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Memorial Medical Center Of East Texas, procedure costs

1201 West Frank Street, Lufkin, TX 75901,

Procedure Costs @ Memorial Medical Center Of East Texas
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 Mcc137379 / 68$70.306,602290 / 154$10.406,20508 / 21$9.526,07508 / 33
Simple Pneumonia & Pleurisy W Cc91112 / 24$44.990,502461 / 179$5.731,76608 / 26$4.746,74605 / 45
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc81483 / 93$81.048,202227 / 157$11.780,60760 / 10$10.709,60750 / 89
Pulmonary Edema & Respiratory Failure60143 / 27$51.796,801788 / 103$6.925,88428 / 11$6.264,82428 / 28
Simple Pneumonia & Pleurisy W Mcc56149 / 43$58.869,602082 / 144$8.040,04449 / 14$7.249,46449 / 30
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc54221 / 60$27.989,302063 / 129$4.394,76321 / 17$3.259,89320 / 28
Kidney & Urinary Tract Infections W/O Mcc54179 / 59$27.692,202110 / 151$4.539,67342 / 27$3.483,85342 / 30
Cellulitis W/O Mcc49140 / 41$33.455,402253 / 161$4.908,86396 / 28$3.793,61393 / 25
Chronic Obstructive Pulmonary Disease W Mcc48154 / 45$50.126,802186 / 156$6.730,29395 / 21$5.675,25394 / 27
Other Vascular Procedures W Cc4755 / 13$69.616,10512 / 30$14.156,70218 / 7$13.463,60218 / 24
Circulatory Disorders Except Ami, W Card Cath W/O Mcc46142 / 29$76.123,501541 / 129$6.315,00194 / 15$4.955,65194 / 20
Heart Failure & Shock W Cc46232 / 67$37.871,102260 / 157$6.237,98221 / 75$4.575,00221 / 18
Heart Failure & Shock W Mcc45239 / 78$49.189,701968 / 123$8.308,40425 / 16$7.586,62425 / 30
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc45105 / 21$22.061,801512 / 81$3.429,89305 / 17$2.263,47303 / 25
Renal Failure W Cc45176 / 62$34.614,401886 / 123$5.665,51610 / 30$4.849,53604 / 51
Cardiac Arrhythmia & Conduction Disorders W Cc44117 / 29$32.268,501711 / 110$4.653,07189 / 19$3.458,82189 / 16
Intracranial Hemorrhage Or Cerebral Infarction W Mcc43125 / 34$76.027,601332 / 75$9.779,12303 / 15$8.797,54302 / 22
Renal Failure W Mcc43152 / 57$53.578,101648 / 111$8.695,77413 / 24$7.938,19413 / 40
G.I. Hemorrhage W Cc43175 / 48$35.982,901820 / 104$5.712,53515 / 19$4.922,21514 / 32
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc40156 / 36$107.223,001231 / 96$11.252,20319 / 1$10.194,60319 / 38
Kidney & Urinary Tract Infections W Mcc39105 / 38$43.536,301578 / 113$6.374,13464 / 22$5.661,10463 / 36
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs39143 / 46$49.402,901724 / 104$6.145,44334 / 17$5.020,05333 / 27
Cardiac Arrhythmia & Conduction Disorders W Mcc3588 / 29$50.243,401534 / 98$6.890,34261 / 14$5.976,06260 / 22
Chronic Obstructive Pulmonary Disease W Cc34145 / 41$38.020,702022 / 124$5.331,82309 / 14$4.337,94308 / 29
Transient Ischemia3392 / 30$32.784,501272 / 67$4.258,70165 / 14$2.950,42165 / 11
Extracranial Procedures W/O Cc/Mcc3266 / 17$39.730,30632 / 49$5.999,59175 / 9$4.905,59175 / 14
Respiratory Infections & Inflammations W Mcc31105 / 34$68.793,601395 / 85$10.707,70240 / 15$9.866,42240 / 17
Respiratory System Diagnosis W Ventilator Support <96 Hours30101 / 36$82.681,201336 / 85$12.407,60195 / 8$11.525,40193 / 14
Red Blood Cell Disorders W/O Mcc30113 / 37$26.145,301322 / 76$4.695,67438 / 17$3.911,67437 / 41
Infectious & Parasitic Diseases W O.R. Procedure W Mcc2995 / 36$139.604,00920 / 54$26.026,7054 / 2$24.572,3054 / 5
Hip & Femur Procedures Except Major Joint W Cc28115 / 44$75.238,501638 / 95$10.688,50282 / 10$9.691,89281 / 23
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2874 / 28$31.772,001157 / 60$4.425,46255 / 10$3.303,18253 / 15
Acute Myocardial Infarction, Discharged Alive W Mcc2798 / 35$79.042,601547 / 94$9.628,22442 / 17$8.868,52442 / 28
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc26181 / 65$50.036,402262 / 162$6.413,85702 / 42$5.392,31700 / 47
Respiratory System Diagnosis W Ventilator Support 96+ Hours2645 / 17$165.338,00630 / 40$27.514,80109 / 4$26.582,80109 / 8
