Hospital Costs > In Texas > North Austin Medical Center, 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 | 178 | 386 / 45 | $90.432,30 | 2365 / 179 | $14.314,70 | 941 / 124 | $10.957,60 | 922 / 106 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 159 | 116 / 12 | $28.699,50 | 2107 / 136 | $5.804,48 | 1607 / 154 | $4.232,49 | 1594 / 137 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 135 | 381 / 70 | $78.933,10 | 2411 / 166 | $13.468,30 | 1721 / 175 | $11.508,70 | 1688 / 160 |
| Kidney & Urinary Tract Infections W/O Mcc | 91 | 142 / 32 | $27.116,80 | 2083 / 147 | $6.183,07 | 1562 / 177 | $4.407,12 | 1551 / 138 |
| Cellulitis W/O Mcc | 82 | 107 / 17 | $26.950,90 | 1987 / 135 | $6.710,94 | 1162 / 159 | $4.400,98 | 1156 / 95 |
| Simple Pneumonia & Pleurisy W Cc | 76 | 127 / 34 | $38.457,10 | 2284 / 153 | $7.034,13 | 1580 / 150 | $5.590,84 | 1573 / 131 |
| Renal Failure W Cc | 71 | 150 / 39 | $29.343,40 | 1665 / 96 | $6.729,11 | 1314 / 110 | $5.521,07 | 1306 / 111 |
| Chronic Obstructive Pulmonary Disease W Cc | 70 | 109 / 18 | $37.573,40 | 2005 / 121 | $7.253,01 | 1315 / 135 | $5.285,06 | 1310 / 101 |
| Seizures W/O Mcc | 69 | 39 / 4 | $28.953,30 | 917 / 44 | $6.179,91 | 395 / 60 | $3.898,38 | 393 / 31 |
| Syncope & Collapse | 65 | 104 / 16 | $28.176,70 | 1359 / 65 | $5.560,97 | 961 / 90 | $4.013,89 | 955 / 72 |
| Heart Failure & Shock W Cc | 65 | 213 / 53 | $34.162,30 | 2147 / 139 | $7.156,32 | 1239 / 152 | $5.491,23 | 1235 / 104 |
| Heart Failure & Shock W Mcc | 64 | 220 / 62 | $42.210,90 | 1747 / 100 | $10.079,10 | 1181 / 122 | $8.555,89 | 1178 / 99 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 60 | 106 / 30 | $23.903,10 | 1831 / 108 | $5.520,35 | 1244 / 152 | $3.839,28 | 1240 / 100 |
| Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 36 | $42.816,90 | 2012 / 131 | $9.595,58 | 1345 / 169 | $6.627,17 | 1339 / 113 |
| Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 41 | $49.017,70 | 1886 / 115 | $9.959,69 | 1298 / 126 | $8.309,14 | 1298 / 111 |
| Renal Failure W Mcc | 56 | 139 / 46 | $44.378,80 | 1428 / 92 | $10.695,00 | 897 / 108 | $8.716,77 | 897 / 81 |
| Spinal Fusion Except Cervical W/O Mcc | 54 | 140 / 31 | $182.025,00 | 1229 / 100 | $27.679,60 | 486 / 76 | $21.692,20 | 483 / 57 |
| G.I. Hemorrhage W Cc | 51 | 167 / 43 | $31.217,20 | 1628 / 84 | $7.006,78 | 1384 / 102 | $5.795,25 | 1381 / 104 |
| Chest Pain | 51 | 100 / 20 | $26.924,10 | 1290 / 73 | $4.678,20 | 799 / 76 | $3.256,22 | 794 / 58 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 50 | 157 / 45 | $36.654,70 | 1918 / 124 | $8.086,08 | 834 / 156 | $5.508,32 | 832 / 67 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 50 | 76 / 27 | $24.480,80 | 668 / 23 | $7.514,54 | 736 / 70 | $6.458,72 | 733 / 65 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 49 | 112 / 24 | $25.583,30 | 1427 / 75 | $5.757,59 | 1208 / 101 | $4.513,14 | 1203 / 104 |
| Red Blood Cell Disorders W/O Mcc | 48 | 95 / 22 | $32.339,50 | 1590 / 115 | $7.362,73 | 296 / 139 | $3.751,19 | 295 / 30 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 47 | 57 / 8 | $35.338,30 | 601 / 24 | $7.192,55 | 434 / 26 | $5.979,74 | 434 / 28 |
| Medical Back Problems W/O Mcc | 44 | 77 / 13 | $30.652,40 | 1034 / 59 | $6.119,36 | 831 / 59 | $4.828,34 | 828 / 64 |
