Hospital Costs > In Texas > Rio Grande Regional Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 32 | $66.743,20 | 1354 / 87 | $8.029,38 | 1141 / 67 | $7.286,00 | 1139 / 82 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 27 | $98.604,70 | 1695 / 113 | $12.350,70 | 1129 / 94 | $10.774,40 | 1124 / 96 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 14 | 18 / 7 | $129.161,00 | 159 / 19 | $16.412,90 | 93 / 12 | $15.894,10 | 93 / 14 |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc | 13 | 21 / 7 | $198.625,00 | 163 / 16 | $26.482,80 | 58 / 8 | $25.500,70 | 58 / 10 |
| Atherosclerosis W/O Mcc | 11 | 47 / 15 | $29.148,70 | 435 / 20 | $5.428,09 | / | $4.328,45 | / |
| Bronchitis & Asthma W Cc/Mcc | 46 | 30 / 5 | $36.290,60 | 837 / 56 | $7.586,11 | 742 / 74 | $5.679,87 | 738 / 70 |
| Bronchitis & Asthma W/O Cc/Mcc | 20 | 25 / 4 | $29.152,10 | 297 / 24 | $5.632,10 | 292 / 29 | $4.603,30 | 292 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 40 | $42.939,20 | 1960 / 139 | $6.475,79 | 1773 / 127 | $5.707,79 | 1768 / 148 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 39 | $78.887,90 | 1837 / 130 | $9.923,79 | 1449 / 121 | $8.491,58 | 1446 / 125 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 45 | $29.004,40 | 1735 / 113 | $5.127,35 | 1687 / 119 | $4.040,95 | 1681 / 129 |
| Cellulitis W Mcc | 13 | 45 / 20 | $62.435,50 | 830 / 58 | $10.352,80 | 643 / 43 | $9.604,54 | 641 / 65 |
| Cellulitis W/O Mcc | 48 | 141 / 42 | $38.189,70 | 2368 / 173 | $6.747,19 | 2019 / 162 | $5.603,29 | 2011 / 179 |
| Chest Pain | 48 | 103 / 21 | $28.091,10 | 1322 / 76 | $5.403,65 | 1316 / 100 | $4.320,31 | 1309 / 107 |
| Chronic Obstructive Pulmonary Disease W Cc | 54 | 125 / 25 | $47.824,40 | 2213 / 143 | $7.313,48 | 1934 / 137 | $6.481,78 | 1927 / 153 |
| Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 31 | $49.281,20 | 2164 / 153 | $8.629,09 | 1900 / 145 | $7.691,84 | 1892 / 162 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 29 | $34.162,00 | 1825 / 121 | $6.052,59 | 1710 / 126 | $4.977,63 | 1699 / 136 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 44 | $70.454,90 | 1501 / 122 | $8.205,07 | 1250 / 94 | $7.237,60 | 1247 / 119 |
| Coronary Bypass W Cardiac Cath W Mcc | 15 | 41 / 13 | $329.567,00 | 380 / 41 | $43.557,10 | 206 / 19 | $42.597,10 | 206 / 28 |
| Diabetes W Cc | 35 | 57 / 17 | $31.385,80 | 1220 / 73 | $6.652,83 | 1240 / 82 | $5.912,71 | 1235 / 99 |
| Diabetes W/O Cc/Mcc | 12 | 26 / 7 | $22.901,10 | 210 / 13 | $5.081,92 | 200 / 18 | $4.091,33 | 200 / 17 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 21 | 49 / 14 | $35.196,00 | 431 / 42 | $7.278,24 | 407 / 38 | $7.046,62 | 407 / 51 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 26 | 50 / 9 | $70.890,30 | 418 / 38 | $12.608,90 | 281 / 30 | $12.004,60 | 281 / 40 |
| Disorders Of Pancreas Except Malignancy W Cc | 18 | 43 / 13 | $40.797,60 | 801 / 42 | $7.223,28 | 732 / 43 | $6.355,72 | 729 / 53 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 8 | $26.021,50 | 341 / 22 | $5.668,92 | 370 / 28 | $4.553,85 | 369 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 41 | 55 / 16 | $47.089,00 | 1105 / 68 | $8.798,58 | 949 / 67 | $7.973,61 | 944 / 78 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 105 | 170 / 26 | $35.458,60 | 2366 / 170 | $6.221,97 | 2157 / 168 | $5.133,22 | 2143 / 181 |
| G.I. Hemorrhage W Cc | 30 | 188 / 60 | $50.596,80 | 2175 / 142 | $7.716,93 | 1784 / 135 | $6.592,57 | 1780 / 145 |
| G.I. Hemorrhage W Mcc | 28 | 93 / 29 | $81.282,50 | 1448 / 91 | $12.093,20 | 993 / 75 | $11.241,20 | 986 / 86 |
| G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 15 | $35.401,80 | 876 / 67 | $5.944,24 | 813 / 68 | $5.018,12 | 809 / 73 |
| G.I. Obstruction W Cc | 31 | 61 / 20 | $39.706,90 | 1450 / 83 | $7.013,77 | 1338 / 84 | $6.001,77 | 1333 / 98 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 25 | $36.401,80 | 1197 / 83 | $5.612,33 | 1064 / 76 | $4.169,92 | 1061 / 83 |
