Hospital Costs > In Texas > Texas Health Presbyterian Hospital Denton, 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 | $52.222,40 | 1861 / 111 | $11.727,00 | 998 / 96 | $10.181,30 | 989 / 85 |
Simple Pneumonia & Pleurisy W Cc | 69 | 134 / 40 | $44.718,20 | 2451 / 178 | $6.520,23 | 1583 / 105 | $5.594,58 | 1576 / 132 |
Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 55 | $23.583,00 | 1892 / 123 | $5.163,58 | 1331 / 104 | $4.188,08 | 1322 / 114 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 59 | 505 / 106 | $77.784,50 | 2160 / 150 | $15.180,00 | 1074 / 168 | $11.181,20 | 1051 / 128 |
Chronic Obstructive Pulmonary Disease W Cc | 59 | 120 / 22 | $37.935,80 | 2018 / 123 | $6.000,49 | 1405 / 67 | $5.386,53 | 1400 / 113 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 52 | 223 / 61 | $28.625,20 | 2104 / 135 | $5.108,75 | 1361 / 96 | $4.019,37 | 1350 / 110 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 43 | $44.315,10 | 2054 / 137 | $7.766,06 | 894 / 100 | $6.146,41 | 889 / 69 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 23 | $18.558,00 | 1311 / 62 | $4.031,09 | 1167 / 70 | $2.984,49 | 1162 / 85 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 44 | $26.056,50 | 1942 / 131 | $4.644,28 | 1332 / 67 | $3.912,74 | 1327 / 111 |
Cellulitis W/O Mcc | 42 | 147 / 48 | $21.563,70 | 1631 / 89 | $5.696,48 | 852 / 101 | $4.163,00 | 846 / 67 |
Heart Failure & Shock W Cc | 38 | 240 / 74 | $33.352,50 | 2113 / 133 | $6.156,76 | 1209 / 66 | $5.460,34 | 1206 / 99 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 60 | $49.882,70 | 1916 / 120 | $8.914,06 | 1331 / 67 | $8.367,83 | 1331 / 113 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 35 | 85 / 21 | $31.128,40 | 1740 / 107 | $5.433,37 | 581 / 107 | $3.393,86 | 580 / 42 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 34 | 59 / 20 | $26.832,50 | 1525 / 101 | $4.967,71 | 793 / 79 | $3.496,29 | 789 / 63 |
Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 40 | $63.236,80 | 1432 / 79 | $12.452,10 | 760 / 88 | $10.544,90 | 753 / 61 |
Renal Failure W Cc | 33 | 188 / 73 | $34.510,20 | 1881 / 121 | $6.790,12 | 1453 / 114 | $5.678,09 | 1444 / 125 |
G.I. Hemorrhage W Cc | 32 | 186 / 58 | $34.928,90 | 1783 / 102 | $6.755,66 | 1423 / 86 | $5.849,66 | 1420 / 108 |
Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 45 | $34.583,50 | 1352 / 83 | $6.850,91 | 824 / 51 | $6.122,41 | 823 / 68 |
Heart Failure & Shock W Mcc | 31 | 253 / 91 | $52.297,00 | 2046 / 132 | $9.314,19 | 1144 / 85 | $8.493,55 | 1141 / 93 |
Renal Failure W Mcc | 26 | 169 / 70 | $37.665,30 | 1184 / 63 | $9.986,35 | 299 / 82 | $7.731,69 | 299 / 26 |
O.R. Procedures For Obesity W/O Cc/Mcc | 26 | 51 / 21 | $47.286,90 | 240 / 16 | $11.505,30 | 62 / 24 | $7.516,62 | 62 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 65 | $30.913,60 | 1675 / 95 | $6.827,35 | 931 / 79 | $5.606,42 | 928 / 81 |
Red Blood Cell Disorders W/O Mcc | 24 | 119 / 43 | $20.258,00 | 917 / 35 | $5.293,12 | 790 / 57 | $4.286,46 | 785 / 65 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 60 | $36.327,40 | 1402 / 68 | $7.974,30 | 600 / 105 | $5.331,26 | 599 / 46 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 51 | $29.183,30 | 1604 / 98 | $5.678,41 | 440 / 95 | $3.760,64 | 440 / 38 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 61 | $52.801,20 | 1805 / 106 | $8.025,77 | 1180 / 69 | $7.203,95 | 1178 / 92 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 35 | $23.408,80 | 1481 / 88 | $4.531,19 | 1022 / 61 | $3.756,33 | 1014 / 83 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 47 | $93.745,30 | 1448 / 94 | $15.676,70 | 1037 / 95 | $14.288,10 | 1027 / 103 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 18 | 35 / 6 | $42.804,60 | 347 / 22 | $7.496,33 | 143 / 10 | $6.563,00 | 143 / 13 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 47 | $139.392,00 | 919 / 53 | $33.171,60 | 232 / 55 | $27.230,60 | 232 / 21 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 17 | 179 / 57 | $85.988,20 | 979 / 73 | $12.344,30 | 663 / 23 | $11.135,80 | 659 / 76 |
