Hospital Costs > In Texas > Tyler County Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 85 | $9.949,50 | 291 / 15 | $5.092,67 | 1077 / 86 | $4.010,96 | 1069 / 92 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 85 | $12.340,00 | 285 / 10 | $6.282,48 | 1096 / 80 | $5.153,19 | 1092 / 83 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 77 | $13.400,90 | 210 / 5 | $7.612,44 | 1036 / 86 | $6.276,88 | 1031 / 84 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 61 | $11.355,10 | 172 / 4 | $6.082,64 | 1058 / 76 | $5.019,86 | 1054 / 80 |
| Heart Failure & Shock W Mcc | 11 | 273 / 109 | $16.503,10 | 220 / 9 | $9.691,55 | 1315 / 108 | $8.735,82 | 1312 / 112 | Total 5 procedures | 86 | 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.