Hospital Costs > In Texas > Houston Physicians' Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 26 | $79.006,20 | 730 / 58 | $6.341,00 | 206 / 7 | $5.218,71 | 206 / 25 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 36 | $138.510,00 | 851 / 72 | $15.258,00 | 510 / 46 | $12.853,60 | 507 / 62 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 23 | $59.648,20 | 470 / 20 | $12.343,80 | 40 / 8 | $9.792,92 | 40 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 111 | 453 / 77 | $73.466,50 | 2082 / 141 | $13.640,30 | 227 / 93 | $9.791,88 | 227 / 29 |
| Spinal Fusion Except Cervical W/O Mcc | 42 | 152 / 36 | $207.991,00 | 1288 / 109 | $27.871,00 | 401 / 79 | $21.243,10 | 400 / 48 | Total 5 procedures | 191 | 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.