Hospital Costs > In Texas > Woodland Heights Medical Center, 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 | 123 | 441 / 70 | $208.296,00 | 2696 / 226 | $13.132,60 | 994 / 73 | $11.042,80 | 974 / 117 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 72 | 444 / 100 | $77.689,90 | 2398 / 164 | $10.347,40 | 587 / 16 | $9.651,57 | 586 / 41 |
Heart Failure & Shock W Cc | 46 | 232 / 67 | $41.355,70 | 2365 / 167 | $5.619,70 | 520 / 20 | $4.910,83 | 520 / 43 |
Heart Failure & Shock W Mcc | 46 | 238 / 77 | $58.634,10 | 2175 / 152 | $8.375,41 | 284 / 20 | $7.395,80 | 284 / 15 |
Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 62 | $40.827,70 | 2353 / 166 | $5.655,09 | 449 / 23 | $4.605,35 | 446 / 33 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 50 | $46.303,40 | 2104 / 142 | $6.641,47 | 386 / 18 | $5.662,84 | 385 / 25 |
Respiratory Infections & Inflammations W Mcc | 38 | 98 / 27 | $63.749,30 | 1332 / 77 | $11.054,60 | 431 / 22 | $10.324,50 | 429 / 30 |
Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 73 | $32.332,60 | 2289 / 174 | $4.450,11 | 269 / 22 | $3.391,27 | 269 / 23 |
G.I. Hemorrhage W Cc | 35 | 183 / 55 | $39.296,80 | 1933 / 116 | $5.791,80 | 381 / 21 | $4.790,66 | 381 / 28 |
Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 62 | $68.268,10 | 2217 / 160 | $8.072,38 | 376 / 15 | $7.151,00 | 376 / 27 |
Renal Failure W Cc | 30 | 191 / 76 | $45.168,70 | 2160 / 157 | $5.516,37 | 229 / 21 | $4.430,50 | 228 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 56 | $30.607,50 | 2151 / 154 | $4.137,70 | 475 / 22 | $3.291,83 | 475 / 41 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 83 | $29.416,20 | 2134 / 138 | $4.756,18 | 129 / 53 | $2.997,86 | 129 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 65 | $53.025,70 | 2314 / 169 | $6.158,00 | 259 / 13 | $4.941,08 | 258 / 22 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 48 | $63.778,30 | 1438 / 111 | $7.616,88 | 133 / 74 | $4.831,42 | 133 / 12 |
Respiratory Infections & Inflammations W Cc | 23 | 65 / 22 | $44.046,10 | 1042 / 64 | $7.600,74 | 295 / 10 | $6.970,48 | 293 / 22 |
Cellulitis W/O Mcc | 22 | 167 / 67 | $29.486,30 | 2104 / 145 | $4.762,27 | 696 / 16 | $4.046,64 | 692 / 57 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 51 | $36.963,30 | 1844 / 122 | $4.689,73 | 331 / 22 | $3.648,91 | 331 / 27 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 44 | $26.979,10 | 1684 / 106 | $3.468,81 | 288 / 22 | $2.249,81 | 286 / 23 |
Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 24 | $54.427,70 | 1236 / 67 | $8.012,38 | 167 / 66 | $4.867,33 | 167 / 11 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 62 | $56.687,80 | 1873 / 122 | $6.929,75 | 545 / 12 | $6.387,35 | 545 / 29 |
G.I. Obstruction W Cc | 19 | 73 / 31 | $32.757,20 | 1285 / 64 | $5.161,74 | 443 / 13 | $4.398,79 | 442 / 33 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 56 | $185.817,00 | 1472 / 130 | $20.003,60 | 27 / 125 | $8.705,06 | 27 / 6 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 59 | $43.812,70 | 1584 / 114 | $6.280,76 | 403 / 18 | $5.574,88 | 402 / 31 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 55 | $139.698,00 | 2029 / 148 | $10.893,50 | 436 / 17 | $9.971,12 | 435 / 37 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 58 | $45.680,00 | 2180 / 139 | $5.866,59 | 41 / 54 | $3.821,59 | 41 / 4 |
Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 12 | $441.799,00 | 421 / 46 | $44.769,10 | 231 / 26 | $43.701,80 | 231 / 34 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 47 | $54.877,40 | 1618 / 107 | $6.976,94 | 455 / 17 | $6.298,94 | 452 / 39 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 46 | $83.676,90 | 1589 / 98 | $9.553,94 | 344 / 13 | $8.649,94 | 344 / 18 |
Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 15 | $38.298,90 | 769 / 37 | $5.412,38 | 76 / 7 | $4.052,94 | 76 / 4 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 51 | $98.836,10 | 1508 / 106 | $12.618,90 | 307 / 15 | $11.915,50 | 304 / 26 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 58 | $41.537,50 | 1328 / 89 | $6.181,73 | 33 / 8 | $4.897,47 | 33 / 4 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 26 | $202.868,00 | 754 / 51 | $28.178,60 | 129 / 9 | $26.894,30 | 129 / 10 |
Renal Failure W Mcc | 14 | 181 / 82 | $62.743,50 | 1794 / 123 | $8.637,00 | 477 / 18 | $8.031,29 | 477 / 46 |
Chest Pain | 14 | 137 / 52 | $26.473,70 | 1274 / 70 | $4.074,79 | 138 / 33 | $2.431,50 | 137 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 69 | $56.032,30 | 1823 / 114 | $6.185,93 | 593 / 20 | $5.324,21 | 592 / 45 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 53 | $28.960,60 | 1459 / 95 | $4.701,71 | 367 / 18 | $3.835,43 | 366 / 34 |
Syncope & Collapse | 13 | 156 / 52 | $41.176,80 | 1719 / 111 | $6.155,08 | 125 / 107 | $3.040,77 | 125 / 8 |
G.I. Hemorrhage W Mcc | 13 | 108 / 44 | $54.932,80 | 1107 / 61 | $9.580,23 | 360 / 8 | $9.299,62 | 360 / 30 |
Seizures W/O Mcc | 13 | 95 / 34 | $37.528,20 | 1096 / 62 | $4.482,85 | 161 / 10 | $3.468,69 | 160 / 9 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 51 | $186.886,00 | 1203 / 83 | $28.777,20 | 325 / 16 | $28.174,10 | 325 / 29 |
Transient Ischemia | 13 | 112 / 50 | $38.024,10 | 1397 / 82 | $4.155,54 | 209 / 11 | $3.035,54 | 209 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 61 | $103.727,00 | 1525 / 106 | $17.524,30 | 17 / 106 | $7.498,67 | 17 / 2 |
Cellulitis W Mcc | 12 | 46 / 21 | $51.559,30 | 746 / 49 | $8.095,58 | 136 / 9 | $7.191,58 | 136 / 10 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 44 | $84.783,00 | 1183 / 89 | $10.207,00 | 112 / 6 | $9.196,33 | 112 / 5 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 32 | $200.272,00 | 1044 / 63 | $27.877,10 | 276 / 19 | $27.170,40 | 274 / 30 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 44 | $34.230,90 | 1827 / 122 | $4.240,33 | 646 / 16 | $3.440,33 | 645 / 46 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 42 | $31.405,60 | 1655 / 122 | $4.209,25 | 170 / 21 | $2.847,25 | 168 / 14 |
Seizures W Mcc | 11 | 55 / 23 | $47.623,50 | 452 / 22 | $8.317,09 | 91 / 4 | $7.659,64 | 91 / 10 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 37 | $82.058,40 | 900 / 72 | $6.021,73 | 144 / 10 | $4.811,55 | 144 / 10 | Total 50 procedures | 1.202 | 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.