Hospital Costs > In Texas > Wilson N Jones 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 | 89 | 427 / 88 | $54.260,10 | 1927 / 117 | $10.605,80 | 734 / 32 | $9.835,83 | 733 / 62 |
| Simple Pneumonia & Pleurisy W Mcc | 70 | 135 / 30 | $38.565,90 | 1509 / 71 | $8.694,86 | 340 / 57 | $7.097,89 | 340 / 24 |
| Heart Failure & Shock W Mcc | 65 | 219 / 61 | $41.092,50 | 1703 / 92 | $8.866,74 | 851 / 53 | $8.109,57 | 851 / 65 |
| Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 51 | $22.676,20 | 1824 / 113 | $4.642,91 | 817 / 36 | $3.834,66 | 812 / 68 |
| Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 47 | $26.666,40 | 1747 / 86 | $5.852,71 | 677 / 40 | $4.799,40 | 674 / 51 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 61 | 214 / 55 | $22.749,40 | 1690 / 81 | $4.513,69 | 621 / 23 | $3.503,85 | 617 / 50 |
| Heart Failure & Shock W Cc | 56 | 222 / 60 | $23.807,60 | 1564 / 65 | $5.738,68 | 532 / 26 | $4.918,11 | 532 / 44 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 47 | 517 / 117 | $76.674,50 | 2142 / 148 | $13.117,30 | 980 / 71 | $11.022,40 | 961 / 115 |
| Cellulitis W/O Mcc | 45 | 144 / 45 | $20.364,30 | 1522 / 78 | $5.087,27 | 718 / 37 | $4.059,58 | 714 / 60 |
| Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 33 | $27.065,00 | 1576 / 65 | $5.693,12 | 611 / 39 | $4.642,98 | 609 / 48 |
| Pulmonary Edema & Respiratory Failure | 42 | 161 / 42 | $32.759,00 | 1194 / 49 | $7.191,19 | 621 / 18 | $6.475,76 | 621 / 35 |
| Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 52 | $29.710,90 | 1459 / 63 | $6.777,93 | 495 / 23 | $5.778,90 | 494 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 53 | $25.692,20 | 1306 / 57 | $6.295,82 | 709 / 21 | $5.397,36 | 707 / 49 |
| Renal Failure W Cc | 37 | 184 / 69 | $24.298,50 | 1372 / 59 | $5.559,41 | 463 / 22 | $4.709,24 | 459 / 39 |
| Respiratory Infections & Inflammations W Mcc | 36 | 100 / 29 | $54.763,50 | 1167 / 59 | $11.241,40 | 566 / 28 | $10.606,70 | 558 / 44 |
| G.I. Hemorrhage W Cc | 35 | 183 / 55 | $31.332,70 | 1633 / 87 | $5.987,43 | 699 / 33 | $5.088,69 | 698 / 51 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 50 | $30.622,40 | 1192 / 46 | $6.306,91 | 555 / 29 | $5.278,21 | 554 / 44 |
| Chest Pain | 30 | 121 / 37 | $21.194,10 | 998 / 36 | $3.898,77 | 351 / 23 | $2.752,83 | 350 / 19 |
| Syncope & Collapse | 29 | 140 / 37 | $19.821,20 | 841 / 16 | $4.416,45 | 532 / 18 | $3.583,34 | 530 / 37 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 60 | $25.787,60 | 1927 / 129 | $4.551,35 | 403 / 57 | $3.245,00 | 403 / 37 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 42 | $21.086,80 | 994 / 42 | $4.843,16 | 406 / 23 | $3.875,48 | 405 / 38 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 49 | $21.206,40 | 1142 / 43 | $4.778,88 | 388 / 28 | $3.721,54 | 388 / 34 |
| Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 48 | $54.617,40 | 1196 / 58 | $13.114,40 | 422 / 105 | $9.955,42 | 421 / 36 |
| Renal Failure W Mcc | 23 | 172 / 73 | $40.752,00 | 1310 / 78 | $9.479,91 | 345 / 58 | $7.817,52 | 345 / 32 |
| Spinal Fusion Except Cervical W/O Mcc | 22 | 172 / 51 | $179.446,00 | 1221 / 99 | $29.434,50 | 915 / 94 | $25.185,80 | 910 / 105 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 42 | $35.199,40 | 1170 / 52 | $7.163,33 | 418 / 29 | $6.246,00 | 416 / 32 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 45 | $90.365,00 | 1418 / 90 | $13.432,80 | 328 / 36 | $11.952,30 | 324 / 30 |
| Respiratory Infections & Inflammations W Cc | 21 | 67 / 24 | $29.072,60 | 652 / 21 | $8.495,43 | 225 / 47 | $6.807,62 | 223 / 13 |
| Transient Ischemia | 20 | 105 / 43 | $21.900,90 | 797 / 21 | $4.264,45 | 322 / 15 | $3.179,65 | 322 / 20 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 43 | $47.687,70 | 1074 / 45 | $9.977,63 | 634 / 30 | $9.282,05 | 633 / 48 |
