Hospital Costs > In Texas > Navarro Regional 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 | $58.270,70 | 2043 / 131 | $10.708,70 | 709 / 40 | $9.806,23 | 708 / 59 |
Heart Failure & Shock W Cc | 56 | 222 / 60 | $34.763,90 | 2167 / 142 | $5.844,62 | 652 / 34 | $5.027,48 | 651 / 53 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 51 | $35.340,60 | 1877 / 119 | $6.513,70 | 722 / 52 | $5.408,11 | 720 / 52 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 36 | 528 / 127 | $82.115,80 | 2246 / 159 | $12.712,90 | 1307 / 49 | $11.604,40 | 1275 / 143 |
Heart Failure & Shock W Mcc | 36 | 248 / 86 | $41.577,40 | 1726 / 96 | $8.090,33 | 314 / 5 | $7.433,44 | 314 / 18 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 60 | $44.104,90 | 2046 / 134 | $6.601,09 | 286 / 16 | $5.552,55 | 285 / 19 |
Renal Failure W Cc | 27 | 194 / 79 | $37.751,00 | 1981 / 132 | $5.756,96 | 791 / 38 | $4.993,70 | 784 / 65 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 60 | $26.765,80 | 1982 / 136 | $4.425,15 | 847 / 48 | $3.545,15 | 844 / 69 |
Red Blood Cell Disorders W/O Mcc | 25 | 118 / 42 | $27.798,00 | 1400 / 86 | $5.031,04 | 810 / 39 | $4.307,84 | 805 / 69 |
Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 85 | $26.975,10 | 2076 / 145 | $4.825,92 | 727 / 58 | $3.772,58 | 722 / 60 |
Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 34 | $27.188,30 | 1636 / 112 | $4.192,27 | 706 / 34 | $3.476,64 | 702 / 48 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 51 | $33.516,70 | 1761 / 114 | $5.316,91 | 601 / 74 | $3.916,91 | 598 / 47 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 56 | $32.572,80 | 1270 / 73 | $6.497,25 | 296 / 28 | $5.422,85 | 295 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 91 | $28.145,70 | 2075 / 130 | $4.699,80 | 947 / 44 | $3.731,80 | 940 / 72 |
G.I. Hemorrhage W Cc | 20 | 198 / 69 | $33.805,80 | 1745 / 100 | $5.892,55 | 791 / 27 | $5.172,35 | 789 / 60 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 45 | $55.187,40 | 1178 / 60 | $11.125,90 | 570 / 23 | $10.615,60 | 562 / 45 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 87 | $38.748,20 | 2293 / 155 | $6.058,58 | 876 / 57 | $4.973,95 | 873 / 66 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 77 | $45.601,80 | 1778 / 103 | $8.285,41 | 533 / 26 | $7.359,29 | 533 / 38 |
Cellulitis W/O Mcc | 16 | 173 / 73 | $24.421,80 | 1843 / 111 | $5.170,81 | 559 / 50 | $3.937,19 | 556 / 42 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 60 | $42.174,30 | 2118 / 131 | $5.605,87 | 523 / 29 | $4.564,80 | 521 / 42 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 49 | $39.953,60 | 1324 / 69 | $7.033,14 | 420 / 23 | $6.251,43 | 418 / 34 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 31 | $46.898,20 | 1090 / 69 | $8.152,36 | 555 / 31 | $7.459,79 | 552 / 48 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 60 | $27.885,70 | 855 / 42 | $6.768,46 | 498 / 32 | $6.020,15 | 495 / 44 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 68 | $40.571,10 | 1515 / 71 | $7.414,00 | 1003 / 32 | $6.951,23 | 1002 / 76 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 44 | $33.344,30 | 1801 / 118 | $4.541,75 | 1004 / 39 | $3.733,75 | 995 / 71 |
Syncope & Collapse | 12 | 157 / 53 | $20.473,40 | 899 / 22 | $4.607,08 | 451 / 31 | $3.500,42 | 449 / 28 |
Admit For Renal Dialysis | 11 | 8 / 3 | $16.105,20 | 4 / 1 | $5.767,91 | 4 / 1 | $4.892,27 | 4 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 44 | $46.305,50 | 1086 / 67 | $7.678,91 | 108 / 28 | $5.725,00 | 108 / 8 | Total 28 procedures | 699 | 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.