Hospital Costs > In Texas > Texas Health Presbyterian Hospital Plano, 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 | 523 | 116 / 7 | $55.049,40 | 1509 / 86 | $13.281,50 | 334 / 77 | $10.035,80 | 333 / 48 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 93 | 182 / 34 | $24.578,80 | 1850 / 106 | $5.363,71 | 1160 / 117 | $3.864,67 | 1152 / 90 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 87 | 429 / 90 | $58.086,60 | 2034 / 129 | $12.331,70 | 1254 / 133 | $10.561,30 | 1233 / 110 |
| Kidney & Urinary Tract Infections W/O Mcc | 84 | 149 / 35 | $23.792,50 | 1910 / 127 | $5.155,33 | 1432 / 101 | $4.286,00 | 1423 / 125 |
| Renal Failure W Cc | 75 | 146 / 38 | $30.691,70 | 1727 / 105 | $6.311,53 | 1199 / 84 | $5.382,32 | 1191 / 99 |
| Heart Failure & Shock W Cc | 56 | 222 / 60 | $31.741,50 | 2049 / 129 | $6.300,36 | 827 / 82 | $5.158,29 | 826 / 61 |
| Cellulitis W/O Mcc | 56 | 133 / 35 | $20.869,20 | 1564 / 84 | $6.104,86 | 736 / 126 | $4.077,96 | 732 / 62 |
| Spinal Fusion Except Cervical W/O Mcc | 54 | 140 / 31 | $88.539,80 | 616 / 35 | $23.621,50 | 618 / 29 | $22.547,10 | 614 / 72 |
| Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 56 | $35.100,60 | 2185 / 139 | $6.955,02 | 1202 / 142 | $5.226,15 | 1198 / 91 |
| Renal Failure W Mcc | 52 | 143 / 49 | $50.481,40 | 1587 / 107 | $10.826,90 | 1313 / 112 | $9.688,50 | 1313 / 127 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 36 | $23.422,80 | 1798 / 103 | $4.943,90 | 1254 / 110 | $3.846,61 | 1250 / 102 |
| G.I. Hemorrhage W Cc | 47 | 171 / 45 | $27.684,30 | 1418 / 56 | $6.889,94 | 848 / 92 | $5.214,30 | 846 / 63 |
| Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 32 | $62.250,70 | 1408 / 78 | $11.902,90 | 997 / 64 | $11.033,00 | 984 / 92 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 37 | $31.129,30 | 1776 / 93 | $6.286,37 | 1127 / 90 | $5.078,34 | 1123 / 85 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 56 | $35.090,90 | 1866 / 117 | $6.731,00 | 840 / 69 | $5.512,53 | 838 / 68 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 37 | $29.515,20 | 1610 / 99 | $5.366,75 | 1050 / 76 | $4.348,56 | 1046 / 85 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 35 | 34 / 4 | $63.627,60 | 217 / 5 | $18.895,50 | 20 / 19 | $12.240,80 | 20 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 50 | $36.333,20 | 1403 / 69 | $7.069,50 | 794 / 64 | $5.542,00 | 792 / 61 |
| Chest Pain | 31 | 120 / 36 | $27.618,50 | 1313 / 75 | $4.497,90 | 761 / 64 | $3.220,13 | 756 / 55 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 30 | 59 / 14 | $35.023,50 | 387 / 21 | $7.519,67 | 341 / 28 | $5.756,57 | 340 / 40 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 25 | $24.742,30 | 1440 / 91 | $4.799,79 | 1047 / 68 | $3.715,10 | 1041 / 84 |
| Medical Back Problems W/O Mcc | 29 | 92 / 22 | $25.291,40 | 837 / 27 | $5.617,41 | 710 / 36 | $4.579,07 | 707 / 52 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 28 | $25.188,50 | 1546 / 81 | $5.197,04 | 957 / 89 | $3.699,25 | 948 / 67 |
| Revision Of Hip Or Knee Replacement W Cc | 26 | 60 / 13 | $94.505,40 | 415 / 15 | $22.715,10 | 137 / 23 | $17.374,80 | 137 / 8 |
| Red Blood Cell Disorders W/O Mcc | 26 | 117 / 41 | $30.541,90 | 1520 / 103 | $5.593,15 | 743 / 82 | $4.229,46 | 738 / 62 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 25 | $68.982,70 | 838 / 41 | $16.566,40 | 635 / 53 | $14.101,50 | 629 / 54 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 31 | $28.453,50 | 1043 / 48 | $5.087,48 | 787 / 40 | $3.976,44 | 783 / 56 |
| Pulmonary Edema & Respiratory Failure | 25 | 178 / 58 | $42.974,10 | 1603 / 78 | $8.705,84 | 1186 / 98 | $7.208,40 | 1184 / 94 |
| Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 69 | $49.032,00 | 1887 / 116 | $9.443,60 | 934 / 105 | $7.796,48 | 934 / 74 |
