Hospital Costs > In Texas > Peterson 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 | 188 | 376 / 40 | $30.811,30 | 252 / 6 | $12.842,70 | 933 / 60 | $10.943,50 | 914 / 105 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 176 | 340 / 49 | $31.002,00 | 829 / 31 | $10.976,90 | 729 / 54 | $9.822,78 | 728 / 61 |
Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 36 | $20.630,50 | 770 / 25 | $7.036,24 | 950 / 47 | $6.197,73 | 945 / 74 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 51 | 156 / 44 | $18.423,50 | 627 / 21 | $6.542,80 | 316 / 53 | $5.016,80 | 315 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 51 | 224 / 62 | $13.586,20 | 575 / 16 | $4.672,75 | 303 / 43 | $3.236,51 | 302 / 27 |
Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 57 | $19.591,70 | 1089 / 41 | $5.739,65 | 641 / 28 | $4.768,35 | 638 / 48 |
G.I. Hemorrhage W Cc | 49 | 169 / 44 | $13.850,30 | 212 / 5 | $5.797,14 | 606 / 22 | $5.008,90 | 605 / 44 |
Heart Failure & Shock W Cc | 47 | 231 / 66 | $16.838,00 | 781 / 20 | $5.672,34 | 503 / 23 | $4.900,23 | 503 / 41 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 40 | $12.950,50 | 670 / 20 | $4.034,83 | 284 / 15 | $3.109,55 | 284 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 65 | $13.713,90 | 756 / 29 | $4.422,98 | 360 / 19 | $3.503,33 | 360 / 32 |
Cellulitis W/O Mcc | 46 | 143 / 44 | $16.328,50 | 1034 / 34 | $4.871,87 | 434 / 26 | $3.821,43 | 431 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 41 | 120 / 32 | $16.500,50 | 687 / 10 | $4.647,68 | 231 / 18 | $3.521,46 | 231 / 19 |
Renal Failure W Cc | 40 | 181 / 66 | $16.874,50 | 658 / 11 | $5.568,45 | 369 / 23 | $4.616,05 | 366 / 30 |
Heart Failure & Shock W Mcc | 38 | 246 / 84 | $30.190,30 | 1098 / 40 | $8.632,03 | 707 / 35 | $7.936,47 | 707 / 54 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 29 | $11.010,40 | 458 / 4 | $3.233,89 | 201 / 9 | $2.129,22 | 200 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 37 | $32.198,90 | 304 / 4 | $11.227,80 | 638 / 29 | $10.326,40 | 635 / 53 |
Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 66 | $28.938,00 | 972 / 31 | $8.543,13 | 715 / 48 | $7.575,63 | 715 / 57 |
Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 48 | $17.560,10 | 757 / 13 | $5.785,44 | 288 / 49 | $4.305,15 | 287 / 25 |
Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 30 | $11.539,10 | 413 / 10 | $3.880,04 | 226 / 13 | $2.997,58 | 224 / 13 |
G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 13 | $11.653,20 | 255 / 4 | $3.631,28 | 90 / 8 | $2.306,12 | 90 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 58 | $16.782,00 | 261 / 2 | $6.223,96 | 401 / 25 | $5.111,64 | 400 / 35 |
G.I. Obstruction W Cc | 23 | 69 / 27 | $14.198,00 | 235 / 2 | $5.486,91 | 190 / 28 | $4.038,65 | 189 / 15 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 45 | $16.528,80 | 585 / 15 | $4.630,41 | 208 / 14 | $3.636,95 | 208 / 19 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 55 | $17.211,80 | 381 / 6 | $6.448,57 | 492 / 26 | $5.697,33 | 491 / 39 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 26 | $25.959,50 | 513 / 15 | $8.057,16 | 384 / 27 | $7.134,26 | 381 / 31 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 36 | $13.482,20 | 547 / 13 | $4.058,67 | 375 / 13 | $3.118,22 | 373 / 28 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 46 | $47.653,50 | 1017 / 47 | $11.728,50 | 723 / 47 | $10.970,30 | 715 / 62 |
Hypertension W/O Mcc | 17 | 48 / 16 | $13.586,40 | 161 / 1 | $3.585,76 | 88 / 3 | $2.590,00 | 88 / 6 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 39 | $13.182,70 | 571 / 11 | $4.129,35 | 365 / 10 | $3.203,24 | 364 / 25 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 49 | $48.457,00 | 576 / 15 | $13.086,70 | 406 / 27 | $12.160,60 | 401 / 41 |
Diabetes W Cc | 16 | 76 / 35 | $15.203,20 | 349 / 2 | $4.773,31 | 535 / 8 | $4.319,31 | 535 / 36 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 17 | $17.130,40 | 183 / 1 | $6.728,07 | 86 / 34 | $4.103,50 | 86 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 21 | $50.313,70 | 126 / 1 | $19.486,10 | 415 / 23 | $18.448,40 | 413 / 29 |
G.I. Hemorrhage W Mcc | 14 | 107 / 43 | $25.043,50 | 176 / 2 | $10.011,90 | 251 / 17 | $9.024,50 | 251 / 28 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 31 | $14.336,50 | 133 / 1 | $7.078,08 | 168 / 51 | $4.597,00 | 166 / 10 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 13 | 50 / 12 | $44.301,30 | 19 / 1 | $20.341,40 | 115 / 6 | $19.145,10 | 115 / 12 |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 29 | $14.702,80 | 179 / 1 | $5.884,77 | 68 / 30 | $3.713,23 | 68 / 3 |
Other Vascular Procedures W Cc | 13 | 89 / 41 | $43.019,20 | 122 / 4 | $14.608,70 | 254 / 15 | $13.678,20 | 253 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 43 | $14.448,20 | 213 / 2 | $4.347,75 | 278 / 7 | $3.345,08 | 276 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 61 | $17.379,70 | 266 / 4 | $6.435,58 | 151 / 20 | $5.430,25 | 150 / 15 |
Transient Ischemia | 12 | 113 / 51 | $13.372,10 | 203 / 2 | $4.033,75 | 154 / 7 | $2.927,08 | 154 / 9 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 69 | $20.215,60 | 416 / 5 | $6.973,00 | 283 / 14 | $6.063,67 | 283 / 15 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 23 | $18.575,80 | 153 / 7 | $5.355,33 | 90 / 6 | $4.750,00 | 90 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 51 | $18.302,80 | 258 / 3 | $6.856,17 | 149 / 13 | $5.746,83 | 149 / 8 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 37 | $13.208,20 | 38 / 1 | $6.056,36 | 201 / 13 | $4.965,45 | 201 / 19 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 31 | $14.669,90 | 165 / 2 | $5.533,91 | 83 / 11 | $4.329,55 | 83 / 4 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 18 | $11.638,10 | 146 / 1 | $4.046,55 | 99 / 3 | $2.952,73 | 100 / 5 | Total 47 procedures | 1.522 | 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.