Hospital Costs > In Texas > San Jacinto Methodist Hospital, 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 | 205 | 311 / 41 | $89.868,40 | 2545 / 181 | $13.779,80 | 1864 / 181 | $11.932,70 | 1829 / 173 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 129 | 435 / 67 | $82.156,10 | 2247 / 160 | $14.859,80 | 1679 / 150 | $12.496,20 | 1642 / 182 |
Heart Failure & Shock W Mcc | 98 | 186 / 40 | $64.500,00 | 2261 / 160 | $10.778,70 | 1791 / 157 | $9.685,11 | 1786 / 161 |
Chronic Obstructive Pulmonary Disease W Mcc | 96 | 106 / 16 | $48.058,10 | 2136 / 147 | $8.334,03 | 1610 / 133 | $7.012,85 | 1602 / 141 |
Kidney & Urinary Tract Infections W/O Mcc | 93 | 140 / 30 | $30.996,50 | 2256 / 171 | $5.719,94 | 1738 / 154 | $4.599,10 | 1727 / 161 |
Simple Pneumonia & Pleurisy W Mcc | 90 | 115 / 20 | $63.941,10 | 2164 / 151 | $10.311,20 | 1600 / 139 | $8.915,79 | 1600 / 142 |
G.I. Hemorrhage W Cc | 79 | 139 / 24 | $41.921,50 | 2008 / 127 | $7.196,46 | 1461 / 115 | $5.907,32 | 1457 / 113 |
Chronic Obstructive Pulmonary Disease W Cc | 73 | 106 / 16 | $43.278,30 | 2137 / 134 | $6.819,30 | 1555 / 117 | $5.604,30 | 1549 / 130 |
Cellulitis W/O Mcc | 67 | 122 / 27 | $35.422,90 | 2306 / 164 | $6.192,90 | 1613 / 138 | $4.858,46 | 1606 / 141 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 54 | $34.616,10 | 2339 / 163 | $5.680,30 | 1633 / 143 | $4.265,32 | 1620 / 141 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 64 | 143 / 35 | $50.504,30 | 2271 / 163 | $7.644,73 | 1585 / 134 | $6.403,31 | 1578 / 139 |
Simple Pneumonia & Pleurisy W Cc | 63 | 140 / 46 | $49.927,10 | 2553 / 191 | $7.659,10 | 1682 / 180 | $5.701,89 | 1675 / 146 |
Heart Failure & Shock W Cc | 62 | 216 / 55 | $43.975,50 | 2436 / 180 | $7.114,40 | 1842 / 151 | $6.221,05 | 1837 / 167 |
Kidney & Urinary Tract Infections W Mcc | 57 | 87 / 23 | $52.884,80 | 1716 / 125 | $8.618,91 | 1453 / 124 | $7.476,81 | 1449 / 130 |
Renal Failure W Cc | 56 | 165 / 51 | $43.788,50 | 2124 / 151 | $6.892,16 | 1498 / 124 | $5.755,07 | 1489 / 133 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 52 | 144 / 27 | $108.354,00 | 1240 / 98 | $16.677,10 | 910 / 112 | $12.120,70 | 903 / 109 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 51 | 131 / 36 | $44.195,30 | 1620 / 90 | $7.447,18 | 1196 / 81 | $6.137,39 | 1193 / 94 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 50 | 138 / 27 | $53.652,00 | 1290 / 94 | $8.024,66 | 887 / 87 | $6.102,38 | 884 / 84 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 49 | 77 / 28 | $44.490,50 | 1393 / 97 | $8.109,31 | 1059 / 91 | $7.253,22 | 1056 / 98 |
Renal Failure W Mcc | 48 | 147 / 52 | $60.797,60 | 1773 / 121 | $10.616,90 | 1256 / 105 | $9.564,56 | 1256 / 120 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 40 | $28.390,60 | 2067 / 144 | $5.248,70 | 1672 / 138 | $4.280,36 | 1667 / 152 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 44 | 87 / 22 | $98.761,70 | 1507 / 105 | $15.529,80 | 1091 / 91 | $14.525,10 | 1080 / 111 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 41 | 83 / 24 | $215.796,00 | 1319 / 93 | $38.172,70 | 1049 / 88 | $36.126,80 | 1042 / 100 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 17 | $31.431,70 | 1754 / 108 | $5.738,97 | 1162 / 116 | $3.909,85 | 1153 / 89 |
Red Blood Cell Disorders W/O Mcc | 37 | 106 / 32 | $27.173,90 | 1368 / 83 | $5.896,30 | 1322 / 103 | $5.045,65 | 1313 / 120 |
G.I. Hemorrhage W Mcc | 37 | 84 / 21 | $72.627,10 | 1367 / 84 | $12.277,20 | 911 / 78 | $10.892,40 | 906 / 77 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 37 | $45.018,10 | 2000 / 147 | $5.846,42 | 1168 / 106 | $4.462,03 | 1164 / 100 |
