Hospital Costs > In Texas > Titus Regional Medical Center, 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 | 37 | 479 / 124 | $21.934,20 | 356 / 17 | $11.712,20 | 1317 / 95 | $10.670,80 | 1294 / 115 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 33 | 531 / 130 | $44.496,20 | 996 / 40 | $13.641,00 | 1557 / 94 | $12.215,60 | 1522 / 174 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 78 | $16.545,00 | 739 / 23 | $6.671,31 | 1763 / 117 | $5.800,69 | 1755 / 154 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 57 | $8.788,90 | 212 / 10 | $5.018,52 | 1345 / 117 | $3.927,07 | 1340 / 114 |
| Heart Failure & Shock W Mcc | 27 | 257 / 94 | $24.391,80 | 691 / 19 | $9.282,07 | 1217 / 83 | $8.601,19 | 1214 / 102 |
| Heart Failure & Shock W Cc | 24 | 254 / 88 | $13.581,80 | 422 / 10 | $6.573,83 | 1719 / 113 | $6.023,17 | 1714 / 149 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 87 | $8.244,18 | 134 / 6 | $5.360,82 | 1458 / 122 | $4.312,09 | 1449 / 127 |
| Pulmonary Edema & Respiratory Failure | 22 | 181 / 61 | $18.752,00 | 329 / 3 | $8.143,73 | 1250 / 79 | $7.316,09 | 1248 / 100 |
| Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 74 | $22.761,20 | 556 / 11 | $9.281,55 | 1429 / 92 | $8.556,75 | 1429 / 128 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 72 | $21.813,00 | 950 / 33 | $7.913,05 | 1894 / 148 | $7.022,11 | 1886 / 168 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 38 | $8.656,17 | 159 / 3 | $4.848,44 | 1445 / 94 | $4.309,78 | 1433 / 122 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 50 | $11.679,90 | 197 / 6 | $5.655,00 | 1239 / 87 | $4.875,71 | 1231 / 114 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 96 | $14.546,80 | 696 / 19 | $6.133,20 | 1968 / 166 | $4.711,07 | 1954 / 166 |
| Chest Pain | 14 | 137 / 52 | $13.504,70 | 353 / 4 | $4.352,43 | 906 / 52 | $3.405,57 | 901 / 72 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 50 | $27.771,40 | 323 / 4 | $12.225,40 | 574 / 65 | $10.622,40 | 566 / 46 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 69 | $17.318,90 | 307 / 4 | $6.794,00 | 998 / 52 | $5.840,86 | 995 / 75 |
| G.I. Hemorrhage W Cc | 13 | 205 / 76 | $17.002,40 | 483 / 7 | $6.860,77 | 1587 / 89 | $6.124,77 | 1583 / 127 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 53 | $39.607,80 | 314 / 5 | $13.869,70 | 382 / 45 | $12.099,50 | 378 / 36 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 25 | $8.128,92 | 61 / 1 | $4.431,50 | 792 / 39 | $3.423,50 | 789 / 63 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 42 | $10.232,80 | 243 / 4 | $5.176,33 | 1217 / 99 | $3.924,75 | 1211 / 101 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 22 | $25.257,80 | 94 / 2 | $10.455,40 | 389 / 45 | $8.770,73 | 387 / 39 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 82 | $14.545,10 | 287 / 7 | $7.835,27 | 1423 / 104 | $6.738,55 | 1417 / 117 | Total 22 procedures | 426 | 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.