Hospital Costs > In Texas > Moore County Hospital District, 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 | 17 | 216 / 92 | $12.129,00 | 529 / 22 | $6.474,29 | 2214 / 189 | $5.474,76 | 2203 / 198 |
Heart Failure & Shock W Mcc | 15 | 269 / 105 | $22.728,50 | 585 / 13 | $12.709,30 | 2101 / 186 | $10.768,00 | 2091 / 185 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 15 | 501 / 140 | $21.232,80 | 325 / 15 | $16.193,90 | 2283 / 202 | $13.570,20 | 2242 / 200 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 80 | $16.760,20 | 458 / 12 | $9.828,08 | 2229 / 176 | $8.988,69 | 2221 / 182 |
Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 94 | $24.518,00 | 1587 / 72 | $8.595,50 | 2497 / 200 | $7.694,17 | 2488 / 209 | Total 5 procedures | 72 | 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.