Hospital Costs > In Texas > Methodist Willowbrook Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Kidney & Urinary Tract Infections W/O Mcc | 163 | 72 / 7 | $27.451,50 | 2093 / 148 | $5.521,50 | 1651 / 136 | $4.495,75 | 1640 / 151 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 152 | 364 / 61 | $77.305,40 | 2389 / 163 | $12.281,90 | 1457 / 131 | $10.951,20 | 1429 / 133 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 114 | 161 / 23 | $27.231,20 | 2018 / 123 | $5.376,23 | 1697 / 118 | $4.338,22 | 1684 / 146 |
Heart Failure & Shock W Mcc | 106 | 178 / 38 | $54.728,20 | 2105 / 145 | $10.506,60 | 1671 / 145 | $9.411,77 | 1666 / 146 |
Simple Pneumonia & Pleurisy W Mcc | 88 | 117 / 22 | $49.796,20 | 1912 / 119 | $9.407,72 | 1359 / 101 | $8.414,62 | 1359 / 121 |
Heart Failure & Shock W Cc | 80 | 198 / 42 | $28.714,50 | 1892 / 102 | $6.796,00 | 1537 / 131 | $5.814,80 | 1532 / 132 |
Renal Failure W Mcc | 77 | 118 / 29 | $46.745,90 | 1497 / 94 | $9.872,75 | 1078 / 76 | $9.086,47 | 1078 / 103 |
Kidney & Urinary Tract Infections W Mcc | 75 | 69 / 14 | $33.897,00 | 1324 / 81 | $7.362,40 | 1026 / 82 | $6.442,51 | 1023 / 87 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 71 | 493 / 99 | $97.296,10 | 2442 / 191 | $14.324,70 | 1427 / 126 | $11.867,50 | 1394 / 155 |
Renal Failure W Cc | 68 | 153 / 41 | $31.363,50 | 1767 / 108 | $6.498,22 | 1465 / 100 | $5.698,22 | 1456 / 128 |
Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 43 | $39.654,90 | 2312 / 159 | $6.871,79 | 1652 / 136 | $5.670,80 | 1645 / 142 |
Cellulitis W/O Mcc | 65 | 124 / 28 | $27.954,50 | 2045 / 140 | $6.026,85 | 1470 / 121 | $4.689,14 | 1463 / 126 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 65 | 60 / 12 | $52.415,60 | 1190 / 54 | $10.943,20 | 942 / 63 | $10.123,50 | 940 / 78 |
Chronic Obstructive Pulmonary Disease W Mcc | 63 | 139 / 32 | $42.434,70 | 2001 / 130 | $7.710,56 | 1513 / 96 | $6.855,14 | 1506 / 130 |
G.I. Hemorrhage W Cc | 62 | 156 / 34 | $31.168,60 | 1620 / 82 | $6.789,90 | 1551 / 88 | $6.054,68 | 1547 / 121 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 32 | $47.373,70 | 1686 / 99 | $7.722,67 | 1030 / 95 | $5.871,59 | 1027 / 77 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 53 | 73 / 25 | $34.323,20 | 1140 / 73 | $7.415,17 | 935 / 65 | $6.855,47 | 932 / 87 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 49 | 117 / 38 | $25.274,40 | 1904 / 125 | $5.050,02 | 1552 / 120 | $4.127,67 | 1547 / 135 |
Red Blood Cell Disorders W/O Mcc | 46 | 97 / 24 | $21.526,70 | 1026 / 44 | $5.643,35 | 1220 / 86 | $4.842,13 | 1212 / 111 |
Respiratory Infections & Inflammations W Mcc | 44 | 92 / 22 | $79.630,10 | 1506 / 91 | $12.515,40 | 1040 / 75 | $11.815,80 | 1027 / 90 |
Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 37 | $77.491,10 | 1670 / 103 | $12.754,30 | 943 / 94 | $10.902,50 | 930 / 83 |
Other Circulatory System Diagnoses W Mcc | 36 | 80 / 22 | $50.505,30 | 752 / 47 | $11.919,10 | 577 / 43 | $11.042,40 | 575 / 59 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 35 | 133 / 41 | $66.468,10 | 1224 / 67 | $10.747,30 | 703 / 40 | $9.898,86 | 702 / 54 |
Other Vascular Procedures W Mcc | 35 | 62 / 20 | $93.537,20 | 530 / 36 | $19.781,30 | 319 / 32 | $18.919,20 | 318 / 40 |
Medical Back Problems W/O Mcc | 34 | 87 / 18 | $26.994,10 | 916 / 43 | $6.125,79 | 820 / 60 | $4.798,74 | 817 / 60 |
Acute Myocardial Infarction, Discharged Alive W Cc | 33 | 58 / 14 | $40.108,80 | 1038 / 50 | $7.054,06 | 643 / 42 | $5.742,85 | 641 / 44 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 22 | $29.013,20 | 1591 / 114 | $5.069,41 | 1280 / 90 | $4.021,66 | 1273 / 114 |