| Syncope & Collapse | 25 | 144 / 41 | $35.284,00 | 1593 / 94 | $5.276,56 | 996 / 70 | $4.057,96 | 990 / 76 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 68 | $36.886,60 | 1826 / 110 | $8.183,24 | 1087 / 123 | $6.323,56 | 1082 / 90 |
| Pulmonary Embolism W/O Mcc | 24 | 50 / 13 | $34.970,60 | 969 / 45 | $7.584,54 | 189 / 47 | $4.566,88 | 189 / 15 |
| Transient Ischemia | 23 | 102 / 40 | $27.023,00 | 1053 / 42 | $5.160,87 | 688 / 59 | $3.570,13 | 684 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 40 | $50.009,80 | 1525 / 96 | $8.836,70 | 1306 / 93 | $7.949,04 | 1303 / 110 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 51 | $37.386,60 | 1236 / 79 | $7.170,39 | 669 / 53 | $6.330,04 | 666 / 60 |
| G.I. Obstruction W/O Cc/Mcc | 22 | 49 / 16 | $18.602,30 | 757 / 34 | $4.695,23 | 491 / 52 | $2.956,41 | 490 / 41 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 52 | $35.567,90 | 785 / 30 | $6.979,27 | 807 / 46 | $5.925,45 | 805 / 75 |
| Other Vascular Procedures W Cc | 22 | 80 / 32 | $68.293,10 | 492 / 29 | $16.591,80 | 309 / 55 | $13.977,50 | 307 / 39 |
| Signs & Symptoms W/O Mcc | 22 | 69 / 20 | $21.948,90 | 764 / 25 | $4.765,73 | 574 / 38 | $3.807,00 | 573 / 33 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 55 | $33.836,10 | 1321 / 79 | $6.921,29 | 868 / 57 | $6.177,67 | 866 / 71 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 21 | 75 / 15 | $55.566,10 | 420 / 13 | $17.403,20 | 116 / 43 | $10.577,40 | 116 / 15 |
| Heart Failure & Shock W Mcc | 21 | 263 / 99 | $37.964,70 | 1554 / 72 | $8.932,67 | 910 / 58 | $8.166,95 | 909 / 70 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 21 | 175 / 53 | $76.349,00 | 804 / 46 | $13.368,40 | 485 / 50 | $10.610,10 | 483 / 58 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 35 | $28.402,30 | 1669 / 122 | $4.644,71 | 880 / 76 | $3.619,95 | 874 / 69 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 44 | $20.906,20 | 1444 / 73 | $4.215,19 | 985 / 82 | $2.809,29 | 980 / 74 |
| Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 22 | $30.469,70 | 723 / 45 | $6.260,90 | 370 / 44 | $4.490,55 | 366 / 29 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 37 | $51.317,50 | 778 / 50 | $12.022,20 | 504 / 46 | $10.787,00 | 502 / 45 |
| Renal Failure W/O Cc/Mcc | 20 | 36 / 13 | $21.635,80 | 601 / 33 | $4.358,60 | 409 / 27 | $3.337,80 | 408 / 31 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 18 | 45 / 9 | $82.310,80 | 132 / 8 | $23.091,90 | 94 / 10 | $18.400,60 | 94 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 55 | $40.738,40 | 714 / 15 | $10.028,70 | 374 / 22 | $9.020,67 | 373 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 37 | $34.112,10 | 771 / 32 | $7.816,06 | 424 / 34 | $6.466,00 | 422 / 27 |
| G.I. Obstruction W Cc | 17 | 75 / 33 | $29.304,60 | 1175 / 52 | $6.058,00 | 594 / 54 | $4.580,12 | 593 / 42 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 49 | $65.801,40 | 1057 / 59 | $17.463,10 | 468 / 119 | $12.361,90 | 462 / 47 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 29 | $36.287,20 | 880 / 45 | $8.590,38 | 674 / 53 | $7.704,88 | 669 / 58 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 16 | 39 / 16 | $54.604,90 | 297 / 12 | $13.819,80 | 58 / 24 | $9.543,06 | 58 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 31 | $53.641,10 | 385 / 24 | $13.505,40 | 440 / 24 | $12.367,40 | 439 / 53 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 16 | 50 / 19 | $40.251,90 | 167 / 6 | $12.297,70 | 147 / 25 | $9.844,12 | 147 / 17 |
