Hospital Costs > In Texas > Scott & White Hospital-Round Rock, 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 | 197 | 367 / 38 | $48.375,50 | 1218 / 59 | $12.088,30 | 621 / 21 | $10.494,10 | 614 / 74 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 196 | 320 / 43 | $32.691,10 | 923 / 37 | $10.370,90 | 369 / 18 | $9.294,90 | 369 / 23 |
| Heart Failure & Shock W Mcc | 83 | 201 / 49 | $29.104,60 | 1027 / 34 | $8.219,95 | 224 / 10 | $7.277,54 | 224 / 8 |
| Pulmonary Edema & Respiratory Failure | 70 | 133 / 20 | $30.823,30 | 1084 / 36 | $6.883,33 | 281 / 8 | $6.053,39 | 281 / 14 |
| Simple Pneumonia & Pleurisy W Mcc | 66 | 139 / 33 | $25.617,80 | 744 / 17 | $7.617,27 | 159 / 1 | $6.737,76 | 159 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 64 | 143 / 35 | $22.309,10 | 1001 / 35 | $5.823,86 | 250 / 4 | $4.935,86 | 249 / 21 |
| G.I. Hemorrhage W Cc | 61 | 157 / 35 | $22.912,30 | 1021 / 25 | $5.604,21 | 140 / 10 | $4.450,23 | 140 / 9 |
| Renal Failure W Cc | 54 | 167 / 53 | $19.124,20 | 888 / 22 | $5.188,24 | 213 / 1 | $4.402,46 | 212 / 14 |
| Heart Failure & Shock W Cc | 54 | 224 / 61 | $21.995,80 | 1397 / 50 | $5.289,46 | 330 / 5 | $4.707,54 | 330 / 29 |
| Hip & Femur Procedures Except Major Joint W Cc | 51 | 92 / 27 | $41.682,50 | 711 / 13 | $10.576,20 | 231 / 5 | $9.566,29 | 230 / 17 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 48 | 17 / 2 | $74.730,40 | 110 / 5 | $19.358,50 | 84 / 3 | $18.177,20 | 84 / 8 |
| Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 63 | $19.193,80 | 1052 / 38 | $5.608,93 | 130 / 22 | $4.191,20 | 130 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 68 | $18.058,60 | 1137 / 34 | $4.077,68 | 244 / 5 | $3.167,86 | 244 / 21 |
| Renal Failure W Mcc | 43 | 152 / 57 | $28.300,50 | 663 / 21 | $8.321,60 | 244 / 9 | $7.619,09 | 244 / 21 |
| Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 68 | $17.593,40 | 1296 / 59 | $4.229,70 | 185 / 7 | $3.274,91 | 185 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 31 | $27.660,70 | 830 / 25 | $6.596,61 | 219 / 3 | $5.899,39 | 219 / 21 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 42 | $71.590,10 | 718 / 41 | $11.566,40 | 461 / 8 | $10.541,30 | 459 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 51 | $23.082,90 | 668 / 9 | $5.422,27 | 68 / 1 | $4.468,09 | 68 / 4 |
| Red Blood Cell Disorders W/O Mcc | 32 | 111 / 35 | $16.223,30 | 555 / 12 | $4.400,88 | 154 / 3 | $3.529,88 | 154 / 16 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 37 | $49.406,40 | 595 / 17 | $14.670,20 | 148 / 61 | $11.389,70 | 148 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 58 | $14.382,80 | 883 / 32 | $3.815,14 | 189 / 4 | $2.990,00 | 189 / 14 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 27 | 89 / 13 | $151.452,00 | 82 / 2 | $41.841,60 | 30 / 3 | $40.811,70 | 30 / 3 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 25 | 23 / 2 | $27.333,20 | 29 / 2 | $8.129,00 | 19 / 1 | $6.920,68 | 19 / 4 |
| G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 13 | $12.943,10 | 362 / 7 | $3.335,32 | 189 / 1 | $2.517,40 | 189 / 15 |
| Hip & Femur Procedures Except Major Joint W Mcc | 25 | 37 / 17 | $52.411,60 | 204 / 2 | $15.710,90 | 59 / 4 | $14.795,70 | 59 / 5 |
| Cellulitis W/O Mcc | 25 | 164 / 64 | $16.365,40 | 1040 / 35 | $4.840,12 | 96 / 25 | $3.398,08 | 96 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 51 | $20.327,80 | 596 / 11 | $5.939,92 | 192 / 2 | $5.236,56 | 192 / 11 |
| G.I. Obstruction W Cc | 25 | 67 / 25 | $17.027,80 | 434 / 3 | $4.875,20 | 236 / 2 | $4.102,08 | 235 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 51 | $23.194,40 | 605 / 20 | $6.067,00 | 99 / 3 | $5.276,74 | 98 / 9 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 22 | $16.340,80 | 208 / 3 | $5.316,45 | 109 / 2 | $4.436,45 | 108 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 71 | $18.196,00 | 582 / 16 | $6.155,59 | 86 / 2 | $5.112,68 | 86 / 5 |
