Hospital Costs > In Texas > Texas Spine And Joint 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 | 27 | 39 / 9 | $52.017,00 | 285 / 20 | $9.967,89 | 39 / 1 | $8.754,26 | 39 / 4 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 58 | 33 / 4 | $40.290,50 | 471 / 30 | $7.584,10 | 38 / 30 | $4.450,78 | 38 / 10 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 21 | 42 / 8 | $82.347,10 | 133 / 9 | $18.367,00 | 46 / 1 | $17.163,20 | 46 / 6 |
| Cervical Spinal Fusion W Cc | 25 | 28 / 6 | $54.395,30 | 99 / 2 | $15.165,80 | 36 / 2 | $14.102,10 | 36 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 88 | 23 / 3 | $55.129,30 | 410 / 25 | $13.489,60 | 75 / 23 | $10.216,70 | 75 / 15 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 16 | 31 / 5 | $109.946,00 | 30 / 4 | $39.452,40 | 3 / 6 | $27.641,60 | 3 / 1 |
| Local Excision & Removal Int Fix Devices Exc Hip & Femur W/O Cc/Mcc | 16 | 6 / 1 | $32.875,90 | 5 / 1 | $8.275,06 | 1 / 1 | $4.392,12 | 1 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 16 | $62.560,60 | 509 / 25 | $13.816,20 | 45 / 28 | $9.917,45 | 45 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 491 | 129 / 8 | $59.557,50 | 1677 / 106 | $12.450,10 | 83 / 36 | $9.252,95 | 83 / 10 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 15 | $66.661,90 | 240 / 6 | $14.262,30 | 75 / 1 | $13.291,70 | 75 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 284 | 9 / 2 | $74.310,40 | 441 / 24 | $22.164,90 | 98 / 12 | $18.954,50 | 97 / 16 | Total 11 procedures | 1.061 | 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.