| Kidney & Urinary Tract Infections W Mcc | 43 | 101 / 34 | $30.254,70 | 1184 / 65 | $7.733,26 | 1036 / 98 | $6.457,09 | 1033 / 90 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 40 | 56 / 17 | $35.963,20 | 841 / 40 | $8.120,73 | 637 / 48 | $6.974,15 | 632 / 46 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 38 | 30 / 5 | $31.471,90 | 489 / 24 | $6.399,89 | 414 / 21 | $5.478,84 | 414 / 26 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 37 | 64 / 8 | $49.603,20 | 790 / 28 | $10.640,20 | 464 / 31 | $8.989,70 | 463 / 28 |
| Other Circulatory System Diagnoses W Mcc | 35 | 81 / 23 | $52.504,20 | 800 / 54 | $12.029,90 | 278 / 47 | $9.896,34 | 278 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 31 | $23.275,10 | 1564 / 91 | $4.514,76 | 1216 / 101 | $3.046,53 | 1211 / 89 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 34 | 39 / 5 | $62.906,00 | 302 / 16 | $8.881,97 | 74 / 9 | $5.778,82 | 74 / 7 |
| Other Digestive System Diagnoses W Cc | 34 | 63 / 12 | $40.619,60 | 1146 / 62 | $7.358,35 | 488 / 59 | $5.177,00 | 485 / 30 |
| Respiratory Infections & Inflammations W Mcc | 33 | 103 / 32 | $71.562,60 | 1419 / 86 | $13.346,40 | 844 / 97 | $11.232,40 | 834 / 70 |
| Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 40 | $73.069,90 | 1598 / 91 | $12.367,70 | 941 / 86 | $10.887,70 | 928 / 81 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 23 | $26.320,80 | 1589 / 85 | $5.408,21 | 1282 / 104 | $4.042,73 | 1271 / 99 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 23 | $24.376,50 | 1526 / 96 | $5.134,36 | 1225 / 108 | $4.004,03 | 1215 / 104 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 51 | $40.869,50 | 1530 / 72 | $8.511,75 | 1054 / 91 | $7.025,09 | 1052 / 83 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 31 | 58 / 13 | $57.471,40 | 645 / 50 | $7.529,23 | 432 / 29 | $6.127,23 | 431 / 49 |
| Signs & Symptoms W/O Mcc | 30 | 61 / 14 | $27.590,90 | 976 / 47 | $5.263,23 | 729 / 51 | $4.105,17 | 726 / 48 |
| G.I. Obstruction W Cc | 30 | 62 / 21 | $36.542,80 | 1381 / 76 | $7.290,40 | 846 / 90 | $4.881,50 | 844 / 60 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 28 | 46 / 6 | $127.020,00 | 247 / 22 | $14.024,90 | 76 / 7 | $12.903,90 | 76 / 14 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 46 | $52.470,80 | 1264 / 91 | $7.698,96 | 822 / 77 | $5.949,75 | 820 / 76 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 27 | $26.142,80 | 1508 / 100 | $5.474,74 | 961 / 116 | $3.643,59 | 956 / 79 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 27 | 46 / 9 | $38.884,80 | 808 / 44 | $8.262,67 | 541 / 45 | $6.746,44 | 539 / 39 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 36 | $43.533,00 | 1409 / 85 | $8.502,93 | 865 / 82 | $6.922,11 | 862 / 73 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 24 | $92.482,60 | 1142 / 61 | $16.428,10 | 608 / 50 | $14.017,30 | 602 / 53 |
| Peripheral Vascular Disorders W Cc | 26 | 58 / 17 | $27.163,30 | 713 / 31 | $7.236,92 | 573 / 57 | $5.488,96 | 571 / 41 |
| Degenerative Nervous System Disorders W/O Mcc | 25 | 53 / 7 | $30.315,80 | 502 / 21 | $6.834,48 | 392 / 20 | $5.610,20 | 392 / 23 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 42 | $93.754,40 | 1449 / 95 | $14.824,90 | 564 / 72 | $12.616,40 | 556 / 56 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 50 | $85.116,80 | 961 / 70 | $15.102,20 | 523 / 91 | $10.699,60 | 521 / 64 |
