Hospital Costs > In Texas > University Of Texas Health Science Center At Tyler, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Pulmonary Edema & Respiratory Failure | 61 | 142 / 26 | $49.924,70 | 1754 / 98 | $13.041,70 | 1011 / 155 | $6.981,28 | 1010 / 77 |
| Simple Pneumonia & Pleurisy W Mcc | 41 | 164 / 55 | $42.407,00 | 1653 / 87 | $11.414,30 | 1156 / 165 | $8.064,76 | 1156 / 90 |
| Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 67 | $32.042,20 | 2061 / 123 | $7.801,52 | 603 / 185 | $4.745,35 | 600 / 43 |
| Heart Failure & Shock W Mcc | 37 | 247 / 85 | $39.955,60 | 1656 / 85 | $10.432,70 | 869 / 142 | $8.125,24 | 869 / 68 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 27 | 489 / 133 | $52.843,90 | 1885 / 112 | $13.523,40 | 1282 / 176 | $10.612,60 | 1261 / 111 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 71 | $41.913,40 | 1982 / 126 | $9.707,68 | 1004 / 173 | $6.248,50 | 999 / 80 |
| Heart Failure & Shock W Cc | 21 | 257 / 91 | $35.709,70 | 2205 / 150 | $7.415,33 | 590 / 166 | $4.979,57 | 590 / 46 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 38 | $25.299,00 | 1469 / 96 | $5.599,81 | 481 / 120 | $3.220,75 | 479 / 40 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 49 | $65.352,10 | 1352 / 80 | $14.956,50 | 1090 / 114 | $12.027,70 | 1076 / 96 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 97 | $23.391,90 | 1756 / 93 | $5.745,86 | 688 / 146 | $3.560,50 | 684 / 54 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 54 | $35.314,80 | 1671 / 126 | $8.287,00 | 89 / 146 | $3.392,85 | 89 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 60 | $28.857,20 | 1585 / 97 | $6.055,69 | 354 / 116 | $3.675,62 | 354 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 78 | $39.265,50 | 2013 / 135 | $9.266,15 | 1712 / 180 | $6.600,46 | 1705 / 150 |
| Cellulitis W/O Mcc | 12 | 177 / 77 | $18.470,90 | 1297 / 60 | $6.385,42 | 471 / 148 | $3.857,42 | 468 / 36 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 97 | $20.116,80 | 1588 / 85 | $6.214,75 | 784 / 178 | $3.816,83 | 779 / 65 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 62 | $80.497,70 | 878 / 59 | $13.689,60 | 719 / 58 | $11.305,10 | 715 / 85 |
| Major Chest Procedures W Mcc | 12 | 37 / 14 | $164.517,00 | 230 / 16 | $47.212,00 | 292 / 24 | $41.699,00 | 291 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 52 | $28.383,90 | 875 / 30 | $8.265,36 | 199 / 70 | $5.851,73 | 199 / 17 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 34 | $35.326,40 | 855 / 43 | $10.354,10 | 261 / 100 | $6.881,18 | 259 / 19 | Total 19 procedures | 403 | 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.