Hospital Costs > In Texas > Texas Health Harris Methodist Hospital Stephenvill, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 80 | 484 / 94 | $55.890,70 | 1541 / 89 | $14.500,80 | 1704 / 136 | $12.573,30 | 1667 / 187 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 44 | 472 / 119 | $33.231,10 | 952 / 38 | $12.094,50 | 1584 / 121 | $11.190,50 | 1552 / 149 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 56 | $18.489,20 | 1376 / 52 | $4.731,17 | 1347 / 76 | $3.929,03 | 1342 / 115 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 80 | $26.715,20 | 1749 / 87 | $6.739,89 | 1295 / 126 | $5.299,96 | 1291 / 105 |
| Heart Failure & Shock W Cc | 25 | 253 / 87 | $19.622,50 | 1136 / 33 | $6.492,84 | 1710 / 103 | $6.009,00 | 1705 / 147 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 30 | $16.680,60 | 899 / 32 | $4.742,08 | 954 / 66 | $3.637,00 | 949 / 78 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 72 | $32.158,20 | 1606 / 75 | $7.838,29 | 1591 / 105 | $6.972,76 | 1583 / 140 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 89 | $18.758,80 | 1432 / 69 | $5.157,25 | 1337 / 102 | $4.194,05 | 1328 / 116 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 53 | $47.994,10 | 969 / 34 | $12.812,20 | 1250 / 96 | $11.800,00 | 1234 / 113 |
| Renal Failure W Cc | 19 | 202 / 87 | $18.182,70 | 791 / 16 | $6.466,42 | 1216 / 97 | $5.408,05 | 1208 / 100 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 93 | $20.691,30 | 1475 / 68 | $4.991,94 | 1624 / 75 | $4.254,17 | 1611 / 140 |
| Pulmonary Edema & Respiratory Failure | 18 | 185 / 63 | $27.233,40 | 870 / 17 | $7.976,33 | 1242 / 65 | $7.304,33 | 1240 / 98 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 75 | $27.792,30 | 1494 / 76 | $7.847,31 | 1012 / 144 | $5.674,50 | 1009 / 85 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 50 | $16.734,90 | 1167 / 44 | $3.826,20 | 837 / 50 | $2.697,67 | 833 / 58 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 80 | $30.744,50 | 1086 / 43 | $9.430,86 | 1343 / 104 | $8.393,14 | 1343 / 117 |
| G.I. Hemorrhage W Cc | 13 | 205 / 76 | $27.067,60 | 1374 / 49 | $6.618,46 | 1554 / 81 | $6.059,69 | 1550 / 122 |
| Heart Failure & Shock W Mcc | 13 | 271 / 107 | $26.576,50 | 867 / 25 | $9.709,85 | 1460 / 110 | $8.971,38 | 1456 / 129 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 43 | $15.230,60 | 871 / 23 | $4.537,77 | 758 / 64 | $3.518,69 | 754 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 70 | $27.121,70 | 942 / 19 | $7.082,54 | 1145 / 65 | $6.058,54 | 1142 / 92 |
| Cellulitis W/O Mcc | 11 | 178 / 78 | $15.587,00 | 931 / 27 | $6.151,45 | 1071 / 134 | $4.324,45 | 1065 / 84 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 62 | $21.688,50 | 1179 / 49 | $5.265,36 | 1194 / 67 | $4.497,36 | 1190 / 101 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 56 | $16.022,00 | 539 / 11 | $5.352,18 | 1260 / 62 | $4.912,91 | 1252 / 117 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 45 | $24.903,60 | 1536 / 80 | $4.790,36 | 1339 / 60 | $4.135,82 | 1328 / 105 | Total 23 procedures | 486 | 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.