| Kidney Transplant | 23 | 78 / 13 | $237.872,00 | 132 / 13 | $37.726,30 | 3 / 15 | $14.783,70 | 3 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 21 | $173.696,00 | 936 / 53 | $30.000,40 | 300 / 29 | $27.440,30 | 298 / 31 |
| Other Vascular Procedures W Cc | 23 | 79 / 31 | $96.554,60 | 810 / 56 | $15.577,40 | 401 / 31 | $14.402,30 | 399 / 49 |
| Transient Ischemia | 22 | 103 / 41 | $42.821,00 | 1483 / 94 | $5.363,86 | 937 / 75 | $3.921,68 | 932 / 70 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 21 | $37.905,70 | 855 / 59 | $6.397,24 | 578 / 48 | $5.018,43 | 574 / 53 |
| Respiratory Infections & Inflammations W Cc | 21 | 67 / 24 | $37.658,50 | 916 / 52 | $9.696,48 | 640 / 86 | $7.646,33 | 637 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 35 | $30.451,30 | 1118 / 56 | $6.277,25 | 803 / 78 | $3.999,10 | 799 / 61 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 39 | $57.106,90 | 1144 / 64 | $11.633,50 | 794 / 61 | $10.524,30 | 791 / 68 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 65 | $36.075,80 | 1393 / 67 | $7.562,72 | 1261 / 84 | $6.255,56 | 1258 / 103 |
| Diabetes W Cc | 18 | 74 / 33 | $29.223,50 | 1148 / 68 | $6.057,33 | 829 / 66 | $4.747,11 | 825 / 67 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 47 | $244.467,00 | 1402 / 101 | $47.124,10 | 960 / 107 | $34.766,90 | 954 / 92 |
| Red Blood Cell Disorders W Mcc | 17 | 54 / 22 | $42.221,40 | 721 / 48 | $8.659,06 | 494 / 51 | $7.484,29 | 492 / 44 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 20 | $32.669,80 | 909 / 38 | $7.842,18 | 388 / 53 | $4.966,29 | 388 / 23 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 30 | $118.125,00 | 650 / 45 | $19.551,80 | 230 / 23 | $17.400,60 | 229 / 23 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 22 | $24.472,10 | 994 / 59 | $4.850,07 | 615 / 57 | $3.111,87 | 614 / 49 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 24 | $102.572,00 | 786 / 49 | $16.896,20 | 454 / 41 | $15.570,90 | 453 / 46 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 15 | $128.582,00 | 468 / 28 | $23.957,20 | 37 / 28 | $12.674,30 | 37 / 3 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 20 | $78.897,50 | 463 / 35 | $12.146,00 | 193 / 22 | $10.171,30 | 192 / 22 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 14 | 31 / 7 | $70.295,70 | 145 / 11 | $12.656,20 | 21 / 4 | $9.557,71 | 21 / 2 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 18 | $21.730,00 | 618 / 31 | $5.279,57 | 420 / 49 | $3.597,50 | 416 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 59 | $59.061,20 | 1122 / 53 | $11.153,30 | 623 / 50 | $9.680,29 | 622 / 46 |
| Hypertension W/O Mcc | 14 | 51 / 19 | $27.399,30 | 595 / 40 | $4.813,00 | 437 / 38 | $3.540,93 | 435 / 38 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 11 | $118.742,00 | 400 / 27 | $18.778,60 | 111 / 34 | $13.332,70 | 111 / 12 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 22 | $80.114,90 | 731 / 54 | $11.142,60 | 271 / 47 | $8.586,64 | 271 / 22 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 15 | $30.217,90 | 749 / 47 | $6.830,64 | 503 / 57 | $3.948,00 | 503 / 33 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 32 | $212.760,00 | 791 / 59 | $37.371,60 | 441 / 45 | $35.686,90 | 440 / 55 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 13 | 17 / 9 | $88.736,50 | 174 / 21 | $13.102,10 | 88 / 10 | $11.491,40 | 87 / 11 |
| Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 13 | 16 / 2 | $23.158,20 | 80 / 1 | $7.295,92 | 40 / 4 | $4.262,54 | 40 / 1 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 13 | 75 / 24 | $113.756,00 | 326 / 14 | $25.230,60 | 75 / 29 | $18.333,10 | 75 / 6 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 18 | $20.920,50 | 548 / 9 | $4.886,62 | 510 / 22 | $3.907,85 | 509 / 26 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 36 | $171.112,00 | 933 / 66 | $28.883,10 | 264 / 67 | $18.303,20 | 264 / 26 |
| Seizures W Mcc | 12 | 54 / 22 | $64.040,40 | 602 / 41 | $10.699,20 | 364 / 37 | $9.289,67 | 364 / 38 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 12 | $23.491,00 | 576 / 12 | $6.093,42 | 334 / 19 | $3.895,33 | 334 / 9 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 21 | $445.905,00 | 475 / 43 | $69.030,90 | 287 / 32 | $65.089,20 | 287 / 36 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 15 | $62.730,70 | 495 / 47 | $11.492,20 | 259 / 56 | $6.446,25 | 259 / 30 |
| Fever | 12 | 34 / 10 | $23.762,20 | 158 / 3 | $6.998,58 | 82 / 14 | $4.345,33 | 82 / 2 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 12 | $21.830,80 | 251 / 15 | $5.106,08 | 243 / 14 | $4.050,50 | 243 / 17 |
| Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 23 | $167.407,00 | 629 / 35 | $24.491,50 | 201 / 31 | $18.007,80 | 201 / 20 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 12 | 28 / 7 | $67.756,70 | 125 / 7 | $10.226,30 | 6 / 5 | $6.334,58 | 6 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 35 | $108.846,00 | 801 / 65 | $14.023,80 | 481 / 29 | $12.621,80 | 478 / 60 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 50 | $55.903,20 | 1255 / 63 | $12.380,30 | 566 / 95 | $9.147,75 | 565 / 40 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 15 | $28.660,00 | 586 / 25 | $7.433,58 | 652 / 34 | $5.440,00 | 650 / 34 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 29 | $175.322,00 | 662 / 43 | $34.853,90 | 149 / 56 | $27.166,20 | 149 / 14 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 18 | $43.026,90 | 361 / 16 | $10.833,80 | 226 / 25 | $9.653,83 | 226 / 28 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 14 | $95.786,10 | 481 / 19 | $11.527,40 | 277 / 10 | $10.288,10 | 277 / 15 |
| Complications Of Treatment W Mcc | 11 | 40 / 12 | $59.410,70 | 209 / 14 | $11.439,60 | 73 / 9 | $9.989,27 | 73 / 7 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 10 | $35.941,50 | 407 / 31 | $5.704,36 | 194 / 29 | $3.319,73 | 194 / 15 |
| Pulmonary Embolism W Mcc | 11 | 32 / 13 | $46.726,80 | 389 / 13 | $10.921,00 | 75 / 22 | $7.523,27 | 75 / 4 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 21 | $45.525,30 | 263 / 23 | $16.050,20 | 40 / 48 | $9.112,00 | 40 / 8 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 11 | 29 / 10 | $87.880,40 | 189 / 16 | $12.834,50 | 116 / 7 | $11.692,50 | 116 / 12 |
| Respiratory Signs & Symptoms | 11 | 35 / 11 | $23.688,50 | 167 / 10 | $5.077,82 | 128 / 6 | $3.920,27 | 128 / 11 |
| Respiratory Neoplasms W Cc | 11 | 36 / 11 | $44.387,10 | 364 / 10 | $8.099,82 | 184 / 10 | $6.629,00 | 183 / 9 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 11 | $30.691,80 | 218 / 8 | $8.096,18 | 177 / 14 | $6.840,09 | 177 / 19 | Total 104 procedures | 3.381 | 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.