Hospital Costs > In Texas > South Texas Surgical Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 17 | $66.978,90 | 558 / 29 | $11.456,90 | 76 / 1 | $10.242,60 | 76 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 179 | 385 / 44 | $70.358,90 | 2001 / 131 | $11.521,70 | 125 / 5 | $9.464,42 | 125 / 15 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 13 | 56 / 14 | $58.568,80 | 191 / 5 | $13.602,70 | 61 / 2 | $12.492,50 | 61 / 6 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 16 | $48.007,90 | 436 / 27 | $8.490,88 | 25 / 1 | $6.845,44 | 25 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 60 | $111.674,00 | 852 / 62 | $21.146,20 | 48 / 4 | $18.126,10 | 48 / 9 | Total 5 procedures | 240 | 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.