Hospital Costs > In Texas > St Luke's The Woodlands Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 128 | 436 / 68 | $57.777,70 | 1616 / 99 | $15.222,20 | 844 / 169 | $10.826,80 | 830 / 100 |
Kidney & Urinary Tract Infections W/O Mcc | 93 | 140 / 30 | $20.316,90 | 1609 / 87 | $5.098,97 | 1332 / 87 | $4.188,74 | 1323 / 115 |
Heart Failure & Shock W Cc | 87 | 191 / 38 | $29.592,20 | 1934 / 109 | $6.649,11 | 1153 / 123 | $5.405,23 | 1150 / 94 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 78 | 197 / 44 | $23.652,20 | 1775 / 96 | $5.244,83 | 978 / 107 | $3.750,37 | 970 / 74 |
Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 36 | $30.182,20 | 1956 / 112 | $6.655,16 | 745 / 115 | $4.857,01 | 742 / 56 |
Heart Failure & Shock W Mcc | 70 | 214 / 57 | $41.456,70 | 1720 / 95 | $9.211,56 | 1209 / 77 | $8.590,63 | 1206 / 101 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 70 | 446 / 101 | $48.611,10 | 1739 / 98 | $12.211,10 | 565 / 127 | $9.613,30 | 564 / 40 |
Chronic Obstructive Pulmonary Disease W Mcc | 70 | 132 / 26 | $29.812,20 | 1464 / 64 | $7.172,41 | 902 / 57 | $6.154,41 | 897 / 70 |
G.I. Hemorrhage W Cc | 62 | 156 / 34 | $28.460,80 | 1471 / 62 | $7.157,52 | 675 / 114 | $5.066,74 | 674 / 50 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 61 | 121 / 29 | $35.476,00 | 1376 / 66 | $6.705,61 | 777 / 49 | $5.524,28 | 775 / 60 |
Cellulitis W/O Mcc | 56 | 133 / 35 | $17.442,80 | 1180 / 49 | $5.646,86 | 980 / 97 | $4.258,21 | 974 / 76 |
Spinal Fusion Except Cervical W/O Mcc | 52 | 142 / 33 | $137.912,00 | 1046 / 85 | $33.114,10 | 612 / 105 | $22.527,20 | 608 / 70 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 52 | 114 / 35 | $20.113,30 | 1567 / 74 | $4.820,25 | 868 / 94 | $3.555,12 | 865 / 73 |
Heart Failure & Shock W/O Cc/Mcc | 45 | 65 / 12 | $20.956,90 | 1357 / 68 | $4.562,29 | 815 / 66 | $3.565,31 | 811 / 60 |
Renal Failure W Cc | 45 | 176 / 62 | $24.724,70 | 1399 / 61 | $6.807,60 | 1036 / 116 | $5.223,67 | 1028 / 85 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 22 | $17.071,10 | 1204 / 47 | $4.038,61 | 883 / 71 | $2.733,34 | 879 / 63 |
Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 34 | $29.577,20 | 1697 / 82 | $7.025,50 | 894 / 125 | $4.866,02 | 891 / 62 |
Renal Failure W Mcc | 41 | 154 / 58 | $33.732,00 | 988 / 49 | $9.661,80 | 722 / 64 | $8.407,27 | 722 / 61 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 40 | 80 / 16 | $22.073,80 | 1412 / 66 | $4.799,77 | 1090 / 61 | $3.818,18 | 1081 / 79 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 39 | 63 / 18 | $27.255,20 | 993 / 43 | $5.563,90 | 577 / 61 | $3.711,28 | 573 / 40 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 34 | $25.380,70 | 1420 / 74 | $5.399,36 | 950 / 78 | $4.242,92 | 947 / 77 |
Kidney & Urinary Tract Infections W Mcc | 38 | 106 / 39 | $25.028,40 | 925 / 36 | $6.782,13 | 670 / 47 | $5.900,03 | 669 / 52 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 38 | 51 / 9 | $33.277,00 | 349 / 17 | $7.656,79 | 139 / 33 | $4.940,71 | 139 / 17 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 61 | $45.090,00 | 1759 / 98 | $9.036,86 | 443 / 73 | $7.243,89 | 443 / 28 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 35 | 58 / 19 | $23.966,70 | 1404 / 86 | $6.338,91 | 600 / 147 | $3.318,06 | 598 / 48 |
