Hospital Costs > Other Endocrine, Nutrit & Metab O.R. Proc W Mcc > Other Endocrine, Nutrit & Metab O.R. Proc W Mcc - costs for treatment in Texas
Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
---|---|---|---|---|---|
Baptist Medical Center San Antonio | San Antonio | 24 | $113,798.00 | $19,424.60 | $17,867.70 |
Clear Lake Regional Medical Center | Webster | 11 | $127,111.00 | $20,178.40 | $19,440.90 |
Memorial Hermann Hospital System | Houston | 15 | $81,918.70 | $22,719.00 | $21,360.80 |
Rio Grande Regional Hospital | Mcallen | 11 | $133,018.00 | $21,330.90 | $20,565.80 | Total 4 hospitals | 61 |
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.