Hospital Costs > In Texas > Grace Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cervical Spinal Fusion W/O Cc/Mcc | 39 | 65 / 13 | $40.899,30 | 217 / 9 | $12.112,30 | 175 / 2 | $10.932,40 | 175 / 26 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 24 | $67.013,40 | 559 / 30 | $13.956,00 | 16 / 30 | $9.223,75 | 16 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 150 | 414 / 58 | $52.566,70 | 1401 / 73 | $11.790,00 | 265 / 11 | $9.863,68 | 265 / 37 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 15 | $59.133,50 | 197 / 6 | $14.064,00 | 18 / 4 | $11.535,00 | 18 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 63 | 131 / 25 | $76.755,50 | 476 / 28 | $22.185,00 | 94 / 13 | $18.930,30 | 93 / 15 | Total 5 procedures | 276 | 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.