Hospital Costs > In Texas > Park Plaza Hospital, 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 | $111.726,00 | 2717 / 208 | $13.022,80 | 1939 / 158 | $12.157,30 | 1904 / 179 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 74 | $40.093,70 | 2478 / 183 | $6.062,05 | 2156 / 164 | $5.131,32 | 2142 / 180 |
Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 77 | $43.013,90 | 2554 / 212 | $6.224,39 | 2195 / 179 | $5.441,97 | 2184 / 196 |
O.R. Procedures For Obesity W/O Cc/Mcc | 32 | 45 / 17 | $74.530,90 | 366 / 29 | $12.062,30 | 191 / 28 | $8.771,91 | 191 / 20 |
Heart Failure & Shock W Mcc | 31 | 253 / 91 | $80.632,10 | 2458 / 187 | $10.422,40 | 1736 / 139 | $9.553,68 | 1731 / 155 |
Cellulitis W/O Mcc | 24 | 165 / 65 | $47.997,50 | 2538 / 196 | $6.610,46 | 1772 / 157 | $5.105,71 | 1764 / 157 |
Renal Failure W Cc | 23 | 198 / 83 | $59.886,00 | 2359 / 179 | $7.390,13 | 1782 / 144 | $6.371,17 | 1772 / 157 |
Heart Failure & Shock W Cc | 23 | 255 / 89 | $64.176,90 | 2697 / 214 | $7.560,48 | 1962 / 173 | $6.443,43 | 1957 / 176 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 63 | $43.086,90 | 2417 / 197 | $5.767,83 | 1973 / 164 | $4.819,13 | 1965 / 175 |
Renal Failure W Mcc | 22 | 173 / 74 | $79.664,80 | 1990 / 148 | $10.908,10 | 1341 / 118 | $9.758,27 | 1341 / 131 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 54 | $59.507,10 | 1810 / 140 | $8.616,00 | 1447 / 123 | $7.466,14 | 1443 / 128 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 141 | $84.539,80 | 2281 / 167 | $14.572,70 | 1945 / 138 | $13.418,70 | 1903 / 203 |
Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 86 | $90.273,00 | 2815 / 223 | $9.182,10 | 2397 / 204 | $7.210,55 | 2388 / 207 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 37 | $44.811,90 | 1949 / 157 | $5.659,68 | 1616 / 129 | $4.756,74 | 1603 / 137 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 75 | $88.334,50 | 2403 / 181 | $10.411,80 | 1838 / 145 | $9.512,37 | 1838 / 164 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 49 | $60.612,70 | 1970 / 157 | $6.427,22 | 1514 / 118 | $5.535,22 | 1505 / 136 |
G.I. Hemorrhage W Cc | 18 | 200 / 71 | $47.537,00 | 2113 / 138 | $7.658,33 | 1825 / 133 | $6.705,44 | 1821 / 147 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 76 | $66.373,90 | 2424 / 183 | $8.687,53 | 1954 / 147 | $7.831,29 | 1946 / 169 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 57 | $84.087,20 | 1711 / 135 | $9.016,62 | 1037 / 114 | $7.198,44 | 1034 / 96 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 39 | $62.066,40 | 1297 / 84 | $8.795,81 | 961 / 66 | $8.018,81 | 956 / 79 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 75 | $59.942,80 | 2408 / 183 | $8.041,12 | 1817 / 153 | $6.827,12 | 1809 / 161 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 60 | $72.484,50 | 2413 / 172 | $7.191,93 | 1873 / 132 | $6.293,53 | 1866 / 150 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 24 | $57.900,40 | 933 / 73 | $9.137,67 | 728 / 60 | $8.472,60 | 724 / 73 |
Chest Pain | 14 | 137 / 52 | $45.210,80 | 1651 / 126 | $5.207,86 | 1320 / 95 | $4.335,00 | 1313 / 108 |
Other Vascular Procedures W Mcc | 13 | 84 / 37 | $159.329,00 | 899 / 74 | $21.133,10 | 493 / 51 | $20.651,50 | 491 / 66 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 16 | $64.272,50 | 716 / 43 | $6.901,38 | 524 / 26 | $6.210,92 | 524 / 39 |
Other Vascular Procedures W Cc | 12 | 90 / 42 | $147.767,00 | 1053 / 87 | $17.130,50 | 686 / 62 | $16.313,80 | 683 / 81 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 44 | $129.137,00 | 1350 / 105 | $13.223,80 | 721 / 72 | $11.709,80 | 719 / 71 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 30 | $60.438,00 | 1213 / 85 | $7.374,33 | 858 / 63 | $6.470,33 | 855 / 73 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 52 | $95.682,90 | 1885 / 135 | $8.912,36 | 1352 / 95 | $8.123,27 | 1349 / 113 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 62 | $45.300,00 | 2003 / 149 | $6.347,73 | 1738 / 125 | $5.568,09 | 1733 / 145 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 31 | $53.393,20 | 1027 / 78 | $7.429,00 | 280 / 70 | $4.292,73 | 277 / 23 |
Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 62 | $61.646,70 | 237 / 11 | $24.289,20 | 692 / 35 | $23.065,50 | 688 / 83 |
Pulmonary Edema & Respiratory Failure | 11 | 192 / 70 | $98.406,60 | 2196 / 159 | $9.485,82 | 1254 / 128 | $7.316,82 | 1252 / 101 | Total 34 procedures | 673 | 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.