Hospital Costs > In Texas > Round Rock Medical Center, 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 | 178 | 338 / 48 | $79.527,40 | 2423 / 168 | $11.920,80 | 641 / 108 | $9.723,83 | 640 / 48 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 104 | 460 / 81 | $103.495,00 | 2516 / 197 | $14.913,70 | 668 / 153 | $10.577,20 | 659 / 78 |
Simple Pneumonia & Pleurisy W Mcc | 63 | 142 / 36 | $68.627,00 | 2220 / 161 | $9.216,08 | 753 / 86 | $7.608,98 | 753 / 62 |
Heart Failure & Shock W Mcc | 50 | 234 / 73 | $66.094,10 | 2285 / 165 | $9.539,38 | 1333 / 98 | $8.760,80 | 1330 / 114 |
Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 64 | $33.722,10 | 2335 / 177 | $4.987,45 | 1347 / 75 | $4.201,23 | 1338 / 118 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 67 | $34.677,20 | 2343 / 164 | $4.911,85 | 1118 / 69 | $3.837,89 | 1110 / 87 |
Renal Failure W Cc | 42 | 179 / 64 | $29.972,60 | 1692 / 99 | $6.098,95 | 879 / 65 | $5.062,76 | 871 / 72 |
Pulmonary Edema & Respiratory Failure | 41 | 162 / 43 | $54.283,00 | 1836 / 112 | $7.952,61 | 910 / 63 | $6.818,78 | 910 / 62 |
Syncope & Collapse | 41 | 128 / 29 | $36.576,80 | 1623 / 99 | $4.879,07 | 757 / 51 | $3.806,07 | 754 / 57 |
Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 34 | $76.448,20 | 1655 / 100 | $11.663,70 | 848 / 47 | $10.694,30 | 837 / 70 |
Heart Failure & Shock W Cc | 39 | 239 / 73 | $33.210,10 | 2105 / 132 | $6.335,03 | 1257 / 84 | $5.506,72 | 1253 / 106 |
Cellulitis W/O Mcc | 34 | 155 / 56 | $41.866,10 | 2452 / 184 | $5.498,12 | 1423 / 82 | $4.645,41 | 1416 / 120 |
G.I. Hemorrhage W Cc | 33 | 185 / 57 | $36.835,40 | 1849 / 108 | $6.385,58 | 1070 / 61 | $5.431,39 | 1068 / 82 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 51 | $43.460,90 | 1602 / 87 | $6.631,58 | 548 / 45 | $5.267,52 | 547 / 43 |
Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 75 | $50.009,70 | 2558 / 194 | $6.581,28 | 1481 / 109 | $5.493,62 | 1475 / 121 |
Renal Failure W Mcc | 32 | 163 / 65 | $67.725,80 | 1866 / 134 | $9.646,25 | 1031 / 63 | $8.987,75 | 1031 / 95 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 59 | $24.887,30 | 1878 / 118 | $4.823,93 | 800 / 95 | $3.517,96 | 797 / 63 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 64 | $47.766,40 | 2217 / 154 | $6.915,93 | 759 / 89 | $5.446,78 | 757 / 56 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 48 | $43.072,00 | 1032 / 65 | $7.117,65 | 644 / 52 | $5.654,23 | 642 / 59 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 26 | 170 / 48 | $83.539,90 | 930 / 60 | $13.828,30 | 417 / 59 | $10.433,30 | 416 / 47 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 50 | $32.885,30 | 1843 / 99 | $5.878,40 | 1009 / 55 | $4.961,92 | 1006 / 74 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 39 | $85.823,30 | 1548 / 95 | $12.369,00 | 971 / 68 | $11.619,00 | 961 / 85 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 40 | $227.075,00 | 1352 / 97 | $42.760,50 | 179 / 100 | $26.700,30 | 179 / 12 |
Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 70 | $52.550,20 | 2237 / 163 | $7.166,35 | 1135 / 56 | $6.378,87 | 1130 / 96 |
Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 34 | $27.399,80 | 1638 / 113 | $4.729,95 | 607 / 82 | $3.393,18 | 605 / 44 |
