Hospital Costs > In Texas > West Houston 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 | 155 | 361 / 59 | $91.534,00 | 2562 / 184 | $13.816,20 | 2000 / 183 | $12.376,60 | 1963 / 186 |
Heart Failure & Shock W Mcc | 84 | 200 / 48 | $66.744,40 | 2289 / 166 | $11.907,50 | 1913 / 177 | $10.102,80 | 1907 / 173 |
Kidney & Urinary Tract Infections W/O Mcc | 72 | 161 / 45 | $38.530,70 | 2468 / 196 | $6.541,25 | 2229 / 194 | $5.518,22 | 2218 / 199 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 69 | 495 / 100 | $111.482,00 | 2559 / 203 | $18.723,10 | 1421 / 211 | $11.860,40 | 1388 / 154 |
Renal Failure W Mcc | 68 | 127 / 36 | $64.975,40 | 1830 / 128 | $12.276,60 | 1441 / 141 | $10.071,60 | 1441 / 139 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 54 | $41.493,70 | 2504 / 186 | $7.310,14 | 2195 / 190 | $5.221,94 | 2180 / 185 |
Chest Pain | 64 | 87 / 13 | $39.068,00 | 1577 / 112 | $5.637,62 | 1270 / 106 | $4.197,69 | 1263 / 105 |
Renal Failure W Cc | 50 | 171 / 57 | $41.152,10 | 2080 / 144 | $7.730,98 | 1965 / 153 | $6.857,66 | 1955 / 168 |
Kidney & Urinary Tract Infections W Mcc | 50 | 94 / 28 | $53.598,70 | 1722 / 127 | $8.774,00 | 1515 / 129 | $7.670,06 | 1511 / 136 |
Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 44 | $59.184,80 | 2342 / 171 | $9.101,57 | 2050 / 162 | $8.104,27 | 2042 / 173 |
Heart Failure & Shock W Cc | 47 | 231 / 66 | $41.915,00 | 2383 / 171 | $7.941,47 | 2176 / 184 | $6.939,47 | 2170 / 189 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 46 | 78 / 22 | $187.379,00 | 1207 / 84 | $34.206,00 | 789 / 64 | $32.598,40 | 783 / 81 |
Syncope & Collapse | 44 | 125 / 28 | $46.982,70 | 1810 / 122 | $6.532,09 | 1440 / 116 | $4.967,09 | 1433 / 112 |
Other Circulatory System Diagnoses W Mcc | 42 | 74 / 17 | $53.948,60 | 829 / 57 | $13.654,10 | 928 / 78 | $12.885,90 | 921 / 91 |
Simple Pneumonia & Pleurisy W Mcc | 39 | 166 / 57 | $60.120,20 | 2098 / 146 | $10.586,60 | 1848 / 155 | $9.537,08 | 1848 / 166 |
Other Vascular Procedures W Mcc | 36 | 61 / 19 | $126.825,00 | 773 / 60 | $22.203,00 | 499 / 62 | $20.677,80 | 496 / 67 |
Red Blood Cell Disorders W/O Mcc | 34 | 109 / 34 | $34.727,50 | 1652 / 122 | $6.792,00 | 1643 / 129 | $6.031,88 | 1634 / 142 |
Respiratory Infections & Inflammations W Mcc | 32 | 104 / 33 | $76.444,40 | 1472 / 89 | $12.962,80 | 1069 / 83 | $11.939,10 | 1055 / 94 |
Cellulitis W/O Mcc | 32 | 157 / 58 | $41.392,60 | 2442 / 181 | $6.950,12 | 1941 / 168 | $5.436,59 | 1933 / 174 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 78 | $51.334,30 | 2580 / 197 | $7.823,45 | 2336 / 186 | $6.998,34 | 2327 / 201 |
G.I. Hemorrhage W Cc | 29 | 189 / 61 | $58.082,20 | 2284 / 161 | $7.964,03 | 1906 / 140 | $6.930,03 | 1902 / 152 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 29 | 159 / 45 | $52.088,10 | 1257 / 89 | $8.688,38 | 1172 / 101 | $6.908,93 | 1169 / 111 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 62 | $52.055,10 | 2298 / 166 | $8.376,28 | 1959 / 168 | $7.176,90 | 1951 / 173 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 45 | $31.758,00 | 1694 / 105 | $6.771,46 | 1703 / 137 | $5.473,61 | 1698 / 143 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 28 | 140 / 46 | $89.934,20 | 1437 / 87 | $12.515,30 | 1122 / 82 | $11.661,90 | 1116 / 91 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 55 | $61.004,30 | 1882 / 122 | $8.809,61 | 1607 / 125 | $7.236,36 | 1604 / 126 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 35 | $70.551,30 | 1469 / 87 | $12.536,30 | 1355 / 97 | $11.792,50 | 1344 / 115 |
