Hospital Costs > In Texas > Methodist Sugar Land Hospital, 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 | 196 | 320 / 43 | $69.671,70 | 2276 / 151 | $11.768,00 | 1397 / 100 | $10.840,50 | 1370 / 124 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 142 | 422 / 62 | $61.596,90 | 1752 / 112 | $14.318,70 | 957 / 125 | $10.978,10 | 938 / 110 |
| Kidney & Urinary Tract Infections W/O Mcc | 123 | 110 / 16 | $27.981,50 | 2128 / 156 | $4.975,97 | 1005 / 72 | $3.965,22 | 997 / 85 |
| Heart Failure & Shock W Mcc | 114 | 170 / 34 | $47.456,80 | 1917 / 118 | $9.054,49 | 1043 / 69 | $8.350,21 | 1041 / 81 |
| Chronic Obstructive Pulmonary Disease W Mcc | 106 | 96 / 13 | $41.958,60 | 1984 / 127 | $7.228,99 | 1030 / 62 | $6.274,01 | 1025 / 83 |
| Simple Pneumonia & Pleurisy W Mcc | 89 | 116 / 21 | $50.395,60 | 1925 / 123 | $9.200,66 | 1130 / 85 | $8.027,31 | 1130 / 88 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 87 | 188 / 38 | $31.945,00 | 2246 / 153 | $4.891,90 | 1342 / 64 | $4.004,71 | 1331 / 108 |
| Red Blood Cell Disorders W/O Mcc | 75 | 68 / 11 | $25.455,30 | 1281 / 74 | $5.149,75 | 540 / 47 | $4.026,52 | 538 / 49 |
| Simple Pneumonia & Pleurisy W Cc | 75 | 128 / 35 | $36.920,40 | 2245 / 147 | $6.293,59 | 805 / 82 | $4.912,61 | 802 / 62 |
| Respiratory Infections & Inflammations W Mcc | 73 | 63 / 9 | $63.335,50 | 1324 / 76 | $11.670,00 | 709 / 45 | $10.938,90 | 701 / 61 |
| Cellulitis W/O Mcc | 70 | 119 / 24 | $26.118,50 | 1937 / 128 | $5.461,20 | 761 / 77 | $4.094,57 | 756 / 64 |
| Renal Failure W Cc | 69 | 152 / 40 | $36.411,00 | 1940 / 129 | $6.025,96 | 1007 / 58 | $5.189,78 | 999 / 81 |
| Heart Failure & Shock W Cc | 67 | 211 / 51 | $30.386,20 | 1970 / 114 | $6.397,87 | 609 / 93 | $4.994,52 | 609 / 49 |
| Kidney & Urinary Tract Infections W Mcc | 64 | 80 / 19 | $38.704,60 | 1465 / 97 | $7.018,20 | 861 / 63 | $6.166,50 | 859 / 70 |
| G.I. Hemorrhage W Cc | 60 | 158 / 36 | $32.687,10 | 1696 / 95 | $6.285,35 | 1012 / 55 | $5.378,15 | 1010 / 78 |
| Chronic Obstructive Pulmonary Disease W Cc | 59 | 120 / 22 | $34.110,40 | 1884 / 105 | $5.939,95 | 1108 / 60 | $5.063,08 | 1104 / 84 |
| Renal Failure W Mcc | 57 | 138 / 45 | $52.396,80 | 1633 / 110 | $9.708,47 | 789 / 68 | $8.515,89 | 789 / 66 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 57 | 111 / 23 | $62.261,60 | 1170 / 61 | $11.116,10 | 810 / 49 | $10.226,30 | 808 / 62 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 56 | 126 / 34 | $38.156,00 | 1461 / 78 | $6.428,62 | 613 / 38 | $5.345,52 | 612 / 49 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 55 | 71 / 23 | $43.279,30 | 1371 / 93 | $7.024,75 | 506 / 49 | $6.027,02 | 503 / 45 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 49 | 158 / 46 | $36.218,10 | 1906 / 121 | $6.713,02 | 909 / 67 | $5.586,04 | 907 / 78 |
| Other Vascular Procedures W Mcc | 49 | 48 / 9 | $95.124,50 | 544 / 38 | $19.669,60 | 306 / 31 | $18.831,10 | 305 / 39 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 40 | $26.229,30 | 1953 / 132 | $4.884,85 | 788 / 99 | $3.512,81 | 785 / 62 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 40 | 156 / 36 | $77.848,50 | 832 / 53 | $14.140,40 | 453 / 70 | $10.523,60 | 451 / 54 |
