Hospital Costs > In Texas > North Cypress Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 22 | $71.061,40 | 1373 / 89 | $6.190,83 | 180 / 11 | $4.882,42 | 180 / 12 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 40 | 85 / 24 | $103.949,00 | 1714 / 116 | $10.978,50 | 536 / 64 | $9.076,83 | 535 / 37 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 14 | $53.139,90 | 803 / 39 | $4.569,53 | 44 / 5 | $3.032,80 | 44 / 1 |
Bronchitis & Asthma W Cc/Mcc | 24 | 52 / 19 | $64.271,30 | 1062 / 84 | $5.174,08 | 269 / 12 | $4.272,75 | 266 / 22 |
Bronchitis & Asthma W/O Cc/Mcc | 17 | 28 / 7 | $40.663,20 | 362 / 35 | $3.632,35 | 42 / 1 | $2.563,18 | 42 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 37 | $48.346,60 | 2045 / 154 | $4.596,08 | 323 / 15 | $3.638,92 | 323 / 26 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 36 | $76.317,70 | 1822 / 128 | $7.025,63 | 523 / 20 | $6.398,67 | 520 / 47 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 33 | $25.720,60 | 1649 / 104 | $3.262,25 | 127 / 11 | $1.994,12 | 127 / 14 |
Cellulitis W Mcc | 11 | 47 / 22 | $85.130,10 | 922 / 70 | $7.936,09 | 123 / 2 | $7.112,82 | 123 / 8 |
Cellulitis W/O Mcc | 63 | 126 / 30 | $39.851,20 | 2405 / 177 | $4.811,10 | 441 / 22 | $3.826,94 | 438 / 33 |
Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 34 | $161.144,00 | 871 / 74 | $20.577,30 | 145 / 71 | $10.708,30 | 145 / 23 |
Chest Pain | 33 | 118 / 34 | $40.857,70 | 1603 / 117 | $3.883,48 | 545 / 21 | $2.970,03 | 541 / 37 |
Chronic Obstructive Pulmonary Disease W Cc | 48 | 131 / 29 | $67.901,50 | 2399 / 169 | $5.489,10 | 81 / 18 | $3.962,12 | 81 / 7 |
Chronic Obstructive Pulmonary Disease W Mcc | 112 | 90 / 11 | $67.936,50 | 2436 / 186 | $6.701,69 | 399 / 20 | $5.682,52 | 398 / 28 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 36 | $48.222,20 | 2038 / 143 | $4.043,20 | 197 / 8 | $3.012,80 | 197 / 10 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 60 | $64.389,20 | 1443 / 112 | $6.391,71 | 230 / 17 | $5.021,50 | 230 / 23 |
Combined Anterior/Posterior Spinal Fusion W Cc | 19 | 27 / 4 | $295.640,00 | 91 / 11 | $49.780,20 | 25 / 6 | $42.128,10 | 25 / 5 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 19 | $61.949,50 | 835 / 52 | $5.604,00 | 131 / 3 | $4.725,45 | 131 / 7 |
Diabetes W Cc | 16 | 76 / 35 | $49.139,10 | 1530 / 110 | $4.575,94 | 278 / 3 | $3.955,94 | 278 / 16 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 21 | $103.451,00 | 513 / 53 | $10.654,40 | 12 / 11 | $8.495,82 | 12 / 3 |
Dysequilibrium | 36 | 29 / 3 | $31.319,00 | 428 / 17 | $3.851,64 | 22 / 5 | $2.248,72 | 22 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 26 | $60.027,10 | 1274 / 79 | $7.040,59 | 378 / 11 | $6.395,03 | 376 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 86 | 189 / 39 | $42.173,50 | 2522 / 192 | $4.303,87 | 276 / 14 | $3.205,41 | 276 / 24 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 13 | $162.336,00 | 411 / 23 | $15.796,80 | 99 / 5 | $15.028,80 | 98 / 6 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 21 | $226.775,00 | 672 / 47 | $28.192,80 | 182 / 15 | $26.899,10 | 182 / 19 |
G.I. Hemorrhage W Cc | 54 | 164 / 40 | $52.715,90 | 2214 / 154 | $5.660,80 | 587 / 13 | $4.988,20 | 586 / 41 |
G.I. Hemorrhage W Mcc | 20 | 101 / 37 | $84.084,50 | 1473 / 95 | $10.500,90 | 222 / 30 | $8.961,70 | 222 / 23 |
G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 14 | $29.100,70 | 795 / 58 | $4.109,89 | 29 / 5 | $2.650,61 | 29 / 3 |
