Hospital Costs > In Texas > South Texas Spine And Surgical Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Spinal Fusion Except Cervical W/O Mcc | 119 | 76 / 7 | $58.313,30 | 191 / 8 | $22.106,70 | 73 / 10 | $18.556,60 | 72 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 67 | 497 / 102 | $59.864,90 | 1690 / 107 | $12.810,00 | 23 / 57 | $8.693,73 | 23 / 1 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 42 | 47 / 8 | $28.766,20 | 272 / 12 | $5.906,67 | 26 / 2 | $4.321,10 | 26 / 6 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 18 | 48 / 17 | $33.645,90 | 93 / 4 | $9.990,72 | 24 / 2 | $8.544,22 | 24 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 31 | $47.923,10 | 315 / 18 | $11.891,80 | 160 / 1 | $10.831,80 | 160 / 24 | Total 5 procedures | 262 | 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.