Hospital Costs > In Texas > Vhs Harlingen Hospital Company Llc, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 398 | 189 / 14 | $82.753,90 | 2255 / 161 | $14.042,10 | 1635 / 110 | $12.398,90 | 1598 / 178 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 286 | 232 / 26 | $55.618,60 | 1971 / 124 | $12.339,90 | 1467 / 134 | $10.965,70 | 1438 / 135 |
Simple Pneumonia & Pleurisy W Mcc | 111 | 94 / 15 | $47.922,80 | 1841 / 110 | $9.449,70 | 1412 / 106 | $8.517,41 | 1412 / 125 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 108 | 99 / 11 | $25.512,40 | 1295 / 55 | $7.365,85 | 1552 / 115 | $6.350,17 | 1545 / 136 |
Kidney & Urinary Tract Infections W/O Mcc | 106 | 127 / 22 | $24.284,50 | 1931 / 129 | $5.752,48 | 1850 / 158 | $4.753,50 | 1839 / 172 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 88 | 187 / 37 | $25.052,40 | 1891 / 111 | $5.573,82 | 1834 / 135 | $4.532,92 | 1821 / 155 |
Heart Failure & Shock W Mcc | 81 | 203 / 50 | $40.128,90 | 1665 / 87 | $9.619,67 | 1370 / 102 | $8.828,94 | 1367 / 119 |
Chronic Obstructive Pulmonary Disease W Mcc | 77 | 125 / 23 | $44.135,30 | 2049 / 135 | $8.035,71 | 1553 / 116 | $6.916,00 | 1546 / 135 |
Transient Ischemia | 67 | 58 / 14 | $39.796,70 | 1431 / 89 | $5.336,31 | 1083 / 74 | $4.212,72 | 1078 / 84 |
G.I. Hemorrhage W Cc | 67 | 151 / 32 | $30.186,80 | 1572 / 77 | $7.359,28 | 1573 / 124 | $6.094,00 | 1569 / 125 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 66 | 100 / 26 | $19.518,30 | 1510 / 71 | $5.351,55 | 1700 / 143 | $4.320,03 | 1695 / 156 |
Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 43 | $31.933,40 | 2054 / 121 | $6.936,59 | 1866 / 140 | $5.947,88 | 1858 / 163 |
Heart Failure & Shock W Cc | 62 | 216 / 55 | $31.095,10 | 2017 / 123 | $7.022,69 | 1762 / 143 | $6.076,08 | 1757 / 158 |
Renal Failure W Mcc | 61 | 134 / 41 | $43.818,90 | 1407 / 91 | $10.145,90 | 1059 / 87 | $9.036,26 | 1059 / 100 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 59 | 123 / 31 | $61.961,70 | 1896 / 125 | $7.774,56 | 1396 / 98 | $6.555,24 | 1393 / 116 |
Renal Failure W Cc | 54 | 167 / 53 | $27.426,30 | 1573 / 82 | $6.847,06 | 1610 / 121 | $5.953,26 | 1601 / 142 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 54 | 72 / 24 | $31.195,10 | 1018 / 61 | $7.884,06 | 1001 / 82 | $7.079,07 | 998 / 93 |
Syncope & Collapse | 51 | 118 / 22 | $32.934,60 | 1526 / 82 | $5.502,06 | 1262 / 84 | $4.507,22 | 1255 / 100 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 48 | 76 / 20 | $175.712,00 | 1153 / 73 | $34.460,40 | 840 / 67 | $33.153,70 | 834 / 86 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 30 | $83.522,10 | 1391 / 79 | $12.211,30 | 1023 / 76 | $11.166,70 | 1018 / 78 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 44 | 87 / 22 | $97.426,70 | 1488 / 102 | $16.156,10 | 1139 / 107 | $14.776,90 | 1126 / 114 |
G.I. Hemorrhage W Mcc | 44 | 77 / 16 | $45.903,30 | 890 / 40 | $11.169,70 | 632 / 50 | $10.014,00 | 633 / 53 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 44 | 58 / 16 | $48.924,10 | 1479 / 92 | $5.673,73 | 1097 / 64 | $4.561,75 | 1093 / 83 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 41 | 55 / 16 | $33.011,30 | 741 / 29 | $7.954,68 | 664 / 39 | $7.043,34 | 659 / 49 |
