Hospital Costs > In Texas > Palo Pinto General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 24 | 165 / 65 | $12.976,40 | 586 / 17 | $5.978,38 | 1730 / 117 | $5.021,04 | 1722 / 154 |
| Chest Pain | 11 | 140 / 55 | $11.260,90 | 206 / 2 | $4.470,09 | 703 / 60 | $3.138,55 | 698 / 51 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 61 | $17.782,90 | 777 / 14 | $6.399,43 | 1518 / 100 | $5.537,71 | 1512 / 126 |
| Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 64 | $17.349,10 | 509 / 14 | $7.754,55 | 1455 / 99 | $6.776,90 | 1449 / 124 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 37 | 83 / 19 | $11.473,90 | 390 / 8 | $5.075,84 | 1430 / 86 | $4.294,00 | 1419 / 116 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 86 | $12.070,40 | 407 / 12 | $5.285,24 | 1854 / 111 | $4.558,20 | 1840 / 159 |
| Heart Failure & Shock W Cc | 29 | 249 / 83 | $16.822,80 | 778 / 19 | $6.737,72 | 1691 / 128 | $5.987,38 | 1686 / 145 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 31 | $11.308,80 | 389 / 9 | $4.773,56 | 1220 / 87 | $3.998,76 | 1210 / 103 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 61 | $41.505,70 | 704 / 12 | $12.824,20 | 1287 / 97 | $11.942,70 | 1270 / 117 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 22 | $32.890,20 | 260 / 8 | $11.249,50 | 413 / 58 | $8.855,91 | 411 / 42 |
| Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 69 | $14.341,90 | 836 / 32 | $5.525,69 | 1858 / 140 | $4.763,14 | 1847 / 173 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 143 | $46.717,50 | 1123 / 52 | $14.060,90 | 1358 / 112 | $11.710,70 | 1326 / 147 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 71 | $12.475,50 | 606 / 18 | $5.096,13 | 1617 / 124 | $4.210,80 | 1612 / 140 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 54 | $33.887,10 | 182 / 1 | $14.675,30 | 988 / 62 | $14.070,00 | 978 / 98 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 80 | $16.366,10 | 723 / 22 | $6.471,78 | 1645 / 102 | $5.667,04 | 1638 / 141 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 32 | $14.795,00 | 713 / 20 | $5.029,73 | 1263 / 87 | $3.988,27 | 1256 / 109 | Total 16 procedures | 351 | 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.