Hospital Costs > In Texas > Methodist Mansfield 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 | 94 | 422 / 84 | $51.226,90 | 1833 / 109 | $11.490,30 | 335 / 81 | $9.246,07 | 335 / 20 |
Heart Failure & Shock W Cc | 77 | 201 / 45 | $30.637,70 | 1985 / 118 | $6.106,06 | 101 / 58 | $4.350,73 | 101 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 72 | 203 / 48 | $26.903,90 | 1995 / 121 | $4.337,93 | 155 / 15 | $3.039,10 | 155 / 13 |
Renal Failure W Cc | 68 | 153 / 41 | $26.328,90 | 1511 / 70 | $5.956,16 | 69 / 53 | $4.097,88 | 69 / 5 |
Kidney & Urinary Tract Infections W/O Mcc | 67 | 166 / 49 | $20.904,50 | 1667 / 89 | $4.355,33 | 173 / 16 | $3.265,21 | 173 / 15 |
Cellulitis W/O Mcc | 63 | 126 / 30 | $20.669,30 | 1551 / 81 | $4.621,02 | 421 / 8 | $3.813,30 | 418 / 29 |
Heart Failure & Shock W Mcc | 62 | 222 / 63 | $56.316,20 | 2132 / 150 | $11.329,30 | 508 / 168 | $7.700,42 | 508 / 38 |
Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 51 | $27.632,10 | 1819 / 93 | $5.518,57 | 201 / 15 | $4.323,76 | 201 / 14 |
Chronic Obstructive Pulmonary Disease W Cc | 54 | 125 / 25 | $30.022,20 | 1719 / 85 | $5.358,89 | 186 / 17 | $4.153,31 | 186 / 15 |
Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 40 | $46.054,30 | 2096 / 139 | $7.680,67 | 375 / 91 | $5.642,02 | 374 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 41 | $26.725,30 | 1973 / 134 | $3.979,13 | 307 / 12 | $3.145,35 | 307 / 27 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 45 | 143 / 30 | $36.567,50 | 823 / 33 | $7.427,36 | 24 / 64 | $4.401,89 | 24 / 3 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 41 | 79 / 15 | $26.247,00 | 1586 / 84 | $3.982,59 | 303 / 3 | $3.140,93 | 303 / 21 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 35 | $56.567,90 | 371 / 9 | $15.411,30 | 9 / 97 | $8.318,37 | 9 / 2 |
Red Blood Cell Disorders W/O Mcc | 38 | 105 / 31 | $22.821,70 | 1122 / 59 | $5.619,97 | 32 / 85 | $3.155,29 | 32 / 4 |
Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 42 | $35.040,10 | 1361 / 85 | $6.198,51 | 217 / 13 | $5.286,80 | 217 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 57 | $32.039,00 | 1733 / 101 | $6.387,20 | 231 / 38 | $4.899,69 | 230 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 35 | 147 / 49 | $41.433,50 | 1556 / 84 | $6.179,46 | 129 / 18 | $4.660,91 | 129 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 131 | $47.069,60 | 1143 / 53 | $11.329,80 | 232 / 4 | $9.799,81 | 232 / 31 |
Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 64 | $47.233,50 | 1820 / 107 | $8.103,25 | 363 / 17 | $7.131,12 | 363 / 26 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 45 | $32.641,80 | 1076 / 68 | $7.396,47 | 29 / 64 | $4.858,80 | 29 / 3 |
Syncope & Collapse | 29 | 140 / 37 | $25.750,30 | 1255 / 54 | $4.282,17 | 62 / 13 | $2.906,07 | 62 / 4 |
Renal Failure W Mcc | 29 | 166 / 68 | $32.153,50 | 896 / 44 | $9.111,86 | 33 / 43 | $6.847,90 | 33 / 4 |
Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 28 | $20.984,90 | 1359 / 69 | $3.840,04 | 66 / 12 | $2.701,36 | 65 / 2 |
G.I. Hemorrhage W Cc | 28 | 190 / 62 | $28.117,30 | 1447 / 59 | $5.559,29 | 143 / 9 | $4.455,07 | 143 / 10 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 27 | $18.897,20 | 1111 / 59 | $4.048,81 | 177 / 12 | $2.860,33 | 175 / 15 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 47 | $23.297,30 | 1306 / 56 | $4.349,31 | 92 / 4 | $3.266,92 | 92 / 8 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 41 | $20.599,40 | 1431 / 72 | $3.450,42 | 6 / 20 | $1.632,38 | 6 / 1 |
Other Digestive System Diagnoses W Cc | 23 | 74 / 21 | $22.444,90 | 533 / 11 | $5.379,04 | 225 / 4 | $4.720,17 | 223 / 17 |
Signs & Symptoms W/O Mcc | 23 | 68 / 19 | $26.581,60 | 946 / 43 | $3.853,39 | 195 / 4 | $3.225,39 | 195 / 10 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 40 | $50.893,50 | 1162 / 53 | $9.710,50 | 319 / 20 | $8.588,14 | 319 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 34 | $30.952,40 | 677 / 21 | $6.637,67 | 83 / 1 | $5.632,43 | 83 / 5 |
