Hospital Costs > In Texas > Seton Northwest Hospital, 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 | 64 | 500 / 104 | $84.519,20 | 2280 / 166 | $12.883,50 | 742 / 64 | $10.685,10 | 732 / 88 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 41 | 234 / 71 | $31.652,40 | 2232 / 149 | $4.630,90 | 744 / 36 | $3.595,83 | 740 / 61 |
| Kidney & Urinary Tract Infections W/O Mcc | 41 | 192 / 70 | $25.619,80 | 2004 / 137 | $4.790,73 | 709 / 54 | $3.760,76 | 705 / 57 |
| Cellulitis W/O Mcc | 37 | 152 / 53 | $20.930,40 | 1572 / 86 | $5.207,46 | 487 / 53 | $3.867,11 | 484 / 37 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 35 | 481 / 126 | $71.296,50 | 2303 / 158 | $11.493,80 | 817 / 82 | $9.944,40 | 816 / 70 |
| Heart Failure & Shock W Cc | 28 | 250 / 84 | $34.126,00 | 2146 / 138 | $5.676,29 | 322 / 24 | $4.702,93 | 322 / 27 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 80 | $32.386,10 | 2081 / 126 | $5.812,85 | 769 / 36 | $4.876,63 | 766 / 58 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 60 | $28.927,40 | 2094 / 149 | $4.644,42 | 385 / 68 | $3.224,65 | 385 / 35 |
| G.I. Hemorrhage W Cc | 22 | 196 / 67 | $39.006,10 | 1923 / 115 | $6.131,41 | 644 / 45 | $5.046,05 | 643 / 48 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 33 | $24.865,60 | 1450 / 94 | $4.406,19 | 803 / 35 | $3.506,19 | 799 / 65 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 35 | $22.657,90 | 1436 / 67 | $4.432,33 | 576 / 30 | $3.388,05 | 575 / 41 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 73 | $50.237,10 | 2187 / 157 | $7.592,65 | 1295 / 83 | $6.568,25 | 1289 / 107 |
| Renal Failure W Cc | 19 | 202 / 87 | $39.820,80 | 2043 / 141 | $8.188,37 | 464 / 165 | $4.710,26 | 460 / 40 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 60 | $23.982,10 | 1383 / 45 | $5.502,93 | 632 / 21 | $4.663,73 | 630 / 50 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 23 | $27.277,60 | 1067 / 70 | $4.101,36 | 365 / 29 | $2.789,64 | 365 / 29 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 67 | $53.301,70 | 1822 / 108 | $7.290,43 | 812 / 25 | $6.725,00 | 812 / 52 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 80 | $51.776,90 | 1956 / 130 | $8.510,57 | 525 / 42 | $7.352,71 | 525 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 77 | $40.727,90 | 2055 / 140 | $6.359,29 | 716 / 32 | $5.401,29 | 714 / 50 |
| G.I. Obstruction W Cc | 13 | 79 / 37 | $37.248,10 | 1401 / 78 | $5.919,69 | 162 / 46 | $3.973,08 | 161 / 11 |
| Heart Failure & Shock W Mcc | 13 | 271 / 107 | $50.295,90 | 1991 / 126 | $8.439,15 | 325 / 24 | $7.452,54 | 325 / 21 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 60 | $76.933,40 | 1665 / 102 | $11.342,80 | 615 / 35 | $10.269,80 | 612 / 52 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 44 | $25.675,80 | 1585 / 103 | $4.251,58 | 753 / 40 | $3.512,08 | 749 / 53 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 52 | $44.334,50 | 1428 / 86 | $6.953,00 | 294 / 16 | $6.026,64 | 293 / 24 | Total 23 procedures | 534 | 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.