Hospital Costs > In Texas > Odessa Regional Hospital, 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 | 21 | 70 / 24 | $48.744,40 | 1165 / 62 | $10.057,80 | 1305 / 88 | $8.817,33 | 1303 / 88 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 39 | $78.774,00 | 1544 / 93 | $14.797,00 | 1565 / 120 | $13.664,50 | 1552 / 123 |
Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 61 | $37.188,30 | 1993 / 116 | $9.523,79 | 2289 / 163 | $8.488,36 | 2282 / 165 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 50 | $51.190,50 | 2210 / 160 | $10.680,50 | 2326 / 184 | $9.598,77 | 2318 / 186 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 43 | $40.077,70 | 1956 / 132 | $8.186,92 | 2014 / 146 | $6.973,38 | 2002 / 147 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 55 | $43.586,10 | 1040 / 66 | $10.134,90 | 1415 / 122 | $8.317,11 | 1412 / 126 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 95 | $34.263,50 | 2330 / 162 | $8.346,38 | 2607 / 198 | $7.512,38 | 2592 / 200 |
Heart Failure & Shock W Cc | 30 | 248 / 82 | $42.209,30 | 2392 / 173 | $9.871,10 | 2614 / 205 | $9.267,37 | 2608 / 207 |
Heart Failure & Shock W Mcc | 18 | 266 / 102 | $66.847,60 | 2294 / 167 | $12.935,30 | 2325 / 188 | $12.058,80 | 2315 / 194 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 43 | $27.788,80 | 1646 / 115 | $7.940,62 | 1944 / 150 | $7.101,23 | 1931 / 151 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 61 | $75.630,50 | 1644 / 96 | $15.682,70 | 1759 / 140 | $14.478,40 | 1740 / 141 |
Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 94 | $36.006,60 | 2409 / 189 | $8.283,47 | 2555 / 213 | $7.104,93 | 2544 / 215 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 63 | 501 / 105 | $78.798,80 | 2186 / 151 | $17.381,10 | 2109 / 205 | $14.086,40 | 2067 / 210 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 51 | $88.863,70 | 1034 / 81 | $18.183,90 | 1164 / 119 | $13.625,30 | 1157 / 123 |
Renal Failure W Cc | 30 | 191 / 76 | $39.199,80 | 2020 / 137 | $9.715,47 | 2270 / 173 | $8.636,93 | 2260 / 176 |
Renal Failure W Mcc | 20 | 175 / 76 | $70.811,50 | 1899 / 139 | $13.974,30 | 1926 / 154 | $13.007,20 | 1922 / 154 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 42 | 474 / 121 | $69.995,40 | 2280 / 153 | $14.816,20 | 2308 / 195 | $13.687,50 | 2267 / 201 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 78 | $54.598,90 | 2336 / 170 | $10.323,80 | 2399 / 186 | $9.370,62 | 2389 / 190 |
Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 84 | $47.454,40 | 2507 / 187 | $9.616,05 | 2611 / 208 | $8.469,64 | 2602 / 212 |
Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 67 | $76.088,70 | 2307 / 171 | $12.945,10 | 2243 / 179 | $11.688,70 | 2237 / 183 | Total 20 procedures | 476 | 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.