Hospital Costs > In Texas > St Luke's Sugar Land Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 69 | $32.127,90 | 2065 / 124 | $7.048,47 | 1837 / 151 | $5.909,71 | 1829 / 160 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 35 | 481 / 126 | $47.264,20 | 1675 / 89 | $12.070,60 | 1146 / 120 | $10.396,90 | 1130 / 100 |
Renal Failure W Cc | 33 | 188 / 73 | $28.876,20 | 1654 / 94 | $6.785,70 | 1587 / 113 | $5.909,09 | 1578 / 139 |
Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 84 | $26.067,20 | 2031 / 143 | $5.741,16 | 1931 / 156 | $4.879,72 | 1920 / 177 |
Heart Failure & Shock W Cc | 22 | 256 / 90 | $31.414,10 | 2032 / 126 | $6.866,64 | 1747 / 136 | $6.056,09 | 1742 / 153 |
Heart Failure & Shock W Mcc | 21 | 263 / 99 | $45.689,80 | 1864 / 114 | $10.073,00 | 1785 / 121 | $9.672,24 | 1780 / 160 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 74 | $53.386,10 | 1991 / 136 | $9.983,80 | 1682 / 127 | $9.105,40 | 1682 / 150 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 48 | $88.213,60 | 1398 / 89 | $16.758,90 | 1348 / 114 | $16.073,10 | 1335 / 129 |
Diabetes W Cc | 17 | 75 / 34 | $19.709,90 | 675 / 19 | $6.042,47 | 1161 / 65 | $5.615,18 | 1156 / 92 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 94 | $23.457,30 | 1760 / 94 | $5.741,53 | 1569 / 145 | $4.189,82 | 1556 / 133 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 70 | $22.550,60 | 1751 / 99 | $5.713,31 | 1527 / 161 | $4.104,31 | 1522 / 132 |
G.I. Hemorrhage W Cc | 16 | 202 / 73 | $25.717,40 | 1266 / 44 | $7.069,38 | 1563 / 105 | $6.071,88 | 1559 / 123 |
Syncope & Collapse | 15 | 154 / 50 | $26.360,30 | 1287 / 57 | $5.555,40 | 1329 / 89 | $4.665,80 | 1322 / 104 |
Renal Failure W Mcc | 15 | 180 / 81 | $38.801,60 | 1231 / 70 | $10.308,50 | 945 / 93 | $8.807,00 | 945 / 87 |
Pulmonary Edema & Respiratory Failure | 14 | 189 / 67 | $37.378,40 | 1403 / 60 | $8.400,14 | 1569 / 86 | $8.012,71 | 1564 / 133 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 31 | $46.632,40 | 1086 / 68 | $10.368,60 | 878 / 101 | $8.249,43 | 873 / 85 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 61 | $64.056,20 | 539 / 19 | $14.832,80 | 87 / 85 | $9.301,31 | 87 / 14 |
Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 63 | $29.263,60 | 1144 / 54 | $7.683,46 | 1045 / 96 | $6.469,92 | 1042 / 92 |
Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 62 | $33.565,50 | 1865 / 101 | $6.769,23 | 1676 / 114 | $5.833,85 | 1669 / 137 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 51 | $41.427,50 | 870 / 29 | $9.837,91 | 531 / 26 | $9.067,00 | 530 / 36 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 11 | 553 / 148 | $58.095,40 | 1628 / 102 | $17.287,50 | 1280 / 203 | $11.548,50 | 1248 / 142 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 53 | $106.967,00 | 570 / 16 | $33.090,60 | 690 / 53 | $31.441,20 | 684 / 71 | Total 22 procedures | 408 | 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.