Other Circulatory System Diagnoses W Mcc | 35 | 81 / 23 | $69.452,40 | 1045 / 72 | $12.676,60 | 722 / 59 | $11.713,40 | 720 / 72 |
Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 41 | $78.589,80 | 1685 / 106 | $13.316,20 | 1315 / 113 | $12.034,20 | 1298 / 119 |
Respiratory Infections & Inflammations W Mcc | 32 | 104 / 33 | $85.173,90 | 1543 / 94 | $14.189,50 | 1263 / 107 | $12.779,70 | 1248 / 110 |
Transient Ischemia | 30 | 95 / 33 | $39.291,30 | 1420 / 85 | $5.245,20 | 1063 / 70 | $4.168,47 | 1058 / 82 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 28 | 72 / 18 | $133.518,00 | 742 / 51 | $21.682,90 | 567 / 47 | $20.447,60 | 563 / 65 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 35 | $60.192,50 | 1685 / 114 | $9.252,21 | 1366 / 109 | $8.184,96 | 1363 / 115 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 29 | $41.461,80 | 1381 / 84 | $5.826,15 | 837 / 71 | $4.045,81 | 833 / 64 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 56 | $65.020,70 | 1991 / 135 | $9.789,48 | 1775 / 136 | $8.824,07 | 1770 / 148 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 36 | $110.885,00 | 1738 / 122 | $14.795,80 | 1376 / 119 | $11.886,70 | 1365 / 117 |
Syncope & Collapse | 26 | 143 / 40 | $35.547,70 | 1601 / 96 | $5.396,15 | 1140 / 80 | $4.286,38 | 1133 / 91 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 39 | $35.262,20 | 1869 / 135 | $4.387,96 | 1371 / 95 | $3.250,04 | 1366 / 105 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 29 | $32.511,80 | 1680 / 126 | $5.334,24 | 1455 / 110 | $4.308,96 | 1447 / 130 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 19 | $45.142,40 | 544 / 35 | $10.900,90 | 360 / 53 | $5.814,00 | 359 / 43 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 51 | $97.642,50 | 1494 / 96 | $15.991,00 | 1402 / 102 | $14.168,40 | 1396 / 105 |
Seizures W/O Mcc | 22 | 86 / 25 | $42.179,40 | 1159 / 69 | $5.705,50 | 791 / 46 | $4.721,23 | 788 / 63 |
Other Vascular Procedures W Mcc | 21 | 76 / 30 | $117.168,00 | 706 / 57 | $20.736,50 | 354 / 45 | $19.306,40 | 352 / 45 |
Respiratory Infections & Inflammations W Cc | 21 | 67 / 24 | $58.686,30 | 1243 / 84 | $9.726,90 | 871 / 87 | $8.212,14 | 866 / 83 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 26 | $66.656,40 | 1353 / 86 | $7.594,84 | 904 / 60 | $6.377,16 | 902 / 73 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 22 | $217.832,00 | 796 / 58 | $34.546,30 | 535 / 52 | $33.180,90 | 534 / 63 |
Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 23 | $53.661,80 | 1030 / 79 | $6.532,63 | 564 / 53 | $4.973,37 | 560 / 50 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 13 | $44.172,40 | 877 / 40 | $7.833,00 | 851 / 38 | $6.685,00 | 850 / 39 |
Other Vascular Procedures W Cc | 18 | 84 / 36 | $97.284,70 | 819 / 58 | $16.642,90 | 572 / 56 | $15.360,40 | 569 / 74 |
Transurethral Prostatectomy W Cc/Mcc | 18 | 6 / 1 | $54.997,80 | 36 / 1 | $9.680,06 | 20 / 3 | $7.987,94 | 20 / 3 |
Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 27 | $211.725,00 | 1079 / 68 | $37.125,20 | 909 / 66 | $35.594,10 | 907 / 73 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 15 | $28.222,60 | 776 / 55 | $5.331,94 | 620 / 51 | $4.107,29 | 616 / 53 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 17 | 78 / 16 | $91.743,70 | 422 / 27 | $13.831,80 | 238 / 31 | $11.331,10 | 236 / 25 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 30 | $242.445,00 | 869 / 65 | $41.153,20 | 637 / 59 | $39.575,80 | 636 / 70 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 20 | $95.213,40 | 737 / 41 | $16.613,90 | 449 / 41 | $12.470,20 | 446 / 38 |
Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 13 | $27.117,20 | 693 / 42 | $5.273,81 | 569 / 35 | $4.116,81 | 569 / 42 |
Cellulitis W Mcc | 16 | 42 / 17 | $51.093,00 | 739 / 48 | $10.171,20 | 380 / 39 | $8.238,75 | 378 / 33 |
Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 23 | $70.202,00 | 863 / 54 | $11.567,00 | 674 / 52 | $9.608,33 | 672 / 51 |
Medical Back Problems W/O Mcc | 15 | 106 / 35 | $31.874,50 | 1079 / 66 | $6.028,47 | 824 / 55 | $4.813,93 | 821 / 62 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 35 | $100.597,00 | 1217 / 68 | $22.155,30 | 768 / 90 | $14.613,40 | 760 / 65 |
Chest Pain | 14 | 137 / 52 | $43.974,30 | 1639 / 124 | $4.660,00 | 1055 / 75 | $3.653,71 | 1048 / 89 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 27 | $54.352,80 | 829 / 32 | $10.408,90 | 292 / 30 | $8.341,21 | 292 / 16 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 42 | $27.082,40 | 1631 / 110 | $5.068,64 | 1473 / 104 | $4.371,79 | 1461 / 125 |
Other Circulatory System O.R. Procedures | 14 | 41 / 15 | $122.251,00 | 381 / 31 | $19.441,80 | 261 / 26 | $18.464,40 | 261 / 30 |
Major Cardiovasc Procedures W Mcc | 14 | 54 / 19 | $186.011,00 | 469 / 29 | $34.408,30 | 314 / 20 | $33.179,00 | 314 / 33 |
Complications Of Treatment W Mcc | 14 | 37 / 9 | $57.828,50 | 204 / 12 | $11.960,90 | 134 / 11 | $11.263,60 | 134 / 18 |
G.I. Obstruction W Cc | 14 | 78 / 36 | $40.191,70 | 1461 / 85 | $6.258,07 | 1028 / 65 | $5.170,36 | 1025 / 78 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 23 | $26.644,40 | 1051 / 67 | $4.865,93 | 712 / 58 | $3.273,79 | 709 / 55 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 22 | $87.778,80 | 766 / 58 | $11.422,20 | 569 / 50 | $9.992,93 | 567 / 58 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 22 | $96.272,20 | 619 / 24 | $23.479,50 | 300 / 46 | $17.598,20 | 298 / 20 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 16 | $162.109,00 | 500 / 38 | $29.731,30 | 483 / 41 | $28.232,70 | 482 / 45 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 24 | $94.833,80 | 733 / 47 | $14.682,40 | 496 / 41 | $12.902,30 | 490 / 48 |
Diabetes W Cc | 13 | 79 / 38 | $37.867,10 | 1359 / 94 | $5.635,85 | 761 / 46 | $4.639,38 | 759 / 60 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 27 | $54.225,20 | 896 / 68 | $8.786,75 | 601 / 55 | $7.793,25 | 598 / 63 |
Postoperative & Post-Traumatic Infections W/O Mcc | 12 | 42 / 13 | $42.546,10 | 382 / 28 | $8.234,92 | 190 / 24 | $5.893,25 | 190 / 14 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 19 | $40.473,30 | 797 / 41 | $6.613,00 | 400 / 31 | $5.009,17 | 399 / 24 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 23 | $37.669,20 | 454 / 47 | $6.513,92 | 273 / 27 | $5.825,25 | 273 / 33 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 32 | $35.502,60 | 1034 / 53 | $6.966,92 | 906 / 49 | $6.148,42 | 902 / 65 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 23 | $45.968,80 | 910 / 52 | $8.278,75 | 214 / 46 | $5.928,08 | 213 / 11 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 10 | $35.419,70 | 403 / 30 | $4.948,91 | 252 / 21 | $3.594,36 | 251 / 18 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 26 | $171.927,00 | 513 / 42 | $25.464,40 | 219 / 31 | $20.252,90 | 218 / 22 | Total 81 procedures | 2.822 | 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.