Hospital Costs > In Texas > Seton Medical Center Harker Heights, 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 | 139 | 377 / 67 | $38.474,00 | 1241 / 53 | $16.571,90 | 54 / 203 | $8.437,06 | 54 / 1 |
| Heart Failure & Shock W Mcc | 57 | 227 / 66 | $27.917,60 | 969 / 31 | $12.618,40 | 26 / 185 | $6.580,58 | 26 / 2 |
| Pulmonary Edema & Respiratory Failure | 49 | 154 / 36 | $25.693,60 | 775 / 13 | $10.116,30 | 59 / 141 | $5.538,67 | 59 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 49 | 156 / 48 | $21.013,00 | 446 / 9 | $11.702,40 | 6 / 170 | $5.783,82 | 6 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 40 | 85 / 24 | $34.249,30 | 587 / 10 | $14.413,20 | 339 / 115 | $8.638,38 | 339 / 17 |
| Renal Failure W Mcc | 33 | 162 / 64 | $25.589,40 | 491 / 14 | $13.004,70 | 10 / 151 | $6.345,42 | 10 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 61 | $17.896,60 | 592 / 20 | $8.278,77 | 13 / 165 | $4.063,23 | 13 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 81 | $14.490,60 | 684 / 18 | $7.123,93 | 4 / 188 | $2.339,80 | 4 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 66 | $25.166,60 | 1137 / 40 | $12.242,70 | 106 / 188 | $5.185,00 | 106 / 7 |
| Heart Failure & Shock W Cc | 23 | 255 / 89 | $18.485,20 | 987 / 27 | $8.485,48 | 20 / 194 | $4.000,57 | 20 / 1 |
| Renal Failure W Cc | 19 | 202 / 87 | $19.694,00 | 954 / 24 | $9.845,79 | 36 / 175 | $3.990,32 | 36 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 142 | $58.091,70 | 1626 / 101 | $14.192,10 | 81 / 118 | $9.240,22 | 81 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 56 | $32.633,10 | 641 / 18 | $9.410,17 | 6 / 116 | $4.154,61 | 6 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 17 | 179 / 57 | $63.531,90 | 533 / 18 | $12.991,90 | 55 / 42 | $9.093,71 | 55 / 8 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 89 | $17.993,60 | 912 / 28 | $10.532,40 | 78 / 211 | $4.082,82 | 78 / 4 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 40 | $19.635,00 | 1272 / 55 | $8.132,19 | 6 / 151 | $2.317,31 | 6 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 38 | $13.694,10 | 577 / 15 | $5.722,56 | 17 / 127 | $2.426,69 | 17 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 48 | $23.143,90 | 534 / 8 | $9.048,53 | 25 / 100 | $5.269,93 | 25 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 58 | $23.050,60 | 596 / 17 | $8.657,93 | 20 / 107 | $4.768,47 | 20 / 2 |
| Cellulitis W/O Mcc | 14 | 175 / 75 | $17.012,40 | 1128 / 46 | $8.133,43 | 12 / 187 | $2.973,64 | 12 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 50 | $108.360,00 | 591 / 18 | $36.731,40 | 208 / 78 | $26.981,10 | 208 / 20 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 23 | $49.720,00 | 316 / 6 | $15.462,40 | 18 / 44 | $9.656,71 | 18 / 3 |
| Cellulitis W Mcc | 13 | 45 / 20 | $15.450,80 | 44 / 1 | $10.383,50 | 16 / 44 | $6.184,77 | 16 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 73 | $14.020,80 | 837 / 27 | $5.481,46 | 37 / 149 | $2.653,77 | 37 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 96 | $15.998,80 | 1075 / 44 | $6.998,08 | 4 / 204 | $2.589,08 | 4 / 1 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 26 | $21.040,10 | 181 / 3 | $10.538,50 | 32 / 74 | $5.729,92 | 32 / 4 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 55 | $15.228,00 | 472 / 8 | $6.916,33 | 19 / 133 | $3.063,92 | 19 / 2 |
| Syncope & Collapse | 12 | 157 / 53 | $19.748,90 | 837 / 15 | $6.609,50 | 32 / 120 | $2.785,92 | 32 / 3 |
| Chest Pain | 11 | 140 / 55 | $17.980,10 | 767 / 19 | $6.725,18 | 10 / 118 | $2.002,00 | 10 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 44 | $17.943,70 | 430 / 3 | $6.082,91 | 9 / 75 | $2.602,00 | 9 / 2 | Total 30 procedures | 768 | 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.