Hospital Costs > In Texas > Bowie Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 14 | 175 / 75 | $15.405,40 | 907 / 25 | $5.468,43 | 1186 / 78 | $4.418,21 | 1180 / 98 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 59 | $19.034,60 | 906 / 19 | $6.079,88 | 1334 / 75 | $5.302,75 | 1329 / 103 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 41 | $19.190,80 | 1202 / 43 | $4.681,87 | 1045 / 48 | $3.777,20 | 1036 / 76 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 84 | $16.658,20 | 960 / 27 | $4.852,56 | 1000 / 61 | $3.763,78 | 992 / 77 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 86 | $16.982,50 | 1222 / 53 | $4.984,74 | 1313 / 73 | $4.178,70 | 1304 / 112 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 33 | $23.925,80 | 425 / 10 | $8.840,17 | 810 / 65 | $8.020,92 | 805 / 77 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 73 | $22.793,40 | 1429 / 58 | $6.197,29 | 1284 / 74 | $5.286,47 | 1280 / 103 | Total 7 procedures | 141 | 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.