Hospital Costs > In Texas > Shannon Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 31 | $30.336,60 | 749 / 18 | $6.255,36 | 443 / 13 | $5.374,71 | 442 / 31 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 45 | 80 / 20 | $32.942,10 | 548 / 8 | $9.586,13 | 294 / 16 | $8.522,78 | 294 / 11 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 11 | $24.706,20 | 441 / 9 | $5.455,33 | 66 / 25 | $3.167,61 | 66 / 2 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 13 | 17 / 9 | $26.447,20 | 19 / 1 | $8.996,92 | 4 / 1 | $7.951,31 | 4 / 2 |
| Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 25 | $20.319,90 | 393 / 10 | $5.106,94 | 198 / 9 | $4.090,41 | 195 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 36 | $20.902,20 | 1116 / 40 | $4.801,30 | 238 / 31 | $3.528,84 | 238 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 31 | $32.740,50 | 1082 / 47 | $7.490,15 | 209 / 43 | $5.874,15 | 209 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 48 | $16.744,50 | 1170 / 45 | $3.439,47 | 321 / 18 | $2.287,18 | 319 / 26 |
| Cellulitis W Mcc | 13 | 45 / 20 | $36.939,10 | 521 / 29 | $8.120,46 | 197 / 10 | $7.429,85 | 196 / 18 |
| Cellulitis W/O Mcc | 38 | 151 / 52 | $17.623,50 | 1198 / 51 | $5.115,63 | 464 / 40 | $3.848,03 | 461 / 35 |
| Cervical Spinal Fusion W/O Cc/Mcc | 25 | 79 / 22 | $43.374,80 | 250 / 13 | $12.336,00 | 221 / 4 | $11.217,60 | 221 / 31 |
| Chest Pain | 37 | 114 / 31 | $21.055,90 | 991 / 33 | $4.567,92 | 321 / 68 | $2.716,73 | 320 / 17 |
| Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 42 | $22.703,80 | 1270 / 35 | $5.559,09 | 350 / 26 | $4.377,03 | 349 / 35 |
| Chronic Obstructive Pulmonary Disease W Mcc | 62 | 140 / 33 | $26.390,10 | 1233 / 43 | $6.843,35 | 453 / 27 | $5.742,90 | 452 / 34 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 38 | $16.999,60 | 1015 / 28 | $4.289,33 | 289 / 20 | $3.127,50 | 289 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 40 | 148 / 34 | $29.966,40 | 513 / 8 | $6.779,80 | 233 / 38 | $5.025,35 | 233 / 24 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 16 | 26 / 15 | $31.736,80 | 69 / 3 | $9.555,62 | 18 / 2 | $8.639,25 | 18 / 1 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 15 | 31 / 7 | $143.538,00 | 26 / 3 | $42.835,30 | 23 / 1 | $41.845,90 | 23 / 4 |
| Combined Anterior/Posterior Spinal Fusion W Mcc | 11 | 10 / 2 | $179.158,00 | 1 / 1 | $75.784,90 | 1 / 1 | $57.043,40 | 1 / 1 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 38 | 10 / 1 | $104.142,00 | 28 / 3 | $33.571,80 | 28 / 1 | $32.382,70 | 28 / 5 |
| Complicated Peptic Ulcer W Cc | 13 | 6 / 2 | $21.960,10 | 9 / 1 | $6.429,85 | 3 / 1 | $5.483,92 | 3 / 1 |
| Coronary Bypass W Cardiac Cath W Mcc | 14 | 42 / 14 | $149.268,00 | 110 / 1 | $41.004,00 | 145 / 11 | $39.994,90 | 145 / 19 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 19 | 57 / 17 | $98.249,60 | 116 / 3 | $28.286,10 | 108 / 22 | $23.442,80 | 108 / 7 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 15 | 73 / 23 | $72.160,30 | 84 / 3 | $20.071,70 | 127 / 3 | $19.244,50 | 126 / 13 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 21 | 77 / 12 | $72.656,20 | 65 / 1 | $22.178,00 | 19 / 1 | $21.272,40 | 19 / 3 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 11 | 63 / 17 | $42.947,10 | 32 / 1 | $12.357,90 | 26 / 2 | $11.575,30 | 26 / 5 |
| Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 14 | $25.357,50 | 398 / 14 | $5.608,19 | 105 / 4 | $4.613,12 | 105 / 6 |
| Depressive Neuroses | 26 | 24 / 1 | $17.063,00 | 109 / 1 | $3.992,19 | 10 / 1 | $2.937,31 | 10 / 1 |
| Diabetes W Cc | 13 | 79 / 38 | $19.745,70 | 680 / 20 | $4.658,23 | 108 / 5 | $3.621,08 | 108 / 5 |
| Diabetes W Mcc | 15 | 42 / 21 | $28.394,60 | 250 / 4 | $7.543,60 | 47 / 1 | $6.559,40 | 47 / 3 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 20 | $18.589,70 | 155 / 8 | $5.372,07 | 130 / 7 | $4.948,53 | 130 / 15 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 21 | $36.203,70 | 168 / 13 | $10.285,60 | 68 / 7 | $9.495,18 | 68 / 11 |
| Disorders Of Pancreas Except Malignancy W Cc | 18 | 43 / 13 | $23.648,70 | 426 / 12 | $5.855,11 | 110 / 15 | $4.197,67 | 110 / 8 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 8 | $17.958,80 | 203 / 12 | $3.934,46 | 114 / 3 | $2.984,23 | 114 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 33 | $34.359,50 | 781 / 34 | $6.931,77 | 191 / 10 | $5.970,18 | 190 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 89 | 186 / 36 | $18.962,40 | 1271 / 45 | $4.670,71 | 500 / 41 | $3.404,39 | 498 / 43 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 23 | $148.788,00 | 468 / 25 | $30.359,80 | 250 / 25 | $28.057,90 | 250 / 25 |
| Extracranial Procedures W Cc | 14 | 32 / 13 | $35.694,80 | 127 / 3 | $13.950,50 | 29 / 28 | $7.409,43 | 29 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 58 | 40 / 8 | $22.590,30 | 209 / 8 | $6.024,60 | 236 / 11 | $5.058,43 | 236 / 23 |
| Fractures Of Hip & Pelvis W/O Mcc | 23 | 38 / 8 | $19.700,60 | 506 / 23 | $4.220,30 | 204 / 7 | $3.256,17 | 205 / 11 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 14 | $17.847,80 | 300 / 2 | $4.505,62 | 149 / 3 | $3.468,54 | 149 / 8 |
| G.I. Hemorrhage W Cc | 77 | 141 / 26 | $22.951,10 | 1024 / 26 | $5.724,65 | 402 / 20 | $4.813,18 | 401 / 29 |
| G.I. Hemorrhage W Mcc | 35 | 86 / 23 | $40.142,20 | 695 / 18 | $9.773,43 | 231 / 13 | $8.981,71 | 231 / 25 |
| G.I. Obstruction W Cc | 18 | 74 / 32 | $20.948,40 | 723 / 12 | $5.203,50 | 240 / 14 | $4.106,56 | 239 / 18 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 21 | $16.146,80 | 604 / 17 | $5.646,88 | 138 / 77 | $2.407,56 | 138 / 12 |
| Heart Failure & Shock W Cc | 86 | 192 / 39 | $23.540,10 | 1541 / 61 | $6.155,81 | 264 / 65 | $4.640,08 | 264 / 21 |
| Heart Failure & Shock W Mcc | 98 | 186 / 40 | $32.020,50 | 1217 / 47 | $8.342,91 | 446 / 19 | $7.614,75 | 446 / 33 |
| Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 23 | $16.492,50 | 1016 / 31 | $4.075,55 | 228 / 22 | $2.999,61 | 226 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 50 | 93 / 28 | $44.001,80 | 806 / 24 | $10.759,10 | 264 / 12 | $9.647,88 | 263 / 21 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 26 | $84.205,10 | 575 / 32 | $17.840,00 | 354 / 26 | $16.987,10 | 351 / 30 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 39 | 85 / 26 | $91.112,60 | 384 / 7 | $29.013,90 | 300 / 17 | $27.999,50 | 300 / 27 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 80 | 102 / 21 | $28.866,70 | 1077 / 35 | $7.710,02 | 178 / 94 | $4.783,99 | 178 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 46 | 122 / 32 | $31.741,00 | 399 / 1 | $9.455,57 | 217 / 7 | $8.541,54 | 216 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 31 | $24.598,90 | 884 / 29 | $4.453,48 | 274 / 11 | $3.330,24 | 272 / 17 |
