Hospital Costs > In Texas > North Central Surgical Center Llp, 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 | 238 | 326 / 27 | $35.595,90 | 500 / 15 | $13.417,90 | 171 / 85 | $9.625,08 | 171 / 20 |
| Spinal Fusion Except Cervical W/O Mcc | 52 | 142 / 33 | $68.322,60 | 345 / 18 | $25.784,60 | 224 / 53 | $20.041,20 | 223 / 33 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 43 | 53 / 4 | $44.117,10 | 235 / 6 | $12.817,10 | 195 / 15 | $11.013,40 | 193 / 19 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 32 | 31 / 4 | $45.902,50 | 26 / 2 | $21.497,60 | 41 / 7 | $16.700,90 | 41 / 5 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 15 | 54 / 12 | $44.713,70 | 88 / 1 | $13.957,30 | 83 / 3 | $12.824,50 | 83 / 7 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 35 | $42.793,50 | 244 / 12 | $12.514,90 | 238 / 7 | $11.301,60 | 238 / 36 | Total 6 procedures | 392 | 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.