Hospital Costs > In Texas > South Texas Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 14 | 175 / 75 | $25.014,20 | 1874 / 118 | $5.853,64 | 1252 / 107 | $4.471,64 | 1246 / 105 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 142 | $84.869,90 | 2287 / 168 | $13.862,70 | 1739 / 103 | $12.657,30 | 1699 / 190 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 75 | $24.775,50 | 1873 / 117 | $4.940,45 | 1488 / 109 | $4.056,09 | 1483 / 129 |
| Renal Failure W Cc | 12 | 209 / 93 | $33.883,80 | 1859 / 116 | $6.581,50 | 1452 / 104 | $5.677,50 | 1443 / 124 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 139 | $50.666,70 | 1813 / 105 | $12.035,70 | 1498 / 118 | $11.020,70 | 1468 / 138 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 68 | $25.439,60 | 1289 / 54 | $6.931,78 | 1349 / 90 | $6.045,52 | 1344 / 120 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 72 | $31.996,90 | 2056 / 122 | $6.540,40 | 1527 / 107 | $5.541,09 | 1521 / 126 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 82 | $48.404,90 | 1861 / 111 | $9.161,25 | 1207 / 82 | $8.150,58 | 1207 / 97 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 37 | $24.063,10 | 1410 / 87 | $4.946,76 | 1186 / 77 | $3.887,00 | 1180 / 98 | Total 9 procedures | 158 | 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.