Hospital Costs > In Texas > North Texas Medical Center, 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 | 53 | 463 / 112 | $22.709,80 | 397 / 18 | $12.362,90 | 1675 / 137 | $11.392,30 | 1643 / 156 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 66 | $20.278,50 | 808 / 28 | $7.700,16 | 1794 / 138 | $6.782,44 | 1786 / 159 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 64 | $26.635,90 | 835 / 16 | $8.506,12 | 1483 / 90 | $7.794,59 | 1478 / 121 |
| Renal Failure W Cc | 16 | 205 / 89 | $17.031,20 | 670 / 12 | $6.984,38 | 1641 / 127 | $6.000,38 | 1632 / 147 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 93 | $18.790,90 | 997 / 33 | $6.994,85 | 1890 / 145 | $5.975,77 | 1882 / 166 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 59 | $39.100,80 | 589 / 8 | $13.190,00 | 1375 / 107 | $12.266,90 | 1357 / 129 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 81 | $19.560,40 | 676 / 19 | $8.240,42 | 1712 / 129 | $7.237,75 | 1704 / 152 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 11 | 553 / 148 | $47.240,00 | 1147 / 54 | $14.335,00 | 1925 / 127 | $13.340,10 | 1883 / 202 | Total 8 procedures | 160 | 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.