| Other Circulatory System Diagnoses W Mcc | 40 | 76 / 19 | $60.806,20 | 938 / 65 | $11.283,50 | 433 / 26 | $10.499,70 | 432 / 37 |
| Other Vascular Procedures W Cc | 38 | 64 / 18 | $103.312,00 | 864 / 66 | $16.224,10 | 392 / 46 | $14.348,60 | 390 / 46 |
| Spinal Fusion Except Cervical W/O Mcc | 37 | 157 / 39 | $121.320,00 | 941 / 73 | $28.148,60 | 469 / 85 | $21.618,50 | 466 / 53 |
| G.I. Hemorrhage W Mcc | 37 | 84 / 21 | $49.159,00 | 978 / 49 | $10.812,40 | 650 / 39 | $10.063,20 | 651 / 56 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 20 | $26.462,10 | 1595 / 86 | $4.756,94 | 748 / 55 | $3.529,81 | 745 / 54 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 34 | 62 / 21 | $43.174,70 | 1030 / 56 | $7.400,76 | 442 / 19 | $6.511,35 | 439 / 30 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 33 | 155 / 41 | $39.333,20 | 925 / 51 | $7.193,55 | 448 / 55 | $5.360,30 | 446 / 41 |
| Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 40 | $58.237,60 | 1309 / 73 | $11.746,40 | 861 / 54 | $10.716,50 | 850 / 73 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 41 | $28.486,80 | 1566 / 93 | $5.059,75 | 937 / 49 | $4.229,75 | 934 / 74 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 31 | $68.775,60 | 1443 / 85 | $11.012,80 | 984 / 65 | $10.259,80 | 982 / 81 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 33 | $139.844,00 | 924 / 55 | $34.653,30 | 471 / 71 | $29.257,90 | 467 / 43 |
| Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 26 | $26.948,30 | 1626 / 108 | $4.439,73 | 861 / 53 | $3.606,43 | 857 / 67 |
| Transient Ischemia | 30 | 95 / 33 | $39.495,90 | 1423 / 86 | $4.528,50 | 785 / 32 | $3.684,77 | 781 / 55 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 24 | $28.300,40 | 1570 / 110 | $4.605,43 | 621 / 51 | $3.337,80 | 618 / 50 |
| Bronchitis & Asthma W Cc/Mcc | 30 | 46 / 13 | $31.848,50 | 753 / 48 | $5.572,73 | 391 / 22 | $4.538,40 | 387 / 33 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 29 | 62 / 17 | $41.803,70 | 1070 / 52 | $6.623,59 | 625 / 26 | $5.708,83 | 624 / 43 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 22 | $59.472,90 | 621 / 20 | $14.630,90 | 376 / 18 | $13.130,20 | 373 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 39 | $22.521,20 | 1530 / 87 | $3.701,00 | 874 / 41 | $2.728,69 | 870 / 61 |
| Respiratory Infections & Inflammations W Cc | 26 | 62 / 19 | $44.258,80 | 1044 / 65 | $8.368,35 | 425 / 41 | $7.204,04 | 422 / 36 |
| Other Digestive System Diagnoses W Cc | 25 | 72 / 19 | $39.494,40 | 1121 / 60 | $6.364,68 | 576 / 31 | $5.350,92 | 573 / 34 |
| Syncope & Collapse | 25 | 144 / 41 | $32.174,70 | 1508 / 79 | $4.688,28 | 919 / 36 | $3.961,24 | 914 / 67 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 38 | $54.624,10 | 1613 / 106 | $8.311,64 | 1154 / 72 | $7.489,92 | 1151 / 95 |
| Medical Back Problems W/O Mcc | 25 | 96 / 25 | $28.935,70 | 978 / 53 | $5.254,44 | 338 / 23 | $4.019,16 | 338 / 24 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 24 | 49 / 8 | $32.270,50 | 103 / 5 | $7.468,12 | 95 / 6 | $5.964,00 | 95 / 11 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 60 | $58.797,40 | 1908 / 128 | $8.163,43 | 846 / 80 | $6.765,65 | 846 / 56 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 21 | $31.816,50 | 855 / 46 | $6.103,23 | 406 / 21 | $5.115,59 | 404 / 28 |
