Hospital Costs > In Texas > University Medical Center At Brackenridge, 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 | 38 | 478 / 123 | $86.498,50 | 2510 / 177 | $18.011,30 | 2599 / 206 | $16.182,10 | 2554 / 207 |
Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 37 | $79.251,60 | 1696 / 108 | $17.494,10 | 1725 / 142 | $14.188,50 | 1706 / 140 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 36 | 30 / 5 | $43.107,40 | 373 / 24 | $11.409,10 | 479 / 34 | $9.928,81 | 478 / 35 |
Heart Failure & Shock W Cc | 34 | 244 / 78 | $28.948,80 | 1902 / 103 | $10.228,80 | 2601 / 206 | $9.124,68 | 2595 / 206 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 42 | $103.207,00 | 1522 / 105 | $19.636,90 | 1552 / 110 | $17.720,10 | 1545 / 113 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 52 | $52.117,90 | 1780 / 110 | $11.171,30 | 1948 / 135 | $9.507,69 | 1944 / 136 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 131 | $89.715,60 | 2356 / 176 | $18.197,00 | 2431 / 209 | $16.593,80 | 2385 / 215 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 31 | 23 / 4 | $41.658,00 | 349 / 25 | $8.626,35 | 373 / 25 | $7.220,35 | 373 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 46 | $39.821,00 | 1301 / 86 | $11.279,30 | 1574 / 128 | $10.233,70 | 1571 / 127 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 81 | $35.929,20 | 2403 / 187 | $9.323,54 | 2550 / 214 | $7.061,79 | 2539 / 214 |
Medical Back Problems W/O Mcc | 28 | 93 / 23 | $39.915,40 | 1247 / 82 | $9.666,32 | 1346 / 97 | $7.075,68 | 1341 / 96 |
Syncope & Collapse | 26 | 143 / 40 | $32.333,70 | 1512 / 81 | $8.497,46 | 1819 / 129 | $7.249,50 | 1811 / 129 |
Seizures W/O Mcc | 24 | 84 / 23 | $28.343,60 | 903 / 42 | $9.134,88 | 1165 / 82 | $6.708,83 | 1163 / 81 |
Heart Failure & Shock W Mcc | 24 | 260 / 96 | $62.465,30 | 2233 / 157 | $14.566,50 | 2422 / 194 | $13.054,50 | 2411 / 196 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 23 | 51 / 9 | $88.372,70 | 194 / 15 | $19.782,70 | 183 / 20 | $16.121,10 | 182 / 21 |
Spinal Fusion Except Cervical W/O Mcc | 23 | 171 / 50 | $110.273,00 | 836 / 59 | $33.590,50 | 1013 / 107 | $26.601,30 | 1008 / 110 |
Skin Graft For Skin Ulcer Or Cellulitis W Mcc | 22 | 4 / 1 | $89.782,00 | 12 / 2 | $26.004,50 | 11 / 3 | $22.141,00 | 11 / 2 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 89 | $31.539,50 | 2230 / 148 | $9.091,05 | 2584 / 199 | $7.207,18 | 2569 / 199 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 21 | 34 / 9 | $113.689,00 | 166 / 17 | $23.084,80 | 132 / 18 | $20.913,80 | 132 / 21 |
Renal Failure W Cc | 20 | 201 / 86 | $35.432,10 | 1914 / 126 | $10.042,20 | 2272 / 176 | $8.643,00 | 2262 / 177 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 20 | 41 / 11 | $36.976,90 | 832 / 37 | $8.008,75 | 842 / 39 | $6.513,60 | 841 / 38 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 19 | 79 / 14 | $183.964,00 | 414 / 29 | $35.335,90 | 360 / 28 | $32.535,20 | 360 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 36 | $34.573,50 | 1226 / 64 | $8.859,21 | 1531 / 101 | $7.266,00 | 1527 / 101 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 72 | $47.166,80 | 2205 / 152 | $11.862,00 | 2363 / 190 | $9.072,05 | 2353 / 189 |
Renal Failure W Mcc | 17 | 178 / 79 | $70.687,10 | 1895 / 138 | $15.691,90 | 2023 / 155 | $14.212,10 | 2019 / 156 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 70 | $40.204,10 | 2377 / 189 | $8.502,75 | 2410 / 192 | $6.895,56 | 2401 / 194 |