G.I. Hemorrhage W Mcc | 32 | 89 / 25 | $65.761,00 | 1276 / 74 | $11.866,80 | 934 / 70 | $10.969,00 | 928 / 80 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 32 | 99 / 34 | $98.103,60 | 1500 / 104 | $14.523,30 | 902 / 58 | $13.745,30 | 894 / 88 |
Spinal Fusion Except Cervical W/O Mcc | 31 | 163 / 45 | $134.577,00 | 1025 / 84 | $27.174,40 | 533 / 70 | $22.006,00 | 530 / 61 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 43 | $28.451,50 | 1563 / 92 | $5.533,47 | 1323 / 91 | $4.689,73 | 1318 / 111 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 35 | $22.265,50 | 1519 / 83 | $4.196,20 | 1386 / 81 | $3.271,40 | 1380 / 106 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 35 | $141.173,00 | 935 / 57 | $29.113,90 | 337 / 20 | $28.235,50 | 337 / 32 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 26 | $43.577,70 | 1040 / 58 | $7.952,03 | 682 / 38 | $7.077,17 | 677 / 52 |
Pulmonary Edema & Respiratory Failure | 29 | 174 / 54 | $47.633,30 | 1707 / 90 | $8.097,93 | 1343 / 75 | $7.474,48 | 1339 / 110 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 45 | $78.515,40 | 844 / 55 | $14.093,30 | 768 / 68 | $11.472,40 | 763 / 89 |
Diabetes W Cc | 29 | 63 / 22 | $34.299,90 | 1294 / 85 | $5.903,79 | 880 / 58 | $4.850,10 | 876 / 69 |
Hypertension W/O Mcc | 28 | 37 / 7 | $25.025,40 | 540 / 33 | $4.589,93 | 410 / 30 | $3.466,50 | 408 / 33 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 36 | $38.535,30 | 1276 / 67 | $8.222,26 | 1183 / 69 | $7.555,00 | 1180 / 97 |
Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 18 | $31.375,80 | 740 / 46 | $6.049,40 | 620 / 37 | $5.131,64 | 616 / 55 |
Transient Ischemia | 25 | 100 / 38 | $35.523,60 | 1339 / 74 | $5.038,00 | 1013 / 56 | $4.074,16 | 1008 / 78 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 52 | $30.202,80 | 1727 / 87 | $6.303,48 | 1386 / 94 | $5.357,39 | 1381 / 111 |
Respiratory Infections & Inflammations W Cc | 23 | 65 / 22 | $49.200,10 | 1140 / 71 | $8.899,26 | 891 / 67 | $8.271,78 | 886 / 88 |
Syncope & Collapse | 22 | 147 / 43 | $34.522,00 | 1569 / 89 | $5.522,91 | 1091 / 88 | $4.224,18 | 1084 / 83 |
Diabetes W Mcc | 22 | 35 / 14 | $36.838,20 | 410 / 19 | $8.920,14 | 356 / 20 | $8.396,50 | 356 / 29 |
G.I. Obstruction W Cc | 22 | 70 / 28 | $36.086,00 | 1373 / 74 | $6.091,45 | 993 / 55 | $5.109,59 | 990 / 75 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 52 | $46.578,10 | 1113 / 71 | $7.695,50 | 798 / 76 | $5.904,00 | 796 / 73 |
Other Vascular Procedures W Cc | 21 | 81 / 33 | $88.270,40 | 733 / 50 | $15.779,80 | 487 / 37 | $14.864,00 | 484 / 64 |
Other Digestive System Diagnoses W Cc | 21 | 76 / 23 | $37.008,30 | 1071 / 56 | $6.621,86 | 798 / 38 | $5.786,81 | 794 / 60 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 71 | $49.544,00 | 2250 / 161 | $7.217,00 | 1316 / 105 | $6.005,80 | 1311 / 113 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 26 | $108.876,00 | 578 / 38 | $19.848,10 | 406 / 27 | $18.761,80 | 403 / 44 |
Chest Pain | 17 | 134 / 49 | $25.507,50 | 1232 / 65 | $4.479,06 | 1040 / 61 | $3.624,47 | 1034 / 88 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 18 | $36.873,40 | 774 / 40 | $7.543,88 | 564 / 27 | $6.836,12 | 562 / 43 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 17 | 53 / 18 | $20.093,20 | 190 / 10 | $6.388,94 | 315 / 24 | $6.102,82 | 315 / 39 |
Peripheral Vascular Disorders W Mcc | 17 | 32 / 10 | $40.402,30 | 359 / 24 | $8.617,65 | 258 / 16 | $8.116,94 | 258 / 30 |
Peripheral Vascular Disorders W Cc | 17 | 67 / 25 | $45.772,10 | 1099 / 69 | $6.629,06 | 636 / 37 | $5.638,94 | 633 / 53 |
