Hospital Costs > Respiratory Infections & Inflammations W/O Cc/Mcc > Respiratory Infections & Inflammations W/O Cc/Mcc - costs for treatment in Texas
| Hospital | City | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|---|---|
| East Texas Medical Center Athens | Athens | 21 | $35,548.30 | $5,969.33 | $4,859.38 |
| Seton Medical Center Austin | Austin | 14 | $35,672.90 | $6,118.86 | $5,119.00 |
| Denton Regional Medical Center | Denton | 11 | $49,702.20 | $5,889.00 | $5,118.09 |
| Texas Health Harris Methodist Fort Worth | Fort Worth | 14 | $27,342.10 | $6,398.50 | $5,224.57 |
| Hunt Regional Medical Center | Greenville | 18 | $17,664.00 | $6,281.94 | $5,581.33 |
| Memorial Hermann Hospital System | Houston | 16 | $24,718.40 | $8,033.44 | $5,807.94 |
| Kingwood Medical Center | Kingwood | 11 | $55,406.10 | $7,363.45 | $5,449.82 |
| Brazosport Regional Health System | Lake Jackson | 13 | $19,465.80 | $5,928.38 | $5,465.62 |
| Lake Pointe Medical Center | Rowlett | 14 | $32,721.90 | $6,145.07 | $5,198.79 |
| Baptist Medical Center San Antonio | San Antonio | 17 | $39,105.80 | $6,654.24 | $5,690.88 |
| Methodist Hospital San Antonio | San Antonio | 11 | $43,336.90 | $7,403.36 | $5,388.82 |
| East Texas Medical Center | Tyler | 13 | $53,614.00 | $6,184.77 | $5,037.15 | Total 12 hospitals | 173 |
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.