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Care Regional Medical Center, procedure costs

1711 W Wheeler Avenue, Aransas Pass, TX 78336,

Procedure Costs @ Care Regional Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc36480 / 125$28.572,80717 / 27$10.673,70887 / 38$10.033,70885 / 79
Chronic Obstructive Pulmonary Disease W Mcc28174 / 65$24.600,801097 / 39$7.221,141028 / 61$6.272,571023 / 82
Pulmonary Edema & Respiratory Failure26177 / 57$31.173,101106 / 37$7.490,42921 / 36$6.839,35921 / 63
Cellulitis W/O Mcc19170 / 70$14.404,20778 / 21$5.261,47873 / 54$4.178,53867 / 69
Kidney & Urinary Tract Infections W/O Mcc19214 / 90$16.682,101178 / 50$4.843,21688 / 61$3.745,63684 / 55
Simple Pneumonia & Pleurisy W Cc17186 / 89$21.995,701347 / 53$6.215,821132 / 76$5.180,531128 / 85
Heart Failure & Shock W Cc14264 / 98$17.490,60873 / 24$5.733,50404 / 25$4.791,79404 / 35
Simple Pneumonia & Pleurisy W Mcc13192 / 81$28.588,40948 / 29$8.616,62827 / 51$7.683,69827 / 67
Total 8 procedures172discharges

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.