.224,39 | 1027 / 115 | $3.758,65 | 1019 / 84 |
| Seizures W Mcc | 22 | 44 / 12 | $41.587,80 | 380 / 17 | $9.616,32 | 231 / 18 | $8.509,82 | 231 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 52 | $33.546,10 | 688 / 22 | $7.616,23 | 993 / 73 | $6.327,77 | 990 / 94 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 15 | $31.751,80 | 699 / 29 | $8.199,55 | 664 / 41 | $7.217,10 | 662 / 54 |
| Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 10 | $23.940,80 | 626 / 34 | $5.347,40 | 578 / 36 | $4.149,50 | 578 / 44 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 13 | $38.442,60 | 369 / 16 | $10.806,00 | 563 / 54 | $9.531,35 | 561 / 60 |
| Other Digestive System Diagnoses W Mcc | 20 | 42 / 10 | $51.616,10 | 480 / 29 | $12.077,20 | 214 / 37 | $9.536,15 | 214 / 24 |
| Diabetes W/O Cc/Mcc | 20 | 18 / 3 | $14.936,90 | 124 / 3 | $4.527,70 | 142 / 13 | $3.432,50 | 142 / 10 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 18 | $31.106,30 | 376 / 14 | $9.354,30 | 420 / 28 | $8.224,30 | 419 / 31 |
| Other Vascular Procedures W Cc | 20 | 82 / 34 | $74.671,60 | 586 / 38 | $19.598,10 | 448 / 82 | $14.625,20 | 445 / 58 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 36 | $36.527,40 | 857 / 41 | $8.195,53 | 775 / 50 | $7.316,05 | 770 / 60 |
| Other Resp System O.R. Procedures W Mcc | 19 | 44 / 11 | $99.258,10 | 340 / 20 | $22.886,60 | 243 / 21 | $21.229,80 | 242 / 24 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 25 | $120.157,00 | 557 / 22 | $32.658,50 | 570 / 49 | $30.316,90 | 568 / 53 |
| Hypertension W/O Mcc | 18 | 47 / 15 | $19.118,20 | 384 / 17 | $4.872,28 | 384 / 39 | $3.375,50 | 382 / 27 |
| Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 24 | $30.271,90 | 714 / 42 | $6.455,39 | 467 / 49 | $4.718,72 | 463 / 36 |
| Respiratory Infections & Inflammations W Cc | 18 | 70 / 27 | $33.985,40 | 816 / 40 | $8.684,67 | 616 / 59 | $7.594,89 | 613 / 51 |
| Peripheral Vascular Disorders W Mcc | 18 | 31 / 9 | $33.052,60 | 260 / 15 | $9.289,33 | 246 / 23 | $8.037,11 | 246 / 28 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 18 | 12 / 4 | $57.511,80 | 120 / 12 | $13.129,80 | 105 / 12 | $11.778,40 | 104 / 15 |
| Coagulation Disorders | 17 | 10 / 3 | $51.198,60 | 48 / 3 | $16.097,20 | 24 / 4 | $10.227,70 | 24 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 16 | 39 / 16 | $39.182,90 | 134 / 2 | $12.979,20 | 339 / 20 | $11.698,90 | 337 / 25 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 17 | $52.951,40 | 445 / 23 | $12.031,90 | 80 / 17 | $9.595,25 | 80 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 20 | $53.077,40 | 509 / 29 | $14.529,10 | 418 / 70 | $9.139,94 | 418 / 44 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 38 | $20.625,40 | 1244 / 67 | $5.369,12 | 1253 / 112 | $3.974,50 | 1247 / 108 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 16 | 31 / 10 | $37.850,20 | 198 / 3 | $10.606,10 | 247 / 18 | $8.259,69 | 247 / 15 |
| G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 16 | $23.068,90 | 661 / 38 | $5.219,19 | 657 / 45 | $4.218,56 | 653 / 59 |
| G.I. Obstruction W Mcc | 16 | 26 / 10 | $51.567,20 | 353 / 16 | $11.613,00 | 332 / 18 | $10.529,80 | 332 / 26 |
| Disorders Of Pancreas Except Malignancy W Mcc | 15 | 31 / 11 | $42.395,20 | 142 / 8 | $11.725,20 | 70 / 10 | $9.456,33 | 70 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 30 | $32.387,10 | 826 / 28 | $7.338,27 | 836 / 50 | $6.214,67 | 834 / 64 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 18 | $18.240,30 | 500 / 25 | $4.811,93 | 538 / 40 | $3.697,07 | 537 / 43 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 13 | $19.675,50 | 369 / 6 | $5.649,21 | 415 / 21 | $4.245,57 | 413 / 23 |
| Medical Back Problems W/O Mcc | 14 | 107 / 36 | $26.947,50 | 912 / 42 | $6.208,00 | 837 / 61 | $4.837,07 | 834 / 66 |
| Major Cardiovasc Procedures W Mcc | 13 | 55 / 20 | $108.460,00 | 152 / 6 | $34.101,00 | 117 / 19 | $28.448,40 | 117 / 15 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 37 | $61.785,00 | 675 / 26 | $16.735,50 | 922 / 56 | $15.355,80 | 913 / 79 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 29 | $21.464,00 | 727 / 21 | $5.259,69 | 828 / 50 | $4.366,54 | 825 / 58 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 24 | $30.851,00 | 860 / 28 | $10.356,30 | 553 / 70 | $5.281,69 | 551 / 37 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 27 | $49.637,20 | 209 / 5 | $21.558,60 | 107 / 65 | $13.372,80 | 107 / 11 |
| Other Disorders Of Nervous System W Cc | 12 | 44 / 14 | $23.742,70 | 254 / 7 | $6.832,00 | 195 / 18 | $4.830,67 | 195 / 15 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 20 | $48.565,80 | 291 / 25 | $12.281,60 | 224 / 27 | $11.341,50 | 224 / 32 |
| Pulmonary Embolism W Mcc | 11 | 32 / 13 | $51.675,70 | 435 / 19 | $10.337,90 | 317 / 16 | $9.006,55 | 317 / 20 |
| Degenerative Nervous System Disorders W Mcc | 11 | 27 / 8 | $34.233,50 | 83 / 4 | $11.574,50 | 98 / 9 | $10.577,00 | 98 / 10 |
| Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 17 | $196.459,00 | 230 / 20 | $48.085,70 | 271 / 33 | $46.239,70 | 271 / 40 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 20 | $24.631,40 | 295 / 10 | $7.323,91 | 258 / 24 | $5.371,55 | 257 / 15 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 10 | $24.886,30 | 233 / 5 | $5.336,82 | 192 / 8 | $4.396,73 | 192 / 11 | Total 93 procedures | 3.664 | 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.