Hospital Costs > In Texas > Hill Regional Hospital, 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 | 21 | 168 / 68 | $20.569,60 | 1542 / 80 | $4.755,10 | 231 / 14 | $3.603,10 | 229 / 18 |
| Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 52 | $23.584,80 | 1352 / 44 | $5.060,65 | 219 / 5 | $4.220,30 | 219 / 19 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 70 | $25.933,30 | 1194 / 41 | $6.659,83 | 110 / 19 | $5.187,17 | 110 / 8 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 36 | $16.209,50 | 931 / 22 | $4.382,25 | 108 / 26 | $2.837,40 | 108 / 5 |
| Heart Failure & Shock W Cc | 16 | 262 / 96 | $24.650,50 | 1641 / 75 | $5.516,94 | 378 / 12 | $4.760,94 | 378 / 32 |
| Heart Failure & Shock W Mcc | 11 | 273 / 109 | $44.991,70 | 1844 / 111 | $8.652,73 | 662 / 40 | $7.884,73 | 662 / 50 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 45 | $20.289,50 | 1304 / 61 | $3.838,55 | 284 / 11 | $3.073,45 | 282 / 18 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 88 | $21.252,60 | 1698 / 96 | $4.419,57 | 265 / 18 | $3.384,90 | 265 / 22 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 141 | $79.501,60 | 2198 / 153 | $12.733,50 | 377 / 50 | $10.130,00 | 376 / 50 |
| Renal Failure W Cc | 22 | 199 / 84 | $20.456,70 | 1022 / 30 | $5.217,86 | 420 / 2 | $4.668,05 | 417 / 37 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 34 | $30.723,40 | 711 / 26 | $6.961,73 | 59 / 1 | $6.298,45 | 59 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 14 | 502 / 141 | $39.341,40 | 1289 / 55 | $10.095,70 | 439 / 7 | $9.407,71 | 439 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 79 | $25.906,20 | 1326 / 59 | $5.577,00 | 85 / 1 | $4.569,00 | 85 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 80 | $22.178,10 | 1372 / 54 | $5.456,52 | 286 / 10 | $4.450,89 | 284 / 20 | Total 14 procedures | 252 | 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.