Hospital Costs > In Texas > Scenic Mountain Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 55 | 147 / 39 | $49.240,10 | 2162 / 152 | $7.694,38 | 1219 / 93 | $6.484,58 | 1213 / 102 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 51 | $23.553,50 | 1807 / 104 | $4.752,11 | 1041 / 82 | $3.680,11 | 1038 / 82 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 27 | $27.519,40 | 1631 / 89 | $4.826,62 | 1103 / 65 | $3.828,00 | 1094 / 82 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 85 | $24.246,30 | 1823 / 103 | $5.083,46 | 1168 / 93 | $3.868,08 | 1159 / 91 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 87 | $33.836,00 | 2340 / 178 | $5.165,55 | 1177 / 105 | $4.070,27 | 1169 / 98 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 54 | $37.310,40 | 1996 / 118 | $6.170,05 | 1259 / 83 | $5.236,71 | 1254 / 95 |
| Heart Failure & Shock W Mcc | 19 | 265 / 101 | $46.771,20 | 1903 / 117 | $10.362,50 | 1244 / 133 | $8.642,74 | 1241 / 105 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 89 | $33.643,00 | 2128 / 131 | $6.420,82 | 1412 / 96 | $5.428,82 | 1406 / 114 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 40 | $33.055,90 | 1781 / 134 | $4.582,38 | 1088 / 69 | $3.828,38 | 1079 / 89 |
| Heart Failure & Shock W Cc | 16 | 262 / 96 | $34.275,90 | 2150 / 140 | $6.504,56 | 1424 / 105 | $5.680,56 | 1419 / 119 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 15 | 501 / 140 | $58.900,50 | 2058 / 132 | $11.734,20 | 1372 / 97 | $10.772,10 | 1345 / 120 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 60 | $50.439,60 | 1213 / 85 | $7.192,64 | 543 / 54 | $5.516,14 | 541 / 52 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 14 | 550 / 145 | $96.211,60 | 2426 / 186 | $13.571,40 | 1693 / 91 | $12.529,10 | 1656 / 184 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 15 | $30.496,50 | 584 / 21 | $5.035,86 | 433 / 19 | $4.087,29 | 430 / 25 |
| Renal Failure W Cc | 13 | 208 / 92 | $26.941,00 | 1544 / 77 | $6.362,08 | 1534 / 90 | $5.810,69 | 1525 / 135 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 50 | $67.772,50 | 1431 / 84 | $11.093,90 | 963 / 68 | $10.184,60 | 961 / 79 | Total 16 procedures | 339 | 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.