Hospital Costs > In Texas > Central Texas Medical Center, procedure costs

Central Texas Medical Center, procedure costs

1301 Wonder World Drive, San Marcos, TX 78666,

Procedure Costs @ Central Texas 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 Mcc114402 / 77$41.468,601385 / 62$11.353,60814 / 71$9.936,50813 / 69
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc48227 / 65$23.053,301719 / 86$5.441,711025 / 122$3.776,561017 / 80
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc36171 / 56$26.600,601389 / 67$6.793,581075 / 76$5.734,921072 / 93
Heart Failure & Shock W Mcc36248 / 86$34.896,101389 / 60$8.923,611016 / 57$8.319,171015 / 78
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc31533 / 132$71.895,202041 / 136$13.399,40741 / 84$10.684,20731 / 87
Heart Failure & Shock W Cc30248 / 82$22.557,801447 / 53$6.291,431276 / 80$5.529,831272 / 109
Simple Pneumonia & Pleurisy W Mcc30175 / 66$30.058,401037 / 38$8.629,73625 / 53$7.461,23625 / 48
Cellulitis W/O Mcc29160 / 60$21.329,701610 / 87$5.504,831363 / 83$4.590,071357 / 115
Pulmonary Edema & Respiratory Failure27176 / 56$22.764,50582 / 6$7.526,52899 / 40$6.808,30899 / 61
Renal Failure W Mcc24171 / 72$29.957,70764 / 30$9.361,33721 / 49$8.407,08721 / 60
Hip & Femur Procedures Except Major Joint W Cc22121 / 50$59.450,101336 / 75$12.078,90699 / 75$10.420,20694 / 57
G.I. Obstruction W/O Cc/Mcc2249 / 16$19.325,90788 / 41$4.534,27482 / 48$2.944,95481 / 40
Kidney & Urinary Tract Infections W/O Mcc21212 / 88$21.296,501705 / 99$5.120,001222 / 96$4.105,001213 / 101
Kidney & Urinary Tract Infections W Mcc20124 / 56$22.580,40752 / 24$6.840,40771 / 50$6.054,80770 / 63
G.I. Hemorrhage W Cc20198 / 69$23.977,001118 / 30$6.204,501169 / 48$5.540,501167 / 85
Chronic Obstructive Pulmonary Disease W Mcc18184 / 75$22.107,40910 / 29$7.280,28887 / 63$6.140,72882 / 68
Diabetes W Cc1874 / 33$17.435,70510 / 5$5.432,22696 / 36$4.526,44694 / 50
Cardiac Arrhythmia & Conduction Disorders W Mcc17106 / 46$28.092,80858 / 27$8.461,18587 / 80$6.504,88584 / 52
Heart Failure & Shock W/O Cc/Mcc1793 / 39$19.738,601276 / 56$4.638,241157 / 73$3.908,821147 / 95
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1686 / 39$22.321,90739 / 15$5.814,56582 / 70$3.716,44578 / 41
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc16150 / 70$21.698,801697 / 91$4.795,121304 / 88$3.889,121300 / 106
Simple Pneumonia & Pleurisy W/O Cc/Mcc1479 / 40$18.469,001072 / 51$4.715,64902 / 63$3.595,64897 / 73
Acute Myocardial Infarction, Discharged Alive W Mcc13112 / 49$37.245,50711 / 16$9.797,23560 / 23$9.142,46559 / 39
G.I. Obstruction W Cc1379 / 37$31.922,501260 / 62$5.868,46882 / 44$4.933,08880 / 65
Simple Pneumonia & Pleurisy W Cc12191 / 94$24.590,101592 / 74$6.343,581214 / 87$5.235,331210 / 92
Infectious & Parasitic Diseases W O.R. Procedure W Mcc12112 / 52$118.414,00716 / 33$29.414,20334 / 22$28.208,90334 / 31
G.I. Hemorrhage W Mcc12109 / 45$33.586,10451 / 9$9.852,58219 / 16$8.951,25219 / 21
Cardiac Arrhythmia & Conduction Disorders W Cc12149 / 61$18.517,30907 / 23$5.305,92780 / 73$4.097,92777 / 63
Major Small & Large Bowel Procedures W Cc1197 / 39$75.083,90941 / 46$19.871,5029 / 85$11.198,6029 / 4
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc11139 / 54$15.366,201035 / 34$4.325,18549 / 89$2.481,55545 / 42
Circulatory Disorders Except Ami, W Card Cath W/O Mcc11177 / 63$37.254,00846 / 36$6.933,09760 / 44$5.833,45758 / 70
Respiratory Infections & Inflammations W Mcc11125 / 53$33.154,50522 / 15$11.452,60445 / 36$10.361,70442 / 31
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs11171 / 72$30.778,501203 / 47$6.487,27925 / 41$5.722,18922 / 68
Total 33 procedures755discharges

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.