Hospital Costs > In Texas > Tomball Regional Medical Center, 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 Mcc | 23 | 102 / 39 | $63.677,80 | 1377 / 78 | $10.576,10 | 490 / 51 | $8.978,26 | 489 / 33 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 28 | $48.142,20 | 574 / 39 | $6.514,25 | 245 / 10 | $5.402,25 | 245 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 47 | 114 / 26 | $31.660,40 | 1692 / 104 | $4.830,28 | 433 / 33 | $3.757,09 | 433 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 34 | $43.447,70 | 1406 / 84 | $6.980,10 | 264 / 18 | $5.979,00 | 263 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 32 | $22.308,10 | 1522 / 85 | $3.512,76 | 489 / 25 | $2.434,88 | 485 / 40 |
| Cellulitis W Mcc | 11 | 47 / 22 | $68.158,20 | 860 / 64 | $9.740,18 | 498 / 33 | $8.748,18 | 496 / 49 |
| Cellulitis W/O Mcc | 67 | 122 / 27 | $26.509,70 | 1965 / 132 | $5.082,09 | 604 / 36 | $3.977,24 | 601 / 49 |
| Chest Pain | 30 | 121 / 37 | $32.561,10 | 1457 / 95 | $3.743,43 | 419 / 14 | $2.849,30 | 417 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 47 | $35.351,90 | 1925 / 109 | $5.637,57 | 586 / 36 | $4.625,57 | 584 / 46 |
| Chronic Obstructive Pulmonary Disease W Mcc | 71 | 131 / 25 | $46.679,70 | 2111 / 144 | $6.906,34 | 779 / 36 | $6.027,65 | 774 / 58 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 22 | $63.484,40 | 516 / 23 | $11.781,90 | 129 / 6 | $10.661,90 | 126 / 13 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 42 | $42.637,60 | 1020 / 64 | $6.462,69 | 577 / 18 | $5.555,69 | 575 / 56 |
| Diabetes W Cc | 15 | 77 / 36 | $31.154,60 | 1212 / 72 | $5.019,00 | 383 / 16 | $4.129,40 | 383 / 25 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 23 | $37.714,80 | 455 / 48 | $5.589,42 | 172 / 11 | $5.189,42 | 172 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 43 | $39.359,90 | 928 / 50 | $7.078,42 | 289 / 12 | $6.217,08 | 287 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 109 | 166 / 25 | $32.593,60 | 2263 / 155 | $4.646,09 | 495 / 39 | $3.400,66 | 493 / 42 |
| G.I. Hemorrhage W Cc | 57 | 161 / 38 | $39.443,20 | 1939 / 118 | $5.993,33 | 560 / 34 | $4.963,23 | 559 / 36 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 34 | $68.381,70 | 1321 / 81 | $10.372,20 | 445 / 27 | $9.506,87 | 446 / 37 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 20 | $44.173,20 | 951 / 76 | $5.117,50 | 387 / 41 | $3.537,92 | 384 / 30 |
| G.I. Obstruction W Cc | 12 | 80 / 38 | $28.831,80 | 1153 / 50 | $5.861,67 | 37 / 43 | $3.567,42 | 37 / 3 |
| Heart Failure & Shock W Cc | 50 | 228 / 64 | $35.390,30 | 2195 / 146 | $5.944,66 | 1004 / 46 | $5.293,78 | 1002 / 83 |
| Heart Failure & Shock W Mcc | 152 | 132 / 16 | $48.945,50 | 1963 / 121 | $8.783,99 | 635 / 47 | $7.859,65 | 635 / 48 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 40 | $26.977,00 | 1627 / 109 | $4.158,19 | 365 / 29 | $3.178,19 | 363 / 22 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 53 | $82.234,40 | 1739 / 111 | $11.390,90 | 806 / 37 | $10.628,00 | 797 / 68 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 21 | $69.077,80 | 786 / 62 | $9.563,58 | 347 / 22 | $8.654,25 | 346 / 34 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 51 | $177.259,00 | 1161 / 75 | $31.290,50 | 590 / 41 | $30.253,70 | 585 / 61 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 45 | $49.961,50 | 1741 / 105 | $6.374,85 | 462 / 34 | $5.181,70 | 461 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 60 | $80.550,70 | 1373 / 77 | $9.838,00 | 340 / 18 | $8.907,54 | 339 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 37 | $38.391,60 | 1317 / 76 | $4.538,22 | 477 / 14 | $3.603,11 | 474 / 28 |
| Kidney & Urinary Tract Infections W Mcc | 48 | 96 / 29 | $44.482,60 | 1600 / 117 | $6.721,04 | 673 / 44 | $5.906,54 | 672 / 53 |
| Kidney & Urinary Tract Infections W/O Mcc | 98 | 135 / 26 | $25.576,70 | 2002 / 136 | $4.658,27 | 566 / 37 | $3.672,96 | 565 / 44 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 21 | $69.119,60 | 651 / 46 | $9.696,27 | 298 / 18 | $8.648,80 | 298 / 28 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 13 | $52.970,10 | 442 / 43 | $7.273,79 | 201 / 14 | $6.146,93 | 201 / 22 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 37 | $99.794,50 | 579 / 28 | $19.305,60 | 296 / 8 | $18.502,90 | 296 / 32 |
| Major Chest Procedures W Mcc | 15 | 34 / 11 | $155.854,00 | 216 / 14 | $29.768,40 | 105 / 7 | $28.716,70 | 105 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 23 | $35.945,60 | 765 / 36 | $6.981,92 | 314 / 12 | $6.184,58 | 313 / 20 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 18 | $135.750,00 | 804 / 44 | $21.491,20 | 413 / 39 | $18.428,60 | 411 / 28 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 69 | 495 / 100 | $94.608,00 | 2410 / 184 | $12.757,70 | 946 / 53 | $10.962,90 | 927 / 108 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 29 | $94.183,80 | 1159 / 62 | $17.323,80 | 94 / 65 | $11.869,90 | 94 / 13 |
| Medical Back Problems W/O Mcc | 16 | 105 / 34 | $30.415,10 | 1024 / 57 | $5.183,25 | 171 / 19 | $3.698,25 | 171 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 60 | $34.971,70 | 1162 / 76 | $6.399,15 | 182 / 19 | $5.494,54 | 180 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 42 | $27.507,30 | 2023 / 141 | $4.280,22 | 825 / 33 | $3.531,42 | 822 / 64 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 45 | $48.955,80 | 720 / 42 | $11.050,10 | 378 / 20 | $10.282,10 | 377 / 29 |
| Other Digestive System Diagnoses W Cc | 28 | 69 / 16 | $32.781,20 | 959 / 48 | $5.852,21 | 360 / 17 | $4.962,14 | 357 / 28 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 26 | $35.910,50 | 608 / 25 | $5.964,75 | 95 / 5 | $4.837,67 | 95 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 30 | $45.623,10 | 731 / 23 | $9.022,64 | 235 / 9 | $8.147,00 | 235 / 11 |
| Other Vascular Procedures W Cc | 18 | 84 / 36 | $103.934,00 | 869 / 67 | $17.833,70 | 247 / 68 | $13.645,70 | 247 / 27 |
