Hospital Costs > In Texas > Texas Health Harris Methodist Hospital Southlake, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 32 | 31 / 4 | $109.759,00 | 184 / 16 | $27.412,70 | 175 / 16 | $21.781,50 | 174 / 18 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 22 | $52.369,60 | 376 / 10 | $12.338,30 | 222 / 7 | $11.218,30 | 220 / 22 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 205 | 359 / 36 | $54.092,70 | 1466 / 79 | $13.685,40 | 443 / 96 | $10.242,80 | 440 / 56 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 16 | 53 / 11 | $52.425,60 | 153 / 3 | $16.072,30 | 27 / 9 | $11.895,60 | 27 / 3 |
Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 58 | $64.213,90 | 265 / 12 | $23.602,50 | 590 / 27 | $22.392,90 | 586 / 68 | Total 5 procedures | 282 | 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.