Hospital Costs > In Texas > St Luke's Patients Medical Center, 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 | 74 | 442 / 98 | $43.030,40 | 1480 / 76 | $10.493,90 | 455 / 25 | $9.444,78 | 455 / 29 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 56 | 508 / 109 | $44.020,80 | 977 / 38 | $12.453,70 | 689 / 37 | $10.609,40 | 679 / 82 |
| Heart Failure & Shock W Mcc | 56 | 228 / 67 | $37.233,10 | 1518 / 67 | $8.649,54 | 281 / 38 | $7.390,05 | 281 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 55 | 152 / 41 | $26.280,70 | 1360 / 61 | $5.964,69 | 190 / 7 | $4.839,87 | 190 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 66 | $23.219,10 | 1863 / 119 | $4.285,42 | 221 / 12 | $3.332,53 | 221 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 68 | $27.797,90 | 2050 / 126 | $4.516,77 | 333 / 24 | $3.269,52 | 332 / 29 |
| Heart Failure & Shock W Cc | 41 | 237 / 71 | $29.794,60 | 1943 / 111 | $5.984,44 | 127 / 51 | $4.411,39 | 127 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 67 | $30.347,70 | 1962 / 113 | $5.743,08 | 174 / 29 | $4.278,85 | 174 / 13 |
| G.I. Hemorrhage W Cc | 39 | 179 / 51 | $31.724,70 | 1648 / 91 | $5.671,38 | 487 / 14 | $4.898,46 | 486 / 30 |
| Cellulitis W/O Mcc | 34 | 155 / 56 | $25.631,60 | 1908 / 123 | $4.824,97 | 217 / 23 | $3.582,44 | 215 / 16 |
| Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 64 | $32.636,70 | 1629 / 81 | $6.609,31 | 445 / 17 | $5.736,48 | 444 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 63 | $20.534,50 | 1606 / 81 | $3.958,74 | 354 / 11 | $3.188,30 | 354 / 32 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 53 | $29.848,50 | 1712 / 83 | $5.218,00 | 314 / 11 | $4.340,91 | 313 / 30 |
| Renal Failure W Cc | 21 | 200 / 85 | $28.165,40 | 1612 / 87 | $5.341,86 | 304 / 9 | $4.540,33 | 302 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 76 | $38.863,20 | 1520 / 72 | $8.000,67 | 149 / 13 | $6.697,83 | 149 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 56 | $42.590,70 | 1018 / 63 | $6.235,50 | 137 / 12 | $4.844,61 | 137 / 14 |
| Transient Ischemia | 16 | 109 / 47 | $25.682,80 | 997 / 36 | $4.032,56 | 125 / 6 | $2.858,19 | 125 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 58 | $33.777,20 | 1123 / 71 | $5.961,07 | 11 / 1 | $4.651,73 | 11 / 1 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 52 | $28.375,90 | 1424 / 91 | $4.555,73 | 61 / 8 | $3.296,67 | 61 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 40 | $21.898,40 | 1302 / 74 | $4.444,79 | 105 / 40 | $2.732,14 | 105 / 5 |
| G.I. Obstruction W Cc | 14 | 78 / 36 | $35.407,00 | 1357 / 72 | $7.271,29 | 21 / 88 | $3.434,93 | 21 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 59 | $24.357,90 | 1369 / 66 | $4.717,79 | 60 / 25 | $3.190,14 | 60 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 52 | $18.210,50 | 1283 / 60 | $3.448,69 | 38 / 19 | $1.810,23 | 38 / 7 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 43 | $23.081,20 | 1455 / 69 | $4.035,92 | 198 / 7 | $3.014,38 | 198 / 11 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 19 | $26.474,90 | 736 / 49 | $3.928,62 | 158 / 3 | $3.094,15 | 158 / 12 |
| Diabetes W Cc | 12 | 80 / 39 | $25.244,50 | 1002 / 50 | $4.897,42 | 55 / 11 | $3.479,25 | 55 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 60 | $49.435,60 | 1027 / 39 | $11.695,50 | 84 / 49 | $9.149,42 | 84 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 62 | $65.477,40 | 582 / 25 | $11.528,10 | 475 / 5 | $10.596,10 | 473 / 57 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 55 | $54.877,60 | 764 / 30 | $12.440,20 | 299 / 9 | $11.890,40 | 296 / 25 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 26 | $23.569,50 | 967 / 55 | $3.642,09 | 37 / 9 | $2.124,73 | 37 / 3 | Total 30 procedures | 800 | 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.