Hospital Costs > In Texas > Midland Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 232 | 332 / 29 | $39.427,90 | 722 / 23 | $15.860,50 | 837 / 185 | $10.813,50 | 823 / 99 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 222 | 294 / 38 | $54.246,10 | 1926 / 116 | $13.783,30 | 2010 / 182 | $12.406,10 | 1973 / 188 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 95 | 112 / 18 | $26.523,10 | 1383 / 65 | $9.137,22 | 905 / 177 | $5.581,91 | 903 / 77 |
Pulmonary Edema & Respiratory Failure | 95 | 108 / 12 | $42.132,30 | 1569 / 75 | $8.723,36 | 1335 / 100 | $7.462,37 | 1331 / 108 |
Kidney & Urinary Tract Infections W/O Mcc | 84 | 149 / 35 | $22.375,70 | 1792 / 110 | $5.514,77 | 1535 / 133 | $4.380,36 | 1524 / 135 |
Simple Pneumonia & Pleurisy W Cc | 65 | 138 / 44 | $29.077,10 | 1903 / 103 | $7.757,51 | 1359 / 183 | $5.367,77 | 1354 / 109 |
Heart Failure & Shock W Mcc | 62 | 222 / 63 | $43.390,10 | 1797 / 105 | $12.039,70 | 1971 / 180 | $10.259,20 | 1964 / 180 |
Renal Failure W Cc | 59 | 162 / 48 | $26.117,10 | 1496 / 68 | $6.726,59 | 1234 / 109 | $5.428,12 | 1226 / 101 |
Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 42 | $40.461,00 | 1571 / 78 | $10.877,00 | 932 / 159 | $7.794,30 | 932 / 72 |
Heart Failure & Shock W Cc | 57 | 221 / 59 | $24.294,70 | 1615 / 72 | $6.668,00 | 1310 / 124 | $5.561,89 | 1306 / 111 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 59 | $23.886,60 | 1793 / 100 | $5.834,18 | 1425 / 156 | $4.065,13 | 1414 / 118 |
G.I. Hemorrhage W Cc | 53 | 165 / 41 | $29.235,20 | 1517 / 69 | $6.992,02 | 1248 / 99 | $5.642,17 | 1245 / 91 |
Cellulitis W/O Mcc | 52 | 137 / 39 | $21.435,10 | 1619 / 88 | $6.220,69 | 1481 / 141 | $4.701,56 | 1474 / 128 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 48 | 118 / 39 | $19.272,90 | 1485 / 67 | $5.474,12 | 1323 / 148 | $3.905,29 | 1319 / 108 |
Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 29 | $44.210,40 | 813 / 25 | $13.494,50 | 942 / 120 | $10.901,70 | 929 / 82 |
Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 51 | $40.326,20 | 1935 / 120 | $8.956,00 | 1956 / 157 | $7.838,67 | 1948 / 170 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 40 | 62 / 17 | $23.512,40 | 810 / 20 | $5.290,38 | 887 / 47 | $4.114,58 | 883 / 69 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 38 | 130 / 38 | $41.743,00 | 740 / 17 | $11.343,40 | 825 / 54 | $10.308,80 | 823 / 64 |
Renal Failure W Mcc | 36 | 159 / 61 | $42.372,40 | 1362 / 82 | $11.182,70 | 1174 / 124 | $9.334,33 | 1174 / 111 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 48 | $30.518,00 | 1188 / 45 | $7.316,03 | 1280 / 77 | $6.296,67 | 1277 / 104 |
Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 20 | $22.532,30 | 1426 / 80 | $5.603,92 | 693 / 126 | $3.463,28 | 690 / 47 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 35 | 161 / 40 | $70.685,10 | 701 / 36 | $17.394,00 | 717 / 115 | $11.298,50 | 713 / 84 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 40 | $28.315,10 | 1640 / 77 | $6.726,34 | 1489 / 112 | $5.501,09 | 1483 / 123 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 21 | $20.154,00 | 1276 / 51 | $5.050,29 | 1221 / 83 | $3.976,63 | 1212 / 96 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 35 | $62.489,70 | 968 / 49 | $14.861,80 | 900 / 74 | $13.736,40 | 892 / 87 |
Major Small & Large Bowel Procedures W Cc | 31 | 77 / 21 | $68.823,30 | 834 / 40 | $20.271,10 | 724 / 87 | $14.453,50 | 717 / 62 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 45 | $34.538,70 | 1150 / 75 | $7.735,70 | 802 / 76 | $6.586,93 | 799 / 75 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 44 | $27.673,90 | 1524 / 82 | $7.058,69 | 951 / 146 | $4.246,72 | 948 / 78 |
G.I. Hemorrhage W Mcc | 28 | 93 / 29 | $41.137,00 | 735 / 25 | $12.305,50 | 642 / 79 | $10.050,20 | 643 / 55 |
Transient Ischemia | 28 | 97 / 35 | $27.931,30 | 1103 / 49 | $6.729,86 | 727 / 105 | $3.625,86 | 723 / 52 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 27 | 161 / 47 | $31.239,80 | 575 / 12 | $7.245,74 | 961 / 56 | $6.251,48 | 958 / 89 |
Extracranial Procedures W/O Cc/Mcc | 26 | 72 / 23 | $23.272,30 | 231 / 10 | $8.076,38 | 369 / 62 | $5.398,12 | 369 / 34 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 37 | $26.285,00 | 743 / 15 | $7.939,04 | 928 / 65 | $7.021,62 | 925 / 77 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 39 | $42.678,50 | 871 / 34 | $12.713,30 | 955 / 79 | $11.571,00 | 945 / 81 |
Red Blood Cell Disorders W/O Mcc | 25 | 118 / 42 | $36.079,10 | 1693 / 128 | $5.954,84 | 1377 / 104 | $5.152,16 | 1368 / 125 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 38 | $35.380,60 | 632 / 12 | $11.082,60 | 911 / 67 | $10.034,80 | 910 / 75 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 41 | $14.628,20 | 945 / 27 | $4.171,75 | 928 / 78 | $2.765,00 | 923 / 68 |
