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Northwest Texas Hospital, procedure costs

1501 Coulter Road, Amarillo, TX 79106,

Procedure Costs @ Northwest Texas Hospital
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 Mcc209307 / 39$59.749,702081 / 136$12.470,401510 / 142$11.033,201480 / 140
Heart Failure & Shock W Mcc75209 / 53$44.179,901823 / 108$10.334,401612 / 132$9.305,031607 / 141
Simple Pneumonia & Pleurisy W Mcc59146 / 40$45.231,501764 / 100$10.010,201602 / 130$8.918,471602 / 143
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc56140 / 24$64.501,90553 / 21$13.881,80914 / 60$12.122,90907 / 110
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc53511 / 112$57.734,101614 / 98$14.743,001689 / 145$12.524,801652 / 183
Hip & Femur Procedures Except Major Joint W Cc5390 / 26$54.396,701190 / 57$13.388,101133 / 118$11.397,701119 / 101
Intracranial Hemorrhage Or Cerebral Infarction W Mcc51117 / 28$61.853,201160 / 59$12.208,50982 / 75$10.970,90977 / 75
Pulmonary Edema & Respiratory Failure49154 / 36$34.136,901252 / 54$8.865,881513 / 112$7.868,161508 / 125
Renal Failure W Mcc48147 / 52$38.005,401203 / 65$10.498,801264 / 101$9.583,671264 / 121
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc48227 / 65$24.773,501865 / 109$6.295,001946 / 171$4.679,151932 / 165
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs48134 / 38$41.442,701557 / 85$7.779,381386 / 99$6.538,331383 / 114
Renal Failure W Cc48173 / 59$28.712,901644 / 92$7.225,421608 / 137$5.949,521599 / 140
Cardiac Arrhythmia & Conduction Disorders W Cc47114 / 26$30.396,701646 / 102$6.419,081609 / 126$5.215,621604 / 136
Kidney & Urinary Tract Infections W/O Mcc46187 / 65$26.009,802026 / 141$6.235,502103 / 180$5.203,222092 / 190
Heart Failure & Shock W Cc46232 / 67$29.960,101955 / 112$7.285,481902 / 163$6.337,111897 / 174
G.I. Hemorrhage W Cc41177 / 50$29.694,601536 / 72$7.594,441718 / 131$6.390,711714 / 140
Simple Pneumonia & Pleurisy W Cc36167 / 71$35.418,502198 / 140$7.434,392064 / 172$6.291,222056 / 186
Respiratory System Diagnosis W Ventilator Support <96 Hours3596 / 31$72.012,101175 / 71$15.228,60957 / 87$13.936,80948 / 95
O.R. Procedures For Obesity W/O Cc/Mcc3542 / 14$37.751,40157 / 6$10.887,50217 / 16$9.047,86217 / 21
Cellulitis W/O Mcc35154 / 55$24.595,901851 / 114$6.463,571859 / 151$5.265,201851 / 167
Infectious & Parasitic Diseases W O.R. Procedure W Mcc3391 / 32$138.540,00908 / 51$31.087,40183 / 37$26.740,20183 / 13
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc32175 / 60$38.585,301987 / 130$7.831,221847 / 143$6.903,221839 / 164
Circulatory Disorders Except Ami, W Card Cath W/O Mcc32156 / 42$39.063,20919 / 50$8.242,001104 / 95$6.716,621101 / 105
Acute Myocardial Infarction, Discharged Alive W Mcc3293 / 31$53.579,201212 / 58$11.839,901147 / 83$10.833,901142 / 97
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc31119 / 34$18.675,101319 / 64$4.981,261601 / 116$3.736,261595 / 122
Cardiac Arrhythmia & Conduction Disorders W Mcc3192 / 33$45.392,001446 / 87$8.932,611230 / 96$7.695,681227 / 101
Syncope & Collapse31138 / 35$34.848,701578 / 91$5.997,581451 / 102$5.020,031444 / 114
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc3096 / 45$26.616,80794 / 35$8.091,471095 / 90$7.327,601092 / 104
Chronic Obstructive Pulmonary Disease W Cc29150 / 46$30.173,801725 / 86$7.127,241721 / 131$5.909,521714 / 141
Coronary Bypass W/O Cardiac Cath W/O Mcc2860 / 11$120.390,00364 / 23$23.913,20344 / 24$22.470,50343 / 36
Other Vascular Procedures W Cc2775 / 27$92.971,70771 / 54$19.809,10464 / 83$14.750,80461 / 59
Poisoning & Toxic Effects Of Drugs W Mcc2745 / 12$47.497,90670 / 32$9.624,63540 / 32$8.695,11538 / 41
Chronic Obstructive Pulmonary Disease W Mcc26176 / 67$29.286,301425 / 58$8.492,851733 / 140$7.284,771725 / 154
Medical Back Problems W/O Mcc2695 / 24$30.783,101036 / 60$6.760,351057 / 77$5.416,621054 / 83
Kidney & Urinary Tract Infections W Mcc26118 / 50$36.907,501414 / 92$8.310,961452 / 118$7.473,731448 / 129
Chest Pain24127 / 43$23.930,801158 / 55$5.158,881183 / 93$3.942,621176 / 96
Transient Ischemia24101 / 39$25.892,901003 / 38$5.774,711190 / 86$4.493,211184 / 92
Extracranial Procedures W/O Cc/Mcc2276 / 27$46.064,90732 / 57$7.783,95722 / 56$6.786,18719 / 68
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc22144 / 64$25.104,101891 / 123$5.812,771934 / 167$4.736,911927 / 172