Cellulitis W/O Mcc | 40 | 149 / 50 | $23.006,70 | 1736 / 96 | $6.112,20 | 1751 / 128 | $5.053,40 | 1743 / 155 |
Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 36 | $33.719,60 | 1873 / 102 | $6.629,80 | 1526 / 110 | $5.553,27 | 1520 / 128 |
Chest Pain | 39 | 112 / 29 | $22.828,30 | 1106 / 46 | $4.871,67 | 1023 / 81 | $3.599,77 | 1017 / 85 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 26 | $40.640,10 | 1348 / 71 | $8.326,92 | 1046 / 73 | $7.219,89 | 1043 / 89 |
Pulmonary Edema & Respiratory Failure | 38 | 165 / 46 | $40.108,40 | 1504 / 70 | $8.314,66 | 1391 / 83 | $7.581,03 | 1387 / 114 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 36 | $26.285,80 | 1467 / 77 | $5.862,54 | 1419 / 108 | $4.843,27 | 1414 / 123 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 20 | $28.234,40 | 1654 / 92 | $5.402,39 | 1415 / 103 | $4.268,97 | 1404 / 113 |
Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 39 | $96.581,60 | 1864 / 127 | $14.065,30 | 1501 / 127 | $12.805,60 | 1483 / 133 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 33 | 155 / 41 | $44.141,30 | 1051 / 67 | $7.573,91 | 1037 / 72 | $6.438,12 | 1034 / 97 |
Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 23 | $24.311,90 | 1521 / 95 | $5.207,91 | 1323 / 113 | $4.125,36 | 1312 / 112 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 32 | 61 / 22 | $25.359,10 | 1471 / 97 | $5.372,41 | 1425 / 113 | $4.253,28 | 1417 / 128 |
Other Circulatory System Diagnoses W Mcc | 31 | 85 / 27 | $51.299,30 | 777 / 49 | $12.355,30 | 524 / 54 | $10.839,30 | 522 / 50 |
Red Blood Cell Disorders W/O Mcc | 30 | 113 / 37 | $21.754,70 | 1050 / 48 | $6.248,77 | 1210 / 111 | $4.817,10 | 1202 / 108 |
Other Vascular Procedures W Mcc | 30 | 67 / 23 | $82.156,90 | 408 / 25 | $19.213,30 | 286 / 22 | $18.585,60 | 285 / 37 |
Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 47 | $36.596,00 | 1401 / 90 | $7.791,90 | 1199 / 100 | $6.752,86 | 1195 / 103 |
G.I. Obstruction W Cc | 29 | 63 / 22 | $24.692,80 | 977 / 31 | $6.962,52 | 1120 / 81 | $5.331,52 | 1117 / 84 |
Respiratory Infections & Inflammations W Mcc | 29 | 107 / 36 | $54.233,30 | 1160 / 57 | $12.497,90 | 969 / 74 | $11.615,00 | 959 / 84 |
Other Digestive System Diagnoses W Cc | 28 | 69 / 16 | $29.273,30 | 841 / 38 | $6.904,75 | 944 / 45 | $6.271,00 | 940 / 71 |
Seizures W/O Mcc | 27 | 81 / 20 | $30.644,80 | 977 / 49 | $5.433,41 | 621 / 39 | $4.317,15 | 618 / 49 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 25 | 17 / 2 | $241.800,00 | 154 / 7 | $33.619,80 | 52 / 2 | $32.677,60 | 52 / 2 |
Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 48 | $104.831,00 | 787 / 51 | $22.535,20 | 133 / 16 | $19.314,50 | 132 / 21 |
Diabetes W Cc | 25 | 67 / 26 | $23.364,10 | 912 / 37 | $6.138,88 | 905 / 67 | $4.915,68 | 901 / 70 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 41 | $22.274,40 | 1520 / 84 | $4.521,67 | 1537 / 102 | $3.607,04 | 1531 / 117 |
Medical Back Problems W/O Mcc | 24 | 97 / 26 | $24.415,30 | 799 / 22 | $6.102,33 | 894 / 58 | $4.973,21 | 891 / 69 |
