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Houston Northwest Medical Center, procedure costs

710 Cypress Creek Parkway, Houston, TX 77090,

Procedure Costs @ Houston Northwest Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc103413 / 80$92.767,602573 / 185$13.353,001924 / 171$12.114,701889 / 177
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc85190 / 40$35.848,802378 / 172$6.057,062058 / 163$4.908,662044 / 176
Kidney & Urinary Tract Infections W/O Mcc76157 / 42$31.083,802259 / 173$6.162,462053 / 176$5.115,872042 / 186
Heart Failure & Shock W Cc72206 / 47$42.527,002399 / 175$7.478,351970 / 169$6.459,711965 / 177
Heart Failure & Shock W Mcc66218 / 60$62.836,702240 / 159$10.496,701746 / 144$9.580,481741 / 156
Pulmonary Edema & Respiratory Failure63140 / 25$55.002,001846 / 116$8.813,951600 / 106$8.115,351595 / 136
Cellulitis W/O Mcc56133 / 35$33.039,402237 / 158$6.549,891920 / 154$5.390,951912 / 172
Chronic Obstructive Pulmonary Disease W Mcc54148 / 40$52.746,502239 / 164$8.602,041479 / 144$6.808,441473 / 126
Simple Pneumonia & Pleurisy W Cc53150 / 55$60.295,502704 / 212$7.384,021959 / 167$6.092,641951 / 178
Chronic Obstructive Pulmonary Disease W Cc49130 / 28$47.069,802203 / 142$7.198,551739 / 133$5.944,311732 / 143
Renal Failure W Mcc48147 / 52$66.053,201846 / 130$10.833,801304 / 113$9.668,941304 / 125
Renal Failure W Cc48173 / 59$36.045,101933 / 127$7.287,041845 / 141$6.514,121835 / 163
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc4680 / 31$42.520,401355 / 92$8.259,741073 / 98$7.279,651070 / 101
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs44138 / 41$48.480,701706 / 101$8.479,051435 / 119$6.660,751432 / 118
Chest Pain43108 / 25$29.600,301376 / 85$5.158,631234 / 92$4.080,511227 / 103
Red Blood Cell Disorders W/O Mcc42101 / 28$28.729,401445 / 92$6.311,001454 / 114$5.351,951445 / 133
Syncope & Collapse41128 / 29$34.432,101567 / 88$6.027,931424 / 103$4.914,951417 / 111
Simple Pneumonia & Pleurisy W Mcc40165 / 56$60.954,302112 / 147$10.384,301845 / 144$9.532,531845 / 165
G.I. Hemorrhage W Cc39179 / 51$41.376,901987 / 120$8.076,541447 / 143$5.887,411443 / 112
Transient Ischemia3986 / 27$39.599,201426 / 88$6.460,641272 / 101$4.744,641266 / 96
O.R. Procedures For Obesity W/O Cc/Mcc3839 / 11$54.392,10294 / 20$11.650,10227 / 26$9.124,61227 / 24
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc37129 / 50$27.502,402022 / 140$5.708,081855 / 160$4.572,651849 / 165
Other Circulatory System Diagnoses W Mcc3779 / 21$72.720,901080 / 80$12.739,60662 / 61$11.415,80660 / 67
Respiratory System Diagnosis W Ventilator Support <96 Hours3794 / 29$116.986,001661 / 124$15.751,601149 / 98$14.829,201136 / 115
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc37527 / 126$83.105,902261 / 162$16.417,801452 / 196$11.926,801419 / 158
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc3387 / 23$39.197,301937 / 131$5.803,671601 / 119$4.658,791590 / 130
Circulatory Disorders Except Ami, W Card Cath W/O Mcc30158 / 44$54.298,201299 / 95$8.028,701207 / 89$7.040,401204 / 115
Heart Failure & Shock W/O Cc/Mcc2981 / 27$30.646,001721 / 127$5.510,691661 / 122$4.877,931648 / 139
Kidney & Urinary Tract Infections W Mcc28116 / 48$39.336,501489 / 99$7.896,681255 / 104$6.901,571251 / 110
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc28122 / 37$24.559,901610 / 97$4.952,041448 / 113$3.400,931442 / 112
Simple Pneumonia & Pleurisy W/O Cc/Mcc2766 / 27$34.504,501720 / 134$5.683,781613 / 125$4.778,151605 / 142
Hip & Femur Procedures Except Major Joint W Cc26117 / 46$73.912,901615 / 92$13.199,501345 / 108$12.165,101327 / 121
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2676 / 30$38.098,401311 / 74$6.626,621013 / 89$4.360,461009 / 75
Medical Back Problems W/O Mcc2695 / 24$34.485,101141 / 71$6.463,191031 / 73$5.339,651028 / 80
Cardiac Arrhythmia & Conduction Disorders W Cc26135 / 47$40.400,801913 / 134$6.206,811677 / 120$5.409,151672 / 140
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2571 / 30$43.921,901047 / 59$10.789,30792 / 92$7.366,08787 / 63
Intracranial Hemorrhage Or Cerebral Infarction W Mcc25143 / 49$93.912,601461 / 90$15.043,301303 / 99$12.999,201297 / 100
