Hospital Costs > In Texas > Methodist Hospital For Surgery, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 316 | 255 / 21 | $32.904,10 | 350 / 10 | $13.837,20 | 148 / 101 | $9.532,09 | 148 / 18 |
| Spinal Fusion Except Cervical W/O Mcc | 105 | 89 / 9 | $49.886,30 | 114 / 4 | $25.012,40 | 78 / 44 | $18.641,90 | 77 / 13 |
| Cervical Spinal Fusion W/O Cc/Mcc | 37 | 67 / 15 | $38.222,60 | 166 / 5 | $16.851,20 | 17 / 57 | $9.248,19 | 17 / 5 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 24 | 65 / 18 | $23.752,10 | 158 / 5 | $6.744,33 | 13 / 13 | $4.102,33 | 13 / 4 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 18 | $26.593,10 | 35 / 1 | $12.033,90 | 20 / 21 | $8.446,88 | 20 / 2 |
| Cervical Spinal Fusion W Cc | 15 | 38 / 11 | $41.248,80 | 43 / 1 | $20.771,10 | 45 / 23 | $14.331,70 | 45 / 5 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 14 | 32 / 8 | $103.822,00 | 11 / 1 | $64.523,80 | 10 / 13 | $36.737,60 | 10 / 1 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 13 | 34 / 7 | $81.144,70 | 12 / 2 | $45.137,00 | 17 / 11 | $31.155,60 | 17 / 3 | Total 8 procedures | 541 | 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.