Hospital Costs > In Texas > St Marks 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 | 82 | 434 / 95 | $13.455,60 | 35 / 3 | $10.399,00 | 468 / 20 | $9.461,30 | 468 / 30 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 35 | 529 / 128 | $31.566,70 | 295 / 7 | $12.345,10 | 1025 / 29 | $11.109,10 | 1003 / 124 |
| Respiratory Infections & Inflammations W Mcc | 32 | 104 / 33 | $16.067,10 | 33 / 1 | $10.188,00 | 103 / 3 | $9.397,00 | 103 / 7 |
| Respiratory Infections & Inflammations W Cc | 31 | 57 / 15 | $14.413,80 | 82 / 3 | $8.120,84 | 500 / 29 | $7.341,48 | 497 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 65 | $10.730,50 | 83 / 5 | $6.405,15 | 761 / 40 | $5.446,85 | 759 / 57 |
| Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 48 | $24.948,90 | 82 / 1 | $11.580,50 | 779 / 43 | $10.573,90 | 771 / 63 |
| Cellulitis W/O Mcc | 19 | 170 / 70 | $10.757,70 | 334 / 10 | $4.909,21 | 578 / 29 | $3.950,89 | 575 / 46 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 94 | $14.639,30 | 706 / 20 | $4.561,18 | 609 / 30 | $3.490,12 | 606 / 49 |
| G.I. Hemorrhage W Cc | 17 | 201 / 72 | $10.830,60 | 78 / 1 | $6.031,18 | 566 / 38 | $4.967,65 | 565 / 38 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 92 | $11.057,10 | 396 / 21 | $4.944,82 | 317 / 68 | $3.454,71 | 317 / 28 |
| Heart Failure & Shock W Cc | 17 | 261 / 95 | $11.415,40 | 226 / 7 | $6.267,12 | 170 / 79 | $4.481,35 | 170 / 14 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 25 | $17.018,20 | 90 / 1 | $7.452,93 | 274 / 15 | $6.762,64 | 274 / 26 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 54 | $10.809,80 | 143 / 4 | $4.804,69 | 752 / 22 | $4.245,92 | 747 / 63 |
| Renal Failure W Cc | 12 | 209 / 93 | $11.464,50 | 174 / 2 | $5.760,92 | 628 / 39 | $4.859,58 | 622 / 53 | Total 14 procedures | 356 | 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.