Hospital Costs > In Texas > Texas Health Presbyterian Hospital Allen, 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 | 67 | 449 / 104 | $38.687,30 | 1256 / 54 | $12.273,20 | 1102 / 130 | $10.329,70 | 1088 / 95 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 77 | $20.206,30 | 1417 / 56 | $5.674,69 | 1714 / 142 | $4.353,80 | 1701 / 147 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 60 | $23.534,70 | 1121 / 44 | $7.323,53 | 1674 / 112 | $6.528,53 | 1667 / 145 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 139 | $58.724,70 | 1643 / 104 | $14.965,50 | 1468 / 160 | $11.969,20 | 1435 / 162 |
| Heart Failure & Shock W Mcc | 20 | 264 / 100 | $37.134,60 | 1514 / 65 | $10.409,40 | 1082 / 137 | $8.411,75 | 1079 / 87 |
| Renal Failure W Cc | 19 | 202 / 87 | $22.472,80 | 1226 / 44 | $7.190,53 | 1559 / 132 | $5.856,16 | 1550 / 137 |
| Cellulitis W/O Mcc | 16 | 173 / 73 | $20.913,90 | 1571 / 85 | $6.136,88 | 1918 / 131 | $5.380,88 | 1910 / 171 |
| G.I. Hemorrhage W Cc | 15 | 203 / 74 | $29.739,70 | 1540 / 74 | $7.149,20 | 1690 / 113 | $6.344,87 | 1686 / 137 |
| Heart Failure & Shock W Cc | 15 | 263 / 97 | $23.885,40 | 1572 / 66 | $6.764,00 | 1880 / 129 | $6.284,00 | 1875 / 171 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 67 | $29.049,10 | 982 / 25 | $8.304,64 | 1257 / 82 | $7.320,64 | 1255 / 102 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 73 | $20.331,80 | 1584 / 76 | $5.157,31 | 1650 / 131 | $4.247,77 | 1645 / 149 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 43 | $16.327,80 | 1003 / 30 | $5.037,85 | 1481 / 100 | $4.385,54 | 1469 / 126 |
| Renal Failure W Mcc | 12 | 183 / 84 | $34.249,80 | 1015 / 50 | $9.871,50 | 1153 / 75 | $9.266,17 | 1153 / 109 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 98 | $19.243,80 | 1486 / 76 | $5.706,27 | 1960 / 153 | $4.935,36 | 1949 / 181 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 83 | $29.739,70 | 1016 / 35 | $9.351,09 | 1444 / 97 | $8.583,09 | 1444 / 130 | Total 15 procedures | 315 | 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.