Hospital Costs > In Texas > Texas Health Harris Methodist Hospital Cleburne, 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 | 90 | 426 / 87 | $42.272,20 | 1433 / 65 | $11.310,90 | 757 / 68 | $9.864,07 | 756 / 64 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 74 | 490 / 96 | $59.108,30 | 1661 / 105 | $14.424,50 | 738 / 134 | $10.681,60 | 728 / 86 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 66 | $22.650,50 | 1683 / 80 | $5.178,15 | 1009 / 103 | $3.767,23 | 1001 / 78 |
Heart Failure & Shock W Cc | 47 | 231 / 66 | $26.945,90 | 1802 / 93 | $6.166,60 | 1167 / 69 | $5.414,60 | 1164 / 96 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 60 | $32.454,20 | 1621 / 79 | $8.085,45 | 985 / 120 | $6.225,18 | 980 / 79 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 43 | $25.907,90 | 1503 / 57 | $7.493,09 | 643 / 140 | $4.672,62 | 641 / 51 |
Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 76 | $33.710,50 | 2132 / 133 | $6.427,65 | 1016 / 98 | $5.092,13 | 1013 / 78 |
Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 67 | $47.370,30 | 1828 / 109 | $8.529,22 | 877 / 47 | $7.738,11 | 877 / 69 |
Heart Failure & Shock W Mcc | 27 | 257 / 94 | $39.336,70 | 1624 / 78 | $9.434,15 | 527 / 94 | $7.715,85 | 527 / 41 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 64 | $32.319,00 | 1748 / 102 | $6.639,56 | 1124 / 61 | $5.782,07 | 1120 / 98 |
Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 85 | $22.849,90 | 1830 / 115 | $5.214,12 | 856 / 113 | $3.860,25 | 851 / 70 |
Cellulitis W/O Mcc | 21 | 168 / 68 | $26.542,20 | 1968 / 133 | $5.336,95 | 1303 / 63 | $4.535,43 | 1297 / 111 |
Renal Failure W Cc | 19 | 202 / 87 | $21.488,40 | 1118 / 35 | $6.065,47 | 1110 / 61 | $5.302,53 | 1102 / 91 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 63 | $33.665,20 | 1235 / 52 | $7.546,94 | 959 / 41 | $6.873,17 | 958 / 67 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 47 | $56.828,60 | 1213 / 64 | $11.409,70 | 595 / 33 | $10.662,40 | 587 / 50 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 39 | $19.327,90 | 1218 / 45 | $4.721,18 | 953 / 50 | $3.696,00 | 944 / 66 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 70 | $18.227,80 | 1352 / 51 | $4.902,50 | 558 / 104 | $3.353,50 | 556 / 43 |
G.I. Hemorrhage W Cc | 15 | 203 / 74 | $31.366,10 | 1635 / 88 | $6.994,80 | 721 / 101 | $5.110,33 | 720 / 55 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 58 | $23.608,40 | 1326 / 59 | $5.468,93 | 486 / 86 | $3.807,67 | 485 / 41 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 30 | $32.976,90 | 789 / 35 | $8.424,00 | 713 / 44 | $7.779,73 | 708 / 63 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 61 | $25.488,70 | 948 / 38 | $6.988,27 | 948 / 62 | $6.307,73 | 945 / 80 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 49 | $33.955,60 | 1123 / 48 | $7.491,71 | 849 / 44 | $6.888,29 | 846 / 71 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 41 | $27.801,50 | 1551 / 106 | $4.621,00 | 1019 / 54 | $3.693,00 | 1014 / 83 |
G.I. Obstruction W Cc | 12 | 80 / 38 | $31.922,60 | 1261 / 63 | $5.667,33 | 835 / 34 | $4.864,67 | 833 / 58 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 45 | $24.139,80 | 1514 / 93 | $4.458,64 | 1156 / 56 | $3.908,82 | 1147 / 95 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 56 | $25.196,70 | 1264 / 71 | $5.174,00 | 991 / 48 | $4.513,64 | 985 / 84 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 25 | $40.231,10 | 267 / 4 | $10.015,40 | 363 / 25 | $8.915,73 | 363 / 39 |
Renal Failure W Mcc | 11 | 184 / 85 | $23.537,70 | 388 / 8 | $8.670,45 | 612 / 20 | $8.228,27 | 612 / 56 | Total 28 procedures | 710 | 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.