Hospital Costs > In Texas > Methodist Stone Oak Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 32 | $42.627,90 | 1080 / 53 | $6.430,46 | 12 / 21 | $4.110,38 | 12 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 39 | $60.201,80 | 1328 / 73 | $10.021,90 | 636 / 32 | $9.288,65 | 635 / 49 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 28 | 38 / 8 | $57.554,20 | 331 / 23 | $10.556,10 | 55 / 6 | $9.016,36 | 55 / 5 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 27 | 62 / 17 | $24.279,10 | 175 / 7 | $6.155,67 | 48 / 3 | $4.510,11 | 48 / 12 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 30 | $27.567,40 | 654 / 31 | $4.619,92 | 69 / 1 | $3.715,92 | 69 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 46 | $27.854,90 | 1541 / 88 | $4.362,70 | 33 / 5 | $3.091,04 | 33 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 44 | $56.453,20 | 1635 / 109 | $7.787,63 | 189 / 57 | $5.833,79 | 189 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 42 | $21.607,50 | 1484 / 77 | $3.031,70 | 43 / 2 | $1.817,17 | 43 / 8 |
| Cellulitis W/O Mcc | 49 | 140 / 41 | $24.908,80 | 1866 / 116 | $4.483,80 | 183 / 3 | $3.530,61 | 183 / 11 |
| Cervical Spinal Fusion W Cc | 13 | 40 / 13 | $75.158,50 | 196 / 11 | $14.488,50 | 20 / 1 | $13.424,60 | 20 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 21 | 83 / 26 | $65.183,20 | 528 / 35 | $13.476,00 | 22 / 22 | $9.303,67 | 22 / 6 |
| Chest Pain | 14 | 137 / 52 | $25.320,60 | 1224 / 64 | $3.195,00 | 91 / 1 | $2.331,00 | 91 / 5 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 45 | $37.208,50 | 1994 / 117 | $4.870,63 | 33 / 2 | $3.752,77 | 33 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 56 | $37.343,20 | 1844 / 113 | $6.502,51 | 43 / 11 | $4.940,32 | 43 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 26 | $88.910,50 | 703 / 41 | $12.788,50 | 145 / 17 | $10.776,80 | 142 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 42 | $60.114,10 | 1386 / 104 | $6.109,28 | 63 / 7 | $4.620,81 | 63 / 6 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 18 | 37 / 12 | $72.281,20 | 69 / 5 | $15.845,30 | 10 / 1 | $14.839,10 | 10 / 4 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 20 | 78 / 13 | $95.985,40 | 174 / 5 | $23.353,80 | 13 / 3 | $20.212,30 | 13 / 2 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 29 | 45 / 5 | $49.500,10 | 58 / 2 | $12.092,60 | 3 / 1 | $10.136,30 | 3 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 15 | $24.743,70 | 378 / 12 | $5.027,80 | 7 / 1 | $3.937,67 | 7 / 2 |
| Diabetes W Cc | 13 | 79 / 38 | $34.119,50 | 1289 / 84 | $4.387,00 | 202 / 1 | $3.833,15 | 202 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 52 | 223 / 61 | $27.896,80 | 2055 / 127 | $4.031,23 | 62 / 3 | $2.852,85 | 62 / 5 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 24 | $109.419,00 | 286 / 11 | $25.003,20 | 55 / 5 | $24.008,30 | 55 / 5 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 15 | $19.523,20 | 364 / 5 | $3.789,67 | 35 / 1 | $2.989,67 | 35 / 1 |
| G.I. Hemorrhage W Cc | 51 | 167 / 43 | $31.543,20 | 1643 / 89 | $5.246,43 | 72 / 2 | $4.270,75 | 72 / 6 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 44 | $47.886,80 | 944 / 45 | $9.367,54 | 92 / 4 | $8.434,62 | 92 / 8 |
| G.I. Obstruction W Cc | 25 | 67 / 25 | $30.499,20 | 1217 / 57 | $4.693,12 | 53 / 1 | $3.633,12 | 53 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 18 | $28.468,40 | 1089 / 73 | $4.036,47 | 6 / 23 | $1.868,68 | 6 / 1 |
