Hospital Costs > In Texas > St Luke's Lakeside Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 27 | $26.130,20 | 219 / 9 | $7.405,46 | 9 / 27 | $3.992,77 | 9 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 34 | $65.424,70 | 531 / 36 | $12.839,10 | 302 / 15 | $11.628,00 | 301 / 42 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 118 | 446 / 73 | $63.177,60 | 1813 / 116 | $15.151,50 | 101 / 167 | $9.350,08 | 101 / 12 |
| Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 49 | $121.078,00 | 939 / 72 | $28.069,40 | 914 / 83 | $25.166,60 | 909 / 104 | Total 4 procedures | 168 | 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.