Hospital Costs > In Texas > Oakbend 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 | 62 | 454 / 107 | $42.435,20 | 1443 / 69 | $12.184,80 | 1687 / 125 | $11.423,90 | 1655 / 158 |
Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 61 | $27.706,20 | 2112 / 152 | $5.810,31 | 1984 / 163 | $4.972,23 | 1973 / 182 |
Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 60 | $32.870,30 | 2101 / 128 | $7.007,25 | 1954 / 147 | $6.084,54 | 1946 / 176 |
Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 51 | $37.770,00 | 1477 / 68 | $9.666,09 | 1579 / 115 | $8.856,57 | 1579 / 139 |
Heart Failure & Shock W Mcc | 42 | 242 / 80 | $39.266,30 | 1619 / 77 | $10.162,70 | 1725 / 127 | $9.525,76 | 1720 / 152 |
Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 43 | $37.106,80 | 1419 / 94 | $8.187,62 | 1325 / 113 | $7.066,82 | 1321 / 120 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 80 | $23.354,20 | 1746 / 92 | $5.754,39 | 1992 / 149 | $4.767,32 | 1978 / 170 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 57 | $22.710,20 | 1758 / 100 | $5.415,24 | 1895 / 145 | $4.653,97 | 1889 / 167 |
Cellulitis W/O Mcc | 25 | 164 / 64 | $18.555,70 | 1304 / 61 | $6.492,12 | 1769 / 152 | $5.096,24 | 1761 / 156 |
Renal Failure W Cc | 24 | 197 / 82 | $34.322,10 | 1875 / 119 | $7.110,92 | 1753 / 129 | $6.276,29 | 1743 / 155 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 43 | $68.835,50 | 1119 / 63 | $15.406,70 | 1086 / 89 | $14.494,00 | 1076 / 108 |
Renal Failure W Mcc | 23 | 172 / 73 | $43.211,20 | 1392 / 90 | $10.542,40 | 1329 / 103 | $9.735,57 | 1329 / 128 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 60 | $38.162,10 | 1438 / 62 | $8.701,78 | 1347 / 97 | $7.483,91 | 1343 / 111 |
Red Blood Cell Disorders W/O Mcc | 21 | 122 / 46 | $23.415,40 | 1147 / 61 | $6.108,33 | 1453 / 108 | $5.351,14 | 1444 / 132 |
Heart Failure & Shock W Cc | 21 | 257 / 91 | $29.031,10 | 1907 / 104 | $7.170,29 | 1854 / 156 | $6.236,05 | 1849 / 169 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 40 | $22.728,80 | 1436 / 82 | $5.335,62 | 1573 / 119 | $4.648,50 | 1560 / 134 |
Chest Pain | 14 | 137 / 52 | $19.617,90 | 898 / 27 | $4.896,57 | 1143 / 84 | $3.832,00 | 1136 / 94 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 59 | $38.115,40 | 1260 / 82 | $9.425,29 | 1402 / 119 | $8.714,71 | 1399 / 122 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 20 | $44.075,10 | 482 / 33 | $11.142,00 | 631 / 57 | $10.018,80 | 629 / 66 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 70 | $34.263,40 | 1330 / 60 | $7.816,54 | 1256 / 101 | $6.247,31 | 1253 / 102 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 52 | $31.749,80 | 452 / 9 | $12.135,10 | 906 / 62 | $11.409,50 | 896 / 75 |
G.I. Hemorrhage W Cc | 12 | 206 / 77 | $25.119,30 | 1203 / 39 | $7.284,17 | 1705 / 117 | $6.371,83 | 1701 / 139 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 61 | $68.373,50 | 1513 / 84 | $13.202,50 | 1352 / 109 | $12.192,70 | 1334 / 124 |
Syncope & Collapse | 11 | 158 / 54 | $32.064,20 | 1503 / 78 | $5.657,36 | 1275 / 92 | $4.544,18 | 1268 / 102 |
Other Vascular Procedures W Cc | 11 | 91 / 43 | $74.753,90 | 589 / 39 | $15.969,20 | 419 / 42 | $14.500,80 | 417 / 52 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 43 | $25.107,30 | 1460 / 95 | $5.508,27 | 1422 / 117 | $4.245,18 | 1414 / 127 | Total 26 procedures | 642 | 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.