Other Digestive System Diagnoses W Mcc | 26 | 36 / 7 | $58.121,50 | 538 / 35 | $12.162,60 | 440 / 39 | $11.231,30 | 439 / 45 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 46 | $94.782,80 | 1846 / 123 | $14.079,50 | 1534 / 128 | $12.961,30 | 1516 / 138 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 49 | $42.182,20 | 1347 / 91 | $8.732,40 | 1259 / 110 | $7.927,84 | 1256 / 117 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 41 | $97.567,90 | 1490 / 103 | $16.427,60 | 1076 / 111 | $14.469,50 | 1066 / 105 |
Major Cardiovasc Procedures W Mcc | 24 | 44 / 10 | $178.878,00 | 452 / 25 | $37.719,70 | 230 / 33 | $31.226,60 | 230 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 31 | $64.237,60 | 1316 / 87 | $9.771,04 | 1103 / 83 | $8.640,25 | 1098 / 91 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 62 | $33.092,00 | 2216 / 164 | $6.110,04 | 1819 / 174 | $4.505,83 | 1814 / 162 |
Other Digestive System Diagnoses W Cc | 24 | 73 / 20 | $43.555,20 | 1182 / 68 | $7.837,62 | 1087 / 68 | $6.826,12 | 1083 / 78 |
G.I. Hemorrhage W Mcc | 24 | 97 / 33 | $73.706,70 | 1379 / 85 | $12.710,50 | 1061 / 91 | $11.548,50 | 1053 / 92 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 23 | $183.343,00 | 684 / 44 | $35.337,10 | 305 / 34 | $33.300,40 | 304 / 40 |
Red Blood Cell Disorders W Mcc | 23 | 48 / 16 | $57.930,50 | 934 / 74 | $9.628,48 | 737 / 68 | $8.503,78 | 733 / 75 |
Other Vascular Procedures W Cc | 23 | 79 / 31 | $107.432,00 | 897 / 72 | $20.976,80 | 542 / 87 | $15.212,50 | 539 / 70 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 52 | $91.001,70 | 1058 / 83 | $15.485,20 | 937 / 99 | $12.196,80 | 930 / 112 |
Medical Back Problems W/O Mcc | 21 | 100 / 29 | $32.018,70 | 1085 / 67 | $7.003,95 | 1229 / 82 | $6.181,67 | 1225 / 92 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 21 | 42 / 14 | $244.594,00 | 692 / 51 | $33.295,70 | 442 / 39 | $31.943,90 | 442 / 46 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 54 | $56.395,20 | 2326 / 161 | $7.682,86 | 2074 / 148 | $7.017,71 | 2067 / 161 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 37 | $35.472,40 | 1823 / 142 | $5.946,00 | 1677 / 137 | $4.966,11 | 1664 / 143 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 22 | $187.040,00 | 702 / 48 | $33.462,50 | 392 / 43 | $30.524,90 | 392 / 44 |
Psychoses | 17 | 258 / 17 | $32.349,70 | 500 / 27 | $8.084,06 | 434 / 25 | $7.125,82 | 434 / 26 |
Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 12 | $240.983,00 | 311 / 30 | $49.072,80 | 224 / 36 | $43.490,80 | 224 / 33 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 48 | $28.257,80 | 1710 / 108 | $5.350,18 | 1543 / 127 | $3.614,24 | 1537 / 118 |
Seizures W/O Mcc | 16 | 92 / 31 | $46.981,90 | 1203 / 78 | $6.457,44 | 995 / 66 | $5.532,81 | 993 / 75 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 65 | $53.963,30 | 1830 / 110 | $9.160,75 | 1767 / 120 | $8.766,75 | 1762 / 147 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 47 | $57.197,10 | 1648 / 111 | $9.272,25 | 1441 / 110 | $8.450,12 | 1438 / 123 |
Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 58 | $174.832,00 | 1214 / 98 | $26.889,50 | 947 / 67 | $25.674,10 | 942 / 108 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 18 | $424.819,00 | 458 / 41 | $69.651,10 | 313 / 35 | $67.826,60 | 313 / 38 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 14 | 67 / 17 | $552.437,00 | 298 / 24 | $107.672,00 | 182 / 18 | $104.949,00 | 182 / 18 |
