Hospital Costs > In Texas > South Texas Health System, procedure costs

South Texas Health System, procedure costs

1102 W Trenton Road, Edinburg, TX 78539,

Procedure Costs @ South Texas Health System
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Psychoses32758 / 5$23.338,70387 / 17$9.123,69466 / 30$7.441,26466 / 29
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc317201 / 19$95.493,902601 / 190$14.005,201936 / 185$12.151,301901 / 178
Heart Failure & Shock W Mcc144140 / 20$85.406,102500 / 195$11.957,301997 / 178$10.368,001990 / 182
Kidney & Urinary Tract Infections W/O Mcc104129 / 24$39.689,302490 / 199$7.270,542320 / 206$5.829,152309 / 206
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc103104 / 15$58.009,202385 / 179$9.327,112073 / 181$7.540,482065 / 185
Heart Failure & Shock W Cc99179 / 31$52.514,302583 / 199$8.716,552287 / 198$7.267,222281 / 199
Simple Pneumonia & Pleurisy W Cc77126 / 33$52.939,902607 / 203$8.580,912371 / 198$7.126,362362 / 204
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs70112 / 24$65.171,401940 / 130$9.332,191675 / 131$7.525,491671 / 132
Cellulitis W/O Mcc70119 / 24$42.633,202464 / 185$7.809,092228 / 184$6.218,912220 / 190
Simple Pneumonia & Pleurisy W Mcc68137 / 32$78.945,202337 / 174$11.472,101906 / 167$9.718,001906 / 172
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc6759 / 17$49.510,201485 / 109$9.413,611255 / 118$7.907,461252 / 115
Renal Failure W Cc57164 / 50$45.909,802180 / 159$8.547,962042 / 168$7.180,112032 / 172
Acute Myocardial Infarction, Discharged Alive W Mcc5669 / 15$86.065,501598 / 102$13.537,001246 / 106$11.197,701237 / 107
Hip & Femur Procedures Except Major Joint W Cc5687 / 23$129.990,002018 / 147$14.666,601506 / 132$12.824,401488 / 134
Infectious & Parasitic Diseases W O.R. Procedure W Mcc5668 / 15$215.348,001318 / 92$32.828,80621 / 49$30.637,40615 / 64
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc56110 / 33$36.037,402283 / 174$6.887,592196 / 188$5.528,162188 / 190
Chronic Obstructive Pulmonary Disease W Mcc52150 / 42$66.046,402419 / 181$9.730,252098 / 174$8.289,332090 / 179
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc47228 / 66$41.603,702508 / 188$7.230,662319 / 189$5.607,892304 / 191
Transient Ischemia4679 / 23$48.808,801559 / 104$7.023,241462 / 108$5.557,071454 / 110
Septicemia Or Severe Sepsis W Mv 96+ Hours4547 / 8$244.318,00874 / 68$36.274,50319 / 36$33.545,20318 / 43
Cardiac Arrhythmia & Conduction Disorders W Cc44117 / 29$41.838,501938 / 138$7.413,181849 / 149$6.050,161844 / 152
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc41523 / 123$135.049,002636 / 216$15.602,002072 / 181$13.899,002030 / 209
Intracranial Hemorrhage Or Cerebral Infarction W Mcc40128 / 36$91.323,701448 / 88$13.436,101069 / 89$11.419,701064 / 87
Heart Failure & Shock W/O Cc/Mcc3971 / 17$41.366,501917 / 154$6.675,001790 / 147$5.517,821777 / 148
Other Vascular Procedures W Mcc3859 / 18$159.098,00897 / 73$22.721,20420 / 65$19.855,80418 / 57
Organic Disturbances & Mental Retardation3623 / 2$41.950,70456 / 16$9.133,64400 / 19$7.306,97400 / 19
Renal Failure W Mcc34161 / 63$89.484,402067 / 160$12.637,801690 / 146$11.121,601688 / 149
Kidney & Urinary Tract Infections W Mcc32112 / 45$50.427,801692 / 124$9.401,941536 / 138$7.770,591532 / 138
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3171 / 25$47.368,901461 / 90$7.220,101388 / 97$5.721,261384 / 98
Syncope & Collapse31138 / 35$40.125,901699 / 107$6.783,971627 / 123$5.653,651620 / 126
G.I. Hemorrhage W Cc30188 / 60$60.783,202313 / 163$8.695,301969 / 154$7.143,301965 / 158
Chronic Obstructive Pulmonary Disease W Cc30149 / 45$51.620,102274 / 150$8.330,172047 / 159$6.878,432040 / 159
Acute Myocardial Infarction, Discharged Alive W Cc3061 / 16$60.659,401300 / 77$9.019,331175 / 82$7.505,731173 / 85
Cirrhosis & Alcoholic Hepatitis W Mcc2914 / 6$55.636,80191 / 16$13.020,70155 / 19$11.642,40155 / 21
Other Circulatory System Diagnoses W Mcc2987 / 29$110.003,001310 / 101$15.036,50848 / 88$12.430,40843 / 82
Hip & Femur Procedures Except Major Joint W Mcc2933 / 13$191.902,00943 / 65$21.953,10645 / 55$19.805,80642 / 59
Diabetes W Cc2963 / 22$45.478,701496 / 104$7.791,761271 / 103$6.041,901266 / 102
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.2836 / 9$392.144,00426 / 35$51.147,7036 / 7$47.732,8036 / 7
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc2729 / 8$109.857,00903 / 74$12.552,90710 / 71$10.781,00707 / 73