| Other Vascular Procedures W Mcc | 15 | 82 / 35 | $97.958,00 | 579 / 44 | $19.103,00 | 238 / 20 | $18.224,10 | 237 / 29 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 34 | $95.983,40 | 451 / 24 | $18.327,90 | 207 / 9 | $17.221,20 | 206 / 21 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 43 | 153 / 33 | $89.411,80 | 1042 / 82 | $12.798,80 | 289 / 35 | $10.106,00 | 289 / 36 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 14 | $81.010,70 | 422 / 14 | $10.656,90 | 206 / 5 | $9.775,45 | 206 / 10 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 23 | $27.711,80 | 732 / 34 | $5.722,11 | 274 / 15 | $4.800,00 | 273 / 18 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 26 | $113.846,00 | 834 / 52 | $16.931,70 | 514 / 42 | $16.001,20 | 513 / 56 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 14 | $31.098,70 | 300 / 15 | $5.667,91 | 47 / 3 | $4.724,36 | 47 / 4 |
| Pulmonary Edema & Respiratory Failure | 92 | 111 / 13 | $47.750,60 | 1708 / 91 | $7.295,22 | 421 / 27 | $6.250,23 | 421 / 26 |
| Pulmonary Embolism W Mcc | 14 | 29 / 10 | $55.766,20 | 459 / 21 | $8.867,64 | 172 / 6 | $8.095,07 | 172 / 8 |
| Red Blood Cell Disorders W Mcc | 15 | 56 / 24 | $54.670,70 | 905 / 70 | $7.494,20 | 149 / 16 | $6.333,73 | 149 / 12 |
| Red Blood Cell Disorders W/O Mcc | 40 | 103 / 29 | $25.323,60 | 1271 / 73 | $4.864,05 | 714 / 25 | $4.197,65 | 709 / 60 |
| Renal Failure W Cc | 59 | 162 / 48 | $30.078,40 | 1698 / 101 | $5.745,25 | 665 / 36 | $4.893,58 | 658 / 58 |
| Renal Failure W Mcc | 49 | 146 / 51 | $42.576,40 | 1368 / 85 | $8.880,49 | 557 / 34 | $8.137,96 | 557 / 50 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 31 | $43.944,80 | 1040 / 63 | $7.875,79 | 550 / 19 | $7.443,79 | 547 / 47 |
| Respiratory Infections & Inflammations W Mcc | 63 | 73 / 10 | $61.685,80 | 1301 / 72 | $11.544,70 | 684 / 40 | $10.874,70 | 676 / 57 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 34 | 97 / 32 | $72.761,20 | 1191 / 73 | $13.136,50 | 332 / 30 | $11.959,40 | 328 / 32 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 23 | $183.214,00 | 684 / 46 | $30.992,20 | 206 / 27 | $27.994,00 | 206 / 20 |
| Seizures W/O Mcc | 11 | 97 / 36 | $24.748,50 | 762 / 25 | $4.631,36 | 364 / 14 | $3.863,36 | 362 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 90 | 426 / 87 | $57.607,50 | 2022 / 128 | $10.531,50 | 640 / 26 | $9.723,72 | 639 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 64 | $36.747,90 | 1922 / 125 | $6.314,04 | 878 / 24 | $5.554,33 | 876 / 74 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 27 | $26.942,00 | 958 / 45 | $4.251,40 | 399 / 14 | $3.523,93 | 398 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 49 | $45.073,90 | 2463 / 181 | $6.082,87 | 713 / 60 | $4.827,67 | 710 / 52 |
| Simple Pneumonia & Pleurisy W Mcc | 113 | 92 / 14 | $55.348,50 | 2026 / 138 | $8.626,81 | 708 / 52 | $7.568,85 | 708 / 55 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 35 | $22.971,80 | 1356 / 78 | $4.378,89 | 483 / 32 | $3.222,95 | 481 / 41 |
| Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 53 | $183.492,00 | 1233 / 101 | $28.241,90 | 694 / 87 | $23.080,30 | 690 / 84 |
| Syncope & Collapse | 46 | 123 / 26 | $33.427,40 | 1540 / 84 | $4.442,37 | 453 / 19 | $3.501,50 | 451 / 29 |
| Transient Ischemia | 17 | 108 / 46 | $40.220,20 | 1443 / 91 | $4.286,59 | 375 / 16 | $3.231,53 | 374 / 23 | Total 74 procedures | 2.398 | 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.