G.I. Obstruction W Cc | 34 | 58 / 18 | $22.939,90 | 857 / 24 | $6.916,35 | 875 / 80 | $4.921,88 | 873 / 62 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 43 | $50.580,70 | 972 / 44 | $10.858,30 | 664 / 44 | $9.780,55 | 663 / 49 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 31 | $38.057,10 | 1265 / 65 | $7.670,39 | 751 / 52 | $6.726,88 | 748 / 65 |
Respiratory Infections & Inflammations W Mcc | 32 | 104 / 33 | $42.027,20 | 855 / 33 | $11.912,00 | 593 / 56 | $10.659,60 | 585 / 49 |
Respiratory Infections & Inflammations W Cc | 31 | 57 / 15 | $38.184,40 | 932 / 54 | $8.313,10 | 452 / 37 | $7.247,81 | 449 / 39 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 31 | 35 / 5 | $44.896,60 | 213 / 13 | $11.731,70 | 186 / 17 | $10.110,70 | 185 / 20 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 31 | 157 / 43 | $36.875,30 | 831 / 35 | $7.374,35 | 723 / 60 | $5.776,52 | 721 / 66 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 46 | $70.783,10 | 703 / 37 | $14.820,70 | 373 / 84 | $10.333,50 | 373 / 44 |
Red Blood Cell Disorders W/O Mcc | 28 | 115 / 39 | $26.337,60 | 1330 / 78 | $5.319,14 | 1053 / 59 | $4.586,57 | 1046 / 92 |
Syncope & Collapse | 28 | 141 / 38 | $23.056,10 | 1110 / 37 | $4.886,14 | 1048 / 52 | $4.130,71 | 1041 / 79 |
Extracranial Procedures W/O Cc/Mcc | 27 | 71 / 22 | $29.258,50 | 420 / 26 | $10.941,70 | 272 / 72 | $5.148,89 | 272 / 24 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 40 | $65.170,40 | 1041 / 58 | $13.915,60 | 773 / 46 | $13.219,00 | 765 / 75 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 49 | $23.156,60 | 601 / 18 | $7.502,68 | 171 / 68 | $5.470,52 | 169 / 19 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 23 | 75 / 11 | $120.850,00 | 268 / 11 | $25.608,40 | 128 / 10 | $24.741,70 | 128 / 14 |
Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 51 | $49.533,70 | 1029 / 40 | $11.947,10 | 946 / 66 | $10.909,40 | 933 / 84 |
Transient Ischemia | 21 | 104 / 42 | $25.320,40 | 975 / 34 | $4.732,00 | 833 / 43 | $3.755,24 | 829 / 60 |
Chest Pain | 19 | 132 / 47 | $22.280,60 | 1073 / 44 | $4.183,68 | 772 / 39 | $3.230,42 | 767 / 56 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 26 | $28.089,00 | 800 / 28 | $6.507,17 | 595 / 35 | $5.387,94 | 592 / 38 |
Cervical Spinal Fusion W/O Cc/Mcc | 18 | 86 / 29 | $86.092,70 | 706 / 58 | $15.134,10 | 402 / 43 | $12.123,70 | 401 / 47 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 44 | $53.865,70 | 1217 / 59 | $10.519,00 | 798 / 46 | $9.710,11 | 797 / 63 |
Medical Back Problems W/O Mcc | 18 | 103 / 32 | $27.710,40 | 933 / 46 | $5.504,83 | 440 / 31 | $4.141,83 | 440 / 32 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 63 | $40.894,60 | 1532 / 73 | $7.795,56 | 884 / 52 | $6.794,67 | 884 / 59 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 18 | 29 / 9 | $36.198,70 | 251 / 14 | $8.844,06 | 226 / 36 | $6.259,83 | 226 / 27 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 17 | 49 / 12 | $26.470,60 | 186 / 6 | $6.887,29 | 211 / 9 | $6.304,71 | 211 / 19 |
Other Vascular Procedures W Mcc | 17 | 80 / 34 | $73.500,60 | 303 / 13 | $19.647,90 | 243 / 29 | $18.260,80 | 242 / 31 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 17 | 37 / 11 | $19.325,70 | 147 / 5 | $4.822,59 | 138 / 7 | $3.900,24 | 138 / 10 |
Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 23 | $70.643,40 | 499 / 26 | $16.040,60 | 383 / 23 | $15.060,60 | 382 / 39 |
G.I. Hemorrhage W Mcc | 16 | 105 / 41 | $30.164,40 | 327 / 4 | $10.833,70 | 12 / 40 | $7.744,81 | 12 / 3 |
Other Vascular Procedures W Cc | 16 | 86 / 38 | $53.996,80 | 267 / 14 | $15.152,00 | 430 / 22 | $14.548,00 | 427 / 54 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 39 | $45.883,10 | 1082 / 65 | $8.044,50 | 651 / 46 | $6.994,56 | 646 / 47 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 15 | 80 / 18 | $84.720,70 | 374 / 24 | $12.871,50 | 124 / 19 | $10.254,70 | 122 / 15 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 14 | 41 / 14 | $107.154,00 | 156 / 13 | $19.486,00 | 88 / 12 | $18.537,40 | 88 / 18 |
Extracranial Procedures W Cc | 14 | 32 / 13 | $45.337,10 | 205 / 9 | $11.548,70 | 83 / 22 | $7.995,00 | 83 / 8 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 23 | $19.629,40 | 801 / 43 | $4.217,57 | 665 / 34 | $3.186,71 | 663 / 52 |
Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 35 | $75.399,60 | 317 / 11 | $21.832,80 | 184 / 43 | $17.672,60 | 184 / 15 |
Digestive Malignancy W Cc | 14 | 33 / 5 | $21.944,00 | 53 / 1 | $7.496,43 | 124 / 1 | $6.982,14 | 123 / 3 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 13 | 75 / 24 | $114.608,00 | 335 / 16 | $30.681,10 | 11 / 44 | $16.378,30 | 11 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 78 | $37.874,50 | 1960 / 127 | $6.869,31 | 1215 / 83 | $5.897,00 | 1210 / 104 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 21 | $15.314,40 | 380 / 16 | $4.580,50 | 169 / 33 | $2.857,33 | 168 / 13 |
Diabetes W Cc | 12 | 80 / 39 | $27.573,40 | 1097 / 61 | $5.790,67 | 304 / 50 | $4.014,00 | 304 / 19 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 25 | $67.423,70 | 563 / 31 | $12.801,50 | 400 / 18 | $12.201,50 | 395 / 35 |
Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 19 | $50.872,40 | 298 / 19 | $10.557,10 | 266 / 19 | $9.551,75 | 265 / 26 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 9 | $18.007,80 | 206 / 13 | $4.366,08 | 248 / 9 | $3.568,75 | 247 / 17 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 21 | $38.622,60 | 374 / 17 | $9.993,58 | 486 / 32 | $9.190,92 | 484 / 52 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 21 | $17.812,20 | 461 / 15 | $4.667,18 | 402 / 25 | $3.570,45 | 398 / 31 |
Seizures W/O Mcc | 11 | 97 / 36 | $27.637,60 | 874 / 38 | $5.305,09 | 555 / 35 | $4.171,09 | 552 / 41 |
Cellulitis W Mcc | 11 | 47 / 22 | $24.650,80 | 238 / 5 | $8.034,45 | 239 / 7 | $7.592,27 | 238 / 25 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 30 | $26.377,80 | 283 / 5 | $9.652,64 | 463 / 20 | $8.989,36 | 462 / 27 |
Ventricular Shunt Procedures W/O Cc/Mcc | 11 | 13 / 5 | $47.425,80 | 28 / 4 | $9.458,18 | 15 / 3 | $8.684,36 | 15 / 5 |
Cervical Spinal Fusion W Cc | 11 | 42 / 15 | $114.364,00 | 308 / 23 | $17.508,40 | 170 / 8 | $16.629,80 | 169 / 20 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 31 | $19.890,90 | 408 / 10 | $6.435,00 | 383 / 32 | $5.076,27 | 381 / 27 | Total 76 procedures | 2.388 | 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.