Hospital Costs > In Texas > Starr County Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 17 | 172 / 72 | $7.283,18 | 57 / 2 | $6.029,12 | 1599 / 122 | $4.834,53 | 1592 / 139 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 76 | $9.319,89 | 164 / 4 | $5.399,11 | 1766 / 120 | $4.426,67 | 1753 / 149 |
| Heart Failure & Shock W Cc | 11 | 267 / 101 | $13.791,80 | 442 / 11 | $6.979,45 | 1742 / 142 | $6.048,55 | 1737 / 152 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 55 | $14.910,50 | 236 / 3 | $8.024,10 | 1374 / 108 | $7.224,14 | 1370 / 123 |
| Kidney & Urinary Tract Infections W/O Mcc | 83 | 150 / 36 | $10.450,70 | 340 / 17 | $5.552,60 | 1783 / 141 | $4.664,70 | 1772 / 165 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 67 | $9.263,63 | 242 / 11 | $5.121,21 | 1514 / 127 | $4.085,00 | 1509 / 131 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 42 | $19.476,40 | 45 / 1 | $13.269,20 | 840 / 73 | $12.340,10 | 835 / 81 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 50 | $7.931,59 | 34 / 2 | $5.707,29 | 1332 / 91 | $5.067,29 | 1323 / 122 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 65 | 451 / 106 | $20.102,80 | 268 / 12 | $13.054,10 | 2028 / 162 | $12.459,90 | 1991 / 189 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 65 | $14.018,00 | 279 / 13 | $7.477,54 | 1816 / 121 | $6.825,23 | 1808 / 160 |
| Simple Pneumonia & Pleurisy W Cc | 84 | 119 / 28 | $14.141,00 | 456 / 13 | $6.866,98 | 1815 / 135 | $5.869,26 | 1807 / 157 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 82 | $14.002,80 | 87 / 2 | $10.148,90 | 1797 / 135 | $9.392,92 | 1797 / 159 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 27 | $11.038,10 | 319 / 6 | $5.141,11 | 1278 / 97 | $4.010,74 | 1271 / 113 |
| Syncope & Collapse | 16 | 153 / 49 | $11.208,70 | 158 / 1 | $5.302,94 | 1204 / 73 | $4.392,94 | 1197 / 95 | Total 14 procedures | 448 | 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.