Hospital Costs > In Texas > St Luke's Hospital At The Vintage, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Mcc | 31 | 253 / 91 | $52.417,40 | 2050 / 133 | $14.594,50 | 1443 / 195 | $8.943,61 | 1439 / 126 |
| Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 79 | $24.981,90 | 1976 / 131 | $4.986,48 | 1253 / 74 | $4.126,61 | 1244 / 108 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 79 | $39.008,00 | 2297 / 156 | $6.808,11 | 866 / 132 | $4.965,68 | 863 / 65 |
| Heart Failure & Shock W Cc | 20 | 258 / 92 | $35.640,40 | 2203 / 149 | $6.254,90 | 1097 / 77 | $5.368,40 | 1095 / 88 |
| Cellulitis W/O Mcc | 17 | 172 / 72 | $25.258,30 | 1882 / 120 | $5.193,06 | 1101 / 51 | $4.349,06 | 1095 / 90 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 77 | $51.668,80 | 1953 / 128 | $9.541,12 | 1588 / 112 | $8.887,00 | 1588 / 140 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 45 | $65.244,40 | 1399 / 80 | $12.202,10 | 1318 / 91 | $11.600,60 | 1308 / 114 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 139 | $57.044,00 | 2013 / 127 | $11.789,10 | 1583 / 101 | $11.187,10 | 1551 / 148 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 78 | $34.642,60 | 1722 / 92 | $7.336,00 | 1134 / 66 | $6.378,07 | 1129 / 95 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 66 | $50.038,90 | 1757 / 99 | $8.847,40 | 1543 / 108 | $7.942,27 | 1538 / 131 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 99 | $16.640,30 | 958 / 26 | $5.672,50 | 81 / 141 | $2.905,75 | 81 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 63 | $31.943,90 | 1806 / 95 | $5.613,33 | 568 / 31 | $4.610,67 | 566 / 44 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 74 | $28.449,10 | 2071 / 145 | $4.795,50 | 1610 / 89 | $4.192,83 | 1605 / 139 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 55 | $76.845,50 | 1264 / 80 | $18.527,00 | 1516 / 127 | $17.761,80 | 1502 / 132 |
| G.I. Hemorrhage W Cc | 11 | 207 / 78 | $31.952,50 | 1658 / 92 | $6.527,36 | 1510 / 76 | $5.977,55 | 1506 / 119 | Total 15 procedures | 265 | 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.