| Hypertension W/O Mcc | 16 | 49 / 17 | $26.394,40 | 574 / 39 | $4.334,62 | 398 / 20 | $3.430,62 | 396 / 31 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 28 | $131.468,00 | 666 / 33 | $30.625,40 | 504 / 33 | $29.647,50 | 502 / 46 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 24 | $92.311,50 | 718 / 44 | $17.026,60 | 501 / 44 | $15.935,40 | 500 / 54 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 14 | 40 / 14 | $23.313,50 | 210 / 10 | $5.203,07 | 109 / 11 | $3.775,21 | 109 / 6 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 11 | $32.174,60 | 307 / 16 | $6.393,93 | 175 / 8 | $5.788,21 | 175 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 21 | $33.166,00 | 722 / 32 | $9.043,00 | 287 / 55 | $6.110,21 | 286 / 17 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 14 | 26 / 4 | $139.920,00 | 24 / 1 | $46.128,20 | 12 / 4 | $36.270,10 | 12 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 10 | $25.889,30 | 636 / 15 | $4.731,64 | 370 / 6 | $3.995,57 | 370 / 10 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 28 | $27.503,40 | 727 / 33 | $7.155,29 | 98 / 51 | $4.382,14 | 98 / 5 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 18 | $21.936,80 | 627 / 32 | $4.766,00 | 481 / 30 | $3.735,14 | 477 / 39 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 20 | $49.831,80 | 573 / 43 | $11.632,10 | 291 / 64 | $8.436,85 | 290 / 31 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 16 | $20.420,50 | 530 / 25 | $5.190,85 | 445 / 32 | $3.815,54 | 445 / 29 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 28 | $87.954,90 | 604 / 34 | $16.993,60 | 260 / 16 | $16.320,40 | 258 / 21 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 31 | $28.512,40 | 815 / 31 | $6.289,69 | 697 / 29 | $5.546,31 | 693 / 47 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 52 | $47.399,10 | 1010 / 46 | $11.317,40 | 541 / 31 | $10.560,10 | 535 / 41 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 27 | $41.358,80 | 704 / 46 | $7.890,33 | 333 / 29 | $6.912,33 | 331 / 33 |
| Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 12 | $22.027,00 | 239 / 14 | $4.455,92 | 192 / 12 | $3.551,92 | 192 / 22 |
| Psychoses | 12 | 263 / 22 | $24.662,60 | 406 / 19 | $6.516,00 | 195 / 7 | $5.502,67 | 195 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 23 | $97.900,20 | 632 / 25 | $18.845,10 | 345 / 14 | $17.949,10 | 343 / 23 |
| Seizures W/O Mcc | 12 | 96 / 35 | $31.422,80 | 993 / 53 | $5.120,83 | 532 / 30 | $4.115,50 | 529 / 37 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 15 | $25.249,80 | 513 / 18 | $4.981,17 | 356 / 13 | $4.069,17 | 356 / 17 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 18 | $38.192,30 | 324 / 17 | $7.008,55 | 169 / 12 | $6.019,45 | 169 / 13 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 20 | $28.824,60 | 734 / 24 | $4.396,73 | 411 / 11 | $3.625,82 | 410 / 21 |
| Other Vascular Procedures W Mcc | 11 | 86 / 39 | $73.908,60 | 309 / 16 | $20.149,50 | 367 / 38 | $19.378,60 | 365 / 47 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 34 | $35.664,80 | 925 / 39 | $7.588,55 | 333 / 59 | $5.195,64 | 332 / 24 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 22 | $116.700,00 | 25 / 2 | $44.013,20 | 17 / 2 | $43.331,00 | 17 / 2 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 11 | 63 / 17 | $66.425,90 | 124 / 9 | $13.526,20 | 71 / 4 | $12.865,80 | 71 / 13 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 25 | $50.739,40 | 476 / 23 | $10.169,80 | 403 / 28 | $9.064,36 | 403 / 42 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 19 | $47.887,60 | 754 / 42 | $7.161,36 | 246 / 26 | $5.139,73 | 246 / 14 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 15 | $48.776,60 | 367 / 13 | $10.435,90 | 274 / 8 | $9.996,64 | 274 / 15 |
| Diabetes W Cc | 11 | 81 / 40 | $21.664,00 | 801 / 28 | $5.221,45 | 558 / 26 | $4.342,91 | 558 / 39 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 35 | $168.414,00 | 625 / 38 | $42.090,90 | 712 / 60 | $41.320,20 | 711 / 75 | Total 89 procedures | 2.723 | 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.