Hospital Costs > In Texas > North Hills 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 | 126 | 390 / 73 | $78.982,40 | 2413 / 167 | $11.547,20 | 167 / 86 | $8.853,05 | 167 / 9 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 56 | 219 / 58 | $35.576,10 | 2372 / 171 | $5.551,95 | 66 / 133 | $2.877,64 | 66 / 6 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 45 | 519 / 119 | $163.099,00 | 2670 / 221 | $17.992,80 | 104 / 207 | $9.369,00 | 104 / 13 |
Heart Failure & Shock W Cc | 45 | 233 / 68 | $43.887,60 | 2431 / 179 | $5.586,98 | 166 / 16 | $4.475,33 | 166 / 12 |
Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 35 | $43.099,00 | 2135 / 133 | $5.970,10 | 51 / 64 | $3.847,27 | 51 / 5 |
Heart Failure & Shock W Mcc | 40 | 244 / 82 | $60.832,40 | 2208 / 155 | $8.287,15 | 229 / 12 | $7.280,50 | 229 / 9 |
Transient Ischemia | 40 | 85 / 26 | $34.921,70 | 1322 / 72 | $3.997,45 | 83 / 5 | $2.744,55 | 83 / 4 |
Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 55 | $41.605,40 | 1970 / 124 | $7.004,37 | 79 / 44 | $5.090,16 | 79 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 54 | $49.361,50 | 2241 / 157 | $6.058,61 | 93 / 11 | $4.626,47 | 93 / 8 |
Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 59 | $57.617,60 | 2059 / 141 | $8.470,65 | 245 / 38 | $6.927,97 | 245 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 51 | $28.590,40 | 2079 / 146 | $4.000,83 | 88 / 13 | $2.805,19 | 88 / 7 |
Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 72 | $40.690,10 | 2346 / 165 | $5.399,09 | 370 / 5 | $4.536,91 | 368 / 26 |
Renal Failure W Cc | 32 | 189 / 74 | $45.829,60 | 2177 / 158 | $5.631,09 | 261 / 26 | $4.490,50 | 260 / 18 |
Renal Failure W Mcc | 31 | 164 / 66 | $49.390,10 | 1568 / 106 | $9.056,23 | 90 / 41 | $7.187,61 | 90 / 7 |
Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 80 | $30.331,90 | 2231 / 165 | $4.253,17 | 276 / 9 | $3.407,30 | 276 / 25 |
Syncope & Collapse | 28 | 141 / 38 | $33.477,90 | 1541 / 85 | $4.349,39 | 11 / 15 | $2.701,96 | 11 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 38 | $115.462,00 | 1650 / 122 | $15.665,40 | 466 / 94 | $12.356,50 | 461 / 46 |
Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 48 | $44.547,30 | 1601 / 118 | $6.096,46 | 199 / 7 | $5.255,32 | 199 / 12 |
Cellulitis W/O Mcc | 27 | 162 / 62 | $31.190,90 | 2166 / 152 | $4.673,78 | 378 / 10 | $3.777,78 | 375 / 22 |
G.I. Hemorrhage W Cc | 26 | 192 / 64 | $41.803,80 | 2002 / 125 | $5.555,73 | 275 / 8 | $4.670,81 | 275 / 24 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 60 | $64.438,40 | 1988 / 134 | $7.025,83 | 344 / 16 | $6.145,87 | 344 / 20 |
Major Small & Large Bowel Procedures W Cc | 21 | 87 / 29 | $130.338,00 | 1390 / 84 | $15.842,50 | 59 / 37 | $11.609,50 | 59 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 52 | $49.677,90 | 1486 / 110 | $6.145,24 | 138 / 4 | $5.400,10 | 137 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 52 | $39.630,00 | 1899 / 130 | $4.376,57 | 225 / 6 | $3.517,14 | 225 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 62 | $46.719,60 | 1668 / 97 | $5.785,67 | 257 / 5 | $4.918,62 | 257 / 21 |
Chest Pain | 21 | 130 / 45 | $34.894,70 | 1498 / 99 | $3.513,71 | 84 / 6 | $2.314,14 | 84 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 52 | $109.174,00 | 1944 / 135 | $12.062,80 | 277 / 73 | $9.687,45 | 276 / 22 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 54 | $57.855,80 | 1358 / 100 | $6.190,55 | 91 / 9 | $4.722,80 | 91 / 9 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 48 | $32.132,90 | 1585 / 114 | $4.438,79 | 282 / 5 | $3.739,84 | 282 / 27 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 36 | $27.995,70 | 1557 / 108 | $3.898,67 | 155 / 6 | $2.828,44 | 154 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 46 | $46.594,50 | 1467 / 88 | $6.631,71 | 182 / 4 | $5.816,65 | 182 / 13 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 45 | $85.416,20 | 1594 / 99 | $9.674,71 | 457 / 18 | $8.891,65 | 457 / 30 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 40 | $30.678,50 | 1727 / 106 | $4.759,06 | 38 / 56 | $2.636,94 | 38 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 58 | $337.964,00 | 1359 / 120 | $47.753,40 | 1146 / 117 | $29.203,30 | 1141 / 113 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 31 | $58.117,10 | 1285 / 76 | $5.874,86 | 194 / 3 | $4.926,29 | 194 / 13 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 50 | $186.730,00 | 1201 / 82 | $43.461,00 | 10 / 103 | $21.599,60 | 10 / 2 |
G.I. Hemorrhage W Mcc | 14 | 107 / 43 | $66.828,80 | 1297 / 78 | $10.735,40 | 8 / 37 | $7.499,93 | 8 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 61 | $127.339,00 | 1359 / 112 | $13.530,70 | 105 / 54 | $9.442,69 | 105 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 61 | $67.188,20 | 1237 / 70 | $11.894,50 | 28 / 63 | $7.649,67 | 28 / 3 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 32 | $203.479,00 | 1056 / 64 | $27.203,20 | 174 / 10 | $26.104,40 | 174 / 18 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 44 | $32.596,50 | 1768 / 133 | $3.741,58 | 178 / 6 | $2.933,58 | 176 / 9 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 15 | $32.167,80 | 633 / 30 | $4.554,67 | 68 / 5 | $3.140,08 | 68 / 2 |
Other Vascular Procedures W Mcc | 11 | 86 / 39 | $129.520,00 | 784 / 62 | $17.784,40 | 110 / 9 | $17.126,80 | 110 / 13 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 28 | $52.941,30 | 881 / 65 | $7.189,09 | 19 / 9 | $5.532,36 | 19 / 1 | Total 44 procedures | 1.202 | 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.