| Kidney & Urinary Tract Infections W Mcc | 36 | 108 / 41 | $23.186,90 | 799 / 28 | $6.369,47 | 206 / 21 | $5.263,50 | 206 / 14 |
| Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 59 | $17.026,00 | 1227 / 54 | $4.704,43 | 421 / 45 | $3.560,09 | 421 / 35 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 26 | 30 / 10 | $35.936,00 | 184 / 2 | $9.239,85 | 176 / 8 | $8.198,12 | 176 / 15 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 13 | $49.032,20 | 88 / 2 | $13.559,90 | 85 / 3 | $12.931,70 | 85 / 10 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 15 | $30.285,00 | 161 / 4 | $6.970,25 | 141 / 6 | $5.854,17 | 141 / 14 |
| Major Cardiovasc Procedures W Mcc | 11 | 57 / 22 | $88.764,30 | 77 / 1 | $25.749,60 | 19 / 2 | $24.847,50 | 19 / 4 |
| Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 27 | $63.547,30 | 165 / 1 | $20.060,40 | 19 / 18 | $15.758,90 | 19 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 23 | $45.743,00 | 257 / 8 | $15.387,60 | 78 / 38 | $10.275,80 | 78 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 24 | 41 / 12 | $83.966,00 | 520 / 19 | $18.919,60 | 340 / 15 | $17.913,40 | 338 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 178 | 386 / 45 | $51.101,80 | 1339 / 68 | $12.834,10 | 522 / 58 | $10.347,20 | 518 / 65 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 25 | $54.586,40 | 517 / 12 | $13.936,50 | 295 / 4 | $12.857,30 | 293 / 28 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 24 | $129.833,00 | 649 / 30 | $32.363,90 | 399 / 47 | $28.515,40 | 397 / 38 |
| Medical Back Problems W/O Mcc | 25 | 96 / 25 | $20.190,70 | 542 / 8 | $4.915,76 | 237 / 6 | $3.838,76 | 237 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 55 | $30.607,80 | 987 / 55 | $6.273,06 | 306 / 14 | $5.720,56 | 303 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 49 | $15.181,50 | 978 / 35 | $4.128,92 | 230 / 21 | $3.053,32 | 230 / 16 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 20 | $27.217,50 | 355 / 17 | $6.680,82 | 27 / 14 | $4.260,00 | 27 / 1 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 43 | $56.417,80 | 869 / 60 | $11.940,50 | 519 / 44 | $10.825,30 | 517 / 48 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 31 | $26.355,10 | 733 / 25 | $7.331,92 | 213 / 58 | $4.696,54 | 211 / 16 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 15 | $22.744,20 | 229 / 5 | $5.062,91 | 63 / 1 | $4.170,36 | 63 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 23 | $25.818,60 | 267 / 4 | $8.316,17 | 63 / 6 | $7.348,67 | 63 / 5 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 16 | 24 / 7 | $41.545,00 | 53 / 3 | $10.994,20 | 17 / 3 | $9.839,25 | 17 / 3 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 14 | 14 / 3 | $33.172,80 | 20 / 1 | $9.261,50 | 18 / 1 | $8.296,07 | 18 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 29 | 71 / 17 | $107.470,00 | 569 / 35 | $18.058,60 | 191 / 6 | $17.117,70 | 190 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 54 | 142 / 25 | $76.822,30 | 812 / 49 | $12.305,90 | 223 / 21 | $9.901,65 | 223 / 33 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 26 | $20.135,20 | 420 / 11 | $5.433,19 | 174 / 6 | $4.580,44 | 174 / 11 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 23 | $31.346,10 | 383 / 15 | $7.941,93 | 218 / 6 | $7.360,00 | 217 / 14 |