G.I. Hemorrhage W/O Cc/Mcc | 24 | 44 / 9 | $23.574,20 | 673 / 41 | $6.401,50 | 475 / 74 | $3.719,88 | 471 / 38 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 23 | 33 / 11 | $31.687,20 | 231 / 6 | $10.491,80 | 525 / 46 | $9.374,30 | 523 / 54 |
Diabetes W Cc | 22 | 70 / 29 | $25.247,70 | 1003 / 51 | $6.885,64 | 699 / 89 | $4.528,32 | 697 / 51 |
Major Cardiovasc Procedures W/O Mcc | 21 | 80 / 28 | $66.535,40 | 211 / 5 | $24.402,70 | 201 / 57 | $17.826,20 | 201 / 18 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 43 | $138.416,00 | 907 / 50 | $38.233,70 | 1111 / 90 | $37.211,90 | 1104 / 102 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 21 | 52 / 14 | $27.091,40 | 563 / 18 | $8.725,33 | 425 / 50 | $6.461,67 | 424 / 28 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 25 | $31.819,40 | 807 / 24 | $7.104,05 | 733 / 43 | $5.955,60 | 731 / 53 |
Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 22 | $72.970,90 | 458 / 17 | $20.462,30 | 582 / 49 | $19.161,30 | 579 / 51 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 19 | 28 / 8 | $31.806,40 | 182 / 6 | $9.051,68 | 292 / 39 | $6.590,47 | 292 / 32 |
Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 55 | $73.526,70 | 426 / 23 | $24.897,70 | 753 / 42 | $23.665,80 | 749 / 91 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 15 | $40.848,80 | 315 / 16 | $13.068,20 | 212 / 43 | $8.129,94 | 212 / 22 |
Cellulitis W Mcc | 16 | 42 / 17 | $30.004,90 | 382 / 14 | $9.562,62 | 440 / 30 | $8.460,69 | 438 / 41 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 21 | $24.457,80 | 627 / 15 | $7.354,75 | 620 / 45 | $5.403,81 | 617 / 42 |
G.I. Obstruction W Cc | 16 | 76 / 34 | $30.114,90 | 1204 / 55 | $7.360,06 | 555 / 92 | $4.533,25 | 554 / 39 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 29 | $34.095,60 | 824 / 41 | $9.421,38 | 894 / 81 | $8.283,44 | 889 / 89 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 30 | $139.816,00 | 452 / 26 | $38.762,10 | 510 / 49 | $36.958,10 | 509 / 62 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 39 | $40.361,00 | 954 / 51 | $7.982,56 | 585 / 42 | $6.837,25 | 580 / 40 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 20 | $39.825,60 | 170 / 2 | $15.290,50 | 357 / 36 | $11.912,60 | 354 / 33 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 39 | $23.517,70 | 1389 / 84 | $5.208,20 | 874 / 101 | $3.571,60 | 870 / 70 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 27 | $29.813,10 | 705 / 40 | $6.486,53 | 630 / 51 | $5.185,00 | 626 / 57 |
Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 17 | $30.539,90 | 67 / 2 | $13.619,90 | 36 / 43 | $7.907,47 | 36 / 2 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 14 | $21.922,90 | 580 / 29 | $5.065,93 | 406 / 28 | $3.712,53 | 406 / 27 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 29 | $195.756,00 | 1027 / 61 | $55.421,30 | 1252 / 79 | $52.510,00 | 1249 / 82 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 23 | $19.889,40 | 815 / 44 | $6.062,29 | 495 / 84 | $2.960,50 | 494 / 42 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 12 | $59.416,90 | 170 / 4 | $16.638,90 | 254 / 18 | $15.289,80 | 253 / 23 |
Other Vascular Procedures W Cc | 12 | 90 / 42 | $39.684,90 | 88 / 1 | $17.537,20 | 261 / 65 | $13.705,40 | 260 / 30 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 12 | $46.738,10 | 42 / 2 | $15.960,90 | 96 / 6 | $14.983,70 | 95 / 5 |
Medical Back Problems W/O Mcc | 12 | 109 / 38 | $23.573,20 | 754 / 20 | $7.025,00 | 634 / 85 | $4.455,08 | 632 / 47 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 65 | $27.140,50 | 1048 / 44 | $7.321,27 | 926 / 78 | $6.259,00 | 923 / 78 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 20 | $33.953,80 | 704 / 33 | $7.317,55 | 684 / 44 | $6.028,64 | 681 / 50 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 33 | $28.870,50 | 829 / 35 | $6.632,73 | 742 / 39 | $5.665,45 | 738 / 56 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 17 | $55.245,50 | 53 / 2 | $26.486,20 | 130 / 31 | $19.850,80 | 130 / 8 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 45 | $30.798,50 | 235 / 5 | $11.682,50 | 459 / 38 | $10.594,90 | 458 / 40 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 27 | $44.738,10 | 636 / 30 | $10.038,00 | 612 / 39 | $9.181,18 | 610 / 48 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 22 | $21.375,10 | 591 / 31 | $7.779,82 | 206 / 66 | $2.939,00 | 205 / 17 | Total 72 procedures | 2.523 | 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.