Hospital Costs > In Texas > Dallas Medical Center, 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 | 12 | 177 / 77 | $19.992,80 | 1482 / 74 | $5.140,00 | 1408 / 44 | $4.633,33 | 1401 / 119 |
| Chest Pain | 11 | 140 / 55 | $16.924,90 | 685 / 15 | $3.762,64 | 669 / 16 | $3.102,27 | 665 / 50 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 91 | $21.304,20 | 1529 / 71 | $4.507,10 | 428 / 21 | $3.342,00 | 426 / 40 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 46 | $40.201,50 | 697 / 19 | $10.044,00 | 443 / 19 | $9.497,09 | 444 / 36 |
| Heart Failure & Shock W Cc | 21 | 257 / 91 | $27.830,00 | 1847 / 97 | $5.952,24 | 960 / 47 | $5.263,48 | 959 / 74 |
| Heart Failure & Shock W Mcc | 20 | 264 / 100 | $32.741,40 | 1268 / 50 | $8.649,10 | 709 / 37 | $7.939,50 | 709 / 55 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 46 | $112.465,00 | 646 / 24 | $28.625,60 | 254 / 14 | $27.388,70 | 254 / 23 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 60 | $18.345,80 | 456 / 8 | $6.578,00 | 428 / 34 | $5.602,00 | 427 / 33 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 98 | $17.357,50 | 1266 / 57 | $4.716,91 | 651 / 47 | $3.724,91 | 647 / 51 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 23 | $196.718,00 | 897 / 53 | $37.125,30 | 910 / 55 | $36.190,70 | 906 / 55 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 28 | 536 / 134 | $194.062,00 | 2692 / 224 | $29.116,60 | 2684 / 225 | $27.256,90 | 2638 / 225 |
| Renal Failure W Cc | 12 | 209 / 93 | $19.771,10 | 959 / 26 | $5.764,08 | 835 / 40 | $5.032,08 | 828 / 69 |
| Renal Failure W Mcc | 18 | 177 / 78 | $31.105,70 | 823 / 34 | $8.871,33 | 641 / 33 | $8.268,67 | 641 / 57 |
| Respiratory Infections & Inflammations W Mcc | 27 | 109 / 38 | $40.825,90 | 813 / 30 | $10.547,80 | 286 / 11 | $9.981,59 | 286 / 20 |
| Revision Of Hip Or Knee Replacement W Cc | 17 | 69 / 18 | $285.912,00 | 665 / 41 | $52.793,60 | 665 / 41 | $52.060,80 | 663 / 41 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 116 | 400 / 76 | $45.279,40 | 1590 / 80 | $11.494,80 | 792 / 83 | $9.900,68 | 791 / 66 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 95 | $20.729,40 | 1205 / 45 | $5.923,73 | 953 / 46 | $5.039,36 | 950 / 73 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 83 | $25.512,20 | 739 / 16 | $8.476,09 | 1056 / 39 | $7.932,09 | 1056 / 84 |
| Skin Graft For Skin Ulcer Or Cellulitis W Mcc | 21 | 5 / 2 | $135.705,00 | 19 / 3 | $25.755,80 | 14 / 2 | $24.590,00 | 14 / 3 | Total 19 procedures | 413 | 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.