Hospital Costs > In Texas > Ut Southwestern University Hospital-Zale Lipshy, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 33 | 33 / 4 | $28.287,90 | 40 / 2 | $13.302,70 | 119 / 34 | $9.545,27 | 119 / 14 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 60 | 32 / 3 | $20.248,00 | 96 / 3 | $7.861,30 | 176 / 36 | $5.120,50 | 176 / 21 |
| Cervical Spinal Fusion W Cc | 13 | 40 / 13 | $61.829,20 | 140 / 4 | $19.271,50 | 213 / 18 | $17.500,10 | 212 / 27 |
| Cervical Spinal Fusion W/O Cc/Mcc | 24 | 80 / 23 | $62.784,00 | 494 / 34 | $18.814,10 | 475 / 66 | $12.557,40 | 472 / 57 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 42 | 14 / 1 | $51.190,00 | 22 / 2 | $20.146,60 | 60 / 15 | $17.316,40 | 60 / 15 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 27 | 71 / 8 | $77.120,30 | 79 / 2 | $31.142,50 | 154 / 24 | $25.616,10 | 154 / 19 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 52 | 25 / 2 | $53.774,20 | 79 / 4 | $16.477,80 | 121 / 15 | $13.989,20 | 120 / 19 |
| Degenerative Nervous System Disorders W/O Mcc | 20 | 58 / 11 | $49.473,10 | 771 / 44 | $12.653,80 | 838 / 50 | $10.965,90 | 838 / 52 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 20 | $249.417,00 | 36 / 1 | $88.862,40 | 56 / 5 | $85.117,50 | 56 / 6 |
| Headaches W/O Mcc | 26 | 17 / 3 | $20.290,00 | 107 / 6 | $5.413,85 | 30 / 11 | $2.921,19 | 30 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 49 | 133 / 37 | $22.898,20 | 657 / 8 | $7.254,51 | 1088 / 72 | $5.975,90 | 1085 / 83 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 37 | $50.119,50 | 965 / 41 | $13.489,20 | 1165 / 90 | $11.881,80 | 1159 / 93 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 35 | $19.635,40 | 549 / 6 | $5.277,65 | 491 / 46 | $3.622,75 | 487 / 31 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 30 | 14 / 2 | $45.280,90 | 45 / 3 | $13.791,50 | 73 / 7 | $12.111,20 | 73 / 9 |
| Kidney & Ureter Procedures For Neoplasm W Mcc | 16 | 5 / 1 | $44.879,40 | 1 / 1 | $23.080,20 | 10 / 2 | $21.405,80 | 10 / 2 |
| Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 43 | 6 / 1 | $33.929,20 | 34 / 2 | $10.042,70 | 49 / 4 | $8.318,65 | 49 / 6 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 24 | 21 / 2 | $43.122,10 | 57 / 4 | $13.149,20 | 66 / 6 | $11.376,00 | 66 / 9 |
| Kidney & Ureter Procedures For Non-Neoplasm W/O Cc/Mcc | 14 | 11 / 1 | $32.384,00 | 9 / 2 | $9.297,86 | 4 / 3 | $6.375,50 | 4 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 97 | $14.976,80 | 930 / 36 | $5.119,00 | 785 / 94 | $3.817,08 | 780 / 66 |
| Major Bladder Procedures W Cc | 39 | 5 / 1 | $61.005,20 | 10 / 1 | $18.282,20 | 10 / 2 | $16.507,50 | 10 / 2 |
| Major Bladder Procedures W/O Cc/Mcc | 18 | 5 / 1 | $50.373,20 | 3 / 1 | $14.883,10 | 1 / 1 | $12.025,20 | 1 / 1 |
| Major Male Pelvic Procedures W Cc/Mcc | 20 | 10 / 2 | $31.214,70 | 7 / 1 | $13.892,50 | 4 / 3 | $8.339,85 | 4 / 1 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 80 | 10 / 1 | $27.257,20 | 55 / 3 | $9.409,21 | 81 / 13 | $5.842,02 | 81 / 8 |
| Multiple Sclerosis & Cerebellar Ataxia W Cc | 11 | 9 / 1 | $56.261,50 | 19 / 1 | $11.402,90 | 13 / 1 | $7.601,55 | 13 / 1 |
| Multiple Sclerosis & Cerebellar Ataxia W/O Cc/Mcc | 13 | 11 / 1 | $69.268,50 | 23 / 1 | $12.629,80 | 22 / 1 | $8.514,54 | 22 / 1 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 12 | $13.372,90 | 56 / 1 | $6.548,14 | 72 / 15 | $4.233,64 | 72 / 6 |
| Other O.R. Procedures For Injuries W Cc | 12 | 23 / 6 | $26.308,80 | 7 / 1 | $12.407,70 | 8 / 3 | $9.170,67 | 8 / 1 |
| Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc | 13 | 14 / 3 | $36.684,00 | 23 / 1 | $6.993,69 | 14 / 1 | $5.823,38 | 14 / 2 |
| Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc | 12 | 13 / 2 | $75.790,30 | 13 / 1 | $26.992,80 | 7 / 1 | $20.790,80 | 7 / 1 |
| Periph/Cranial Nerve & Other Nerv Syst Proc W/O Cc/Mcc | 15 | 6 / 1 | $51.136,50 | 6 / 1 | $13.978,50 | 2 / 1 | $9.338,87 | 2 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 31 | 163 / 45 | $69.855,70 | 369 / 20 | $27.932,20 | 664 / 80 | $22.834,40 | 660 / 77 |
| Spinal Procedures W Cc Or Spinal Neurostimulators | 12 | 15 / 3 | $55.182,70 | 8 / 1 | $21.053,80 | 14 / 2 | $19.374,10 | 14 / 3 |
| Spinal Procedures W/O Cc/Mcc | 22 | 8 / 1 | $26.860,40 | 8 / 1 | $12.531,30 | 7 / 2 | $10.505,10 | 7 / 2 |
| Transient Ischemia | 13 | 112 / 50 | $18.863,70 | 570 / 7 | $4.948,08 | 243 / 50 | $3.075,69 | 243 / 15 | Total 34 procedures | 880 | 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.