| Medical Back Problems W/O Mcc | 19 | 102 / 31 | $23.408,40 | 747 / 19 | $5.634,21 | 236 / 37 | $3.832,32 | 236 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 46 | $13.413,10 | 782 / 17 | $4.084,37 | 255 / 74 | $2.203,42 | 253 / 20 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 56 | $70.185,70 | 687 / 34 | $14.016,20 | 163 / 65 | $9.688,28 | 163 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 56 | $46.337,10 | 863 / 28 | $9.869,94 | 372 / 19 | $9.015,35 | 371 / 28 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 28 | $175.964,00 | 951 / 54 | $30.230,40 | 474 / 30 | $29.361,30 | 472 / 45 |
| G.I. Hemorrhage W Mcc | 16 | 105 / 41 | $60.524,90 | 1206 / 70 | $10.240,00 | 493 / 24 | $9.632,00 | 494 / 42 |
| Diabetes W Cc | 16 | 76 / 35 | $26.009,60 | 1039 / 56 | $4.985,75 | 589 / 15 | $4.379,75 | 588 / 40 |
| Other Resp System O.R. Procedures W Mcc | 15 | 48 / 14 | $91.016,00 | 291 / 14 | $21.691,00 | 92 / 16 | $18.909,90 | 92 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 61 | $29.363,90 | 1148 / 56 | $6.611,00 | 517 / 37 | $5.725,67 | 516 / 41 |
| Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 13 | $104.324,00 | 353 / 17 | $20.924,20 | 145 / 7 | $20.043,10 | 145 / 10 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 27 | $22.715,90 | 802 / 31 | $4.443,13 | 141 / 19 | $3.087,87 | 141 / 8 |
| Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 32 | $75.466,90 | 637 / 49 | $15.669,70 | 193 / 48 | $11.044,90 | 193 / 27 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 41 | $19.029,90 | 1221 / 51 | $4.129,80 | 716 / 27 | $3.485,53 | 712 / 49 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 60 | $46.563,00 | 1111 / 70 | $6.627,71 | 534 / 32 | $5.503,14 | 532 / 50 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 40 | $17.768,40 | 991 / 40 | $4.293,00 | 425 / 27 | $3.170,71 | 423 / 34 |
| Other Vascular Procedures W Cc | 14 | 88 / 40 | $72.440,80 | 546 / 34 | $14.475,10 | 213 / 13 | $13.439,70 | 213 / 21 |
| Headaches W/O Mcc | 14 | 29 / 8 | $17.429,40 | 66 / 2 | $4.756,07 | 25 / 6 | $2.862,21 | 25 / 3 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 43 | $17.507,10 | 1063 / 31 | $4.730,00 | 143 / 52 | $2.910,62 | 143 / 7 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 51 | $127.062,00 | 801 / 40 | $29.436,60 | 402 / 23 | $28.690,80 | 401 / 38 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 22 | $30.820,50 | 676 / 27 | $6.854,69 | 290 / 9 | $6.113,77 | 289 / 18 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 29 | $106.220,00 | 731 / 44 | $19.355,80 | 507 / 39 | $18.302,50 | 504 / 45 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 33 | $37.926,70 | 980 / 46 | $6.265,33 | 650 / 14 | $5.764,00 | 648 / 45 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 18 | $24.869,80 | 355 / 15 | $8.376,82 | 7 / 39 | $3.187,55 | 7 / 1 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 28 | $23.779,70 | 259 / 7 | $7.366,09 | 177 / 13 | $6.432,27 | 177 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 44 | $28.036,40 | 1019 / 45 | $4.608,91 | 501 / 16 | $3.631,45 | 497 / 33 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 26 | $31.165,20 | 870 / 31 | $6.472,64 | 252 / 26 | $4.709,00 | 252 / 18 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 33 | $33.230,50 | 975 / 49 | $5.776,18 | 325 / 15 | $4.900,55 | 322 / 24 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 26 | $161.773,00 | 494 / 38 | $21.989,80 | 273 / 12 | $21.105,50 | 272 / 29 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 24 | $27.989,60 | 340 / 33 | $5.319,18 | 41 / 4 | $4.330,09 | 41 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 24 | $123.688,00 | 758 / 39 | $20.094,80 | 492 / 28 | $19.227,90 | 489 / 37 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 23 | $63.852,00 | 376 / 29 | $10.929,40 | 162 / 10 | $9.937,36 | 162 / 18 | Total 61 procedures | 1.600 | 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.