Diabetes W Cc2567 / 26$28.681,301130 / 65$6.367,001189 / 74$5.695,681184 / 94
Septicemia Or Severe Sepsis W Mv 96+ Hours2468 / 22$240.717,00866 / 64$36.539,70377 / 38$34.612,60376 / 50
G.I. Hemorrhage W/O Cc/Mcc2444 / 9$27.168,20750 / 50$5.812,04643 / 62$4.182,08639 / 58
Acute Myocardial Infarction, Discharged Alive W Mcc24101 / 38$91.110,901646 / 108$12.295,301051 / 92$10.497,001048 / 89
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc23184 / 68$52.644,002306 / 167$8.262,131591 / 164$6.410,961584 / 140
Peripheral Vascular Disorders W Cc2262 / 21$49.638,201143 / 74$7.570,59898 / 68$6.647,59895 / 75
Infectious & Parasitic Diseases W O.R. Procedure W Mcc21103 / 43$175.873,001155 / 74$33.467,90777 / 57$32.355,50771 / 79
Cardiac Arrhythmia & Conduction Disorders W Mcc20103 / 43$47.438,801487 / 91$9.202,90933 / 104$7.030,65930 / 78
Respiratory System Diagnosis W Ventilator Support 96+ Hours2051 / 21$214.354,00786 / 56$33.160,90478 / 39$32.008,80477 / 55
Other Kidney & Urinary Tract Diagnoses W Cc1984 / 19$54.684,30790 / 48$7.432,79567 / 29$6.714,95567 / 37
Bronchitis & Asthma W Cc/Mcc1957 / 23$38.381,10864 / 60$6.964,47667 / 60$5.325,37663 / 61
Seizures W Mcc1947 / 15$57.222,30548 / 32$10.497,10405 / 34$9.589,00405 / 42
Major Small & Large Bowel Procedures W Cc1890 / 32$109.180,001288 / 76$18.975,60928 / 80$15.408,10919 / 81
G.I. Hemorrhage W Mcc17104 / 40$81.196,801447 / 90$12.961,801187 / 97$12.115,401179 / 105
Seizures W/O Mcc1791 / 30$25.310,20785 / 28$6.417,88800 / 65$4.745,29797 / 64
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc16180 / 58$84.641,10952 / 68$18.823,90130 / 122$9.581,75130 / 19
Other Kidney & Urinary Tract Diagnoses W Mcc1685 / 25$66.975,20942 / 43$10.100,30619 / 26$9.615,00617 / 36
Other Vascular Procedures W Mcc1582 / 35$96.742,10564 / 40$20.449,10403 / 42$19.702,70401 / 53
Other Vascular Procedures W Cc1587 / 39$79.684,20650 / 44$18.982,10287 / 77$13.865,20286 / 36
Dysequilibrium1550 / 13$27.778,20385 / 13$5.669,00332 / 28$3.766,80332 / 22
Peripheral Vascular Disorders W/O Cc/Mcc1530 / 9$24.711,30287 / 22$5.493,93297 / 19$4.602,07297 / 25
Pulmonary Embolism W/O Mcc1460 / 23$45.249,101121 / 59$7.427,071014 / 46$6.601,711011 / 66
Bronchitis & Asthma W/O Cc/Mcc1431 / 10$33.237,20329 / 29$5.321,64269 / 25$4.276,36269 / 32
Spinal Fusion Except Cervical W/O Mcc14180 / 59$112.629,00864 / 63$29.546,10652 / 95$22.783,90648 / 75
Major Small & Large Bowel Procedures W/O Cc/Mcc1450 / 18$71.103,60644 / 43$11.971,00467 / 37$9.654,93467 / 43
Acute Myocardial Infarction, Discharged Alive W Cc1378 / 32$43.848,501098 / 58$8.183,08795 / 69$6.115,46793 / 60
O.R. Procedures For Obesity W Cc1321 / 4$66.875,9084 / 8$14.860,4033 / 10$10.106,5033 / 5
G.I. Obstruction W Cc1379 / 37$38.278,801421 / 79$6.814,231257 / 76$5.729,461253 / 94
Degenerative Nervous System Disorders W/O Mcc1365 / 17$28.016,20460 / 18$7.249,23524 / 29$6.218,31524 / 41
Peripheral Vascular Disorders W Mcc1237 / 15$53.191,20446 / 35$9.425,67317 / 25$8.600,17317 / 37
Postoperative & Post-Traumatic Infections W/O Mcc1242 / 13$41.061,70375 / 26$8.107,58216 / 22$6.067,67216 / 18
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1252 / 21$372.782,00409 / 32$55.075,20104 / 15$52.935,80104 / 18
Red Blood Cell Disorders W Mcc1259 / 27$47.106,20794 / 54$8.993,75707 / 58$8.374,17703 / 71
Signs & Symptoms W/O Mcc1279 / 30$25.779,40917 / 40$5.623,17955 / 61$4.764,92952 / 71
Renal Failure W/O Cc/Mcc1244 / 21$27.277,20713 / 52$5.154,33615 / 47$3.989,25614 / 53
Other Vascular Procedures W/O Cc/Mcc1244 / 19$55.876,70346 / 27$11.716,80371 / 32$10.806,10370 / 40
Cellulitis W Mcc1246 / 21$75.862,80896 / 68$10.288,60623 / 40$9.464,50621 / 62
Extracranial Procedures W/O Cc/Mcc1187 / 37$37.711,50591 / 41$8.068,36586 / 61$6.061,64584 / 59
Major Cardiovasc Procedures W/O Mcc1190 / 38$94.100,20523 / 25$21.742,30544 / 41$20.747,70544 / 59
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1189 / 35$153.098,00843 / 58$27.568,40390 / 73$18.616,20388 / 42
Diabetes W Mcc1146 / 25$43.300,00496 / 29$9.225,45381 / 25$8.552,27381 / 32
Total 78 procedures2.274discharges

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.