Hospital Costs > In Texas > Paris 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 | 198 | 366 / 37 | $50.863,40 | 1332 / 67 | $12.862,20 | 943 / 62 | $10.961,70 | 924 / 107 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 158 | 358 / 58 | $35.417,30 | 1076 / 45 | $11.276,60 | 523 / 64 | $9.549,71 | 522 / 34 |
Heart Failure & Shock W Mcc | 112 | 172 / 35 | $29.730,60 | 1064 / 36 | $8.866,33 | 810 / 52 | $8.061,96 | 810 / 60 |
Renal Failure W Cc | 90 | 131 / 27 | $17.074,40 | 675 / 13 | $5.722,77 | 652 / 34 | $4.879,17 | 645 / 57 |
Chronic Obstructive Pulmonary Disease W Mcc | 87 | 115 / 20 | $22.779,90 | 955 / 30 | $6.920,80 | 830 / 40 | $6.077,02 | 825 / 62 |
Kidney & Urinary Tract Infections W/O Mcc | 80 | 153 / 39 | $13.009,00 | 646 / 25 | $4.667,29 | 809 / 40 | $3.828,39 | 804 / 67 |
Heart Failure & Shock W Cc | 73 | 205 / 46 | $18.380,30 | 973 / 26 | $5.975,10 | 687 / 49 | $5.051,84 | 686 / 55 |
Simple Pneumonia & Pleurisy W Cc | 70 | 133 / 39 | $19.574,50 | 1085 / 40 | $5.865,89 | 736 / 44 | $4.847,83 | 733 / 55 |
Simple Pneumonia & Pleurisy W Mcc | 68 | 137 / 32 | $26.916,80 | 829 / 24 | $8.824,76 | 691 / 61 | $7.549,44 | 691 / 54 |
Hip & Femur Procedures Except Major Joint W Cc | 64 | 79 / 21 | $43.267,30 | 772 / 19 | $11.642,60 | 577 / 46 | $10.212,90 | 574 / 48 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 38 | $17.208,20 | 529 / 17 | $6.390,03 | 698 / 39 | $5.388,10 | 696 / 46 |
G.I. Hemorrhage W Cc | 54 | 164 / 40 | $18.787,10 | 644 / 8 | $6.115,50 | 746 / 44 | $5.133,44 | 744 / 56 |
Chronic Obstructive Pulmonary Disease W Cc | 53 | 126 / 26 | $21.067,50 | 1116 / 26 | $5.625,70 | 575 / 33 | $4.619,04 | 573 / 45 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 51 | 145 / 28 | $86.191,70 | 984 / 74 | $12.377,90 | 430 / 26 | $10.477,10 | 429 / 51 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 41 | $12.557,00 | 619 / 19 | $4.320,24 | 826 / 38 | $3.532,07 | 823 / 65 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 67 | $15.491,20 | 813 / 22 | $4.549,46 | 680 / 27 | $3.553,98 | 676 / 52 |
Cellulitis W/O Mcc | 44 | 145 / 46 | $15.584,80 | 929 / 26 | $5.115,23 | 840 / 39 | $4.154,50 | 834 / 66 |
Renal Failure W Mcc | 44 | 151 / 56 | $24.956,90 | 457 / 10 | $8.744,59 | 230 / 29 | $7.593,36 | 230 / 18 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 43 | 45 / 7 | $74.818,10 | 95 / 4 | $22.118,80 | 196 / 14 | $19.938,20 | 195 / 18 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 32 | $32.443,50 | 629 / 17 | $6.646,67 | 422 / 34 | $5.333,33 | 420 / 38 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 41 | 120 / 32 | $17.029,50 | 748 / 12 | $4.929,29 | 355 / 43 | $3.676,07 | 355 / 31 |
Respiratory Infections & Inflammations W Mcc | 37 | 99 / 28 | $36.161,60 | 631 / 22 | $11.411,10 | 577 / 34 | $10.627,80 | 569 / 47 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 30 | $20.594,10 | 363 / 5 | $7.042,68 | 425 / 24 | $6.259,62 | 423 / 36 |
Pulmonary Edema & Respiratory Failure | 34 | 169 / 49 | $29.402,70 | 1009 / 30 | $7.267,59 | 602 / 24 | $6.454,29 | 602 / 32 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 32 | $14.595,90 | 940 / 26 | $3.496,27 | 448 / 24 | $2.398,58 | 445 / 35 |