| Heart Failure & Shock W Cc | 92 | 186 / 35 | $48.113,20 | 2519 / 189 | $7.667,68 | 2166 / 176 | $6.894,99 | 2160 / 188 |
| Heart Failure & Shock W Mcc | 122 | 162 / 28 | $69.555,70 | 2338 / 175 | $10.608,80 | 1850 / 151 | $9.879,51 | 1845 / 169 |
| Heart Failure & Shock W/O Cc/Mcc | 31 | 79 / 25 | $32.358,70 | 1760 / 130 | $5.819,52 | 1676 / 135 | $4.963,77 | 1663 / 142 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 42 | $129.342,00 | 2016 / 145 | $13.240,00 | 1374 / 111 | $12.266,50 | 1356 / 128 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 24 | $181.977,00 | 932 / 63 | $19.596,00 | 541 / 45 | $18.745,20 | 538 / 50 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 15 | $130.604,00 | 913 / 75 | $11.335,50 | 661 / 61 | $10.332,80 | 658 / 71 |
| Hypertension W/O Mcc | 28 | 37 / 7 | $32.298,40 | 664 / 52 | $5.509,71 | 608 / 53 | $4.430,86 | 606 / 59 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 39 | $223.926,00 | 1345 / 95 | $33.758,70 | 806 / 60 | $32.773,20 | 800 / 82 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 48 | $52.473,60 | 1783 / 111 | $8.081,36 | 1548 / 112 | $7.041,36 | 1545 / 123 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 51 | $77.575,00 | 1348 / 76 | $11.597,50 | 835 / 58 | $10.343,00 | 833 / 65 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 42 | $39.269,00 | 1344 / 79 | $6.266,31 | 1192 / 77 | $4.811,69 | 1188 / 92 |
| Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 45 | $43.837,40 | 1585 / 115 | $8.424,69 | 1480 / 121 | $7.546,44 | 1476 / 133 |
| Kidney & Urinary Tract Infections W/O Mcc | 99 | 134 / 25 | $36.969,50 | 2432 / 194 | $6.357,53 | 2170 / 186 | $5.377,16 | 2159 / 194 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 20 | $100.106,00 | 806 / 66 | $12.031,90 | 532 / 56 | $9.770,88 | 530 / 54 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 16 | 24 / 9 | $149.949,00 | 437 / 35 | $16.390,00 | 267 / 16 | $15.408,00 | 266 / 25 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 12 | $82.087,20 | 545 / 53 | $9.228,00 | 328 / 43 | $6.833,53 | 327 / 36 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 22 | $36.227,80 | 769 / 39 | $8.612,69 | 815 / 49 | $7.871,77 | 813 / 64 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 42 | 522 / 122 | $118.522,00 | 2588 / 210 | $14.292,30 | 1911 / 122 | $13.284,30 | 1869 / 201 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 39 | $128.625,00 | 1384 / 83 | $17.147,10 | 769 / 61 | $14.615,20 | 761 / 66 |
| Medical Back Problems W/O Mcc | 17 | 104 / 33 | $38.464,00 | 1220 / 79 | $6.773,18 | 1004 / 78 | $5.258,00 | 1001 / 76 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 61 | 65 / 21 | $52.549,00 | 1519 / 116 | $8.325,61 | 1145 / 101 | $7.476,16 | 1142 / 109 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 36 | $35.928,60 | 2281 / 173 | $5.930,06 | 2060 / 169 | $5.027,78 | 2052 / 183 |
| Other Circulatory System Diagnoses W Mcc | 46 | 70 / 15 | $72.513,80 | 1078 / 79 | $12.475,00 | 771 / 55 | $11.935,90 | 767 / 76 |
| Other Circulatory System O.R. Procedures | 40 | 16 / 4 | $92.433,90 | 301 / 23 | $16.889,40 | 125 / 12 | $15.582,10 | 125 / 20 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 33 | $49.459,90 | 1257 / 72 | $7.510,18 | 989 / 62 | $6.437,45 | 985 / 74 |
| Other Disorders Of Nervous System W Mcc | 12 | 28 / 11 | $71.213,60 | 272 / 17 | $11.061,10 | 191 / 15 | $10.655,80 | 191 / 18 |
| Other Endocrine, Nutrit & Metab O.R. Proc W Mcc | 11 | 7 / 3 | $133.018,00 | 16 / 4 | $21.330,90 | 11 / 3 | $20.565,80 | 11 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 23 | $62.461,40 | 825 / 52 | $7.564,73 | 601 / 34 | $6.922,60 | 601 / 39 |
