Hospital Costs > In Texas > Methodist West Houston 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 | 102 | 414 / 81 | $56.626,10 | 2003 / 126 | $12.485,10 | 1057 / 144 | $10.268,80 | 1044 / 92 |
| Heart Failure & Shock W Cc | 77 | 201 / 45 | $26.468,00 | 1777 / 88 | $6.454,47 | 601 / 99 | $4.987,17 | 601 / 48 |
| Simple Pneumonia & Pleurisy W Cc | 76 | 127 / 34 | $33.663,00 | 2129 / 132 | $6.524,47 | 670 / 106 | $4.796,63 | 667 / 49 |
| Heart Failure & Shock W Mcc | 73 | 211 / 54 | $38.664,20 | 1588 / 74 | $9.380,34 | 706 / 87 | $7.936,29 | 706 / 53 |
| Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 46 | $27.056,00 | 2080 / 146 | $5.162,11 | 646 / 103 | $3.722,31 | 642 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 41 | $37.966,80 | 1486 / 69 | $9.577,86 | 586 / 113 | $7.422,93 | 586 / 43 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 54 | 221 / 60 | $29.176,80 | 2126 / 137 | $5.483,04 | 395 / 130 | $3.323,26 | 393 / 35 |
| Cellulitis W/O Mcc | 47 | 142 / 43 | $24.025,40 | 1818 / 107 | $6.689,47 | 394 / 158 | $3.791,53 | 391 / 24 |
| Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 51 | $35.565,80 | 1775 / 100 | $7.952,67 | 542 / 112 | $5.811,62 | 541 / 42 |
| Renal Failure W Mcc | 37 | 158 / 60 | $36.900,40 | 1141 / 61 | $10.222,50 | 712 / 89 | $8.390,49 | 712 / 59 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 50 | $24.722,30 | 1869 / 116 | $4.919,70 | 323 / 106 | $3.161,08 | 323 / 29 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 37 | 527 / 126 | $80.663,20 | 2220 / 155 | $13.359,90 | 1014 / 81 | $11.075,60 | 994 / 121 |
| G.I. Hemorrhage W Cc | 34 | 184 / 56 | $24.687,10 | 1179 / 37 | $7.014,53 | 272 / 103 | $4.668,35 | 272 / 22 |
| Kidney & Urinary Tract Infections W Mcc | 33 | 111 / 44 | $32.364,70 | 1261 / 71 | $7.643,58 | 288 / 92 | $5.406,00 | 287 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 59 | $33.327,10 | 1785 / 108 | $7.290,55 | 236 / 110 | $4.912,30 | 235 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 41 | $24.741,40 | 1387 / 70 | $5.539,59 | 401 / 92 | $3.735,16 | 401 / 35 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 31 | $48.789,20 | 1108 / 50 | $11.481,20 | 842 / 77 | $9.845,97 | 841 / 69 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 31 | 62 / 23 | $21.747,80 | 1291 / 73 | $4.616,26 | 427 / 52 | $3.172,19 | 425 / 35 |
| Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 44 | $26.186,70 | 1529 / 60 | $5.938,68 | 319 / 59 | $4.343,45 | 318 / 31 |
| Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 26 | $19.750,20 | 1277 / 57 | $4.371,97 | 420 / 47 | $3.230,37 | 418 / 27 |
| Renal Failure W Cc | 30 | 191 / 76 | $25.796,20 | 1478 / 66 | $7.347,47 | 180 / 143 | $4.340,70 | 179 / 10 |
| Red Blood Cell Disorders W/O Mcc | 28 | 115 / 39 | $21.444,20 | 1022 / 43 | $5.091,04 | 635 / 44 | $4.127,75 | 631 / 55 |
| Transient Ischemia | 28 | 97 / 35 | $26.004,70 | 1007 / 39 | $4.489,54 | 148 / 28 | $2.910,71 | 148 / 8 |
| Syncope & Collapse | 26 | 143 / 40 | $26.150,40 | 1277 / 56 | $4.959,46 | 513 / 57 | $3.564,12 | 511 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 57 | $37.000,20 | 1428 / 73 | $6.507,38 | 656 / 43 | $5.385,65 | 655 / 53 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 49 | $31.799,50 | 1032 / 62 | $7.536,64 | 117 / 71 | $5.334,20 | 116 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 49 | $69.485,80 | 1540 / 88 | $12.259,30 | 723 / 83 | $10.466,00 | 717 / 59 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 40 | $41.049,20 | 1354 / 74 | $8.420,96 | 1016 / 76 | $7.177,48 | 1013 / 85 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 22 | $40.993,30 | 983 / 59 | $8.232,43 | 223 / 34 | $6.803,91 | 221 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 43 | $18.182,60 | 1279 / 59 | $3.947,32 | 285 / 60 | $2.247,32 | 283 / 22 |