Kidney & Urinary Tract Infections W Mcc | 33 | 111 / 44 | $17.424,90 | 394 / 7 | $6.599,82 | 570 / 36 | $5.794,97 | 569 / 44 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 25 | $16.282,60 | 938 / 24 | $4.394,52 | 706 / 29 | $3.497,48 | 704 / 50 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 25 | $16.876,00 | 917 / 33 | $4.504,28 | 705 / 44 | $3.424,38 | 701 / 59 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 34 | $37.448,40 | 719 / 18 | $9.493,32 | 454 / 10 | $8.887,61 | 454 / 29 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 29 | $12.561,90 | 539 / 13 | $4.171,48 | 460 / 31 | $3.275,48 | 458 / 33 |
Coronary Bypass W Cardiac Cath W/O Mcc | 26 | 50 / 11 | $111.829,00 | 184 / 4 | $27.687,20 | 288 / 13 | $26.530,20 | 288 / 27 |
Extracranial Procedures W/O Cc/Mcc | 25 | 73 / 24 | $27.596,00 | 364 / 19 | $6.528,96 | 191 / 25 | $4.940,28 | 191 / 17 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 24 | 32 / 12 | $45.176,70 | 373 / 14 | $9.677,46 | 306 / 16 | $8.672,12 | 306 / 30 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 59 | $18.088,20 | 356 / 5 | $6.247,79 | 328 / 26 | $5.011,88 | 327 / 26 |
G.I. Hemorrhage W Mcc | 24 | 97 / 33 | $33.427,30 | 442 / 8 | $10.150,90 | 421 / 22 | $9.444,21 | 422 / 35 |
Respiratory Infections & Inflammations W Cc | 24 | 64 / 21 | $30.797,20 | 713 / 27 | $8.642,21 | 344 / 56 | $7.061,58 | 341 / 27 |
Diabetes W Cc | 23 | 69 / 28 | $19.163,00 | 630 / 13 | $5.135,17 | 212 / 19 | $3.857,65 | 212 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 43 | $46.615,50 | 528 / 11 | $13.115,00 | 506 / 29 | $12.459,00 | 499 / 52 |
Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 22 | $71.716,30 | 138 / 2 | $28.093,30 | 267 / 20 | $27.054,80 | 265 / 29 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 47 | $15.556,80 | 501 / 10 | $4.878,80 | 544 / 26 | $4.030,80 | 542 / 50 |
Syncope & Collapse | 20 | 149 / 45 | $15.707,30 | 459 / 2 | $4.456,90 | 385 / 21 | $3.432,90 | 383 / 24 |
Major Small & Large Bowel Procedures W Cc | 19 | 89 / 31 | $63.417,80 | 718 / 30 | $14.735,50 | 568 / 20 | $13.846,30 | 562 / 48 |
Other Circulatory System Diagnoses W Mcc | 19 | 97 / 38 | $29.901,90 | 216 / 4 | $11.025,20 | 364 / 19 | $10.215,90 | 363 / 26 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 15 | $40.117,50 | 413 / 24 | $9.552,50 | 299 / 21 | $8.480,50 | 298 / 32 |
Chest Pain | 18 | 133 / 48 | $14.754,30 | 478 / 9 | $3.759,67 | 530 / 15 | $2.956,11 | 526 / 35 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 46 | $106.473,00 | 564 / 15 | $31.511,30 | 616 / 42 | $30.550,40 | 610 / 63 |
Signs & Symptoms W/O Mcc | 17 | 74 / 25 | $12.819,20 | 213 / 3 | $4.158,71 | 392 / 9 | $3.518,71 | 391 / 19 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 15 | $13.446,40 | 248 / 4 | $4.254,00 | 282 / 10 | $3.333,53 | 280 / 23 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 18 | $13.894,90 | 302 / 10 | $3.885,60 | 235 / 12 | $2.998,13 | 234 / 19 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 15 | 103 / 16 | $107.678,00 | 106 / 2 | $29.760,70 | 114 / 6 | $28.711,10 | 114 / 9 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 31 | $121.003,00 | 675 / 46 | $20.186,30 | 426 / 30 | $19.055,70 | 423 / 49 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 20 | $24.272,30 | 453 / 11 | $6.981,93 | 254 / 13 | $6.015,53 | 253 / 13 |
Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 23 | $23.633,30 | 188 / 4 | $7.925,00 | 219 / 5 | $7.361,80 | 218 / 15 |
Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 27 | $82.521,40 | 560 / 29 | $19.241,20 | 504 / 37 | $18.292,60 | 501 / 44 |
Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 24 | $17.721,10 | 176 / 2 | $5.947,43 | 170 / 4 | $5.083,43 | 170 / 10 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 13 | $31.292,50 | 177 / 5 | $7.268,86 | 236 / 13 | $6.318,00 | 236 / 28 |
Coronary Bypass W Cardiac Cath W Mcc | 14 | 42 / 14 | $161.065,00 | 134 / 4 | $39.931,20 | 117 / 7 | $38.978,10 | 117 / 14 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 13 | 103 / 19 | $242.739,00 | 301 / 16 | $55.586,00 | 292 / 15 | $54.744,20 | 292 / 22 |
Carotid Artery Stent Procedure W Cc | 13 | 7 / 2 | $50.769,70 | 9 / 1 | $12.742,00 | 4 / 1 | $10.628,60 | 4 / 1 |
G.I. Obstruction W Cc | 13 | 79 / 37 | $19.864,70 | 643 / 6 | $5.366,62 | 549 / 20 | $4.527,23 | 548 / 38 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 60 | $21.313,20 | 474 / 10 | $6.601,62 | 76 / 25 | $5.208,38 | 76 / 6 |
Medical Back Problems W/O Mcc | 13 | 108 / 37 | $12.320,90 | 110 / 1 | $5.083,46 | 369 / 13 | $4.061,92 | 369 / 26 |
Transurethral Prostatectomy W/O Cc/Mcc | 12 | 17 / 3 | $25.096,30 | 42 / 3 | $4.556,92 | 20 / 2 | $3.444,92 | 20 / 3 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 9 | $14.019,50 | 111 / 2 | $4.295,42 | 88 / 6 | $2.879,83 | 88 / 7 |
Respiratory Neoplasms W Cc | 12 | 35 / 10 | $30.020,80 | 196 / 1 | $6.975,42 | 114 / 1 | $6.170,08 | 113 / 7 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 30 | $17.465,80 | 290 / 4 | $5.272,08 | 234 / 14 | $4.182,75 | 231 / 18 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 24 | $56.844,10 | 438 / 16 | $12.910,80 | 340 / 17 | $11.804,10 | 337 / 32 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 30 | $13.494,80 | 126 / 1 | $5.677,33 | 122 / 14 | $4.466,67 | 122 / 8 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 25 | $52.434,70 | 363 / 9 | $12.210,80 | 275 / 11 | $11.402,80 | 270 / 23 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 22 | $36.507,30 | 235 / 9 | $11.076,40 | 121 / 7 | $9.976,73 | 121 / 8 |
Other Vascular Procedures W Cc | 11 | 91 / 43 | $41.802,90 | 107 / 2 | $14.172,30 | 206 / 9 | $13.404,30 | 206 / 20 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 26 | $23.922,50 | 600 / 13 | $5.949,55 | 434 / 14 | $5.073,91 | 433 / 26 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 62 | $35.035,60 | 522 / 7 | $10.032,60 | 556 / 23 | $9.482,82 | 555 / 38 |
Diabetes W Mcc | 11 | 46 / 25 | $24.135,70 | 158 / 1 | $7.883,45 | 114 / 7 | $7.074,27 | 114 / 11 | Total 74 procedures | 2.525 | 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.