Transient Ischemia | 22 | 103 / 41 | $32.504,30 | 1257 / 64 | $4.680,73 | 829 / 40 | $3.746,91 | 825 / 59 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 51 | $41.720,10 | 1936 / 136 | $5.195,18 | 1131 / 59 | $4.424,27 | 1127 / 98 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 19 | $60.160,90 | 882 / 36 | $11.665,60 | 250 / 40 | $8.194,55 | 250 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 33 | $35.679,10 | 831 / 39 | $7.836,73 | 199 / 35 | $5.996,82 | 198 / 12 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 56 | $36.042,80 | 1388 / 88 | $6.970,35 | 693 / 61 | $5.943,15 | 692 / 56 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 53 | $57.072,80 | 1575 / 123 | $8.004,95 | 1066 / 88 | $7.265,00 | 1063 / 100 |
G.I. Hemorrhage W Mcc | 19 | 102 / 38 | $53.072,30 | 1069 / 56 | $10.913,20 | 221 / 44 | $8.954,37 | 221 / 22 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 49 | $30.473,30 | 1517 / 102 | $5.501,78 | 483 / 70 | $3.966,83 | 482 / 46 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 48 | $132.448,00 | 1724 / 132 | $18.111,40 | 1424 / 123 | $16.699,90 | 1410 / 130 |
Chest Pain | 18 | 133 / 48 | $30.981,40 | 1416 / 90 | $4.278,94 | 411 / 47 | $2.841,11 | 409 / 22 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 39 | $64.822,20 | 985 / 67 | $12.723,40 | 138 / 60 | $9.319,33 | 138 / 9 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 45 | $59.258,10 | 1315 / 70 | $10.370,40 | 776 / 44 | $9.660,71 | 775 / 61 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 46 | $41.429,20 | 1361 / 76 | $7.676,59 | 66 / 53 | $5.475,18 | 66 / 5 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 17 | 38 / 15 | $82.704,60 | 506 / 28 | $12.961,50 | 176 / 19 | $10.372,70 | 176 / 9 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 26 | $143.064,00 | 863 / 54 | $20.784,50 | 639 / 51 | $19.741,30 | 636 / 57 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 20 | $40.625,70 | 832 / 46 | $7.132,27 | 99 / 16 | $5.580,27 | 99 / 5 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 36 | $89.011,60 | 1101 / 56 | $14.176,00 | 303 / 11 | $12.882,10 | 301 / 29 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 51 | $28.482,80 | 1722 / 110 | $3.872,36 | 1120 / 54 | $2.926,07 | 1115 / 81 |
Medical Back Problems W/O Mcc | 14 | 107 / 36 | $36.135,00 | 1169 / 74 | $5.433,36 | 454 / 30 | $4.166,79 | 454 / 33 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 42 | $29.571,60 | 1696 / 102 | $4.778,07 | 1102 / 59 | $3.827,21 | 1093 / 81 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 16 | $39.769,90 | 341 / 20 | $6.554,92 | 95 / 5 | $5.624,46 | 95 / 9 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 33 | $315.698,00 | 1009 / 79 | $43.297,00 | 770 / 67 | $42.556,20 | 769 / 79 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 23 | $40.703,30 | 477 / 52 | $5.933,42 | 223 / 15 | $5.429,42 | 223 / 25 |
Signs & Symptoms W/O Mcc | 12 | 79 / 30 | $23.636,60 | 837 / 36 | $4.495,92 | 622 / 23 | $3.895,92 | 621 / 40 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 62 | $57.526,60 | 1098 / 52 | $9.802,18 | 270 / 17 | $8.702,55 | 269 / 17 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 16 | $29.502,00 | 282 / 16 | $4.902,64 | 157 / 8 | $4.027,00 | 157 / 13 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 8 | $45.519,00 | 290 / 12 | $4.931,82 | 36 / 1 | $3.383,55 | 36 / 1 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 18 | $23.941,60 | 627 / 35 | $4.521,73 | 288 / 13 | $3.430,82 | 289 / 16 | Total 53 procedures | 1.531 | 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.