| Extracranial Procedures W/O Cc/Mcc | 21 | 77 / 28 | $33.540,70 | 513 / 36 | $6.517,52 | 139 / 24 | $4.803,81 | 139 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 54 | $41.743,10 | 999 / 59 | $7.729,85 | 168 / 80 | $4.904,05 | 168 / 19 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 20 | 68 / 18 | $131.797,00 | 415 / 30 | $23.931,70 | 181 / 26 | $19.857,80 | 180 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 54 | $77.956,90 | 833 / 54 | $16.094,20 | 194 / 109 | $9.804,25 | 194 / 30 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 38 | $34.898,20 | 341 / 10 | $11.726,40 | 361 / 40 | $10.202,50 | 360 / 25 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 26 | $29.415,70 | 714 / 15 | $6.935,89 | 250 / 36 | $5.052,79 | 250 / 16 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 45 | $113.675,00 | 666 / 27 | $29.927,80 | 193 / 24 | $26.849,50 | 193 / 17 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 38 | $21.812,50 | 1393 / 63 | $4.769,72 | 424 / 58 | $3.253,67 | 423 / 28 |
| Chest Pain | 17 | 134 / 49 | $23.161,50 | 1121 / 48 | $4.024,06 | 177 / 30 | $2.516,53 | 176 / 11 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 40 | $45.709,50 | 885 / 39 | $10.792,90 | 497 / 38 | $9.646,94 | 498 / 43 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 38 | $40.741,90 | 967 / 52 | $7.837,00 | 239 / 36 | $6.101,82 | 238 / 15 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 65 | $43.515,90 | 1621 / 80 | $7.818,81 | 669 / 54 | $6.542,94 | 669 / 40 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 16 | 43 / 10 | $197.901,00 | 169 / 13 | $48.866,30 | 66 / 17 | $31.984,20 | 66 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 24 | $76.763,50 | 584 / 32 | $16.755,60 | 435 / 38 | $15.440,30 | 434 / 44 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 21 | $58.429,40 | 562 / 37 | $11.112,70 | 253 / 44 | $8.509,27 | 253 / 20 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $57.109,70 | 365 / 15 | $13.187,60 | 216 / 13 | $11.442,30 | 215 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 51 | $64.163,40 | 1014 / 54 | $14.766,60 | 561 / 69 | $12.610,10 | 553 / 55 |
| Medical Back Problems W/O Mcc | 14 | 107 / 36 | $31.461,10 | 1068 / 63 | $5.587,14 | 288 / 35 | $3.935,14 | 288 / 20 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 29 | $27.021,80 | 709 / 29 | $6.265,54 | 175 / 25 | $4.580,69 | 175 / 12 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 51 | $45.092,20 | 938 / 39 | $13.241,40 | 451 / 94 | $10.389,40 | 448 / 33 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 9 | $31.825,90 | 136 / 6 | $6.241,62 | 23 / 2 | $4.201,00 | 23 / 3 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 26 | $42.184,50 | 718 / 47 | $7.722,23 | 228 / 25 | $6.634,77 | 228 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 60 | $42.542,50 | 763 / 20 | $11.593,60 | 414 / 57 | $9.127,00 | 413 / 30 |
| Cellulitis W Mcc | 13 | 45 / 20 | $34.493,60 | 477 / 23 | $9.450,31 | 208 / 25 | $7.490,69 | 207 / 21 |
| G.I. Obstruction W Cc | 13 | 79 / 37 | $34.464,50 | 1333 / 71 | $5.992,62 | 199 / 50 | $4.048,15 | 198 / 16 |
| Other Vascular Procedures W Cc | 12 | 90 / 42 | $71.299,90 | 535 / 33 | $17.156,10 | 314 / 63 | $14.006,10 | 312 / 40 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 14 | $39.280,20 | 258 / 5 | $9.964,67 | 89 / 5 | $8.733,50 | 89 / 4 |
| Diabetes W Cc | 12 | 80 / 39 | $30.551,10 | 1192 / 70 | $5.276,42 | 153 / 30 | $3.724,92 | 153 / 8 |
| Seizures W/O Mcc | 12 | 96 / 35 | $22.037,80 | 649 / 17 | $5.433,08 | 198 / 38 | $3.565,17 | 197 / 14 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 33 | $105.521,00 | 435 / 14 | $31.186,90 | 6 / 35 | $20.626,40 | 6 / 1 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 21 | $18.388,50 | 483 / 18 | $4.274,91 | 216 / 12 | $3.207,82 | 214 / 18 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 38 | $116.724,00 | 720 / 46 | $21.234,40 | 436 / 31 | $19.743,80 | 436 / 50 |
| Extracranial Procedures W Cc | 11 | 35 / 16 | $48.009,70 | 223 / 11 | $9.655,18 | 150 / 9 | $8.676,00 | 150 / 15 | Total 63 procedures | 1.717 | 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.