Hospital Costs > In Texas > Rolling Plains Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 18 | 171 / 71 | $13.107,60 | 604 / 19 | $6.877,67 | 2170 / 167 | $5.996,00 | 2162 / 188 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 60 | $15.769,10 | 583 / 7 | $7.963,00 | 1938 / 152 | $6.493,67 | 1931 / 154 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 81 | $16.949,30 | 475 / 13 | $9.502,42 | 2213 / 168 | $8.897,08 | 2205 / 181 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 41 | $9.031,13 | 153 / 1 | $5.839,00 | 1552 / 121 | $4.552,20 | 1541 / 124 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 93 | $10.980,60 | 283 / 7 | $5.938,06 | 2137 / 159 | $5.083,94 | 2123 / 179 |
Heart Failure & Shock W Cc | 25 | 253 / 87 | $16.843,30 | 782 / 21 | $8.687,72 | 2450 / 197 | $8.001,12 | 2444 / 202 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 43 | $9.417,23 | 212 / 4 | $5.513,77 | 1440 / 123 | $4.305,15 | 1428 / 121 |
Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 94 | $12.966,20 | 641 / 24 | $6.297,87 | 2180 / 183 | $5.402,67 | 2169 / 195 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 58 | $8.419,32 | 179 / 8 | $5.718,04 | 2023 / 162 | $4.940,54 | 2015 / 181 |
Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 77 | $17.196,10 | 815 / 24 | $8.103,80 | 2398 / 190 | $7.215,17 | 2389 / 208 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 31 | $15.576,90 | 794 / 25 | $5.845,87 | 1635 / 130 | $4.848,26 | 1627 / 145 | Total 11 procedures | 212 | 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.