Cellulitis W/O Mcc | 16 | 173 / 73 | $35.837,90 | 2315 / 165 | $9.518,50 | 2502 / 193 | $8.036,88 | 2494 / 194 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 65 | $52.052,40 | 1790 / 104 | $11.835,20 | 2046 / 154 | $10.623,60 | 2040 / 157 |
Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 23 | $55.095,90 | 772 / 39 | $14.891,60 | 809 / 56 | $11.162,80 | 806 / 57 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 14 | $43.318,70 | 878 / 58 | $8.604,27 | 889 / 60 | $6.964,20 | 888 / 60 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 49 | $212.266,00 | 1299 / 88 | $48.569,90 | 1395 / 111 | $45.239,60 | 1385 / 108 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 51 | $107.523,00 | 1587 / 115 | $20.798,70 | 1503 / 132 | $17.625,00 | 1489 / 131 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 15 | 36 / 11 | $83.001,90 | 265 / 13 | $18.062,90 | 275 / 16 | $16.280,30 | 275 / 16 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 17 | $74.474,30 | 453 / 24 | $17.036,50 | 554 / 34 | $15.427,10 | 550 / 37 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 53 | $35.585,40 | 1681 / 127 | $8.498,14 | 1707 / 149 | $6.380,93 | 1698 / 148 |
Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 61 | $32.809,40 | 1838 / 98 | $10.030,40 | 2298 / 164 | $8.558,57 | 2291 / 166 |
Chest Pain | 14 | 137 / 52 | $33.171,40 | 1465 / 96 | $7.772,07 | 1617 / 122 | $6.584,00 | 1608 / 122 |
Major Chest Trauma W Cc | 14 | 22 / 4 | $45.351,20 | 110 / 5 | $10.906,90 | 122 / 7 | $8.054,93 | 122 / 7 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 26 | $49.841,80 | 585 / 42 | $10.984,20 | 718 / 55 | $9.475,36 | 717 / 59 |
Signs & Symptoms W/O Mcc | 14 | 77 / 28 | $36.884,40 | 1165 / 67 | $8.327,07 | 1260 / 81 | $7.136,14 | 1257 / 82 |
Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 33 | $79.051,60 | 665 / 53 | $18.570,00 | 788 / 65 | $17.154,60 | 785 / 73 |
G.I. Hemorrhage W Cc | 13 | 205 / 76 | $45.966,70 | 2091 / 135 | $9.911,92 | 2171 / 160 | $8.186,77 | 2167 / 161 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 60 | $47.030,80 | 2027 / 153 | $9.102,69 | 2082 / 153 | $8.133,92 | 2077 / 155 |
Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 93 | $34.692,40 | 2168 / 137 | $10.303,40 | 2636 / 210 | $8.623,62 | 2627 / 213 |
Transient Ischemia | 13 | 112 / 50 | $36.394,20 | 1361 / 77 | $8.278,38 | 1595 / 112 | $6.926,31 | 1587 / 112 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 14 | $30.631,80 | 614 / 26 | $8.641,00 | 759 / 36 | $7.097,54 | 757 / 36 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 81 | $37.063,70 | 1835 / 111 | $11.644,30 | 2428 / 187 | $10.530,10 | 2420 / 188 |
Diabetes W Cc | 12 | 80 / 39 | $34.729,30 | 1305 / 86 | $9.212,50 | 1515 / 108 | $8.108,42 | 1510 / 108 |
Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim | 11 | 18 / 4 | $60.476,50 | 39 / 1 | $18.361,80 | 53 / 4 | $16.537,50 | 53 / 4 |
Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 83 | $30.645,10 | 1077 / 42 | $12.955,10 | 2270 / 180 | $11.853,80 | 2264 / 184 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 23 | $74.490,10 | 429 / 32 | $16.649,00 | 503 / 42 | $15.155,60 | 499 / 43 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 8 | $32.208,40 | 209 / 8 | $8.599,55 | 292 / 13 | $7.346,27 | 292 / 13 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 24 | $35.400,50 | 435 / 43 | $9.943,64 | 500 / 56 | $8.710,82 | 500 / 57 |
Other Multiple Significant Trauma W Cc | 11 | 14 / 4 | $61.228,80 | 33 / 2 | $13.418,90 | 34 / 2 | $11.756,50 | 34 / 3 | Total 54 procedures | 1.047 | 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.