| Other Resp System O.R. Procedures W Mcc | 21 | 42 / 9 | $121.523,00 | 425 / 31 | $21.727,30 | 227 / 17 | $20.979,10 | 226 / 20 |
| Red Blood Cell Disorders W Mcc | 21 | 50 / 18 | $40.146,40 | 683 / 44 | $8.235,14 | 287 / 38 | $6.796,48 | 287 / 28 |
| Cervical Spinal Fusion W/O Cc/Mcc | 21 | 83 / 26 | $74.909,00 | 631 / 47 | $13.423,60 | 407 / 21 | $12.149,10 | 406 / 48 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 21 | 79 / 25 | $183.652,00 | 928 / 74 | $31.461,00 | 941 / 76 | $28.338,60 | 936 / 78 |
| G.I. Obstruction W Cc | 20 | 72 / 30 | $28.181,10 | 1130 / 46 | $5.870,15 | 316 / 45 | $4.224,20 | 315 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 17 | $68.437,40 | 574 / 33 | $13.092,20 | 388 / 22 | $12.065,80 | 383 / 33 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 46 | $107.363,00 | 1586 / 114 | $15.124,70 | 975 / 84 | $14.027,00 | 965 / 97 |
| Bronchitis & Asthma W/O Cc/Mcc | 20 | 25 / 4 | $30.182,20 | 306 / 26 | $4.277,10 | 89 / 9 | $2.887,10 | 89 / 7 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 18 | $26.456,80 | 1043 / 66 | $4.009,32 | 578 / 22 | $3.056,05 | 577 / 48 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 18 | 38 / 15 | $51.170,90 | 431 / 22 | $11.060,10 | 153 / 6 | $10.249,40 | 153 / 11 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 12 | $41.548,50 | 339 / 12 | $10.086,10 | 180 / 15 | $9.380,33 | 180 / 16 |
| Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 12 | $299.326,00 | 364 / 36 | $55.422,60 | 317 / 42 | $50.401,10 | 317 / 43 |
| Fever | 17 | 29 / 6 | $43.259,10 | 302 / 15 | $5.832,12 | 159 / 4 | $4.981,29 | 159 / 11 |
| Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 11 | $106.926,00 | 369 / 19 | $22.686,50 | 252 / 19 | $21.692,60 | 252 / 23 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 24 | $74.344,30 | 467 / 19 | $17.743,10 | 362 / 24 | $17.037,20 | 359 / 31 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 27 | $121.187,00 | 572 / 23 | $27.678,90 | 236 / 15 | $26.758,40 | 234 / 25 |
| Chest Pain | 17 | 134 / 49 | $30.943,90 | 1413 / 89 | $3.972,76 | 806 / 25 | $3.265,00 | 801 / 59 |
| Cellulitis W Mcc | 16 | 42 / 17 | $40.384,90 | 603 / 35 | $8.541,62 | 194 / 14 | $7.407,62 | 193 / 17 |
| Other Kidney & Urinary Tract Procedures W Mcc | 16 | 22 / 9 | $88.241,00 | 126 / 14 | $18.656,70 | 51 / 3 | $17.824,70 | 51 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 39 | $34.629,50 | 1228 / 65 | $5.450,62 | 504 / 56 | $3.638,25 | 500 / 34 |
| Other Resp System O.R. Procedures W Cc | 15 | 32 / 9 | $77.278,00 | 271 / 17 | $12.257,40 | 63 / 10 | $10.102,60 | 63 / 8 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 20 | $131.622,00 | 404 / 22 | $38.350,50 | 73 / 50 | $24.494,50 | 73 / 8 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 31 | $178.995,00 | 673 / 43 | $34.106,40 | 276 / 25 | $32.826,30 | 275 / 36 |
| Other Disorders Of Nervous System W Mcc | 14 | 26 / 9 | $52.836,10 | 221 / 10 | $8.877,43 | 71 / 1 | $8.445,43 | 71 / 8 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 34 | $52.568,20 | 782 / 61 | $6.556,86 | 457 / 26 | $5.612,86 | 456 / 45 |
