Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc - costs for treatment in Texas

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Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc - costs for treatment in Texas


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Mother Frances HospitalTyler17$232,540.00$47,463.10$46,620.60
The Heart Hospital Baylor PlanoPlano26$259,429.00$69,269.80$64,481.40
Methodist Hospital San AntonioSan Antonio49$261,469.00$56,630.20$49,889.90
Doctors Hospital At RenaissanceEdinburg25$262,347.00$59,856.80$55,529.60
Scott & White Memorial HospitalTemple14$264,618.00$69,481.20$64,132.20
Christus HospitalBeaumont13$266,566.00$50,912.10$49,893.00
Memorial Hermann Texas Medical CenterHouston41$274,204.00$94,866.00$67,920.20
Baptist Medical Center San AntonioSan Antonio20$275,885.00$55,673.80$47,114.10
Methodist Hospital HoustonHouston104$282,121.00$68,036.60$63,933.20
St David's Medical CenterAustin20$292,774.00$56,051.90$55,210.20
Christus St Michael Health SystemTexarkana11$309,911.00$53,080.80$51,778.60
Seton Medical Center AustinAustin11$333,880.00$56,192.80$55,143.70
Chi St Luke's Health Baylor College Of Medicine MeHouston51$336,201.00$75,017.30$70,715.50
St David's South Austin Medical CenterAustin14$386,605.00$76,385.60$49,543.10
South Texas Health SystemEdinburg13$498,009.00$57,972.30$55,712.00
Plaza Medical Center Of Fort WorthFort Worth11$522,740.00$75,317.90$57,165.40
Medical City Dallas HospitalDallas13$636,445.00$72,523.60$70,903.30
Total 17 hospitals453

DATA

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.





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