Hospital Costs > In Texas > Methodist Richardson 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 | 57 | 459 / 109 | $53.423,30 | 1903 / 113 | $12.355,90 | 855 / 135 | $9.993,49 | 854 / 76 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 53 | 511 / 112 | $36.977,10 | 589 / 17 | $12.782,20 | 540 / 54 | $10.379,50 | 536 / 68 |
Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 67 | $19.217,30 | 1482 / 74 | $4.261,89 | 122 / 10 | $3.177,20 | 122 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 45 | $19.459,70 | 1499 / 68 | $3.881,07 | 171 / 7 | $2.965,10 | 171 / 12 |
Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 66 | $25.238,30 | 1639 / 78 | $5.847,76 | 224 / 39 | $4.363,59 | 224 / 15 |
Heart Failure & Shock W Cc | 39 | 239 / 73 | $23.746,80 | 1558 / 64 | $5.494,74 | 194 / 10 | $4.522,79 | 194 / 17 |
Respiratory Infections & Inflammations W Mcc | 37 | 99 / 28 | $48.916,30 | 1046 / 50 | $11.644,00 | 46 / 43 | $9.030,57 | 46 / 3 |
Heart Failure & Shock W Mcc | 35 | 249 / 87 | $53.352,10 | 2077 / 139 | $11.503,00 | 1685 / 170 | $9.445,83 | 1680 / 148 |
Pulmonary Edema & Respiratory Failure | 33 | 170 / 50 | $32.521,50 | 1172 / 46 | $6.954,00 | 373 / 13 | $6.184,06 | 373 / 23 |
Renal Failure W Cc | 32 | 189 / 74 | $28.054,00 | 1603 / 85 | $5.309,59 | 195 / 7 | $4.363,59 | 194 / 12 |
Simple Pneumonia & Pleurisy W Mcc | 32 | 173 / 64 | $39.056,80 | 1528 / 74 | $10.081,00 | 33 / 132 | $6.272,53 | 33 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 30 | 166 / 44 | $50.477,00 | 236 / 5 | $12.613,90 | 145 / 30 | $9.635,40 | 145 / 21 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 45 | $27.565,30 | 1594 / 68 | $5.339,70 | 321 / 15 | $4.344,33 | 320 / 32 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 82 | $20.629,30 | 1469 / 66 | $4.144,07 | 259 / 8 | $3.187,38 | 259 / 22 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 45 | $24.077,70 | 1357 / 65 | $4.513,71 | 334 / 10 | $3.652,00 | 334 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 56 | $34.131,80 | 1326 / 58 | $5.651,04 | 98 / 3 | $4.577,26 | 98 / 6 |
G.I. Hemorrhage W Cc | 26 | 192 / 64 | $29.698,30 | 1538 / 73 | $5.852,23 | 237 / 25 | $4.619,65 | 237 / 19 |
Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 68 | $28.710,90 | 1392 / 55 | $7.531,92 | 66 / 81 | $5.042,36 | 66 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 30 | $19.692,90 | 1178 / 62 | $5.005,46 | 39 / 84 | $2.529,17 | 39 / 3 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 49 | $41.890,40 | 720 / 14 | $11.826,80 | 190 / 57 | $9.460,09 | 189 / 13 |
Renal Failure W Mcc | 22 | 173 / 74 | $25.581,00 | 490 / 13 | $8.407,86 | 222 / 11 | $7.583,14 | 222 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 70 | $28.991,30 | 1557 / 83 | $5.947,57 | 547 / 5 | $5.257,29 | 545 / 34 |
Cellulitis W/O Mcc | 20 | 169 / 69 | $16.688,30 | 1081 / 40 | $4.437,85 | 70 / 1 | $3.341,00 | 70 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 27 | $108.151,00 | 575 / 37 | $20.924,40 | 525 / 38 | $19.907,10 | 521 / 62 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 47 | $13.963,70 | 865 / 20 | $3.089,11 | 474 / 5 | $2.418,89 | 471 / 39 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 27 | $33.417,40 | 803 / 36 | $7.859,89 | 306 / 18 | $6.990,72 | 304 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 56 | $29.380,60 | 940 / 48 | $6.156,41 | 49 / 6 | $5.051,94 | 49 / 5 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 57 | $31.619,60 | 591 / 14 | $6.078,76 | 388 / 5 | $5.293,82 | 386 / 34 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 30 | $193.180,00 | 723 / 47 | $47.448,80 | 882 / 76 | $46.055,30 | 881 / 81 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 51 | $90.708,50 | 1421 / 92 | $15.733,00 | 1216 / 97 | $15.167,60 | 1203 / 119 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 52 | $22.116,90 | 1079 / 53 | $4.469,60 | 284 / 6 | $3.744,27 | 284 / 28 |
G.I. Obstruction W Cc | 14 | 78 / 36 | $25.486,30 | 1017 / 36 | $4.898,71 | 149 / 3 | $3.950,14 | 148 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 42 | $27.097,80 | 990 / 41 | $8.087,85 | 32 / 100 | $2.774,08 | 32 / 3 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 23 | $37.660,70 | 143 / 1 | $12.463,30 | 248 / 10 | $11.345,80 | 246 / 27 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 43 | $19.756,30 | 1244 / 47 | $3.986,31 | 415 / 4 | $3.245,38 | 414 / 27 |
G.I. Hemorrhage W Mcc | 12 | 109 / 45 | $56.670,40 | 1135 / 63 | $15.025,40 | 987 / 109 | $11.183,90 | 980 / 85 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 29 | $122.836,00 | 399 / 19 | $37.471,40 | 440 / 62 | $31.363,80 | 440 / 50 |
Syncope & Collapse | 12 | 157 / 53 | $19.043,00 | 763 / 9 | $4.046,42 | 306 / 5 | $3.345,08 | 304 / 19 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 19 | $21.827,20 | 361 / 4 | $5.132,75 | 94 / 3 | $4.124,75 | 94 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 51 | $25.471,80 | 687 / 10 | $6.761,25 | 202 / 10 | $5.859,92 | 202 / 18 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 21 | $51.546,50 | 318 / 30 | $12.018,10 | 96 / 23 | $9.890,18 | 96 / 13 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 25 | $49.632,30 | 453 / 20 | $9.717,55 | 342 / 19 | $8.841,91 | 342 / 36 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 26 | $16.900,10 | 651 / 22 | $3.793,00 | 40 / 15 | $2.128,18 | 40 / 4 |
Medical Back Problems W/O Mcc | 11 | 110 / 39 | $26.214,90 | 882 / 37 | $4.748,00 | 104 / 4 | $3.537,82 | 104 / 6 | Total 44 procedures | 1.042 | 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.