Chest Pain | 16 | 135 / 50 | $23.190,50 | 1123 / 49 | $4.497,56 | 577 / 63 | $3.000,38 | 573 / 40 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 16 | 79 / 17 | $101.188,00 | 462 / 31 | $13.421,90 | 387 / 26 | $12.893,90 | 383 / 41 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 16 | 75 / 14 | $56.537,90 | 339 / 15 | $8.447,12 | 156 / 11 | $7.227,31 | 156 / 12 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 22 | $18.539,00 | 753 / 33 | $4.196,67 | 516 / 33 | $2.984,93 | 515 / 44 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 59 | $37.943,20 | 872 / 39 | $7.480,13 | 482 / 66 | $5.416,47 | 480 / 44 |
Syncope & Collapse | 15 | 154 / 50 | $22.039,30 | 1042 / 34 | $4.854,40 | 993 / 50 | $4.052,27 | 987 / 75 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 26 | $130.782,00 | 450 / 22 | $29.111,10 | 204 / 15 | $27.993,20 | 204 / 19 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 13 | $41.167,70 | 327 / 29 | $8.113,71 | 166 / 26 | $6.030,50 | 166 / 16 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 14 | 34 / 6 | $41.992,50 | 112 / 9 | $9.128,21 | 85 / 5 | $8.266,50 | 85 / 10 |
Transient Ischemia | 14 | 111 / 49 | $27.595,90 | 1085 / 45 | $5.302,50 | 542 / 72 | $3.416,07 | 539 / 34 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 41 | $79.569,70 | 1413 / 94 | $11.730,70 | 1350 / 94 | $11.216,40 | 1345 / 94 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 22 | $36.104,10 | 768 / 38 | $7.254,00 | 417 / 19 | $6.444,77 | 416 / 26 |
Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 26 | $87.715,90 | 682 / 39 | $16.407,90 | 466 / 30 | $15.662,10 | 465 / 47 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 50 | $43.373,40 | 1403 / 83 | $7.826,23 | 912 / 60 | $6.994,23 | 909 / 75 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 28 | $32.485,70 | 458 / 11 | $9.190,38 | 395 / 11 | $8.725,15 | 394 / 22 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 20 | $43.922,10 | 477 / 30 | $9.991,46 | 442 / 31 | $8.974,85 | 440 / 45 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 19 | $54.127,70 | 512 / 34 | $11.561,10 | 282 / 32 | $8.518,85 | 282 / 30 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 60 | $105.636,00 | 798 / 54 | $22.125,40 | 348 / 11 | $20.916,80 | 347 / 40 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 22 | $27.571,20 | 332 / 32 | $6.874,85 | 52 / 33 | $4.438,31 | 52 / 6 |
Seizures W/O Mcc | 12 | 96 / 35 | $29.262,80 | 926 / 45 | $6.172,08 | 134 / 59 | $3.407,83 | 133 / 8 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 34 | $160.546,00 | 585 / 34 | $34.868,00 | 342 / 31 | $33.809,30 | 341 / 47 |
Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 36 | $37.850,30 | 593 / 42 | $7.229,50 | 304 / 45 | $5.221,83 | 304 / 29 |
Signs & Symptoms W/O Mcc | 12 | 79 / 30 | $26.156,60 | 930 / 42 | $4.672,67 | 579 / 32 | $3.815,33 | 578 / 34 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 51 | $45.775,30 | 1015 / 39 | $10.237,50 | 672 / 36 | $9.356,00 | 671 / 51 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 34 | $74.595,80 | 1365 / 104 | $9.740,55 | 1104 / 88 | $9.086,00 | 1099 / 103 |
Hypertension W/O Mcc | 11 | 54 / 22 | $22.058,40 | 464 / 24 | $4.378,55 | 390 / 23 | $3.399,27 | 388 / 29 |
G.I. Hemorrhage W Mcc | 11 | 110 / 46 | $70.250,90 | 1347 / 82 | $11.728,20 | 931 / 64 | $10.960,20 | 925 / 79 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 44 | $29.697,40 | 1091 / 53 | $5.053,45 | 847 / 36 | $4.061,45 | 843 / 65 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 62 | $43.427,50 | 795 / 22 | $9.708,45 | 317 / 10 | $8.827,00 | 316 / 23 |
G.I. Obstruction W Cc | 11 | 81 / 39 | $34.142,50 | 1327 / 69 | $5.785,73 | 782 / 41 | $4.793,73 | 780 / 53 | Total 61 procedures | 1.526 | 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.