Hospital Costs > In Texas > Quail Creek Surgical 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 | 19 | 70 / 21 | $15.852,80 | 44 / 1 | $6.879,68 | 1 / 20 | $2.921,84 | 1 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 29 | 75 / 20 | $41.686,90 | 223 / 10 | $12.655,20 | 2 / 9 | $7.513,90 | 2 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 31 | 65 / 10 | $41.989,60 | 206 / 5 | $12.643,70 | 9 / 13 | $9.017,68 | 9 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 386 | 199 / 16 | $34.773,10 | 448 / 12 | $11.254,50 | 26 / 2 | $8.724,60 | 26 / 2 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 36 | 33 / 3 | $66.954,40 | 242 / 7 | $14.861,50 | 57 / 4 | $13.105,90 | 57 / 4 |
| Spinal Fusion Except Cervical W/O Mcc | 50 | 144 / 34 | $56.218,00 | 170 / 7 | $23.196,40 | 3 / 21 | $15.418,60 | 3 / 1 | Total 6 procedures | 551 | 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.