Acute Myocardial Infarction, Discharged Alive W Cc2467 / 22$56.179,201259 / 71$6.039,46357 / 6$5.239,46356 / 26
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc23143 / 63$27.073,602003 / 138$4.194,39335 / 24$3.174,17335 / 31
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc23103 / 51$38.070,601257 / 81$6.192,00178 / 9$5.484,52176 / 21
G.I. Hemorrhage W/O Cc/Mcc2345 / 10$21.116,20594 / 28$4.148,26214 / 8$3.203,57212 / 17
G.I. Hemorrhage W Mcc2299 / 35$64.248,201255 / 73$9.707,6499 / 12$8.466,9199 / 9
Simple Pneumonia & Pleurisy W/O Cc/Mcc2172 / 33$27.651,901545 / 103$4.243,10187 / 24$2.876,71185 / 16
Atherosclerosis W/O Mcc2137 / 7$20.116,40310 / 11$3.672,86 / $2.750,95 /
Seizures W/O Mcc2088 / 27$38.459,501114 / 64$4.481,15181 / 9$3.516,35180 / 11
Major Cardiovasc Procedures W/O Mcc1982 / 30$128.281,00784 / 54$19.741,20330 / 15$18.791,30330 / 36
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc19101 / 37$25.191,401547 / 82$4.249,37220 / 17$3.041,79220 / 12
Chest Pain19132 / 47$21.059,70992 / 34$3.652,42261 / 9$2.633,47260 / 16
Syncope & Collapse18151 / 47$41.349,301721 / 112$4.755,78773 / 40$3.820,67770 / 59
Other Circulatory System Diagnoses W Mcc1898 / 39$45.554,40644 / 32$10.362,40132 / 8$9.288,61132 / 7
Heart Failure & Shock W/O Cc/Mcc1892 / 38$21.126,401370 / 71$4.101,28356 / 25$3.165,22354 / 21
Other Vascular Procedures W Mcc1879 / 33$95.019,50542 / 37$17.322,0063 / 4$16.513,1063 / 7
Pulmonary Embolism W/O Mcc1856 / 19$41.660,301075 / 57$5.639,11456 / 5$5.104,00454 / 28
Major Small & Large Bowel Procedures W Mcc1669 / 28$146.318,00785 / 41$25.613,3026 / 4$22.579,1026 / 4
G.I. Obstruction W/O Cc/Mcc1655 / 21$25.164,501005 / 61$3.676,94415 / 11$2.850,94414 / 35
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1637 / 13$70.461,50847 / 44$4.457,88198 / 3$3.557,88197 / 9
Major Small & Large Bowel Procedures W Cc1692 / 34$101.456,001223 / 70$13.978,60321 / 7$12.959,60319 / 32
G.I. Obstruction W Cc1577 / 35$34.376,301332 / 70$5.291,2058 / 17$3.661,6758 / 6
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1352 / 22$122.111,00751 / 38$18.092,60190 / 8$16.748,60190 / 12
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1343 / 20$51.978,50615 / 47$8.919,69211 / 4$8.173,85211 / 19
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1383 / 42$41.920,60999 / 55$6.756,69179 / 7$5.924,69178 / 9
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc1241 / 10$32.871,20247 / 12$6.763,6733 / 3$5.580,3333 / 4
Respiratory Infections & Inflammations W Cc1276 / 33$50.723,601158 / 75$7.917,00145 / 21$6.633,25145 / 9
Nonspecific Cerebrovascular Disorders W Cc1244 / 17$38.531,90359 / 15$5.578,0082 / 3$4.770,0082 / 6
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1251 / 23$136.738,00427 / 24$24.296,5043 / 4$23.389,8043 / 4
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc1283 / 21$89.025,20403 / 26$10.882,2083 / 4$9.871,5882 / 13
Hip & Femur Procedures Except Major Joint W Mcc1250 / 29$89.096,20615 / 35$16.122,8080 / 7$15.026,8080 / 7
Coronary Bypass W/O Cardiac Cath W/O Mcc1177 / 26$125.539,00394 / 27$18.368,5031 / 1$17.382,4031 / 3
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1178 / 29$42.554,70506 / 32$6.232,73154 / 5$5.031,27154 / 20
Extracranial Procedures W Cc1135 / 16$57.867,20278 / 22$8.895,5555 / 2$7.795,9155 / 4
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1127 / 10$21.148,00274 / 15$3.893,5593 / 2$2.907,3693 / 8
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1145 / 25$63.381,00605 / 42$9.199,18131 / 7$8.003,55131 / 10
Peripheral Vascular Disorders W Cc1173 / 31$31.826,90857 / 47$5.500,27303 / 10$4.867,55301 / 21
Coronary Bypass W Cardiac Cath W/O Mcc1165 / 25$208.970,00510 / 36$26.932,2012 / 8$20.221,1012 / 3
Total 72 procedures2.175discharges

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.