| Heart Failure & Shock W Cc | 56 | 222 / 60 | $33.803,30 | 2132 / 136 | $5.100,29 | 143 / 2 | $4.439,57 | 143 / 11 |
| Heart Failure & Shock W Mcc | 70 | 214 / 57 | $52.534,20 | 2056 / 134 | $8.200,51 | 291 / 8 | $7.407,70 | 291 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 41 | $29.494,70 | 1694 / 124 | $3.581,47 | 102 / 2 | $2.772,93 | 101 / 4 |
| Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 7 | $54.337,00 | 93 / 6 | $10.238,20 | 3 / 2 | $6.940,00 | 3 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 31 | $61.874,60 | 1396 / 77 | $10.485,30 | 77 / 3 | $9.112,36 | 77 / 6 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 25 | $93.291,80 | 655 / 38 | $16.590,60 | 178 / 10 | $15.756,60 | 177 / 14 |
| Hypertension W/O Mcc | 12 | 53 / 21 | $28.998,40 | 624 / 44 | $3.293,42 | 49 / 1 | $2.386,75 | 49 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 46 | $169.840,00 | 1125 / 71 | $31.289,40 | 597 / 40 | $30.321,90 | 592 / 62 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 56 | 126 / 34 | $39.541,00 | 1504 / 82 | $5.594,93 | 54 / 2 | $4.420,41 | 54 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 50 | 118 / 29 | $51.857,80 | 992 / 46 | $9.038,84 | 97 / 2 | $8.098,04 | 97 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 55 | $42.055,10 | 1545 / 109 | $5.970,71 | 116 / 3 | $5.053,38 | 116 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 73 | 160 / 44 | $25.665,00 | 2007 / 138 | $4.070,40 | 87 / 3 | $3.100,16 | 87 / 8 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 23 | $51.390,80 | 481 / 25 | $8.791,31 | 72 / 1 | $7.676,23 | 72 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 15 | $42.625,10 | 341 / 30 | $6.792,08 | 23 / 1 | $5.063,42 | 23 / 4 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 21 | $214.401,00 | 537 / 37 | $36.438,80 | 173 / 29 | $30.006,70 | 173 / 18 |
| Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 32 | $149.871,00 | 876 / 60 | $20.846,10 | 447 / 28 | $19.846,50 | 447 / 51 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 164 | 400 / 51 | $71.567,60 | 2032 / 135 | $12.706,40 | 78 / 48 | $9.199,09 | 78 / 8 |
| Major Small & Large Bowel Procedures W Cc | 36 | 72 / 17 | $66.058,30 | 773 / 36 | $15.211,50 | 14 / 25 | $10.859,70 | 14 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 27 | $151.450,00 | 818 / 43 | $33.382,70 | 241 / 55 | $26.843,80 | 239 / 26 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 28 | 36 / 7 | $41.244,10 | 318 / 17 | $8.853,57 | 35 / 4 | $6.992,50 | 35 / 4 |
| Medical Back Problems W/O Mcc | 30 | 91 / 21 | $25.891,90 | 866 / 33 | $4.246,00 | 44 / 1 | $3.358,53 | 44 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 58 | $29.044,40 | 2102 / 151 | $3.732,68 | 53 / 2 | $2.716,82 | 53 / 5 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 25 | $37.338,10 | 1077 / 57 | $5.537,05 | 8 / 9 | $3.801,32 | 8 / 1 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 15 | $35.473,20 | 445 / 18 | $5.121,45 | 10 / 2 | $3.529,91 | 10 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 25 | $45.801,80 | 711 / 36 | $6.220,00 | 183 / 10 | $5.123,38 | 183 / 11 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 20 | $48.461,00 | 777 / 27 | $8.193,24 | 24 / 3 | $6.925,38 | 24 / 1 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 16 | 24 / 7 | $48.435,60 | 84 / 5 | $10.302,60 | 8 / 1 | $9.318,56 | 8 / 2 |
