Hospital Costs > In Texas > Usmd Hospital At Arlington L P, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Male Pelvic Procedures W/O Cc/Mcc | 77 | 11 / 2 | $39.846,30 | 185 / 8 | $7.396,27 | 66 / 5 | $5.737,94 | 66 / 5 |
| Spinal Fusion Except Cervical W/O Mcc | 27 | 167 / 47 | $99.138,90 | 725 / 44 | $26.781,40 | 430 / 65 | $21.424,00 | 427 / 52 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 26 | 14 / 3 | $41.373,80 | 57 / 3 | $8.716,81 | 18 / 1 | $7.093,77 | 18 / 2 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 25 | 19 / 3 | $58.156,00 | 92 / 5 | $11.628,40 | 12 / 2 | $9.751,04 | 12 / 2 |
| Major Bladder Procedures W Cc | 16 | 22 / 3 | $86.572,10 | 30 / 3 | $15.313,00 | 2 / 1 | $14.483,00 | 2 / 1 |
| Major Male Pelvic Procedures W Cc/Mcc | 15 | 15 / 3 | $45.330,90 | 25 / 2 | $10.725,20 | 6 / 1 | $8.496,93 | 6 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 33 | $53.481,80 | 384 / 23 | $15.870,30 | 34 / 51 | $9.700,64 | 34 / 8 | Total 7 procedures | 200 | 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.