| Other Circulatory System O.R. Procedures | 14 | 41 / 15 | $95.434,90 | 309 / 25 | $19.321,60 | 258 / 24 | $18.411,90 | 258 / 29 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 35 | $110.661,00 | 673 / 37 | $20.680,10 | 418 / 25 | $19.566,90 | 418 / 45 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 22 | $38.841,60 | 806 / 43 | $7.207,00 | 424 / 18 | $6.461,15 | 423 / 27 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 16 | $19.682,00 | 504 / 22 | $4.766,08 | 194 / 21 | $3.237,46 | 195 / 10 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 17 | $49.967,20 | 776 / 45 | $9.002,08 | 486 / 47 | $6.007,77 | 486 / 36 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 28 | $56.578,60 | 636 / 49 | $9.020,33 | 209 / 47 | $5.239,42 | 209 / 26 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 24 | $53.377,70 | 511 / 30 | $10.151,20 | 420 / 27 | $9.145,92 | 420 / 45 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 20 | $48.470,50 | 442 / 28 | $9.990,08 | 340 / 17 | $8.787,42 | 340 / 34 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 24 | $67.626,50 | 563 / 31 | $13.412,50 | 404 / 20 | $12.201,80 | 401 / 35 |
| Seizures W/O Mcc | 12 | 96 / 35 | $31.300,30 | 989 / 52 | $4.888,92 | 455 / 21 | $3.984,92 | 453 / 34 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 30 | $27.295,00 | 969 / 46 | $4.502,67 | 379 / 24 | $3.492,00 | 378 / 18 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 27 | $96.741,20 | 756 / 45 | $15.962,80 | 364 / 22 | $14.957,40 | 363 / 37 |
| Pulmonary Embolism W Mcc | 12 | 31 / 12 | $74.141,40 | 527 / 28 | $9.295,83 | 250 / 10 | $8.589,17 | 250 / 14 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 21 | $173.269,00 | 439 / 23 | $32.951,70 | 273 / 14 | $32.154,30 | 273 / 29 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 22 | $73.801,50 | 426 / 31 | $11.983,80 | 188 / 19 | $10.142,60 | 187 / 21 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 18 | $37.953,00 | 580 / 30 | $5.590,09 | 242 / 7 | $4.819,18 | 242 / 12 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 15 | $58.780,90 | 449 / 17 | $10.679,30 | 292 / 12 | $10.135,30 | 292 / 17 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 16 | $59.225,80 | 480 / 38 | $10.469,50 | 433 / 36 | $9.919,73 | 433 / 44 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 21 | $28.186,90 | 774 / 54 | $4.623,55 | 312 / 22 | $3.383,09 | 309 / 24 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 22 | $51.972,70 | 614 / 46 | $10.513,80 | 171 / 48 | $8.049,09 | 171 / 14 |
| Hypertension W/O Mcc | 11 | 54 / 22 | $25.775,70 | 562 / 38 | $4.018,00 | 103 / 10 | $2.664,18 | 103 / 7 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 20 | $62.023,10 | 393 / 30 | $10.461,60 | 268 / 18 | $9.583,00 | 267 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 24 | $83.191,70 | 513 / 18 | $19.578,60 | 422 / 25 | $18.490,60 | 420 / 31 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 20 | $29.665,20 | 616 / 28 | $5.810,00 | 366 / 14 | $4.928,55 | 365 / 22 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 22 | $22.406,70 | 625 / 37 | $4.340,18 | 116 / 25 | $2.745,82 | 115 / 8 | Total 100 procedures | 3.401 | 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.