Hospital Costs > In Texas > The Hospital At Westlake Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 31 | $31.636,80 | 76 / 3 | $14.191,30 | 230 / 31 | $11.258,30 | 230 / 34 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 16 | 31 / 5 | $73.174,60 | 7 / 1 | $43.563,60 | 11 / 9 | $29.787,10 | 11 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 134 | 430 / 65 | $32.227,70 | 324 / 8 | $17.138,10 | 223 / 201 | $9.778,01 | 223 / 27 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 22 | $47.476,80 | 58 / 1 | $21.765,30 | 62 / 19 | $16.317,90 | 62 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 93 | $18.878,50 | 1009 / 35 | $12.396,80 | 80 / 214 | $4.091,23 | 80 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 43 | $18.492,20 | 1073 / 52 | $11.775,70 | 418 / 161 | $3.164,27 | 416 / 33 |
| Spinal Fusion Except Cervical W/O Mcc | 27 | 167 / 47 | $64.997,20 | 280 / 15 | $26.234,30 | 385 / 61 | $21.158,00 | 384 / 46 | Total 7 procedures | 230 | 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.