Hospital Costs > In Texas > The Medical Center Of Southeast Texas, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 86 | 430 / 91 | $56.522,30 | 1999 / 125 | $10.745,10 | 812 / 43 | $9.935,58 | 811 / 68 |
Cellulitis W/O Mcc | 69 | 120 / 25 | $27.952,10 | 2044 / 139 | $5.468,80 | 1201 / 79 | $4.431,01 | 1195 / 102 |
Kidney & Urinary Tract Infections W/O Mcc | 66 | 167 / 50 | $25.713,40 | 2012 / 139 | $5.080,52 | 1240 / 84 | $4.116,17 | 1231 / 104 |
Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 31 | $49.954,30 | 2182 / 155 | $7.157,34 | 907 / 55 | $6.158,09 | 902 / 71 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 63 | 501 / 105 | $80.666,20 | 2221 / 156 | $13.121,90 | 849 / 72 | $10.829,30 | 835 / 101 |
Heart Failure & Shock W Cc | 60 | 218 / 56 | $36.128,70 | 2218 / 152 | $6.159,68 | 1132 / 68 | $5.394,35 | 1130 / 92 |
Heart Failure & Shock W Mcc | 54 | 230 / 69 | $49.126,50 | 1966 / 122 | $8.702,93 | 511 / 41 | $7.704,09 | 511 / 39 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 54 | 221 / 60 | $31.670,30 | 2235 / 151 | $5.012,70 | 1019 / 80 | $3.772,56 | 1011 / 79 |
Red Blood Cell Disorders W/O Mcc | 52 | 91 / 18 | $32.949,90 | 1606 / 117 | $5.275,37 | 987 / 55 | $4.509,21 | 981 / 83 |
Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 57 | $43.162,80 | 2415 / 173 | $6.302,08 | 1027 / 83 | $5.098,75 | 1024 / 80 |
G.I. Hemorrhage W Cc | 45 | 173 / 46 | $42.595,20 | 2020 / 129 | $6.364,24 | 1047 / 60 | $5.408,56 | 1045 / 80 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 43 | $27.095,40 | 2005 / 139 | $4.794,23 | 1119 / 86 | $3.738,68 | 1116 / 88 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 43 | 153 / 33 | $98.293,00 | 1141 / 90 | $12.635,60 | 400 / 31 | $10.402,00 | 400 / 45 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 54 | $38.038,80 | 1966 / 128 | $7.086,16 | 1047 / 101 | $5.704,16 | 1044 / 91 |
Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 37 | $35.579,40 | 1936 / 111 | $5.879,39 | 936 / 56 | $4.905,71 | 933 / 66 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 23 | $27.582,00 | 1635 / 91 | $4.874,85 | 1019 / 71 | $3.752,00 | 1010 / 72 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 32 | 39 / 12 | $158.924,00 | 602 / 36 | $27.920,00 | 128 / 5 | $26.893,00 | 128 / 9 |
Renal Failure W Mcc | 32 | 163 / 65 | $56.597,90 | 1702 / 116 | $9.806,56 | 952 / 72 | $8.831,53 | 952 / 88 |
Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 46 | $29.934,60 | 1172 / 60 | $6.859,68 | 699 / 53 | $5.949,74 | 698 / 58 |
Renal Failure W Cc | 31 | 190 / 75 | $34.560,10 | 1883 / 122 | $6.183,94 | 1074 / 72 | $5.257,35 | 1066 / 88 |
Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 66 | $52.706,90 | 1983 / 134 | $8.726,20 | 781 / 58 | $7.632,17 | 781 / 64 |
Syncope & Collapse | 28 | 141 / 38 | $29.652,40 | 1420 / 70 | $5.354,50 | 570 / 76 | $3.620,46 | 567 / 41 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 27 | 161 / 47 | $64.423,80 | 1444 / 113 | $6.979,70 | 538 / 47 | $5.512,22 | 536 / 51 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 47 | $27.810,20 | 1537 / 86 | $5.212,54 | 1019 / 63 | $4.319,62 | 1015 / 83 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 40 | $21.535,60 | 1480 / 76 | $4.047,28 | 1026 / 73 | $2.849,32 | 1021 / 76 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 41 | $68.820,10 | 1118 / 62 | $13.999,20 | 233 / 49 | $11.672,10 | 231 / 18 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 36 | $23.167,30 | 1460 / 85 | $4.823,40 | 512 / 93 | $3.317,05 | 510 / 39 |
Red Blood Cell Disorders W Mcc | 19 | 52 / 20 | $53.904,40 | 888 / 66 | $7.702,26 | 342 / 21 | $6.941,00 | 340 / 34 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 36 | $28.115,90 | 1563 / 109 | $4.748,39 | 1065 / 67 | $3.743,94 | 1059 / 86 |
Pulmonary Edema & Respiratory Failure | 17 | 186 / 64 | $38.606,50 | 1454 / 64 | $7.346,65 | 736 / 29 | $6.638,88 | 736 / 47 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 66 | $44.345,40 | 1623 / 91 | $6.687,18 | 797 / 48 | $5.546,47 | 795 / 62 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 57 | $43.609,40 | 1376 / 94 | $6.962,00 | 609 / 43 | $6.208,00 | 606 / 54 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 21 | $43.522,10 | 1100 / 58 | $6.240,12 | 538 / 21 | $5.260,12 | 536 / 36 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 57 | $74.647,10 | 1626 / 94 | $11.738,30 | 415 / 53 | $9.946,53 | 414 / 34 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 15 | 73 / 23 | $140.496,00 | 443 / 33 | $21.230,40 | 203 / 10 | $20.029,30 | 202 / 20 |
Diabetes W Cc | 14 | 78 / 37 | $25.036,10 | 997 / 48 | $5.315,64 | 650 / 33 | $4.458,50 | 649 / 46 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 23 | $27.212,90 | 1065 / 69 | $4.060,36 | 479 / 26 | $2.942,64 | 478 / 39 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 59 | $63.966,60 | 1193 / 64 | $10.343,40 | 174 / 27 | $8.413,43 | 173 / 11 |
Carotid Artery Stent Procedure W/O Cc/Mcc | 14 | 18 / 8 | $51.489,10 | 58 / 7 | $10.706,90 | 24 / 3 | $8.575,79 | 24 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 49 | $27.607,40 | 825 / 24 | $7.261,43 | 761 / 33 | $6.744,86 | 758 / 66 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 42 | $36.365,80 | 1273 / 70 | $4.996,69 | 720 / 32 | $3.884,08 | 716 / 53 |
Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 36 | $48.149,20 | 750 / 58 | $6.718,92 | 205 / 32 | $4.975,58 | 205 / 21 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 20 | $30.568,20 | 815 / 61 | $4.712,92 | 513 / 27 | $3.803,58 | 509 / 45 |
Hypertension W/O Mcc | 11 | 54 / 22 | $23.710,60 | 504 / 29 | $4.311,45 | 325 / 19 | $3.220,55 | 323 / 20 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 22 | $25.423,00 | 688 / 47 | $4.325,00 | 450 / 23 | $3.449,36 | 449 / 32 | Total 45 procedures | 1.429 | 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.