Hospital Costs > In Texas > Texas Orthopedic Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 23 | $42.931,10 | 193 / 10 | $12.275,60 | 4 / 24 | $7.727,36 | 4 / 1 |
| Cervical Spinal Fusion W Cc | 16 | 37 / 10 | $80.983,10 | 227 / 14 | $17.178,40 | 47 / 7 | $14.387,20 | 47 / 7 |
| Cervical Spinal Fusion W/O Cc/Mcc | 36 | 68 / 16 | $78.511,70 | 662 / 52 | $16.784,80 | 10 / 55 | $8.967,17 | 10 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 54 | $83.156,70 | 1747 / 112 | $11.379,10 | 133 / 36 | $9.313,78 | 132 / 10 |
| Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc | 11 | 13 / 3 | $98.529,40 | 45 / 3 | $9.332,09 | 2 / 1 | $8.340,09 | 2 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 27 | 28 / 8 | $110.584,00 | 600 / 36 | $13.955,40 | 135 / 25 | $10.101,60 | 135 / 8 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 15 | $64.443,10 | 422 / 18 | $8.807,09 | 45 / 5 | $6.656,64 | 45 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 76 | 24 / 1 | $76.580,80 | 641 / 36 | $13.457,60 | 105 / 23 | $10.513,00 | 105 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 642 | 68 / 3 | $70.014,80 | 1995 / 130 | $13.960,90 | 226 / 108 | $9.789,82 | 226 / 28 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 40 | 29 / 4 | $85.697,10 | 363 / 14 | $15.395,70 | 42 / 6 | $12.209,20 | 42 / 5 |
| Revision Of Hip Or Knee Replacement W Cc | 46 | 41 / 5 | $175.965,00 | 639 / 37 | $22.914,00 | 61 / 24 | $16.315,30 | 61 / 3 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 35 | 34 / 4 | $115.303,00 | 456 / 27 | $18.084,50 | 73 / 13 | $13.257,20 | 73 / 5 |
| Spinal Fusion Except Cervical W/O Mcc | 74 | 120 / 20 | $121.517,00 | 942 / 74 | $26.182,30 | 81 / 59 | $18.679,40 | 80 / 14 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 23 | 20 / 5 | $97.464,80 | 102 / 7 | $16.469,70 | 15 / 1 | $13.717,20 | 15 / 2 | Total 14 procedures | 1.066 | 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.