| Other Kidney & Urinary Tract Procedures W Mcc | 11 | 27 / 14 | $107.996,00 | 156 / 19 | $19.866,90 | 88 / 12 | $19.209,50 | 88 / 17 |
| Other Resp System O.R. Procedures W Mcc | 15 | 48 / 14 | $195.211,00 | 550 / 42 | $24.690,70 | 239 / 30 | $21.182,60 | 238 / 22 |
| Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 10 | $26.093,50 | 183 / 5 | $6.420,73 | 217 / 11 | $5.539,27 | 217 / 13 |
| Other Vascular Procedures W Cc | 18 | 84 / 36 | $100.729,00 | 847 / 63 | $16.435,30 | 599 / 51 | $15.562,40 | 596 / 77 |
| Other Vascular Procedures W Mcc | 64 | 33 / 6 | $100.899,00 | 609 / 47 | $19.919,90 | 341 / 33 | $19.164,90 | 339 / 44 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 59 | $182.505,00 | 1469 / 129 | $14.849,50 | 842 / 86 | $11.818,00 | 836 / 102 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 21 | $39.963,50 | 1011 / 63 | $7.345,00 | 782 / 62 | $6.126,09 | 779 / 65 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 11 | $25.621,20 | 298 / 24 | $5.643,77 | 308 / 24 | $4.710,85 | 308 / 27 |
| Pulmonary Edema & Respiratory Failure | 45 | 158 / 39 | $58.544,70 | 1902 / 127 | $8.961,64 | 1598 / 114 | $8.113,29 | 1593 / 135 |
| Red Blood Cell Disorders W Mcc | 26 | 45 / 13 | $52.568,10 | 875 / 63 | $9.129,88 | 748 / 59 | $8.607,42 | 744 / 77 |
| Red Blood Cell Disorders W/O Mcc | 44 | 99 / 26 | $31.855,40 | 1573 / 112 | $6.606,50 | 1479 / 122 | $5.414,80 | 1470 / 134 |
| Renal Failure W Cc | 67 | 154 / 42 | $41.474,90 | 2085 / 146 | $7.454,55 | 1836 / 147 | $6.490,73 | 1826 / 162 |
| Renal Failure W Mcc | 69 | 126 / 35 | $69.733,20 | 1884 / 136 | $11.349,00 | 1479 / 129 | $10.215,10 | 1478 / 141 |
| Renal Failure W/O Cc/Mcc | 14 | 42 / 19 | $32.521,40 | 759 / 61 | $5.527,93 | 707 / 54 | $4.579,36 | 705 / 61 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 32 | $71.708,80 | 1349 / 100 | $9.955,46 | 1112 / 95 | $9.116,08 | 1107 / 105 |
| Respiratory Infections & Inflammations W Mcc | 34 | 102 / 31 | $100.740,00 | 1658 / 109 | $13.662,50 | 1113 / 102 | $12.123,40 | 1099 / 99 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 52 | $103.977,00 | 1552 / 111 | $15.104,20 | 1081 / 83 | $14.476,80 | 1071 / 107 |
| Seizures W Mcc | 11 | 55 / 23 | $58.986,80 | 560 / 34 | $10.687,50 | 433 / 36 | $9.817,73 | 433 / 45 |
| Seizures W/O Mcc | 17 | 91 / 30 | $39.599,20 | 1127 / 67 | $6.308,88 | 953 / 61 | $5.315,00 | 951 / 72 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 27 | $321.975,00 | 1021 / 80 | $39.581,60 | 581 / 52 | $38.289,00 | 580 / 67 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 239 | 277 / 33 | $94.093,10 | 2585 / 187 | $13.068,30 | 1839 / 163 | $11.844,80 | 1804 / 170 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 80 | 127 / 27 | $47.642,20 | 2213 / 153 | $7.993,64 | 1945 / 151 | $7.142,84 | 1937 / 172 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 21 | $35.007,60 | 1131 / 64 | $5.917,19 | 1067 / 67 | $5.228,43 | 1064 / 77 |
| Simple Pneumonia & Pleurisy W Cc | 73 | 130 / 37 | $47.626,50 | 2510 / 188 | $7.467,30 | 2199 / 174 | $6.628,29 | 2191 / 195 |
| Simple Pneumonia & Pleurisy W Mcc | 80 | 125 / 24 | $67.988,30 | 2212 / 157 | $10.470,10 | 1695 / 149 | $9.142,49 | 1695 / 152 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 32 | $35.024,30 | 1733 / 136 | $6.182,14 | 1591 / 141 | $4.706,18 | 1583 / 141 |
| Syncope & Collapse | 51 | 118 / 22 | $38.594,90 | 1666 / 103 | $6.137,12 | 1488 / 105 | $5.095,94 | 1481 / 117 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 18 | $497.817,00 | 506 / 45 | $64.334,60 | 252 / 29 | $62.677,00 | 252 / 31 |
| Transient Ischemia | 28 | 97 / 35 | $32.752,90 | 1269 / 66 | $5.954,04 | 1308 / 88 | $4.883,18 | 1302 / 101 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 13 | 31 / 6 | $29.823,70 | 193 / 7 | $6.196,62 | 211 / 10 | $5.177,54 | 211 / 12 | Total 89 procedures | 3.026 | 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.