Hospital Costs > In Texas > Scott & White Hospital Brenham, 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 | 42 | 522 / 122 | $64.100,00 | 1838 / 118 | $15.972,90 | 2071 / 188 | $13.885,30 | 2029 / 208 |
Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 70 | $28.221,80 | 1847 / 96 | $7.427,73 | 2148 / 170 | $6.480,70 | 2140 / 192 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 26 | 490 / 134 | $26.317,90 | 602 / 24 | $12.238,60 | 1681 / 129 | $11.402,90 | 1649 / 157 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 31 | $20.219,90 | 1216 / 63 | $5.452,57 | 1468 / 115 | $4.350,65 | 1460 / 131 |
Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 86 | $15.827,90 | 1050 / 43 | $6.100,04 | 1712 / 171 | $4.570,78 | 1701 / 157 |
Cellulitis W/O Mcc | 22 | 167 / 67 | $16.825,70 | 1102 / 42 | $6.084,45 | 1628 / 124 | $4.874,27 | 1621 / 143 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 73 | $26.352,90 | 1368 / 62 | $7.817,06 | 1889 / 141 | $7.011,72 | 1881 / 167 |
Heart Failure & Shock W Cc | 17 | 261 / 95 | $23.585,00 | 1546 / 62 | $7.726,12 | 2178 / 177 | $6.944,94 | 2172 / 190 |
Heart Failure & Shock W Mcc | 16 | 268 / 104 | $29.787,50 | 1069 / 37 | $10.450,80 | 1821 / 143 | $9.774,81 | 1816 / 164 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 41 | $20.866,00 | 1349 / 66 | $5.123,93 | 1435 / 107 | $4.299,40 | 1424 / 118 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 75 | $14.977,30 | 954 / 33 | $5.440,09 | 1955 / 147 | $4.782,64 | 1947 / 174 |
Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 83 | $31.299,50 | 1124 / 44 | $11.487,60 | 1167 / 168 | $8.084,00 | 1167 / 93 | Total 12 procedures | 261 | 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.