Hospital Costs > In Texas > Ennis Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 99 | $22.924,20 | 1710 / 84 | $5.771,75 | 1991 / 150 | $4.766,42 | 1977 / 169 |
| Heart Failure & Shock W Cc | 11 | 267 / 101 | $29.698,70 | 1940 / 110 | $7.057,09 | 1759 / 148 | $6.073,82 | 1754 / 156 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 44 | $28.299,80 | 1667 / 121 | $5.322,00 | 1596 / 118 | $4.716,67 | 1583 / 135 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 63 | $30.518,00 | 1202 / 67 | $8.252,62 | 1466 / 116 | $7.506,77 | 1462 / 131 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 74 | $24.019,40 | 1838 / 109 | $5.506,67 | 1818 / 150 | $4.504,00 | 1813 / 161 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 53 | $23.567,70 | 1157 / 64 | $6.158,43 | 1400 / 110 | $5.209,86 | 1391 / 128 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 95 | 421 / 83 | $43.931,40 | 1523 / 77 | $12.548,30 | 1816 / 147 | $11.786,00 | 1781 / 168 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 67 | $30.812,20 | 1671 / 94 | $7.702,42 | 1845 / 139 | $6.898,42 | 1837 / 163 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 89 | $32.169,40 | 2071 / 125 | $7.172,18 | 2043 / 160 | $6.247,94 | 2035 / 184 |
| Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 78 | $40.446,80 | 1570 / 77 | $10.472,30 | 1829 / 150 | $9.490,31 | 1829 / 163 | Total 10 procedures | 226 | 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.