Hospital Costs > In Texas > Wadley Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 141 | 375 / 66 | $39.410,90 | 1292 / 57 | $10.618,70 | 614 / 35 | $9.684,62 | 613 / 44 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 92 | 472 / 88 | $60.810,80 | 1722 / 109 | $11.929,80 | 229 / 13 | $9.797,91 | 229 / 30 |
Heart Failure & Shock W Cc | 79 | 199 / 43 | $24.310,20 | 1616 / 73 | $6.253,48 | 981 / 76 | $5.278,43 | 980 / 77 |
G.I. Hemorrhage W Cc | 69 | 149 / 30 | $26.564,20 | 1330 / 46 | $6.321,90 | 921 / 58 | $5.292,97 | 919 / 70 |
Heart Failure & Shock W Mcc | 64 | 220 / 62 | $39.627,80 | 1639 / 79 | $8.904,53 | 918 / 56 | $8.173,34 | 917 / 71 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 32 | $27.703,50 | 974 / 23 | $6.658,17 | 907 / 47 | $5.692,52 | 904 / 67 |
Renal Failure W Cc | 47 | 174 / 60 | $27.154,40 | 1560 / 78 | $6.143,38 | 962 / 69 | $5.146,45 | 954 / 77 |
Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 49 | $33.249,70 | 1656 / 84 | $7.403,09 | 959 / 69 | $6.202,09 | 954 / 75 |
Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 33 | $26.482,30 | 1548 / 64 | $6.026,56 | 846 / 71 | $4.840,02 | 843 / 58 |
Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 67 | $24.392,40 | 1575 / 70 | $6.124,80 | 1320 / 62 | $5.322,55 | 1315 / 106 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 73 | $20.367,90 | 1431 / 57 | $5.011,74 | 1047 / 79 | $3.786,77 | 1039 / 81 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 38 | 130 / 38 | $49.799,80 | 959 / 39 | $9.783,87 | 341 / 16 | $8.911,87 | 340 / 25 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 55 | $27.695,60 | 1486 / 75 | $6.468,03 | 1035 / 46 | $5.695,22 | 1032 / 89 |
Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 36 | $52.407,90 | 1127 / 53 | $11.154,80 | 477 / 27 | $10.037,40 | 476 / 39 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 37 | $21.984,10 | 1206 / 52 | $5.218,08 | 945 / 64 | $4.239,42 | 942 / 76 |
Renal Failure W Mcc | 34 | 161 / 63 | $30.706,80 | 802 / 32 | $8.931,71 | 552 / 38 | $8.132,82 | 552 / 49 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 40 | $37.523,10 | 860 / 37 | $6.777,74 | 554 / 37 | $5.527,56 | 552 / 53 |
Major Cardiovasc Procedures W/O Mcc | 34 | 67 / 17 | $82.706,00 | 408 / 16 | $18.823,80 | 183 / 5 | $17.655,80 | 183 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 63 | $36.834,70 | 1443 / 64 | $8.658,18 | 921 / 54 | $7.783,03 | 921 / 71 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 33 | $47.918,10 | 1079 / 46 | $10.648,70 | 357 / 55 | $8.679,38 | 357 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 34 | $26.759,80 | 775 / 17 | $7.503,03 | 495 / 46 | $6.371,31 | 492 / 43 |
Spinal Fusion Except Cervical W/O Mcc | 27 | 167 / 47 | $113.663,00 | 874 / 64 | $21.627,20 | 145 / 6 | $19.432,60 | 144 / 24 |
Other Circulatory System Diagnoses W Mcc | 27 | 89 / 30 | $47.546,60 | 683 / 36 | $11.571,10 | 400 / 34 | $10.367,90 | 399 / 31 |
G.I. Hemorrhage W Mcc | 26 | 95 / 31 | $55.239,90 | 1116 / 62 | $10.513,60 | 523 / 32 | $9.717,15 | 524 / 45 |
Extracranial Procedures W/O Cc/Mcc | 26 | 72 / 23 | $44.867,30 | 713 / 55 | $6.666,77 | 148 / 31 | $4.818,65 | 148 / 11 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 83 | $21.268,00 | 1700 / 97 | $5.114,19 | 898 / 93 | $3.889,00 | 891 / 72 |
Cellulitis W/O Mcc | 25 | 164 / 64 | $19.516,20 | 1430 / 68 | $5.556,64 | 912 / 87 | $4.210,32 | 906 / 72 |
Respiratory Infections & Inflammations W Cc | 23 | 65 / 22 | $37.405,30 | 910 / 50 | $8.482,91 | 407 / 46 | $7.169,87 | 404 / 33 |
Pulmonary Edema & Respiratory Failure | 23 | 180 / 60 | $44.677,10 | 1638 / 83 | $7.728,48 | 803 / 49 | $6.710,96 | 803 / 51 |
Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 25 | $70.166,30 | 580 / 39 | $13.336,70 | 59 / 19 | $10.079,50 | 59 / 14 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 54 | $23.321,80 | 809 / 29 | $6.655,50 | 599 / 40 | $5.823,95 | 598 / 46 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 22 | 47 / 9 | $73.139,50 | 372 / 11 | $11.592,20 | 18 / 11 | $7.993,68 | 18 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 43 | $129.962,00 | 834 / 45 | $30.999,40 | 538 / 35 | $29.827,70 | 534 / 55 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 46 | $64.322,90 | 1018 / 55 | $13.641,90 | 278 / 42 | $11.835,00 | 275 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 35 | $20.662,90 | 627 / 11 | $5.127,00 | 496 / 44 | $3.628,55 | 492 / 32 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 18 | $17.109,90 | 671 / 26 | $4.285,37 | 324 / 37 | $2.734,58 | 324 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 68 | $15.269,60 | 990 / 36 | $4.621,22 | 1245 / 65 | $3.839,89 | 1241 / 101 |
Transient Ischemia | 18 | 107 / 45 | $25.221,90 | 971 / 33 | $4.737,94 | 773 / 44 | $3.671,61 | 769 / 54 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 21 | $36.957,70 | 624 / 39 | $7.708,78 | 221 / 24 | $6.616,44 | 221 / 18 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 49 | $18.369,80 | 745 / 23 | $5.268,44 | 670 / 53 | $4.159,11 | 666 / 59 |
Other Vascular Procedures W Mcc | 18 | 79 / 33 | $68.022,30 | 236 / 11 | $17.763,20 | 102 / 8 | $17.035,10 | 102 / 12 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 18 | 13 / 5 | $62.095,40 | 90 / 5 | $10.963,70 | 10 / 1 | $9.119,17 | 10 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 28 | $23.930,90 | 467 / 7 | $6.281,59 | 482 / 16 | $5.444,53 | 481 / 33 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 40 | $21.044,20 | 1334 / 58 | $4.848,00 | 671 / 68 | $3.460,06 | 669 / 47 |
Chest Pain | 16 | 135 / 50 | $21.798,40 | 1042 / 41 | $4.256,94 | 519 / 46 | $2.950,00 | 515 / 33 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 16 | 180 / 58 | $84.184,40 | 943 / 64 | $11.834,40 | 564 / 13 | $10.811,50 | 560 / 67 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 48 | $45.877,50 | 960 / 41 | $11.347,40 | 421 / 32 | $10.304,60 | 420 / 29 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 41 | $18.318,50 | 1176 / 47 | $4.604,33 | 1084 / 71 | $3.826,47 | 1076 / 88 |
Other Vascular Procedures W Cc | 15 | 87 / 39 | $60.997,10 | 381 / 20 | $14.380,10 | 224 / 12 | $13.502,90 | 224 / 25 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 36 | $53.462,40 | 496 / 9 | $14.637,90 | 440 / 19 | $13.383,00 | 437 / 41 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 14 | 31 / 7 | $110.720,00 | 187 / 6 | $17.781,40 | 74 / 5 | $16.538,10 | 74 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 14 | 112 / 59 | $24.590,50 | 677 / 24 | $6.915,79 | 294 / 41 | $5.699,21 | 291 / 32 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 24 | $52.660,50 | 365 / 10 | $12.230,70 | 216 / 12 | $11.118,80 | 211 / 17 |
Signs & Symptoms W/O Mcc | 12 | 79 / 30 | $17.453,20 | 504 / 9 | $4.631,67 | 592 / 29 | $3.846,67 | 591 / 37 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 54 | $17.925,50 | 1265 / 56 | $3.955,91 | 1128 / 64 | $2.935,36 | 1123 / 83 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 33 | $64.721,50 | 96 / 1 | $24.178,00 | 37 / 1 | $23.402,90 | 37 / 6 |
Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 20 | $42.148,40 | 209 / 12 | $10.045,30 | 181 / 14 | $9.018,00 | 180 / 16 |
G.I. Obstruction W Cc | 11 | 81 / 39 | $22.485,50 | 824 / 20 | $5.772,09 | 606 / 40 | $4.588,45 | 605 / 44 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 44 | $27.921,50 | 562 / 15 | $7.384,64 | 389 / 18 | $6.412,82 | 387 / 25 |
Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 25 | $191.360,00 | 479 / 32 | $27.128,50 | 242 / 9 | $25.752,00 | 242 / 24 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 18 | $87.263,00 | 266 / 11 | $21.016,50 | 60 / 12 | $18.343,80 | 60 / 5 |
Pleural Effusion W Mcc | 11 | 19 / 11 | $46.245,00 | 113 / 5 | $9.512,82 | 56 / 4 | $8.640,73 | 56 / 5 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 29 | $35.095,10 | 389 / 22 | $6.803,73 | 291 / 16 | $5.556,45 | 290 / 35 | Total 63 procedures | 1.791 | 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.