G.I. Obstruction W Cc | 18 | 74 / 32 | $54.371,20 | 1635 / 102 | $5.019,00 | 304 / 7 | $4.208,33 | 303 / 23 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 18 | $43.374,20 | 1259 / 88 | $3.588,95 | 76 / 5 | $2.263,05 | 76 / 8 |
Headaches W/O Mcc | 14 | 29 / 8 | $39.748,70 | 203 / 11 | $3.787,64 | 15 / 1 | $2.660,79 | 15 / 2 |
Heart Failure & Shock W Cc | 47 | 231 / 66 | $54.203,70 | 2605 / 203 | $6.124,32 | 735 / 61 | $5.092,85 | 734 / 56 |
Heart Failure & Shock W Mcc | 71 | 213 / 56 | $75.721,80 | 2415 / 181 | $8.711,32 | 365 / 42 | $7.501,30 | 365 / 25 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 29 | $32.448,90 | 1763 / 131 | $3.808,70 | 455 / 9 | $3.271,81 | 453 / 32 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 57 | $103.097,00 | 1912 / 131 | $10.835,50 | 292 / 15 | $9.715,53 | 291 / 25 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 22 | $94.855,80 | 883 / 71 | $9.034,91 | 170 / 8 | $8.048,73 | 170 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 58 | $52.829,20 | 1790 / 112 | $6.127,36 | 225 / 16 | $4.862,32 | 225 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 28 | 140 / 46 | $94.317,80 | 1470 / 92 | $9.981,79 | 199 / 21 | $8.489,89 | 198 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 30 | $38.617,10 | 1323 / 77 | $4.367,65 | 114 / 8 | $3.031,08 | 112 / 7 |
Kidney & Urinary Tract Infections W Mcc | 46 | 98 / 31 | $57.220,40 | 1779 / 133 | $6.522,76 | 48 / 30 | $4.803,70 | 48 / 3 |
Kidney & Urinary Tract Infections W/O Mcc | 152 | 82 / 9 | $42.348,60 | 2537 / 208 | $4.333,20 | 198 / 14 | $3.305,09 | 198 / 17 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 35 | 21 / 5 | $101.143,00 | 811 / 67 | $10.071,50 | 126 / 26 | $7.971,34 | 126 / 8 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 13 | $77.360,60 | 536 / 52 | $6.936,50 | 149 / 5 | $5.898,79 | 149 / 15 |
Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 36 | $168.334,00 | 929 / 64 | $18.987,90 | 233 / 6 | $18.057,50 | 233 / 21 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 17 | $42.186,70 | 859 / 50 | $6.419,50 | 257 / 2 | $6.021,28 | 256 / 14 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 151 | 413 / 57 | $121.302,00 | 2600 / 211 | $13.675,20 | 290 / 95 | $9.933,06 | 290 / 40 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 33 | $140.606,00 | 1422 / 91 | $15.064,30 | 356 / 24 | $13.066,20 | 353 / 35 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 32 | $212.626,00 | 1080 / 69 | $33.371,40 | 31 / 54 | $23.289,80 | 31 / 5 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 6 | $44.904,50 | 145 / 10 | $6.658,55 | 14 / 1 | $5.439,00 | 14 / 1 |
Medical Back Problems W/O Mcc | 37 | 84 / 16 | $44.152,90 | 1330 / 89 | $4.680,89 | 192 / 2 | $3.734,73 | 192 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 40 | 86 / 36 | $66.872,80 | 1655 / 133 | $6.320,45 | 167 / 16 | $5.466,42 | 165 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 36 | $39.842,70 | 2367 / 187 | $3.925,71 | 183 / 9 | $2.983,49 | 183 / 13 |
O.R. Procedures For Obesity W/O Cc/Mcc | 18 | 59 / 25 | $98.139,00 | 400 / 37 | $9.133,83 | 45 / 3 | $7.304,56 | 45 / 5 |
Other Circulatory System Diagnoses W Mcc | 19 | 97 / 38 | $86.071,40 | 1193 / 91 | $11.010,80 | 208 / 18 | $9.598,37 | 208 / 13 |
Other Resp System O.R. Procedures W Cc | 13 | 34 / 11 | $109.070,00 | 307 / 23 | $27.843,50 | 2 / 24 | $7.901,08 | 2 / 1 |