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc2247 / 9$50.796,00165 / 1$12.482,60305 / 18$10.609,90305 / 17
Hip & Femur Procedures Except Major Joint W Mcc2141 / 20$81.693,30552 / 28$19.816,70430 / 48$17.531,90427 / 36
Other Kidney & Urinary Tract Diagnoses W Mcc2180 / 20$62.112,80901 / 38$11.618,70765 / 39$10.608,70763 / 44
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc2075 / 14$51.065,60113 / 2$13.249,50296 / 25$11.862,50293 / 36
Cranial & Peripheral Nerve Disorders W/O Mcc2048 / 10$41.582,10628 / 35$6.917,25469 / 27$5.789,85469 / 35
G.I. Hemorrhage W Mcc20101 / 37$45.998,20897 / 42$12.369,40707 / 82$10.237,40707 / 60
Peripheral Vascular Disorders W Cc1965 / 23$24.802,10639 / 26$7.394,05751 / 64$6.017,26748 / 59
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1983 / 36$31.102,801141 / 57$6.512,211119 / 86$4.618,421115 / 84
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1847 / 17$78.588,90479 / 16$19.316,80348 / 19$17.984,20346 / 25
Septicemia Or Severe Sepsis W Mv 96+ Hours1874 / 28$129.847,00387 / 22$29.880,9046 / 4$28.292,2046 / 6
Major Small & Large Bowel Procedures W Mcc1768 / 27$135.675,00707 / 35$29.185,10109 / 24$25.161,70109 / 13
Respiratory Infections & Inflammations W Mcc17119 / 47$45.902,20964 / 42$12.397,20283 / 69$9.977,35283 / 19
Permanent Cardiac Pacemaker Implant W Cc1661 / 23$71.985,90521 / 28$16.642,80440 / 35$15.493,50439 / 45
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1680 / 39$34.949,40797 / 36$8.693,81850 / 63$7.590,38845 / 69
Major Cardiovasc Procedures W/O Mcc1586 / 34$78.786,70364 / 13$21.153,70459 / 29$19.933,10459 / 53
Diabetes W Cc1577 / 36$24.282,10959 / 41$6.563,931154 / 79$5.586,131149 / 91
Other Circulatory System Diagnoses W Mcc15101 / 41$82.113,601161 / 87$16.026,70864 / 95$12.484,50858 / 85
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1558 / 20$28.832,00616 / 21$7.939,67584 / 36$6.929,93582 / 45
Complications Of Treatment W Mcc1437 / 9$54.968,40191 / 11$12.340,10118 / 13$10.866,40118 / 15
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc1432 / 8$43.477,30196 / 12$7.556,14163 / 9$6.394,86163 / 13
Seizures W/O Mcc1494 / 33$22.951,90696 / 22$6.153,50886 / 58$5.045,36883 / 70
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1440 / 14$33.150,10311 / 22$6.965,21210 / 23$4.417,57210 / 20
Hypertension W/O Mcc1451 / 19$25.009,40539 / 32$5.338,36566 / 51$4.170,36564 / 53
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1442 / 22$49.836,40460 / 22$11.366,20625 / 49$10.379,00623 / 68
Diabetes W Mcc1344 / 23$51.423,80570 / 34$9.881,38438 / 32$8.952,85438 / 38
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1387 / 33$78.049,40255 / 10$20.328,10446 / 32$19.224,80442 / 51
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1235 / 15$46.199,10384 / 36$8.871,17440 / 37$7.685,25439 / 51
Cirrhosis & Alcoholic Hepatitis W Mcc1230 / 18$45.132,10137 / 7$11.808,40128 / 15$10.904,80128 / 18
Major Small & Large Bowel Procedures W Cc1296 / 38$101.448,001222 / 69$18.918,60821 / 79$14.828,00813 / 69
Traumatic Stupor & Coma, Coma <1 Hr W Cc1254 / 17$40.053,70343 / 21$7.735,83243 / 17$6.466,58243 / 23
Heart Failure & Shock W/O Cc/Mcc1199 / 45$23.626,001494 / 89$5.694,731651 / 131$4.848,451638 / 138
Other O.R. Procedures For Injuries W Mcc1126 / 10$128.746,00135 / 9$24.578,9059 / 6$23.550,6059 / 7
Pulmonary Embolism W/O Mcc1163 / 26$34.521,30956 / 42$7.594,82980 / 48$6.460,36977 / 65
Other Skin, Subcut Tiss & Breast Proc W Mcc1111 / 4$69.849,1026 / 3$16.509,403 / 4$12.457,503 / 2
Fractures Of Hip & Pelvis W/O Mcc1150 / 18$21.698,00571 / 28$5.662,09609 / 43$4.272,09609 / 48
G.I. Hemorrhage W/O Cc/Mcc1157 / 21$20.341,00555 / 22$5.747,09727 / 61$4.481,55723 / 65
Respiratory System Diagnosis W Ventilator Support 96+ Hours1160 / 30$126.372,00421 / 21$25.937,7033 / 1$24.635,9033 / 3
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1170 / 20$267.073,0051 / 4$57.789,901 / 1$55.181,501 / 1
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents1134 / 9$84.300,50113 / 5$18.985,00115 / 7$17.954,00115 / 9
Circulatory Disorders Except Ami, W Card Cath W Mcc1182 / 26$57.734,90434 / 15$14.091,20477 / 36$12.747,40471 / 42
Total 79 procedures2.243discharges

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.