Hospital Costs > In Texas > Scott & White Hospital-Llano, 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 | 30 | 486 / 130 | $12.332,10 | 23 / 1 | $11.331,60 | 1239 / 70 | $10.530,50 | 1218 / 107 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 79 | $9.721,00 | 94 / 3 | $6.164,21 | 1248 / 70 | $5.259,07 | 1244 / 99 |
| Heart Failure & Shock W Mcc | 28 | 256 / 93 | $14.002,60 | 109 / 1 | $9.018,61 | 1150 / 66 | $8.503,18 | 1147 / 94 |
| Heart Failure & Shock W Cc | 17 | 261 / 95 | $10.294,60 | 141 / 3 | $6.336,88 | 1236 / 85 | $5.484,18 | 1232 / 103 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 76 | $10.694,10 | 82 / 4 | $6.882,80 | 1437 / 84 | $6.157,47 | 1431 / 128 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 80 | $13.141,30 | 57 / 1 | $8.863,00 | 1034 / 63 | $7.909,86 | 1034 / 82 |
| Cellulitis W/O Mcc | 12 | 177 / 77 | $9.829,67 | 229 / 7 | $5.665,92 | 1437 / 99 | $4.655,25 | 1430 / 123 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 74 | $10.685,00 | 392 / 16 | $4.589,33 | 1054 / 59 | $3.685,33 | 1051 / 84 | Total 8 procedures | 156 | 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.