Hospital Costs > In Texas > The Heart Hospital Baylor Plano, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 31 | $32.063,60 | 818 / 27 | $7.052,79 | 257 / 41 | $5.062,43 | 257 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 46 | $48.689,00 | 1103 / 49 | $11.201,30 | 1021 / 72 | $10.369,40 | 1018 / 85 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 40 | 121 / 33 | $18.125,30 | 870 / 18 | $4.917,35 | 167 / 42 | $3.429,32 | 167 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 33 | $25.487,10 | 688 / 11 | $6.685,81 | 204 / 7 | $5.867,23 | 204 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 82 | 68 / 5 | $11.918,50 | 576 / 7 | $3.583,96 | 55 / 33 | $1.842,09 | 55 / 9 |
| Cardiac Congenital & Valvular Disorders W/O Mcc | 14 | 10 / 3 | $26.066,20 | 17 / 1 | $4.423,71 | 2 / 1 | $4.080,86 | 2 / 1 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 15 | 35 / 6 | $105.579,00 | 62 / 2 | $30.923,50 | 54 / 3 | $29.961,30 | 54 / 5 |
| Cardiac Pacemaker Revision Except Device Replacement W Cc | 13 | 6 / 1 | $46.252,00 | 10 / 1 | $10.168,00 | 2 / 1 | $8.052,46 | 2 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 19 | 27 / 4 | $181.163,00 | 72 / 2 | $44.640,80 | 44 / 5 | $37.171,10 | 44 / 3 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 26 | 43 / 5 | $259.429,00 | 143 / 2 | $69.269,80 | 162 / 11 | $64.481,40 | 162 / 14 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 286 | 4 / 1 | $156.382,00 | 304 / 14 | $35.401,10 | 211 / 17 | $31.130,10 | 211 / 13 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 163 | 9 / 1 | $194.185,00 | 203 / 9 | $50.906,20 | 166 / 11 | $47.937,80 | 166 / 14 |
| Carotid Artery Stent Procedure W/O Cc/Mcc | 23 | 10 / 3 | $43.404,30 | 46 / 3 | $10.026,10 | 12 / 1 | $8.164,43 | 12 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 20 | $59.981,90 | 462 / 21 | $11.908,40 | 302 / 8 | $11.550,80 | 297 / 25 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 46 | 142 / 29 | $38.508,70 | 899 / 45 | $6.630,07 | 487 / 33 | $5.422,04 | 485 / 46 |
| Coronary Bypass W Cardiac Cath W Mcc | 29 | 27 / 5 | $178.139,00 | 185 / 7 | $44.290,30 | 216 / 23 | $43.203,50 | 216 / 29 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 20 | 56 / 16 | $140.803,00 | 319 / 9 | $29.149,20 | 369 / 26 | $28.000,30 | 369 / 37 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 48 | 14 / 4 | $141.989,00 | 101 / 7 | $36.231,20 | 89 / 8 | $33.352,00 | 89 / 11 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 78 | 17 / 1 | $116.350,00 | 343 / 19 | $23.400,80 | 264 / 19 | $20.972,30 | 263 / 27 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 21 | 60 / 10 | $424.963,00 | 212 / 14 | $128.942,00 | 255 / 25 | $118.270,00 | 254 / 26 |
| Extracranial Procedures W Cc | 28 | 18 / 6 | $33.593,40 | 109 / 2 | $8.923,14 | 69 / 3 | $7.891,14 | 69 / 6 |
| Extracranial Procedures W/O Cc/Mcc | 73 | 25 / 5 | $21.495,80 | 187 / 7 | $6.040,38 | 55 / 12 | $4.473,00 | 55 / 1 |
| Heart Failure & Shock W Cc | 82 | 196 / 41 | $23.899,10 | 1576 / 67 | $5.630,39 | 167 / 22 | $4.475,72 | 167 / 13 |
| Heart Failure & Shock W Mcc | 37 | 247 / 85 | $41.436,60 | 1719 / 94 | $8.878,65 | 565 / 54 | $7.774,62 | 565 / 44 |
| Heart Failure & Shock W/O Cc/Mcc | 26 | 84 / 30 | $15.747,80 | 928 / 24 | $3.767,42 | 174 / 8 | $2.931,73 | 172 / 8 |
| Major Cardiovasc Procedures W Mcc | 21 | 47 / 13 | $104.564,00 | 137 / 5 | $30.337,50 | 154 / 9 | $29.476,50 | 154 / 17 |
| Major Cardiovasc Procedures W/O Mcc | 94 | 19 / 2 | $80.566,30 | 382 / 15 | $21.794,20 | 234 / 42 | $18.058,70 | 234 / 22 |
| Major Chest Procedures W Cc | 55 | 21 / 1 | $60.133,70 | 194 / 2 | $14.160,80 | 97 / 1 | $13.237,40 | 97 / 4 |
| Major Chest Procedures W Mcc | 12 | 37 / 14 | $100.894,00 | 93 / 2 | $26.587,80 | 48 / 2 | $25.982,30 | 48 / 5 |
| Other Circulatory System Diagnoses W Cc | 11 | 55 / 20 | $22.545,50 | 249 / 8 | $5.316,45 | 85 / 3 | $4.653,18 | 85 / 5 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 43 | $36.555,70 | 388 / 12 | $10.743,00 | 328 / 11 | $10.090,80 | 327 / 23 |
| Other Vascular Procedures W Cc | 51 | 51 / 11 | $53.158,30 | 257 / 13 | $14.824,90 | 217 / 18 | $13.452,50 | 217 / 23 |
| Other Vascular Procedures W Mcc | 30 | 67 / 23 | $64.066,30 | 195 / 7 | $18.294,10 | 131 / 12 | $17.294,00 | 131 / 15 |
| Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 17 | $37.428,30 | 142 / 6 | $9.850,20 | 153 / 7 | $8.885,93 | 152 / 12 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 31 | 69 / 15 | $105.142,00 | 545 / 33 | $20.969,70 | 556 / 40 | $20.268,90 | 552 / 64 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 58 | 138 / 22 | $65.973,90 | 594 / 27 | $14.924,40 | 88 / 88 | $9.301,69 | 88 / 15 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 33 | 21 / 4 | $101.701,00 | 140 / 4 | $22.460,60 | 163 / 12 | $22.020,30 | 163 / 16 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 62 | 33 / 4 | $67.651,00 | 242 / 15 | $11.967,70 | 80 / 10 | $9.860,53 | 79 / 12 |
| Permanent Cardiac Pacemaker Implant W Cc | 36 | 41 / 8 | $69.562,30 | 482 / 23 | $15.672,60 | 353 / 17 | $14.868,20 | 352 / 36 |
| Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 12 | $141.451,00 | 491 / 30 | $35.751,20 | 567 / 36 | $32.674,70 | 567 / 38 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 22 | 35 / 6 | $44.644,10 | 215 / 7 | $12.074,20 | 158 / 2 | $11.086,60 | 157 / 12 |
| Renal Failure W Mcc | 12 | 183 / 84 | $45.600,70 | 1465 / 93 | $10.838,80 | 1064 / 115 | $9.054,25 | 1064 / 101 | Total 42 procedures | 1.819 | 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.