| Other Vascular Procedures W Cc | 15 | 87 / 39 | $70.817,30 | 530 / 32 | $13.369,80 | 55 / 2 | $12.322,30 | 55 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 36 | 160 / 39 | $95.186,10 | 1112 / 86 | $12.329,60 | 40 / 22 | $8.997,67 | 40 / 7 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 26 | $30.941,90 | 832 / 45 | $5.182,44 | 43 / 1 | $4.106,88 | 43 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 26 | $80.562,50 | 629 / 35 | $13.684,50 | 39 / 1 | $12.761,40 | 39 / 5 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 26 | $62.629,80 | 813 / 45 | $7.659,00 | 7 / 1 | $5.964,42 | 7 / 1 |
| Pulmonary Edema & Respiratory Failure | 31 | 172 / 52 | $47.198,00 | 1696 / 87 | $6.478,23 | 86 / 1 | $5.641,06 | 86 / 3 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 21 | $31.111,80 | 867 / 30 | $5.730,50 | 21 / 7 | $3.850,75 | 21 / 2 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 51 | $26.046,50 | 1314 / 75 | $4.251,44 | 99 / 1 | $3.415,44 | 99 / 9 |
| Renal Failure W Cc | 58 | 163 / 49 | $31.598,60 | 1775 / 109 | $5.354,57 | 59 / 12 | $4.071,14 | 59 / 3 |
| Renal Failure W Mcc | 39 | 156 / 59 | $48.302,70 | 1537 / 100 | $8.765,36 | 41 / 31 | $6.915,56 | 41 / 5 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 34 | $60.621,50 | 1259 / 86 | $7.809,09 | 283 / 16 | $6.927,64 | 281 / 21 |
| Respiratory Infections & Inflammations W Mcc | 33 | 103 / 32 | $59.628,30 | 1257 / 70 | $10.522,40 | 80 / 10 | $9.291,00 | 80 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 45 | $84.082,10 | 1357 / 87 | $13.554,40 | 700 / 39 | $12.978,40 | 692 / 70 |
| Seizures W Mcc | 14 | 52 / 20 | $45.278,70 | 424 / 20 | $7.689,79 | 11 / 1 | $6.658,93 | 11 / 2 |
| Seizures W/O Mcc | 22 | 86 / 25 | $30.351,90 | 966 / 47 | $4.344,14 | 3 / 4 | $2.567,68 | 3 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 91 | 425 / 86 | $62.705,40 | 2154 / 144 | $11.037,30 | 383 / 56 | $9.317,14 | 383 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 55 | $35.519,50 | 1883 / 120 | $5.637,38 | 132 / 2 | $4.713,05 | 132 / 12 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 26 | $25.721,70 | 913 / 39 | $3.565,75 | 71 / 1 | $2.885,75 | 71 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 62 | $37.449,30 | 2263 / 151 | $5.153,20 | 120 / 2 | $4.182,76 | 120 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 61 | $49.096,00 | 1890 / 118 | $9.056,80 | 46 / 76 | $6.396,31 | 46 / 4 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 12 | 28 / 5 | $209.201,00 | 55 / 5 | $45.464,60 | 16 / 3 | $36.712,80 | 16 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 77 | 117 / 17 | $126.044,00 | 974 / 78 | $24.252,40 | 130 / 34 | $19.291,50 | 129 / 20 |
| Spinal Procedures W Cc Or Spinal Neurostimulators | 14 | 13 / 1 | $132.468,00 | 40 / 4 | $16.011,40 | 1 / 1 | $14.893,60 | 1 / 1 |
| Syncope & Collapse | 27 | 142 / 39 | $31.134,50 | 1477 / 76 | $3.851,22 | 83 / 1 | $2.952,85 | 83 / 6 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 17 | $32.261,90 | 280 / 14 | $5.864,83 | 16 / 1 | $4.854,17 | 16 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 15 | $26.314,40 | 251 / 14 | $3.919,33 | 3 / 1 | $2.708,67 | 3 / 1 |
| Ventricular Shunt Procedures W/O Cc/Mcc | 11 | 13 / 5 | $45.050,40 | 25 / 2 | $8.092,27 | 2 / 1 | $7.210,82 | 2 / 1 | Total 82 procedures | 2.279 | 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.