| Pulmonary Embolism W/O Mcc | 22 | 52 / 15 | $21.289,10 | 455 / 5 | $5.353,77 | 145 / 1 | $4.478,14 | 145 / 12 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 52 | $34.249,90 | 722 / 26 | $5.987,86 | 129 / 4 | $4.828,59 | 129 / 11 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 21 | 32 / 3 | $22.185,30 | 93 / 3 | $6.549,00 | 43 / 1 | $5.742,90 | 43 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 34 | $16.426,80 | 877 / 30 | $3.861,40 | 159 / 5 | $2.832,60 | 158 / 11 |
| Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 16 | $60.833,10 | 152 / 3 | $18.758,60 | 187 / 5 | $17.865,90 | 187 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 46 | $12.437,20 | 650 / 10 | $3.045,95 | 142 / 4 | $2.030,37 | 142 / 15 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 38 | $39.510,70 | 676 / 16 | $9.656,05 | 171 / 11 | $8.768,47 | 171 / 15 |
| Red Blood Cell Disorders W Mcc | 19 | 52 / 20 | $26.676,50 | 361 / 17 | $7.184,58 | 174 / 8 | $6.421,63 | 174 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 54 | $14.672,40 | 486 / 6 | $4.277,74 | 136 / 3 | $3.370,79 | 136 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 44 | $46.071,40 | 1033 / 40 | $9.366,67 | 366 / 7 | $8.696,44 | 366 / 22 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 20 | $55.024,00 | 405 / 14 | $11.580,80 | 108 / 4 | $10.515,40 | 105 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 30 | $82.435,50 | 308 / 13 | $18.261,90 | 206 / 8 | $17.213,80 | 205 / 20 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 48 | $93.829,50 | 419 / 8 | $27.715,10 | 205 / 9 | $26.963,20 | 205 / 19 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 34 | $55.014,10 | 529 / 14 | $16.368,60 | 47 / 47 | $11.456,20 | 47 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 58 | $105.749,00 | 800 / 55 | $22.811,20 | 485 / 19 | $21.686,90 | 482 / 56 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 49 | $30.662,20 | 400 / 6 | $10.157,50 | 135 / 2 | $9.513,20 | 135 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 60 | $27.143,00 | 1579 / 66 | $5.147,93 | 203 / 6 | $4.183,67 | 203 / 16 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 34 | $20.948,20 | 164 / 4 | $5.753,07 | 204 / 2 | $4.971,36 | 204 / 20 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 16 | $12.679,20 | 188 / 2 | $3.811,46 | 84 / 1 | $2.881,00 | 85 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 60 | $33.491,20 | 461 / 4 | $7.985,08 | 6 / 1 | $6.963,54 | 6 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 31 | $85.851,70 | 246 / 5 | $25.349,90 | 69 / 3 | $24.424,30 | 69 / 8 |
| Disorders Of The Biliary Tract W Cc | 13 | 41 / 10 | $31.362,30 | 229 / 2 | $5.767,31 | 34 / 1 | $4.935,31 | 34 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 43 | $22.507,40 | 753 / 17 | $4.175,67 | 131 / 4 | $3.069,00 | 129 / 9 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 8 | $15.455,70 | 75 / 1 | $4.466,25 | 11 / 1 | $3.258,25 | 11 / 1 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 20 | $27.956,80 | 76 / 5 | $10.018,40 | 51 / 3 | $9.319,75 | 51 / 9 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 23 | $14.841,80 | 80 / 2 | $5.003,67 | 61 / 1 | $4.529,67 | 61 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 23 | $61.609,50 | 280 / 4 | $17.221,20 | 109 / 4 | $16.005,20 | 109 / 6 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 34 | $24.947,70 | 467 / 12 | $7.659,73 | 315 / 12 | $7.005,18 | 313 / 26 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 30 | $21.556,20 | 155 / 1 | $8.417,18 | 196 / 7 | $7.980,82 | 196 / 8 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 10 | $29.462,50 | 40 / 1 | $9.940,55 | 32 / 2 | $8.948,55 | 32 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 25 | $40.842,50 | 282 / 5 | $9.099,55 | 130 / 4 | $7.999,91 | 130 / 9 |
| Diabetes W Cc | 11 | 81 / 40 | $15.724,40 | 379 / 3 | $4.551,82 | 50 / 2 | $3.458,00 | 50 / 2 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 22 | $35.540,70 | 314 / 12 | $8.784,45 | 102 / 2 | $7.693,55 | 102 / 9 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 20 | $24.014,70 | 443 / 14 | $5.044,82 | 129 / 1 | $4.273,91 | 129 / 9 | Total 65 procedures | 2.061 | 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.