Cellulitis W Mcc | 17 | 41 / 16 | $44.748,60 | 679 / 40 | $10.344,50 | 209 / 42 | $7.490,82 | 208 / 22 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 12 | $23.469,60 | 477 / 15 | $5.290,75 | 392 / 15 | $4.160,75 | 391 / 21 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 21 | $21.945,90 | 908 / 51 | $4.514,69 | 806 / 46 | $3.460,69 | 803 / 65 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 16 | 60 / 16 | $35.556,30 | 165 / 12 | $11.009,90 | 99 / 13 | $9.911,38 | 99 / 14 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 19 | $55.135,60 | 462 / 25 | $11.756,00 | 249 / 16 | $10.935,40 | 248 / 20 |
Other Digestive System Diagnoses W Mcc | 14 | 48 / 16 | $40.562,90 | 326 / 11 | $10.658,60 | 250 / 20 | $9.794,57 | 250 / 30 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 20 | $63.820,20 | 744 / 56 | $10.506,50 | 528 / 47 | $9.393,85 | 526 / 55 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 43 | $23.952,70 | 1495 / 71 | $5.125,54 | 1522 / 88 | $4.478,15 | 1511 / 122 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 13 | 85 / 19 | $145.693,00 | 336 / 19 | $28.048,50 | 223 / 21 | $27.605,90 | 223 / 24 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 16 | $39.521,80 | 730 / 32 | $5.361,15 | 587 / 22 | $4.617,77 | 583 / 33 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 19 | $20.851,90 | 581 / 26 | $4.893,62 | 500 / 34 | $3.771,77 | 496 / 41 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 24 | $39.757,80 | 1053 / 54 | $6.583,69 | 812 / 30 | $5.842,77 | 809 / 54 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 18 | $34.254,80 | 708 / 34 | $6.470,38 | 278 / 24 | $4.684,46 | 277 / 18 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 22 | $127.822,00 | 775 / 41 | $20.434,20 | 531 / 32 | $19.693,20 | 528 / 42 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 21 | $23.163,80 | 640 / 38 | $4.545,67 | 552 / 32 | $3.740,33 | 551 / 47 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 27 | $30.532,50 | 465 / 23 | $8.275,00 | 580 / 40 | $7.719,67 | 577 / 58 |
Seizures W/O Mcc | 12 | 96 / 35 | $27.875,60 | 888 / 41 | $5.404,50 | 651 / 37 | $4.396,50 | 648 / 53 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 34 | $206.522,00 | 770 / 56 | $36.887,70 | 391 / 42 | $34.979,70 | 390 / 53 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 25 | $66.805,30 | 556 / 30 | $13.770,90 | 508 / 31 | $12.970,90 | 502 / 52 |
Medical Back Problems W Mcc | 12 | 27 / 10 | $38.364,30 | 128 / 5 | $9.881,17 | 107 / 6 | $8.997,83 | 107 / 11 |
Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 17 | $215.894,00 | 266 / 24 | $50.569,10 | 122 / 37 | $39.216,60 | 122 / 16 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 15 | $78.382,80 | 366 / 24 | $11.491,90 | 261 / 18 | $10.942,10 | 261 / 23 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 30 | $107.394,00 | 737 / 46 | $18.319,70 | 402 / 32 | $17.303,00 | 399 / 35 |
Seizures W Mcc | 11 | 55 / 23 | $47.656,30 | 453 / 23 | $9.400,18 | 212 / 16 | $8.440,18 | 212 / 22 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 18 | $19.522,30 | 496 / 20 | $4.994,82 | 530 / 26 | $4.011,55 | 530 / 36 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 13 | $20.695,50 | 227 / 12 | $4.874,73 | 257 / 10 | $4.217,27 | 257 / 19 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 45 | $22.990,30 | 1452 / 84 | $4.908,91 | 1339 / 96 | $4.135,09 | 1328 / 113 |
Other Skin, Subcut Tiss & Breast Proc W Mcc | 11 | 11 / 4 | $67.761,10 | 23 / 2 | $15.081,10 | 9 / 2 | $14.086,20 | 9 / 4 | Total 84 procedures | 2.870 | 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.