Hospital Costs > In Texas > Val Verde Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Renal Failure W Mcc | 62 | 133 / 40 | $22.742,20 | 352 / 7 | $11.610,80 | 465 / 133 | $8.020,79 | 465 / 45 |
| Heart Failure & Shock W Cc | 42 | 236 / 70 | $19.855,70 | 1169 / 34 | $6.151,71 | 1090 / 64 | $5.362,00 | 1088 / 87 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 37 | 479 / 124 | $25.326,50 | 556 / 22 | $11.007,70 | 1031 / 55 | $10.227,60 | 1020 / 89 |
| Heart Failure & Shock W Mcc | 27 | 257 / 94 | $22.896,00 | 596 / 15 | $8.973,85 | 1044 / 62 | $8.350,44 | 1042 / 82 |
| Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 82 | $14.941,90 | 924 / 35 | $4.988,67 | 940 / 76 | $3.917,26 | 933 / 77 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 53 | $16.485,30 | 685 / 9 | $5.062,70 | 1104 / 50 | $4.400,30 | 1100 / 96 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 92 | $19.879,50 | 1370 / 50 | $4.827,95 | 928 / 59 | $3.714,00 | 922 / 68 |
| Renal Failure W Cc | 18 | 203 / 88 | $22.294,10 | 1210 / 41 | $5.975,94 | 1118 / 54 | $5.307,50 | 1110 / 92 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 88 | $23.876,60 | 1530 / 67 | $6.128,33 | 974 / 63 | $5.056,33 | 971 / 74 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 78 | $23.354,90 | 1004 / 33 | $7.179,87 | 965 / 59 | $6.211,33 | 960 / 76 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 77 | $18.558,40 | 639 / 22 | $6.581,07 | 955 / 56 | $5.625,64 | 952 / 82 |
| G.I. Hemorrhage W Cc | 13 | 205 / 76 | $25.634,60 | 1258 / 42 | $6.249,00 | 779 / 51 | $5.163,62 | 777 / 58 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 53 | $37.039,00 | 254 / 4 | $13.662,60 | 581 / 43 | $12.643,50 | 573 / 58 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 49 | $21.017,70 | 180 / 1 | $10.318,50 | 778 / 41 | $9.666,23 | 777 / 62 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 13 | 551 / 146 | $64.993,50 | 1859 / 120 | $12.863,90 | 1414 / 63 | $11.837,50 | 1381 / 151 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 24 | $14.020,00 | 450 / 10 | $5.247,31 | 203 / 71 | $2.539,38 | 203 / 17 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 74 | $21.519,50 | 1686 / 88 | $4.612,00 | 1205 / 62 | $3.814,67 | 1201 / 94 |
| Cellulitis W/O Mcc | 12 | 177 / 77 | $12.622,30 | 543 / 15 | $5.312,17 | 898 / 60 | $4.197,50 | 892 / 70 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 42 | $11.957,80 | 413 / 9 | $4.581,25 | 650 / 50 | $3.373,25 | 647 / 54 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 45 | $12.316,30 | 506 / 12 | $4.420,64 | 908 / 51 | $3.649,73 | 901 / 72 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 65 | $14.893,40 | 235 / 2 | $6.893,09 | 913 / 54 | $6.238,55 | 910 / 75 | Total 21 procedures | 422 | 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.