Hospital Costs > In Texas > Texas Health Presbyterian Hospital Kaufman, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 11 | 52 / 14 | $92.411,60 | 159 / 14 | $22.439,00 | 163 / 9 | $21.231,70 | 162 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 57 | $18.910,30 | 943 / 26 | $5.423,88 | 1209 / 83 | $4.515,88 | 1204 / 105 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 53 | $19.105,50 | 1341 / 65 | $4.043,42 | 1280 / 72 | $3.142,08 | 1275 / 96 |
| Cellulitis W/O Mcc | 22 | 167 / 67 | $20.261,30 | 1507 / 77 | $5.720,64 | 1344 / 103 | $4.571,55 | 1338 / 113 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 51 | $21.104,70 | 1119 / 28 | $6.382,54 | 1472 / 98 | $5.475,88 | 1466 / 119 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 73 | $19.672,50 | 684 / 20 | $7.349,80 | 1085 / 67 | $6.321,00 | 1080 / 89 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 32 | 88 / 24 | $19.384,00 | 1221 / 46 | $5.944,91 | 672 / 122 | $3.460,88 | 670 / 48 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 89 | $23.146,20 | 1733 / 90 | $5.209,73 | 1680 / 105 | $4.317,36 | 1667 / 144 |
| Heart Failure & Shock W Cc | 29 | 249 / 83 | $30.889,80 | 2004 / 120 | $6.706,38 | 1558 / 127 | $5.831,34 | 1553 / 134 |
| Heart Failure & Shock W Mcc | 22 | 262 / 98 | $28.938,50 | 1019 / 32 | $9.631,73 | 1323 / 103 | $8.753,18 | 1320 / 113 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 35 | $19.873,50 | 1281 / 58 | $5.063,38 | 838 / 103 | $3.588,05 | 834 / 64 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 90 | $19.656,70 | 1536 / 79 | $5.361,89 | 1683 / 124 | $4.534,95 | 1672 / 152 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 43 | 521 / 121 | $60.253,20 | 1706 / 108 | $15.537,20 | 1397 / 176 | $11.800,70 | 1364 / 148 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 62 | $20.523,30 | 1604 / 80 | $4.910,96 | 1327 / 105 | $3.906,96 | 1322 / 109 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 70 | $29.350,00 | 1004 / 29 | $9.290,82 | 964 / 124 | $6.882,00 | 963 / 69 |
| Renal Failure W Cc | 21 | 200 / 85 | $23.141,30 | 1284 / 49 | $6.504,38 | 1315 / 101 | $5.521,52 | 1307 / 112 |
| Renal Failure W Mcc | 13 | 182 / 83 | $25.629,10 | 494 / 15 | $9.900,38 | 1150 / 79 | $9.248,08 | 1150 / 108 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 34 | 482 / 127 | $33.737,80 | 985 / 41 | $11.160,90 | 1061 / 61 | $10.272,50 | 1048 / 93 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 65 | $24.731,20 | 1228 / 51 | $6.966,58 | 1269 / 91 | $5.947,50 | 1264 / 109 |
| Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 65 | $26.412,10 | 1734 / 85 | $6.982,60 | 1457 / 144 | $5.468,79 | 1451 / 120 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 75 | $25.866,80 | 757 / 18 | $9.168,58 | 1288 / 83 | $8.297,00 | 1288 / 110 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 34 | $18.325,50 | 1058 / 48 | $4.898,90 | 1168 / 76 | $3.868,50 | 1162 / 95 |
| Syncope & Collapse | 14 | 155 / 51 | $22.734,60 | 1085 / 35 | $5.109,50 | 1007 / 62 | $4.069,50 | 1000 / 77 | Total 23 procedures | 517 | 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.