Hospital Costs > In Texas > University General Hospital Dallas, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 31 | $33.341,30 | 787 / 52 | $5.793,18 | 545 / 27 | $4.917,55 | 541 / 45 |
| Cellulitis W/O Mcc | 21 | 168 / 68 | $33.421,40 | 2251 / 160 | $5.629,24 | 1673 / 96 | $4.938,95 | 1666 / 148 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 89 | $33.117,00 | 2283 / 158 | $5.057,59 | 1101 / 90 | $3.827,68 | 1093 / 86 |
| Heart Failure & Shock W Cc | 16 | 262 / 96 | $50.293,80 | 2553 / 196 | $6.531,31 | 461 / 108 | $4.857,88 | 461 / 38 |
| Heart Failure & Shock W Mcc | 11 | 273 / 109 | $54.175,20 | 2095 / 143 | $9.239,55 | 1054 / 79 | $8.361,00 | 1052 / 84 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 63 | $40.463,50 | 1515 / 101 | $7.203,54 | 760 / 74 | $6.040,23 | 759 / 61 |
| Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 82 | $34.230,10 | 2347 / 180 | $5.188,85 | 1146 / 109 | $4.052,67 | 1138 / 95 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 73 | $30.717,50 | 2155 / 155 | $4.742,23 | 834 / 79 | $3.535,38 | 831 / 66 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 30 | $52.315,60 | 1164 / 79 | $7.078,58 | 692 / 49 | $5.834,83 | 689 / 56 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 54 | $33.479,50 | 1626 / 120 | $5.431,62 | 1 / 69 | $1.751,23 | 1 / 1 |
| Renal Failure W Cc | 12 | 209 / 93 | $50.264,60 | 2257 / 168 | $6.282,42 | 473 / 82 | $4.720,83 | 469 / 41 |
| Renal Failure W Mcc | 11 | 184 / 85 | $87.088,30 | 2047 / 156 | $9.676,82 | 558 / 66 | $8.140,36 | 558 / 51 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 13 | 503 / 142 | $106.007,00 | 2687 / 206 | $12.890,20 | 1831 / 155 | $11.818,20 | 1796 / 169 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 88 | $45.820,60 | 2482 / 183 | $6.425,89 | 1056 / 97 | $5.127,44 | 1053 / 82 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 81 | $94.368,80 | 2439 / 187 | $9.862,69 | 1238 / 122 | $8.206,54 | 1238 / 103 | Total 15 procedures | 226 | 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.