Hospital Costs > In Texas > Texas Health Harris Methodist Hospital Alliance, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 53 | $24.905,20 | 1623 / 101 | $3.040,75 | 205 / 3 | $2.136,75 | 204 / 18 |
| Cellulitis W/O Mcc | 12 | 177 / 77 | $23.095,80 | 1749 / 98 | $4.695,33 | 7 / 12 | $2.898,83 | 7 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 97 | $18.469,90 | 1207 / 41 | $5.256,07 | 3 / 110 | $2.307,29 | 3 / 1 |
| Heart Failure & Shock W Cc | 20 | 258 / 92 | $27.069,90 | 1809 / 94 | $5.084,80 | 43 / 1 | $4.176,00 | 43 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 65 | $21.687,50 | 685 / 20 | $5.718,27 | 34 / 1 | $4.735,00 | 34 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 97 | $22.204,90 | 1771 / 104 | $4.174,83 | 68 / 4 | $3.062,83 | 68 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 13 | 551 / 146 | $57.516,60 | 1599 / 95 | $12.056,10 | 1031 / 19 | $11.120,80 | 1009 / 126 |
| Renal Failure W Cc | 20 | 201 / 86 | $28.003,40 | 1600 / 84 | $5.499,35 | 27 / 19 | $3.961,00 | 27 / 1 |
| Renal Failure W Mcc | 13 | 182 / 83 | $32.643,40 | 924 / 46 | $8.659,38 | 298 / 19 | $7.731,46 | 298 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 69 | 447 / 102 | $55.080,90 | 1949 / 120 | $11.633,70 | 130 / 89 | $8.733,41 | 130 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 77 | $33.560,60 | 1794 / 109 | $7.381,57 | 857 / 117 | $5.529,64 | 855 / 70 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 85 | $30.547,60 | 1973 / 116 | $5.403,00 | 39 / 6 | $3.944,86 | 39 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 73 | $38.050,10 | 1489 / 70 | $7.675,10 | 222 / 4 | $6.872,00 | 222 / 13 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 38 | $22.502,20 | 1331 / 76 | $3.858,00 | 141 / 3 | $2.798,00 | 140 / 6 |
| Syncope & Collapse | 13 | 156 / 52 | $25.678,20 | 1251 / 53 | $4.350,38 | 67 / 16 | $2.925,23 | 67 / 5 | Total 15 procedures | 281 | 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.