Diabetes W Cc | 14 | 78 / 37 | $39.009,60 | 1379 / 96 | $6.811,64 | 1272 / 86 | $6.043,79 | 1267 / 103 |
Dysequilibrium | 14 | 51 / 14 | $42.964,40 | 522 / 27 | $7.581,07 | 347 / 31 | $3.827,71 | 347 / 25 |
Transient Ischemia | 14 | 111 / 49 | $40.067,20 | 1440 / 90 | $6.129,43 | 1321 / 93 | $4.934,14 | 1315 / 102 |
Hypertension W/O Mcc | 13 | 52 / 20 | $39.698,20 | 735 / 64 | $5.701,38 | 560 / 56 | $4.122,46 | 558 / 51 |
Organic Disturbances & Mental Retardation | 13 | 46 / 14 | $42.591,90 | 460 / 17 | $7.753,15 | 380 / 14 | $7.062,23 | 380 / 18 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 17 | $47.043,90 | 746 / 41 | $7.968,46 | 636 / 40 | $6.972,46 | 636 / 47 |
Signs & Symptoms W/O Mcc | 13 | 78 / 29 | $45.947,70 | 1288 / 84 | $6.117,38 | 1087 / 71 | $5.360,92 | 1084 / 79 |
Diabetes W/O Cc/Mcc | 13 | 25 / 6 | $34.644,80 | 282 / 21 | $5.372,00 | 233 / 20 | $4.710,77 | 233 / 20 |
Cranial & Peripheral Nerve Disorders W Mcc | 12 | 24 / 7 | $56.332,90 | 124 / 10 | $9.957,83 | 95 / 8 | $9.269,33 | 95 / 10 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 33 | $68.254,40 | 1324 / 96 | $10.562,20 | 1171 / 104 | $9.518,92 | 1166 / 109 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 25 | $88.824,20 | 702 / 40 | $15.523,50 | 498 / 45 | $12.904,20 | 492 / 49 |
Skin Ulcers W Mcc | 12 | 8 / 3 | $70.325,30 | 24 / 4 | $9.950,83 | 15 / 4 | $8.706,00 | 15 / 4 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 17 | $30.365,00 | 751 / 48 | $6.095,17 | 793 / 49 | $5.204,00 | 792 / 58 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 33 | $33.097,80 | 854 / 32 | $8.870,08 | 1047 / 80 | $6.874,42 | 1045 / 77 |
Cellulitis W Mcc | 12 | 46 / 21 | $57.440,10 | 794 / 54 | $10.717,90 | 671 / 49 | $9.770,42 | 669 / 66 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 37 | $63.635,30 | 848 / 67 | $10.869,00 | 490 / 71 | $5.723,00 | 489 / 47 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 44 | $45.092,60 | 1429 / 86 | $7.128,27 | 1205 / 94 | $4.861,45 | 1201 / 93 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 22 | $28.232,50 | 725 / 57 | $5.667,82 | 710 / 55 | $4.606,73 | 708 / 62 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 14 | $78.712,00 | 308 / 22 | $13.729,90 | 201 / 21 | $11.747,30 | 201 / 20 |
Other Circulatory System O.R. Procedures | 11 | 44 / 17 | $92.873,90 | 303 / 24 | $18.481,20 | 228 / 21 | $17.802,50 | 228 / 27 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 36 | $76.361,40 | 645 / 50 | $15.122,40 | 555 / 42 | $13.210,80 | 552 / 64 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 29 | $46.816,00 | 562 / 38 | $8.572,55 | 607 / 44 | $7.306,73 | 606 / 54 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 31 | $34.882,80 | 810 / 54 | $7.936,73 | 561 / 80 | $4.960,73 | 557 / 49 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 22 | $68.012,20 | 543 / 32 | $14.404,30 | 208 / 32 | $10.677,30 | 208 / 19 |
Other Resp System O.R. Procedures W Mcc | 11 | 52 / 18 | $168.662,00 | 510 / 40 | $26.004,50 | 389 / 38 | $24.713,80 | 388 / 43 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 18 | $49.467,50 | 414 / 30 | $8.751,45 | 367 / 27 | $7.658,36 | 366 / 31 |
Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 38 | $165.114,00 | 919 / 63 | $24.430,20 | 419 / 58 | $19.569,00 | 419 / 46 | Total 81 procedures | 2.186 | 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.