Hospital Costs > In Texas > Pine Creek Medical Center Llp, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 27 | $58.675,80 | 445 / 30 | $13.864,00 | 11 / 28 | $9.025,80 | 11 / 4 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 25 | $77.570,30 | 649 / 37 | $13.433,60 | 55 / 22 | $9.996,73 | 55 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 105 | 459 / 80 | $70.592,30 | 2009 / 133 | $12.787,20 | 48 / 56 | $9.030,57 | 48 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 41 | 153 / 37 | $94.961,40 | 679 / 37 | $24.302,00 | 44 / 36 | $17.957,10 | 44 / 8 |
| Spinal Procedures W/O Cc/Mcc | 15 | 12 / 2 | $42.756,30 | 16 / 2 | $10.657,90 | 1 / 1 | $7.664,40 | 1 / 1 | Total 5 procedures | 192 | 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.