Hospital Costs > In Texas > East Texas Medical Center Athens, procedure costs

East Texas Medical Center Athens, procedure costs

2000 South Palestine, Athens, TX 75751,

Procedure Costs @ East Texas Medical Center Athens
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Simple Pneumonia & Pleurisy W Cc91112 / 24$38.602,802288 / 154$5.861,03791 / 43$4.902,81788 / 60
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc9130 / 4$24.429,501512 / 75$4.475,59814 / 37$3.586,98810 / 57
Kidney & Urinary Tract Infections W/O Mcc89144 / 33$34.329,502353 / 182$4.762,70725 / 51$3.771,21720 / 59
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc74201 / 46$32.195,402253 / 154$4.647,27924 / 40$3.711,12919 / 67
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc74442 / 98$75.404,202367 / 161$10.545,40531 / 28$9.559,57530 / 37
Chest Pain7279 / 11$26.854,101288 / 72$3.897,47360 / 22$2.762,85359 / 20
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc7294 / 21$24.428,401857 / 112$4.340,00587 / 40$3.369,18585 / 46
Chronic Obstructive Pulmonary Disease W Cc70109 / 18$35.115,201916 / 108$5.733,37849 / 43$4.841,70846 / 60
Cellulitis W/O Mcc67122 / 27$30.549,202147 / 150$5.139,45773 / 43$4.103,24768 / 65
Respiratory Infections & Inflammations W Cc5533 / 4$50.591,601156 / 74$8.093,18409 / 28$7.176,71406 / 34
Chronic Obstructive Pulmonary Disease W Mcc55147 / 39$38.487,601871 / 114$7.031,47852 / 46$6.100,96847 / 65
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc52155 / 43$39.693,302029 / 137$6.358,54396 / 31$5.097,73394 / 30
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc46518 / 118$54.196,601474 / 81$12.700,901000 / 47$11.050,60980 / 118
Simple Pneumonia & Pleurisy W Mcc40165 / 56$50.129,101921 / 121$8.373,45631 / 31$7.468,70631 / 50
Heart Failure & Shock W Mcc40244 / 82$61.093,002215 / 156$8.568,88689 / 31$7.916,35689 / 52
Renal Failure W Cc39182 / 67$39.958,902046 / 142$5.720,74646 / 33$4.874,13640 / 56
Heart Failure & Shock W Cc38240 / 74$40.432,302337 / 164$5.910,29662 / 43$5.036,00661 / 54
Simple Pneumonia & Pleurisy W/O Cc/Mcc3855 / 16$27.894,901552 / 107$4.276,87701 / 26$3.418,76697 / 57
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc35115 / 30$31.048,701782 / 119$3.572,49668 / 32$2.569,51664 / 48
G.I. Hemorrhage W Cc34184 / 56$45.927,602089 / 134$6.080,18218 / 41$4.590,85218 / 17
Heart Failure & Shock W/O Cc/Mcc3377 / 23$28.066,101658 / 118$4.174,06372 / 32$3.184,97370 / 23
Syncope & Collapse30139 / 36$30.016,701430 / 71$4.537,00562 / 27$3.610,07559 / 40
Respiratory Infections & Inflammations W Mcc30106 / 35$76.384,401471 / 88$11.533,90559 / 39$10.583,20552 / 43
Red Blood Cell Disorders W/O Mcc29114 / 38$32.088,201583 / 113$4.969,10286 / 33$3.745,21286 / 29
Atherosclerosis W/O Mcc2929 / 3$30.657,80454 / 23$3.864,97 / $2.950,21 /
Pulmonary Edema & Respiratory Failure24179 / 59$56.569,101870 / 120$7.240,58351 / 20$6.155,25351 / 22
Signs & Symptoms W/O Mcc2467 / 18$26.075,10928 / 41$4.201,17206 / 12$3.245,17206 / 12
Cardiac Arrhythmia & Conduction Disorders W Cc23138 / 50$32.311,101713 / 111$4.846,09637 / 34$3.954,26634 / 51
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs22160 / 61$44.970,301633 / 92$6.379,23607 / 36$5.336,32606 / 48
Kidney & Urinary Tract Infections W Mcc22122 / 54$42.510,801555 / 110$6.808,23705 / 48$5.958,32704 / 59
Respiratory Infections & Inflammations W/O Cc/Mcc218 / 1$35.548,3095 / 6$5.969,3326 / 3$4.859,3826 / 1
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc2027 / 7$47.690,80399 / 39$7.485,15167 / 19$6.030,95167 / 17
Medical Back Problems W/O Mcc18103 / 32$28.356,20959 / 50$5.001,94105 / 10$3.538,78105 / 7
Major Small & Large Bowel Procedures W Cc1890 / 32$114.889,001323 / 78$16.004,30319 / 41$12.956,00317 / 31
Transient Ischemia17108 / 46$34.893,101321 / 71$4.356,76627 / 20$3.500,29623 / 42
Poisoning & Toxic Effects Of Drugs W/O Mcc1645 / 15$31.449,60771 / 31$4.558,9471 / 14$2.788,9471 / 4
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1637 / 13$23.855,60418 / 8$4.639,75353 / 7$3.887,75350 / 20
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1541 / 21$60.275,90580 / 40$9.776,73354 / 21$8.887,13354 / 37
Other Digestive System Diagnoses W Cc1582 / 29$42.421,901167 / 65$5.903,40337 / 18$4.928,53334 / 26
G.I. Obstruction W/O Cc/Mcc1556 / 22$32.878,701153 / 78$4.968,27264 / 63$2.646,80264 / 21
G.I. Hemorrhage W/O Cc/Mcc1553 / 17$27.872,70770 / 53$4.332,67252 / 14$3.278,93250 / 22
Red Blood Cell Disorders W Mcc1457 / 25$77.612,801058 / 88$8.044,64270 / 33$6.757,50270 / 25
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1488 / 41$40.856,401374 / 83$4.730,57479 / 24$3.606,00476 / 29
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1357 / 22$22.315,30238 / 20$5.352,69104 / 5$4.849,77104 / 11
Cardiac Arrhythmia & Conduction Disorders W Mcc13110 / 50$64.080,601731 / 117$7.277,46356 / 35$6.141,46355 / 26
Respiratory System Diagnosis W Ventilator Support <96 Hours13118 / 53$94.774,201459 / 98$12.175,5027 / 2$10.298,2027 / 2
Hip & Femur Procedures Except Major Joint W Cc12131 / 60$56.473,401259 / 63$11.322,40578 / 33$10.217,00575 / 49
Degenerative Nervous System Disorders W/O Mcc1266 / 18$31.360,10531 / 23$5.315,9263 / 2$4.365,8363 / 3
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1244 / 21$56.037,80668 / 50$9.763,92131 / 26$7.875,50131 / 10
Hypertension W/O Mcc1154 / 22$28.472,50617 / 43$3.946,09224 / 8$2.954,09222 / 15
G.I. Obstruction W Cc1181 / 39$33.568,001312 / 68$5.449,27692 / 26$4.684,18691 / 47
Renal Failure W/O Cc/Mcc1145 / 22$30.422,50741 / 59$3.971,09122 / 14$2.763,82121 / 9
Total 52 procedures1.760discharges

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.