Hospital Costs > In Texas > St Joseph Medical Center Houston, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 126 | 390 / 73 | $61.261,00 | 2117 / 142 | $17.811,20 | 2532 / 205 | $15.494,20 | 2488 / 206 |
Heart Failure & Shock W Cc | 50 | 228 / 64 | $34.860,30 | 2170 / 144 | $12.215,60 | 2665 / 207 | $10.241,50 | 2659 / 209 |
Heart Failure & Shock W Mcc | 49 | 235 / 74 | $52.240,30 | 2045 / 131 | $16.098,00 | 2487 / 196 | $14.118,60 | 2476 / 198 |
Renal Failure W Mcc | 37 | 158 / 60 | $49.119,10 | 1561 / 104 | $16.062,70 | 2024 / 156 | $14.227,30 | 2020 / 157 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 58 | $39.894,60 | 1917 / 118 | $13.393,40 | 2492 / 189 | $11.533,00 | 2484 / 190 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 83 | $31.656,50 | 2233 / 150 | $9.938,07 | 2638 / 200 | $8.012,36 | 2623 / 202 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 27 | 537 / 135 | $83.444,40 | 2270 / 164 | $19.952,00 | 2495 / 214 | $17.411,90 | 2449 / 217 |
Renal Failure W Cc | 26 | 195 / 80 | $39.423,00 | 2026 / 139 | $12.257,70 | 2358 / 178 | $9.892,04 | 2348 / 179 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 43 | $78.311,90 | 1292 / 81 | $21.208,60 | 1626 / 133 | $19.262,70 | 1612 / 135 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 64 | $34.835,50 | 2255 / 169 | $10.713,10 | 2495 / 195 | $8.631,09 | 2486 / 196 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 35 | $59.898,10 | 931 / 64 | $18.637,90 | 1233 / 98 | $16.580,50 | 1225 / 99 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 69 | $40.645,80 | 2052 / 139 | $12.643,40 | 2483 / 191 | $10.560,90 | 2473 / 192 |
G.I. Hemorrhage W Mcc | 21 | 100 / 36 | $88.868,00 | 1507 / 103 | $17.765,70 | 1514 / 114 | $15.417,20 | 1504 / 113 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 54 | $89.257,40 | 1432 / 86 | $18.684,90 | 1506 / 108 | $16.189,40 | 1499 / 109 |
G.I. Hemorrhage W Cc | 19 | 199 / 70 | $33.354,60 | 1733 / 99 | $12.024,40 | 2341 / 162 | $10.023,70 | 2337 / 164 |
Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 92 | $31.064,60 | 2258 / 172 | $11.004,60 | 2655 / 217 | $8.963,94 | 2644 / 217 |
Pulmonary Edema & Respiratory Failure | 17 | 186 / 64 | $43.350,10 | 1613 / 79 | $13.845,20 | 2142 / 156 | $12.255,90 | 2136 / 158 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 39 | $27.412,00 | 1639 / 114 | $9.871,18 | 1971 / 153 | $8.025,24 | 1958 / 152 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 47 | $42.776,10 | 1391 / 80 | $13.764,90 | 1828 / 132 | $11.787,10 | 1825 / 133 |
Syncope & Collapse | 16 | 153 / 49 | $40.474,20 | 1705 / 108 | $10.520,20 | 1878 / 130 | $8.764,06 | 1870 / 131 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 48 | $156.916,00 | 1063 / 67 | $41.145,00 | 1024 / 98 | $35.794,70 | 1018 / 98 |
Cellulitis W/O Mcc | 15 | 174 / 74 | $37.225,20 | 2351 / 170 | $11.355,70 | 2543 / 194 | $8.790,47 | 2535 / 196 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 58 | $39.407,20 | 1293 / 85 | $13.186,10 | 1653 / 129 | $11.587,70 | 1650 / 128 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 52 | $31.514,90 | 1565 / 110 | $11.054,40 | 1950 / 151 | $9.539,73 | 1941 / 151 |
Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 79 | $57.675,30 | 2061 / 142 | $15.932,40 | 2405 / 184 | $13.549,00 | 2399 / 187 |
Diabetes W Cc | 14 | 78 / 37 | $27.980,10 | 1109 / 63 | $10.886,30 | 1571 / 109 | $9.507,50 | 1566 / 112 |
Seizures W Mcc | 14 | 52 / 20 | $64.239,00 | 605 / 43 | $17.559,40 | 718 / 54 | $15.365,20 | 718 / 55 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 34 | $163.251,00 | 598 / 36 | $44.941,50 | 732 / 70 | $41.773,70 | 731 / 76 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 30 | $33.372,40 | 889 / 51 | $12.056,20 | 1217 / 82 | $10.313,50 | 1214 / 82 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 71 | $43.299,10 | 1595 / 86 | $12.264,40 | 1853 / 136 | $8.583,50 | 1849 / 134 |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 63 | $27.904,40 | 1615 / 72 | $11.719,80 | 2378 / 166 | $9.980,25 | 2371 / 168 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 53 | $30.800,60 | 1775 / 118 | $9.429,67 | 1973 / 136 | $7.521,00 | 1967 / 138 |
Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 94 | $42.573,00 | 2398 / 170 | $12.206,00 | 2739 / 212 | $10.257,70 | 2730 / 215 |
Chest Pain | 12 | 139 / 54 | $28.251,20 | 1330 / 77 | $9.351,00 | 1666 / 123 | $8.110,00 | 1657 / 125 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 42 | $25.530,90 | 1481 / 98 | $9.593,42 | 1917 / 158 | $7.230,83 | 1909 / 158 |
Medical Back Problems W/O Mcc | 11 | 110 / 39 | $45.596,00 | 1351 / 91 | $11.115,10 | 1451 / 99 | $9.229,91 | 1446 / 100 | Total 36 procedures | 820 | 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.