Chest Pain | 20 | 131 / 46 | $32.356,80 | 1451 / 93 | $3.592,55 | 114 / 8 | $2.379,80 | 114 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 45 | $118.953,00 | 723 / 34 | $37.120,20 | 69 / 81 | $25.043,80 | 69 / 6 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 39 | $56.459,60 | 871 / 61 | $11.313,30 | 149 / 27 | $9.363,22 | 149 / 10 |
Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 24 | $29.626,20 | 702 / 39 | $4.854,83 | 83 / 2 | $3.752,61 | 83 / 7 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 49 | $86.140,80 | 1381 / 88 | $14.744,10 | 24 / 68 | $10.241,20 | 24 / 1 |
Transient Ischemia | 17 | 108 / 46 | $37.225,20 | 1384 / 81 | $3.888,53 | 110 / 1 | $2.809,71 | 110 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 29 | $91.382,50 | 393 / 17 | $19.349,60 | 359 / 18 | $18.385,80 | 357 / 37 |
Other Digestive System Diagnoses W Mcc | 17 | 45 / 13 | $50.779,10 | 465 / 27 | $9.856,71 | 124 / 10 | $8.979,88 | 124 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 56 | $60.772,40 | 1143 / 55 | $9.731,47 | 297 / 11 | $8.769,41 | 296 / 21 |
Medical Back Problems W/O Mcc | 16 | 105 / 34 | $26.847,80 | 911 / 41 | $4.694,19 | 204 / 3 | $3.761,31 | 204 / 16 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 24 | $30.786,30 | 471 / 25 | $6.949,73 | 131 / 3 | $6.281,20 | 131 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 48 | $30.022,50 | 960 / 38 | $6.640,93 | 181 / 6 | $5.813,07 | 181 / 12 |
Bronchitis & Asthma W/O Cc/Mcc | 15 | 30 / 9 | $19.109,50 | 194 / 8 | $4.308,20 | 1 / 10 | $1.811,67 | 1 / 1 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 22 | $31.450,60 | 879 / 34 | $6.345,00 | 98 / 23 | $4.322,60 | 98 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 58 | $55.964,90 | 1241 / 62 | $11.548,60 | 769 / 41 | $10.558,10 | 761 / 62 |
Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 33 | $40.881,40 | 215 / 8 | $14.857,90 | 106 / 39 | $10.454,90 | 106 / 18 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 27 | $158.887,00 | 601 / 35 | $29.708,50 | 231 / 20 | $28.325,30 | 231 / 26 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 31 | $35.698,90 | 927 / 40 | $6.990,21 | 154 / 40 | $4.841,43 | 154 / 10 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 33 | $175.994,00 | 659 / 42 | $49.607,00 | 211 / 78 | $31.926,40 | 211 / 28 |
Signs & Symptoms W Mcc | 12 | 29 / 9 | $43.058,60 | 208 / 13 | $7.215,25 | 4 / 6 | $5.266,08 | 4 / 1 |
Diabetes W Cc | 12 | 80 / 39 | $28.763,50 | 1134 / 66 | $5.814,17 | 21 / 52 | $3.213,08 | 21 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 61 | $50.199,40 | 121 / 5 | $25.596,40 | 149 / 51 | $19.451,20 | 148 / 25 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 21 | $39.453,40 | 391 / 20 | $8.985,67 | 174 / 6 | $8.055,50 | 174 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 44 | $36.916,10 | 1289 / 72 | $4.153,09 | 80 / 3 | $2.936,91 | 79 / 5 |
Dysequilibrium | 11 | 54 / 16 | $28.290,50 | 393 / 14 | $3.457,73 | 52 / 1 | $2.455,55 | 52 / 2 |
Pulmonary Edema & Respiratory Failure | 11 | 192 / 70 | $50.050,20 | 1758 / 100 | $10.940,00 | 963 / 152 | $6.879,09 | 962 / 68 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 19 | $32.121,70 | 545 / 25 | $11.811,40 | 1 / 49 | $3.647,09 | 1 / 1 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 22 | $19.413,00 | 540 / 27 | $3.475,64 | 103 / 1 | $2.688,55 | 102 / 5 |
G.I. Hemorrhage W Mcc | 11 | 110 / 46 | $54.547,50 | 1099 / 58 | $10.968,90 | 60 / 45 | $8.265,91 | 60 / 6 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 21 | $22.589,70 | 652 / 34 | $3.818,00 | 59 / 1 | $2.814,73 | 59 / 5 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 24 | $29.501,60 | 634 / 23 | $6.872,00 | 26 / 11 | $5.155,00 | 26 / 2 |
Cellulitis W Mcc | 11 | 47 / 22 | $30.634,80 | 397 / 16 | $8.145,55 | 125 / 11 | $7.126,82 | 125 / 9 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 24 | $105.996,00 | 264 / 7 | $25.699,20 | 83 / 8 | $24.845,40 | 83 / 11 | Total 65 procedures | 1.822 | 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.