Hospital Costs > In Texas > Scott & White Hospital- College Station, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 113 | 451 / 75 | $55.601,80 | 1532 / 88 | $11.955,50 | 481 / 17 | $10.289,30 | 478 / 61 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 74 | 442 / 98 | $36.512,80 | 1123 / 48 | $10.158,10 | 171 / 9 | $8.862,47 | 171 / 11 |
Heart Failure & Shock W Cc | 37 | 241 / 75 | $18.649,10 | 1009 / 28 | $5.607,30 | 91 / 19 | $4.323,46 | 91 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 58 | $23.900,10 | 1151 / 45 | $5.680,71 | 181 / 3 | $4.825,18 | 181 / 15 |
Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 76 | $18.313,80 | 949 / 31 | $5.211,39 | 348 / 3 | $4.508,42 | 346 / 22 |
Pulmonary Edema & Respiratory Failure | 30 | 173 / 53 | $28.803,60 | 964 / 23 | $6.583,30 | 207 / 2 | $5.935,83 | 207 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 46 | $66.258,90 | 601 / 29 | $18.082,40 | 58 / 118 | $9.118,93 | 58 / 9 |
G.I. Hemorrhage W Cc | 27 | 191 / 63 | $23.823,70 | 1107 / 29 | $5.406,70 | 196 / 4 | $4.554,56 | 196 / 16 |
Renal Failure W Cc | 27 | 194 / 79 | $16.573,30 | 624 / 10 | $5.227,11 | 104 / 3 | $4.197,19 | 104 / 6 |
Renal Failure W Mcc | 25 | 170 / 71 | $27.532,80 | 610 / 18 | $7.764,28 | 102 / 1 | $7.231,80 | 102 / 8 |
Heart Failure & Shock W Mcc | 24 | 260 / 96 | $37.908,30 | 1550 / 69 | $8.032,25 | 230 / 3 | $7.284,92 | 230 / 10 |
Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 72 | $28.440,00 | 935 / 28 | $7.637,82 | 53 / 2 | $6.417,14 | 53 / 5 |
Cellulitis W/O Mcc | 21 | 168 / 68 | $15.647,40 | 941 / 28 | $4.514,29 | 185 / 4 | $3.536,00 | 185 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 52 | $20.912,80 | 1117 / 41 | $4.262,00 | 98 / 2 | $3.285,24 | 98 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 66 | $13.608,90 | 779 / 25 | $3.678,40 | 133 / 1 | $2.892,80 | 133 / 9 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 92 | $18.250,50 | 1170 / 38 | $3.941,63 | 120 / 2 | $2.986,68 | 120 / 10 |
Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 90 | $15.698,50 | 1032 / 40 | $4.483,11 | 80 / 23 | $3.081,32 | 80 / 7 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 56 | $33.609,40 | 691 / 23 | $5.875,44 | 256 / 2 | $5.071,89 | 256 / 26 |
Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 75 | $29.408,00 | 1435 / 62 | $6.093,50 | 198 / 1 | $5.409,94 | 197 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 54 | $46.566,60 | 912 / 27 | $10.605,40 | 241 / 8 | $9.599,17 | 240 / 19 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 32 | $55.153,00 | 531 / 15 | $14.121,70 | 135 / 10 | $12.110,90 | 135 / 15 |
Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 57 | $18.949,20 | 894 / 18 | $4.975,89 | 161 / 3 | $4.103,00 | 161 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 46 | $29.878,30 | 948 / 37 | $6.541,35 | 52 / 2 | $5.402,53 | 52 / 4 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 24 | $27.007,40 | 237 / 10 | $6.811,69 | 17 / 17 | $4.177,25 | 17 / 5 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 51 | $19.299,40 | 836 / 29 | $5.758,62 | 63 / 93 | $3.299,88 | 63 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 67 | $31.016,90 | 1213 / 49 | $5.830,50 | 214 / 6 | $4.848,50 | 214 / 15 |
Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 25 | $71.807,10 | 519 / 27 | $16.399,20 | 21 / 29 | $12.443,60 | 21 / 1 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 12 | $63.396,10 | 443 / 19 | $11.674,30 | 80 / 1 | $10.556,60 | 80 / 4 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 52 | $12.401,50 | 646 / 9 | $3.228,00 | 8 / 8 | $1.651,15 | 8 / 2 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 26 | $30.659,20 | 467 / 24 | $6.758,15 | 20 / 1 | $5.549,54 | 20 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 60 | $20.928,20 | 452 / 9 | $5.964,77 | 77 / 2 | $5.218,92 | 77 / 7 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 19 | $41.889,20 | 324 / 18 | $8.852,85 | 155 / 3 | $7.849,77 | 155 / 16 |
G.I. Hemorrhage W Mcc | 12 | 109 / 45 | $45.920,30 | 892 / 41 | $9.256,33 | 119 / 2 | $8.552,33 | 119 / 10 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 50 | $38.028,20 | 733 / 19 | $9.696,83 | 414 / 19 | $8.798,17 | 414 / 26 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 44 | $14.775,00 | 828 / 21 | $3.565,58 | 273 / 1 | $3.061,58 | 271 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 43 | $26.815,90 | 976 / 39 | $4.036,00 | 47 / 1 | $2.830,67 | 47 / 4 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 53 | $117.147,00 | 707 / 31 | $27.763,60 | 197 / 10 | $26.882,30 | 197 / 18 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 43 | $18.533,10 | 1079 / 54 | $3.790,45 | 208 / 1 | $2.911,91 | 206 / 19 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 55 | $56.852,60 | 834 / 35 | $12.350,50 | 171 / 4 | $11.469,00 | 171 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 62 | $50.404,50 | 968 / 43 | $9.755,18 | 258 / 14 | $8.664,27 | 257 / 16 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 33 | $23.502,30 | 588 / 15 | $5.216,18 | 198 / 1 | $4.669,27 | 196 / 12 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 22 | $68.228,00 | 247 / 17 | $10.664,80 | 52 / 2 | $9.568,09 | 51 / 6 | Total 42 procedures | 921 | 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.