Other Vascular Procedures W Cc | 23 | 79 / 31 | $98.370,10 | 828 / 60 | $15.762,00 | 470 / 35 | $14.780,00 | 467 / 61 |
Peripheral Vascular Disorders W Cc | 23 | 61 / 20 | $28.028,70 | 746 / 36 | $6.796,17 | 720 / 41 | $5.909,65 | 717 / 57 |
Signs & Symptoms W/O Mcc | 23 | 68 / 19 | $25.113,70 | 893 / 38 | $5.305,04 | 855 / 54 | $4.402,13 | 852 / 61 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 40 | $50.125,00 | 1145 / 51 | $11.028,60 | 897 / 66 | $9.979,68 | 896 / 74 |
Cellulitis W Mcc | 22 | 36 / 13 | $28.209,10 | 335 / 10 | $9.468,50 | 450 / 26 | $8.480,55 | 448 / 43 |
Seizures W Mcc | 21 | 45 / 13 | $64.256,60 | 606 / 44 | $11.448,70 | 275 / 42 | $8.720,95 | 275 / 28 |
Coronary Bypass W Cardiac Cath W/O Mcc | 20 | 56 / 16 | $167.837,00 | 416 / 25 | $28.025,20 | 307 / 16 | $26.779,90 | 307 / 29 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 20 | 18 / 4 | $20.671,20 | 266 / 14 | $5.070,30 | 354 / 22 | $4.326,55 | 353 / 33 |
Permanent Cardiac Pacemaker Implant W Cc | 20 | 57 / 19 | $97.672,20 | 758 / 46 | $16.692,30 | 500 / 36 | $15.907,20 | 499 / 53 |
Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 16 | $97.957,30 | 432 / 18 | $22.001,30 | 172 / 22 | $17.710,00 | 172 / 16 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 26 | $37.393,70 | 907 / 48 | $8.962,26 | 850 / 70 | $8.145,79 | 845 / 80 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 28 | $147.136,00 | 505 / 30 | $39.165,10 | 81 / 51 | $29.362,00 | 81 / 7 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 21 | $43.963,50 | 735 / 49 | $8.487,44 | 549 / 45 | $7.647,44 | 547 / 53 |
Dysequilibrium | 18 | 47 / 10 | $29.977,00 | 413 / 16 | $4.908,89 | 334 / 15 | $3.771,06 | 334 / 23 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 18 | 45 / 17 | $149.509,00 | 472 / 26 | $30.196,60 | 316 / 23 | $29.022,20 | 316 / 35 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 17 | 13 / 5 | $74.745,30 | 153 / 18 | $12.245,60 | 80 / 6 | $11.204,40 | 79 / 10 |
Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 15 | $35.010,70 | 597 / 30 | $6.937,20 | 536 / 23 | $6.286,53 | 536 / 42 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 12 | $44.944,50 | 368 / 33 | $8.353,07 | 378 / 30 | $7.130,40 | 377 / 43 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 20 | $23.522,90 | 258 / 24 | $6.365,47 | 289 / 23 | $5.944,60 | 289 / 36 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 22 | $21.571,30 | 887 / 47 | $4.826,07 | 949 / 56 | $3.801,80 | 946 / 75 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 30 | $250.907,00 | 1170 / 80 | $41.237,10 | 1048 / 74 | $38.742,50 | 1046 / 75 |
Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 34 | $60.196,30 | 840 / 65 | $7.332,29 | 669 / 48 | $6.398,93 | 666 / 64 |
Other Vascular Procedures W/O Cc/Mcc | 14 | 42 / 18 | $62.455,00 | 399 / 31 | $11.014,50 | 299 / 24 | $9.902,43 | 298 / 32 |
Organic Disturbances & Mental Retardation | 13 | 46 / 14 | $26.367,50 | 297 / 9 | $7.111,00 | 294 / 8 | $6.277,92 | 294 / 14 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 13 | 61 / 15 | $88.453,70 | 195 / 16 | $15.734,60 | 38 / 12 | $11.888,80 | 38 / 7 |
Renal Failure W/O Cc/Mcc | 13 | 43 / 20 | $16.952,10 | 459 / 20 | $4.915,77 | 600 / 42 | $3.935,08 | 599 / 49 |