Other Vascular Procedures W Cc | 22 | 80 / 32 | $118.302,00 | 964 / 78 | $14.329,20 | 236 / 10 | $13.556,90 | 236 / 26 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 53 | $128.855,00 | 1365 / 116 | $14.864,10 | 14 / 87 | $8.491,05 | 14 / 3 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 13 | $24.502,60 | 284 / 21 | $3.789,18 | 65 / 1 | $3.021,18 | 65 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 18 | $116.770,00 | 849 / 55 | $19.745,70 | 131 / 63 | $13.558,50 | 131 / 14 |
Pleural Effusion W Mcc | 12 | 18 / 10 | $73.671,80 | 168 / 12 | $8.900,67 | 32 / 1 | $8.120,67 | 32 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 19 | $36.525,20 | 828 / 36 | $3.724,33 | 14 / 1 | $2.397,42 | 14 / 1 |
Pulmonary Edema & Respiratory Failure | 25 | 178 / 58 | $66.814,60 | 2019 / 140 | $8.101,64 | 33 / 77 | $5.395,56 | 33 / 1 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 21 | $70.848,30 | 1255 / 73 | $5.901,12 | 437 / 12 | $5.075,06 | 436 / 27 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 24 | $67.343,20 | 1010 / 82 | $7.061,73 | 236 / 6 | $6.660,67 | 236 / 21 |
Red Blood Cell Disorders W/O Mcc | 46 | 97 / 24 | $43.945,40 | 1831 / 145 | $4.986,54 | 212 / 36 | $3.647,00 | 212 / 20 |
Renal Failure W Cc | 58 | 163 / 49 | $54.709,60 | 2311 / 173 | $5.652,10 | 394 / 28 | $4.648,47 | 391 / 35 |
Renal Failure W Mcc | 33 | 162 / 64 | $71.021,10 | 1903 / 140 | $8.823,12 | 442 / 32 | $7.981,42 | 442 / 43 |
Renal Failure W/O Cc/Mcc | 14 | 42 / 19 | $40.037,60 | 818 / 65 | $3.530,14 | 56 / 2 | $2.494,71 | 55 / 1 |
Respiratory Infections & Inflammations W Cc | 22 | 66 / 23 | $68.768,30 | 1327 / 97 | $7.428,55 | 206 / 6 | $6.771,09 | 205 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 49 | $115.019,00 | 1643 / 121 | $12.939,10 | 402 / 22 | $12.154,20 | 398 / 40 |
Seizures W/O Mcc | 38 | 70 / 15 | $41.825,40 | 1153 / 68 | $4.307,79 | 81 / 2 | $3.252,21 | 81 / 6 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 29 | $264.464,00 | 931 / 71 | $39.852,90 | 35 / 54 | $27.777,10 | 35 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 136 | 380 / 69 | $94.045,50 | 2582 / 186 | $10.851,90 | 404 / 47 | $9.356,60 | 404 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 56 | $73.918,00 | 2511 / 195 | $6.970,67 | 115 / 92 | $4.674,31 | 115 / 11 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 19 | 28 / 5 | $30.520,90 | 291 / 11 | $4.004,84 | 36 / 1 | $3.307,58 | 36 / 1 |
Signs & Symptoms W Mcc | 11 | 30 / 10 | $73.387,50 | 273 / 20 | $6.344,55 | 25 / 1 | $5.692,91 | 25 / 4 |
Signs & Symptoms W/O Mcc | 45 | 46 / 6 | $37.678,20 | 1177 / 69 | $3.922,78 | 93 / 5 | $2.960,71 | 93 / 4 |
Simple Pneumonia & Pleurisy W Cc | 93 | 110 / 22 | $62.276,40 | 2720 / 215 | $5.530,67 | 275 / 17 | $4.437,14 | 274 / 19 |
Simple Pneumonia & Pleurisy W Mcc | 65 | 140 / 34 | $90.700,80 | 2417 / 185 | $8.375,95 | 532 / 32 | $7.357,78 | 532 / 37 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 45 | 48 / 11 | $38.530,50 | 1778 / 144 | $4.027,60 | 222 / 11 | $2.945,96 | 220 / 21 |
Syncope & Collapse | 54 | 115 / 21 | $47.267,20 | 1815 / 124 | $4.156,89 | 182 / 6 | $3.144,76 | 181 / 12 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 22 | $293.894,00 | 321 / 27 | $52.399,20 | 85 / 10 | $51.600,60 | 85 / 15 |
Transient Ischemia | 40 | 85 / 26 | $32.435,30 | 1254 / 63 | $3.945,12 | 164 / 3 | $2.949,93 | 164 / 10 | Total 83 procedures | 2.757 | 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.