Hospital Costs > In Texas > Pampa Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 57 | 507 / 108 | $68.319,50 | 1948 / 126 | $11.739,00 | 284 / 8 | $9.923,68 | 284 / 39 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 44 | 472 / 119 | $42.649,40 | 1453 / 70 | $9.978,57 | 186 / 3 | $8.900,25 | 186 / 12 |
| Heart Failure & Shock W Mcc | 18 | 266 / 102 | $31.899,40 | 1206 / 46 | $8.168,94 | 403 / 7 | $7.560,94 | 403 / 29 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 77 | $29.505,80 | 1005 / 34 | $7.951,94 | 261 / 11 | $6.956,18 | 261 / 15 |
| Renal Failure W Mcc | 17 | 178 / 79 | $29.015,60 | 701 / 26 | $8.320,76 | 199 / 8 | $7.535,82 | 199 / 14 |
| Transurethral Prostatectomy W/O Cc/Mcc | 17 | 12 / 1 | $18.437,60 | 22 / 1 | $4.517,94 | 2 / 1 | $2.740,06 | 2 / 1 |
| Cellulitis W/O Mcc | 11 | 178 / 78 | $17.848,50 | 1225 / 53 | $4.617,82 | 348 / 7 | $3.745,09 | 345 / 20 | Total 7 procedures | 181 | 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.