Hospital Costs > In Texas > Texas Health Harris Methodist Hospital Southwest F, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 29 | $33.100,10 | 855 / 33 | $8.542,25 | 326 / 74 | $5.187,50 | 325 / 22 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 44 | $60.123,40 | 1327 / 72 | $11.095,10 | 1014 / 69 | $10.351,30 | 1011 / 83 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 13 | $22.513,10 | 376 / 7 | $4.934,12 | 509 / 15 | $4.326,56 | 506 / 28 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 27 | 36 / 5 | $86.244,20 | 146 / 12 | $27.273,50 | 35 / 15 | $16.505,20 | 35 / 4 |
Bronchitis & Asthma W Cc/Mcc | 29 | 47 / 14 | $28.546,70 | 671 / 34 | $5.776,21 | 332 / 26 | $4.388,45 | 328 / 26 |
Bronchitis & Asthma W/O Cc/Mcc | 16 | 29 / 8 | $22.242,70 | 242 / 16 | $4.496,00 | 105 / 14 | $2.978,38 | 105 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 55 | $24.065,40 | 1356 / 64 | $6.304,83 | 370 / 124 | $3.696,89 | 370 / 33 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 50 | $28.954,80 | 904 / 32 | $7.365,00 | 600 / 40 | $6.521,77 | 597 / 53 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 48 | $16.206,30 | 1120 / 42 | $4.119,24 | 712 / 75 | $2.596,29 | 708 / 50 |
Cellulitis W/O Mcc | 40 | 149 / 50 | $25.232,30 | 1879 / 119 | $5.903,67 | 1283 / 111 | $4.514,17 | 1277 / 110 |
Chest Pain | 17 | 134 / 49 | $19.201,60 | 863 / 25 | $4.156,06 | 835 / 36 | $3.301,12 | 830 / 62 |
Chronic Obstructive Pulmonary Disease W Cc | 58 | 121 / 23 | $27.576,50 | 1595 / 69 | $5.847,84 | 783 / 53 | $4.784,05 | 781 / 55 |
Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 51 | $36.171,20 | 1804 / 105 | $8.061,93 | 1507 / 118 | $6.843,57 | 1500 / 129 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 23 | $21.602,40 | 1379 / 61 | $5.450,85 | 896 / 108 | $3.652,42 | 888 / 64 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 59 | $36.459,10 | 815 / 32 | $7.425,80 | 431 / 63 | $5.343,27 | 429 / 39 |
Diabetes W Cc | 23 | 69 / 28 | $25.621,20 | 1023 / 54 | $6.343,91 | 368 / 73 | $4.112,04 | 368 / 24 |
Diabetes W Mcc | 12 | 45 / 24 | $43.743,90 | 500 / 30 | $8.543,83 | 172 / 13 | $7.403,92 | 172 / 15 |
Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 16 | $34.773,10 | 719 / 35 | $6.085,47 | 444 / 17 | $5.111,73 | 443 / 28 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 35 | $38.810,80 | 914 / 49 | $7.482,70 | 469 / 24 | $6.566,55 | 466 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 69 | 206 / 51 | $23.075,60 | 1721 / 88 | $5.154,54 | 1264 / 100 | $3.936,72 | 1253 / 100 |
G.I. Hemorrhage W Cc | 47 | 171 / 45 | $27.446,00 | 1401 / 52 | $6.480,21 | 1014 / 69 | $5.379,28 | 1012 / 79 |
G.I. Obstruction W Cc | 20 | 72 / 30 | $21.306,30 | 745 / 14 | $5.726,90 | 534 / 39 | $4.514,20 | 533 / 37 |
Heart Failure & Shock W Cc | 66 | 212 / 52 | $31.618,00 | 2043 / 128 | $6.426,33 | 988 / 95 | $5.284,98 | 987 / 79 |
Heart Failure & Shock W Mcc | 46 | 238 / 77 | $41.946,60 | 1738 / 98 | $9.446,65 | 908 / 95 | $8.164,46 | 907 / 69 |
Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 26 | $22.087,20 | 1404 / 75 | $4.563,73 | 1020 / 67 | $3.754,67 | 1012 / 82 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 48 | $55.378,50 | 1220 / 60 | $11.723,50 | 906 / 52 | $10.812,40 | 893 / 80 |
Hypertension W/O Mcc | 17 | 48 / 16 | $23.240,50 | 499 / 28 | $4.508,41 | 191 / 27 | $2.875,24 | 189 / 12 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 51 | $109.831,00 | 612 / 20 | $29.041,20 | 332 / 18 | $28.196,50 | 332 / 30 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 68 | $34.301,90 | 1332 / 61 | $6.728,80 | 900 / 50 | $5.684,80 | 898 / 66 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 38 | $23.598,90 | 813 / 21 | $5.506,06 | 551 / 58 | $3.686,24 | 547 / 38 |
Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 50 | $35.029,20 | 1360 / 84 | $7.040,31 | 821 / 68 | $6.116,62 | 820 / 66 |
Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 61 | $22.324,70 | 1786 / 108 | $5.127,25 | 920 / 97 | $3.900,54 | 913 / 74 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 19 | $49.466,90 | 447 / 19 | $15.928,50 | 34 / 71 | $7.386,47 | 34 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 11 | $37.779,00 | 274 / 18 | $8.185,75 | 219 / 27 | $6.212,69 | 219 / 26 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 15 | $30.650,20 | 669 / 26 | $7.382,45 | 451 / 22 | $6.536,30 | 450 / 32 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 21 | $34.298,60 | 202 / 6 | $10.848,80 | 162 / 4 | $10.288,90 | 162 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 12 | 17 / 3 | $27.388,20 | 98 / 2 | $5.213,17 | 46 / 1 | $4.307,75 | 46 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 20 | $84.035,40 | 521 / 20 | $18.290,70 | 245 / 10 | $17.150,50 | 243 / 17 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 541 | 104 / 6 | $56.909,20 | 1574 / 92 | $14.890,40 | 494 / 152 | $10.308,30 | 491 / 62 |
Major Small & Large Bowel Procedures W Cc | 20 | 88 / 30 | $92.296,10 | 1137 / 60 | $17.025,70 | 826 / 60 | $14.862,60 | 818 / 71 |
Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 24 | $121.719,00 | 578 / 24 | $29.455,80 | 404 / 25 | $28.540,30 | 402 / 39 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 54 | $30.892,40 | 1006 / 60 | $7.961,16 | 163 / 87 | $5.464,84 | 162 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 50 | $25.935,50 | 1935 / 130 | $4.717,65 | 1233 / 74 | $3.832,62 | 1229 / 98 |
Pulmonary Edema & Respiratory Failure | 39 | 164 / 45 | $32.179,40 | 1150 / 43 | $7.465,67 | 721 / 35 | $6.619,87 | 721 / 46 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 23 | $29.223,00 | 810 / 26 | $7.028,64 | 381 / 40 | $4.943,14 | 381 / 22 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 26 | $30.034,20 | 459 / 22 | $7.815,62 | 347 / 27 | $6.958,85 | 345 / 36 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 51 | $21.770,40 | 1051 / 49 | $5.550,44 | 417 / 77 | $3.889,44 | 416 / 40 |
Renal Failure W Cc | 67 | 154 / 42 | $27.276,60 | 1565 / 79 | $6.488,25 | 797 / 99 | $4.999,46 | 790 / 67 |
Renal Failure W Mcc | 60 | 135 / 42 | $42.576,20 | 1367 / 84 | $10.020,30 | 941 / 84 | $8.799,70 | 941 / 86 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 33 | $37.608,70 | 914 / 51 | $8.361,58 | 600 / 40 | $7.557,17 | 597 / 49 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 47 | $46.914,40 | 1000 / 43 | $11.515,10 | 535 / 38 | $10.554,10 | 529 / 40 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 45 | $80.861,90 | 1313 / 82 | $16.245,00 | 1223 / 108 | $15.206,60 | 1210 / 122 |
Revision Of Hip Or Knee Replacement W Cc | 39 | 47 / 7 | $111.051,00 | 502 / 23 | $21.845,00 | 154 / 20 | $17.500,90 | 154 / 13 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 39 | 30 / 2 | $97.947,70 | 413 / 21 | $20.385,90 | 131 / 22 | $14.026,90 | 131 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 107 | 409 / 79 | $45.432,60 | 1596 / 81 | $11.360,70 | 760 / 72 | $9.867,87 | 759 / 65 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 50 | 157 / 45 | $27.800,40 | 1496 / 77 | $6.731,62 | 782 / 70 | $5.462,62 | 780 / 60 |
Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 51 | $35.752,00 | 2209 / 143 | $6.284,88 | 1192 / 81 | $5.221,76 | 1188 / 90 |
Simple Pneumonia & Pleurisy W Mcc | 48 | 157 / 49 | $45.465,50 | 1772 / 101 | $9.323,98 | 1166 / 94 | $8.083,60 | 1166 / 92 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 35 | 58 / 19 | $24.560,90 | 1430 / 89 | $4.853,89 | 851 / 73 | $3.550,77 | 847 / 68 |
Spinal Fusion Except Cervical W/O Mcc | 94 | 100 / 10 | $95.521,00 | 688 / 38 | $25.331,00 | 390 / 47 | $21.188,20 | 389 / 47 |
Syncope & Collapse | 21 | 148 / 44 | $24.872,70 | 1210 / 46 | $4.851,81 | 770 / 49 | $3.819,19 | 767 / 58 |
Transient Ischemia | 21 | 104 / 42 | $22.126,00 | 809 / 22 | $4.697,48 | 563 / 41 | $3.432,48 | 560 / 39 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 12 | 31 / 9 | $68.126,60 | 59 / 4 | $19.641,50 | 10 / 5 | $12.698,00 | 10 / 1 | Total 63 procedures | 2.399 | 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.