Hospital Costs > In Texas > University General Hospital, 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 | 52 | 464 / 113 | $79.553,30 | 2424 / 169 | $10.615,30 | 79 / 34 | $8.552,96 | 79 / 3 |
| Other Vascular Procedures W Mcc | 23 | 74 / 28 | $186.823,00 | 952 / 80 | $27.410,20 | 790 / 78 | $25.483,10 | 787 / 78 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 139 | $98.076,00 | 2451 / 194 | $12.862,00 | 656 / 61 | $10.558,40 | 648 / 77 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 90 | $44.758,00 | 2581 / 199 | $4.739,48 | 980 / 49 | $3.750,86 | 972 / 75 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 44 | $227.808,00 | 1357 / 98 | $38.826,10 | 942 / 93 | $34.534,70 | 936 / 90 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 67 | $38.766,30 | 2346 / 184 | $4.618,42 | 1532 / 64 | $4.109,79 | 1527 / 134 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 92 | $36.562,60 | 2424 / 193 | $4.832,76 | 582 / 59 | $3.679,82 | 580 / 45 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 61 | $59.360,40 | 1805 / 138 | $7.852,40 | 829 / 102 | $6.129,67 | 828 / 69 |
| Renal Failure W Mcc | 15 | 180 / 81 | $64.245,90 | 1815 / 126 | $9.347,53 | 237 / 48 | $7.606,00 | 237 / 19 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 58 | $219.131,00 | 1314 / 112 | $34.188,50 | 1246 / 109 | $32.634,70 | 1241 / 116 |
| Skin Ulcers W Mcc | 14 | 6 / 2 | $56.120,90 | 18 / 3 | $8.226,64 | 1 / 1 | $5.990,21 | 1 / 1 |
| Diabetes W Cc | 13 | 79 / 38 | $36.701,20 | 1342 / 91 | $5.177,23 | 694 / 23 | $4.524,92 | 692 / 49 |
| Renal Failure W Cc | 12 | 209 / 93 | $44.777,60 | 2143 / 152 | $5.983,25 | 546 / 56 | $4.799,58 | 542 / 48 |
| Cellulitis W/O Mcc | 12 | 177 / 77 | $45.492,20 | 2507 / 192 | $5.070,17 | 592 / 35 | $3.960,83 | 589 / 48 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 32 | $43.408,30 | 1179 / 67 | $5.994,92 | 234 / 21 | $4.740,08 | 231 / 18 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 46 | $66.307,70 | 1286 / 77 | $9.251,45 | 3 / 1 | $6.821,55 | 3 / 1 |
| Other Vascular Procedures W Cc | 11 | 91 / 43 | $187.841,00 | 1113 / 94 | $30.500,90 | 1021 / 93 | $21.374,70 | 1016 / 91 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 80 | $60.513,50 | 2414 / 186 | $6.542,91 | 1205 / 54 | $5.882,55 | 1200 / 103 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 31 | $29.671,30 | 1024 / 49 | $4.414,73 | 487 / 18 | $3.649,64 | 486 / 25 | Total 19 procedures | 326 | 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.