| Psychoses | 114 | 179 / 12 | $24.492,40 | 403 / 18 | $6.336,87 | 28 / 4 | $4.619,46 | 28 / 1 |
| Pulmonary Edema & Respiratory Failure | 35 | 168 / 48 | $30.608,40 | 1072 / 33 | $8.595,77 | 227 / 94 | $5.981,40 | 227 / 7 |
| Pulmonary Embolism W Mcc | 13 | 30 / 11 | $57.312,40 | 469 / 22 | $9.321,54 | 220 / 11 | $8.440,38 | 220 / 11 |
| Pulmonary Embolism W/O Mcc | 22 | 52 / 15 | $27.251,00 | 734 / 22 | $6.347,50 | 67 / 24 | $4.215,00 | 67 / 7 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 27 | $25.566,10 | 333 / 12 | $7.103,42 | 130 / 7 | $6.279,83 | 130 / 8 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 42 | $22.758,50 | 1116 / 58 | $5.124,60 | 390 / 46 | $3.855,76 | 389 / 36 |
| Renal Failure W Cc | 78 | 143 / 35 | $22.728,00 | 1254 / 47 | $5.510,55 | 298 / 20 | $4.533,12 | 296 / 22 |
| Renal Failure W Mcc | 62 | 133 / 40 | $31.963,90 | 882 / 42 | $8.609,03 | 402 / 16 | $7.920,84 | 402 / 38 |
| Renal Failure W/O Cc/Mcc | 18 | 38 / 15 | $14.569,30 | 343 / 15 | $3.760,83 | 269 / 7 | $3.077,28 | 268 / 21 |
| Respiratory Infections & Inflammations W Cc | 30 | 58 / 16 | $23.303,40 | 396 / 9 | $7.598,80 | 151 / 9 | $6.652,37 | 151 / 10 |
| Respiratory Infections & Inflammations W Mcc | 31 | 105 / 34 | $37.960,90 | 694 / 24 | $11.232,30 | 449 / 26 | $10.377,40 | 446 / 32 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 15 | $41.894,70 | 287 / 8 | $9.495,82 | 82 / 1 | $8.695,36 | 82 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 50 | $53.742,20 | 734 / 27 | $12.568,10 | 289 / 13 | $11.856,50 | 286 / 24 |
| Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 23 | $79.287,30 | 291 / 9 | $18.484,10 | 149 / 2 | $17.459,30 | 149 / 12 |
| Seizures W Mcc | 16 | 50 / 18 | $36.751,70 | 300 / 12 | $9.294,62 | 249 / 15 | $8.587,00 | 249 / 26 |
| Seizures W/O Mcc | 22 | 86 / 25 | $17.611,20 | 400 / 5 | $4.353,09 | 63 / 5 | $3.189,73 | 63 / 5 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 33 | $112.860,00 | 274 / 14 | $31.669,50 | 134 / 11 | $30.683,90 | 134 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 350 | 173 / 18 | $38.280,20 | 1226 / 51 | $11.054,80 | 347 / 59 | $9.267,01 | 347 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 92 | 115 / 21 | $23.354,50 | 1103 / 41 | $7.225,37 | 262 / 106 | $4.943,08 | 261 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 78 | 125 / 32 | $22.462,90 | 1398 / 56 | $5.958,51 | 390 / 50 | $4.556,03 | 387 / 28 |
| Simple Pneumonia & Pleurisy W Mcc | 90 | 115 / 20 | $32.809,60 | 1216 / 48 | $8.492,99 | 313 / 40 | $7.049,64 | 313 / 21 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 37 | 56 / 17 | $19.099,10 | 1127 / 61 | $4.222,62 | 529 / 23 | $3.259,43 | 527 / 44 |
| Spinal Fusion Except Cervical W/O Mcc | 40 | 154 / 38 | $76.297,30 | 466 / 27 | $23.278,20 | 134 / 23 | $19.331,20 | 133 / 22 |
| Syncope & Collapse | 29 | 140 / 37 | $21.406,30 | 981 / 30 | $5.012,41 | 142 / 60 | $3.067,03 | 142 / 10 |
| Transient Ischemia | 51 | 74 / 21 | $22.874,50 | 849 / 25 | $4.191,90 | 265 / 13 | $3.113,10 | 265 / 17 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 16 | $22.211,90 | 199 / 8 | $4.370,09 | 53 / 2 | $3.378,27 | 53 / 3 | Total 106 procedures | 3.642 | 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.