Hospital Costs > In Texas > Texas Health Presbyterian Hospital Flower Mound, 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 | 112 | 452 / 76 | $54.716,60 | 1495 / 82 | $14.164,40 | 130 / 117 | $9.475,56 | 130 / 16 |
| Spinal Fusion Except Cervical W/O Mcc | 52 | 142 / 33 | $71.024,00 | 387 / 21 | $22.466,60 | 404 / 15 | $21.282,80 | 403 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 46 | $50.198,80 | 1922 / 122 | $9.476,82 | 1340 / 107 | $8.385,16 | 1340 / 116 |
| Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 71 | $28.439,80 | 1862 / 99 | $5.456,50 | 60 / 9 | $4.023,64 | 60 / 3 |
| Seizures W/O Mcc | 33 | 75 / 17 | $19.439,40 | 522 / 8 | $4.573,76 | 18 / 12 | $2.869,15 | 18 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 80 | $24.099,50 | 1811 / 101 | $4.110,90 | 167 / 6 | $3.055,94 | 167 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 30 | 486 / 130 | $54.997,10 | 1946 / 119 | $11.375,60 | 1129 / 73 | $10.367,60 | 1113 / 99 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 58 | $24.540,70 | 1862 / 113 | $4.186,54 | 275 / 23 | $3.100,14 | 275 / 23 |
| Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 81 | $23.593,00 | 1894 / 124 | $4.055,25 | 89 / 2 | $3.105,54 | 89 / 9 |
| Heart Failure & Shock W Mcc | 26 | 258 / 95 | $57.660,50 | 2159 / 151 | $11.818,30 | 1980 / 175 | $10.303,10 | 1973 / 181 |
| Cellulitis W/O Mcc | 25 | 164 / 64 | $23.510,00 | 1776 / 103 | $4.775,56 | 117 / 20 | $3.441,52 | 117 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 68 | $28.398,30 | 1521 / 78 | $6.173,13 | 217 / 15 | $4.870,83 | 216 / 17 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 72 | $33.380,20 | 1661 / 86 | $6.211,05 | 247 / 4 | $5.494,14 | 246 / 17 |
| Renal Failure W Cc | 19 | 202 / 87 | $30.416,70 | 1712 / 103 | $5.363,26 | 362 / 13 | $4.602,00 | 359 / 28 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 46 | $67.489,00 | 1381 / 83 | $13.655,80 | 1307 / 101 | $12.983,80 | 1292 / 117 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 59 | $32.602,90 | 1272 / 74 | $5.971,82 | 62 / 4 | $4.902,65 | 62 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 31 | $47.506,40 | 310 / 17 | $15.702,10 | 39 / 49 | $9.827,31 | 39 / 10 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 56 | $50.374,90 | 1060 / 45 | $12.215,80 | 49 / 80 | $8.904,38 | 49 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 58 | $24.650,60 | 1384 / 68 | $4.868,47 | 94 / 36 | $3.272,67 | 94 / 9 |
| Heart Failure & Shock W Cc | 15 | 263 / 97 | $30.461,00 | 1975 / 115 | $5.841,00 | 133 / 33 | $4.417,07 | 133 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 52 | $20.948,50 | 1447 / 74 | $4.006,31 | 9 / 69 | $1.665,31 | 9 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 42 | $29.143,80 | 1072 / 51 | $4.142,62 | 112 / 2 | $3.025,08 | 110 / 6 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 13 | 34 / 7 | $121.376,00 | 37 / 5 | $41.163,80 | 41 / 7 | $33.934,10 | 41 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 63 | $26.468,80 | 1545 / 63 | $4.746,83 | 237 / 1 | $4.242,83 | 237 / 20 |
| Renal Failure W Mcc | 12 | 183 / 84 | $48.299,50 | 1536 / 99 | $9.411,83 | 6 / 54 | $6.277,25 | 6 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 52 | $113.021,00 | 658 / 26 | $36.515,60 | 473 / 77 | $29.267,10 | 469 / 45 |
| G.I. Hemorrhage W Cc | 12 | 206 / 77 | $28.860,10 | 1491 / 65 | $6.516,67 | 1229 / 73 | $5.615,33 | 1227 / 89 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 45 | $20.427,50 | 1294 / 54 | $4.715,45 | 16 / 49 | $2.499,18 | 16 / 1 |
| G.I. Obstruction W Cc | 11 | 81 / 39 | $28.183,50 | 1131 / 47 | $4.909,55 | 333 / 4 | $4.249,18 | 332 / 27 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 70 | $54.444,70 | 1839 / 113 | $8.881,55 | 1651 / 113 | $8.301,27 | 1646 / 141 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 29 | $31.287,50 | 320 / 16 | $7.298,18 | 47 / 24 | $4.507,55 | 47 / 11 | Total 31 procedures | 743 | 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.