Disorders Of Pancreas Except Malignancy W Mcc | 13 | 33 / 12 | $59.468,80 | 257 / 14 | $11.531,20 | 141 / 9 | $10.810,80 | 141 / 12 |
Atherosclerosis W/O Mcc | 13 | 45 / 13 | $21.208,80 | 339 / 13 | $4.814,77 | / | $3.645,62 | / |
Hypertension W/O Mcc | 13 | 52 / 20 | $20.489,60 | 429 / 21 | $4.902,62 | 510 / 40 | $3.818,31 | 508 / 49 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 18 | $31.309,80 | 651 / 29 | $6.624,46 | 610 / 32 | $5.683,69 | 607 / 44 |
Other Digestive System Diagnoses W Mcc | 13 | 49 / 17 | $43.404,00 | 369 / 17 | $10.808,60 | 280 / 24 | $9.932,77 | 280 / 34 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 28 | $115.389,00 | 773 / 49 | $19.000,40 | 464 / 35 | $17.906,20 | 461 / 38 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 20 | $71.829,20 | 802 / 64 | $10.650,30 | 556 / 50 | $9.516,69 | 554 / 58 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 11 | $56.185,70 | 151 / 9 | $13.346,60 | 59 / 6 | $12.496,30 | 59 / 10 |
Other Endocrine, Nutrit & Metab O.R. Proc W Cc | 12 | 11 / 5 | $85.278,70 | 35 / 8 | $13.808,20 | 19 / 5 | $13.057,20 | 19 / 7 |
Other Resp System O.R. Procedures W Mcc | 12 | 51 / 17 | $110.070,00 | 391 / 27 | $21.378,40 | 110 / 14 | $19.291,00 | 110 / 13 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W/O Mcc | 12 | 12 / 3 | $170.319,00 | 29 / 3 | $22.719,80 | 8 / 1 | $21.993,50 | 8 / 3 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 29 | $42.042,80 | 660 / 19 | $10.035,80 | 316 / 25 | $8.421,08 | 316 / 17 |
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 12 | 20 / 9 | $77.985,40 | 122 / 11 | $13.854,60 | 39 / 4 | $12.979,20 | 39 / 6 |
Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 12 | $27.952,40 | 315 / 26 | $5.187,50 | 269 / 16 | $4.312,50 | 269 / 21 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 17 | $24.393,40 | 644 / 38 | $5.458,08 | 603 / 38 | $4.247,17 | 603 / 47 |
G.I. Obstruction W Mcc | 12 | 30 / 14 | $40.660,70 | 258 / 9 | $10.572,00 | 243 / 14 | $9.658,75 | 243 / 15 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 62 | $70.508,80 | 695 / 35 | $12.908,40 | 867 / 39 | $11.941,20 | 861 / 104 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 21 | $193.186,00 | 425 / 31 | $27.865,10 | 200 / 19 | $26.819,50 | 200 / 22 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 24 | $21.251,10 | 329 / 4 | $8.046,27 | 655 / 38 | $7.191,64 | 653 / 53 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 15 | $84.388,60 | 600 / 26 | $13.608,90 | 376 / 17 | $12.537,70 | 375 / 26 |
Other Kidney & Urinary Tract Procedures W Mcc | 11 | 27 / 14 | $79.886,50 | 106 / 8 | $19.077,00 | 55 / 6 | $18.015,50 | 55 / 9 |
Peripheral Vascular Disorders W Mcc | 11 | 38 / 16 | $34.342,50 | 277 / 18 | $8.969,18 | 281 / 19 | $8.295,55 | 281 / 32 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 25 | $58.556,70 | 565 / 39 | $10.798,10 | 504 / 37 | $9.576,73 | 502 / 51 |
Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 9 | $25.391,30 | 207 / 8 | $6.127,09 | 204 / 8 | $5.063,73 | 204 / 11 | Total 98 procedures | 3.637 | 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.