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc27169 / 47$115.753,001297 / 104$14.655,301083 / 80$13.080,201076 / 119
Circulatory Disorders Except Ami, W Card Cath W/O Mcc27161 / 47$95.695,401615 / 133$9.219,781328 / 110$7.662,441325 / 122
Simple Pneumonia & Pleurisy W/O Cc/Mcc2766 / 27$45.062,501873 / 156$6.979,261775 / 154$5.490,671767 / 153
Red Blood Cell Disorders W/O Mcc25118 / 42$40.150,501763 / 132$7.490,721679 / 141$6.233,761670 / 147
Seizures W/O Mcc2583 / 22$46.635,601198 / 77$7.285,001035 / 77$5.795,761033 / 79
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2595 / 31$42.047,501980 / 138$6.987,921870 / 143$5.678,481859 / 145
Other Vascular Procedures W Cc2577 / 29$157.627,001078 / 91$18.051,20682 / 70$16.265,60679 / 80
Cardiac Arrhythmia & Conduction Disorders W Mcc2499 / 39$50.962,601547 / 100$9.917,081481 / 120$8.581,081478 / 126
Respiratory Infections & Inflammations W Mcc24112 / 40$105.109,001677 / 112$14.878,201276 / 112$12.831,901261 / 112
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc2423 / 6$93.605,50496 / 27$11.489,30396 / 22$9.844,17396 / 27
Coronary Bypass W Cardiac Cath W Mcc2432 / 8$400.274,00412 / 45$45.721,80219 / 28$43.324,50219 / 30
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.2457 / 9$468.973,00247 / 18$71.776,906 / 2$67.758,906 / 2
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc2347 / 12$42.232,70482 / 53$8.284,48437 / 51$7.480,30437 / 54
G.I. Hemorrhage W Mcc2299 / 35$83.350,501468 / 93$13.359,301095 / 100$11.683,201087 / 94
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc22102 / 6$21.711,20530 / 8$6.865,59680 / 20$5.463,41679 / 20
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc2233 / 10$105.566,00591 / 33$14.847,60455 / 28$12.940,70451 / 35
Respiratory System Diagnosis W Ventilator Support <96 Hours21110 / 45$112.048,001621 / 119$16.500,601166 / 113$14.909,701153 / 116
Permanent Cardiac Pacemaker Implant W Cc2156 / 18$129.077,00892 / 62$18.403,40609 / 55$16.862,80608 / 63
Laparoscopic Cholecystectomy W/O C.D.E. W Cc2036 / 16$122.778,00848 / 71$12.738,80681 / 63$10.950,00678 / 69
Degenerative Nervous System Disorders W/O Mcc1959 / 12$54.114,30797 / 48$8.853,32656 / 46$7.244,89656 / 49
Disorders Of Pancreas Except Malignancy W Cc1942 / 12$55.041,40895 / 53$8.339,21786 / 48$6.720,68783 / 54
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc18132 / 47$31.283,401787 / 121$5.876,671804 / 134$4.609,111798 / 134
Red Blood Cell Disorders W Mcc1853 / 21$51.819,30868 / 60$10.202,00764 / 71$8.734,44760 / 80
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1858 / 14$62.418,10374 / 35$13.602,70321 / 40$12.507,60321 / 45
Coronary Bypass W Cardiac Cath W/O Mcc1858 / 18$360.562,00602 / 44$32.291,20431 / 35$29.885,80431 / 41
Kidney Transplant1883 / 16$386.462,00171 / 18$23.865,9078 / 2$21.807,3078 / 14
Other Kidney & Urinary Tract Diagnoses W Mcc1784 / 24$78.294,401004 / 51$11.938,20740 / 41$10.469,90738 / 41
Coronary Bypass W/O Cardiac Cath W Mcc1643 / 10$381.841,00233 / 18$40.123,00145 / 12$38.115,10144 / 16
Pulmonary Edema & Respiratory Failure16187 / 65$76.510,002108 / 147$10.129,601744 / 142$8.665,311739 / 145
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1684 / 30$157.381,00856 / 63$21.661,60555 / 45$20.243,60551 / 63
Other Digestive System Diagnoses W Cc1681 / 28$55.374,101326 / 82$8.536,881164 / 79$7.188,251160 / 83
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1624 / 9$151.766,00439 / 36$17.865,50304 / 28$15.963,40303 / 33
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1631 / 11$116.209,00576 / 56$10.061,50486 / 50$8.397,50485 / 54
Medical Back Problems W/O Mcc16105 / 34$52.314,001426 / 102$7.935,561236 / 93$6.209,561232 / 93
Respiratory System Diagnosis W Ventilator Support 96+ Hours1556 / 26$215.905,00791 / 57$34.572,80497 / 53$32.465,10496 / 58
Peripheral Vascular Disorders W Mcc1534 / 12$58.063,50473 / 37$11.140,90373 / 39$9.128,07373 / 42
Peripheral Vascular Disorders W Cc1569 / 27$44.570,101086 / 67$8.095,47911 / 74$6.693,87908 / 76
Hypertension W/O Mcc1550 / 18$41.174,90741 / 66$6.453,73669 / 64$5.035,07667 / 64
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1581 / 40$50.992,701180 / 72$9.886,00994 / 84$8.128,13989 / 83
Chest Pain15136 / 51$42.394,301626 / 120$6.272,071470 / 116$5.085,931461 / 118
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1538 / 14$52.085,10800 / 38$7.516,40647 / 42$4.931,07643 / 39
Bronchitis & Asthma W Cc/Mcc1462 / 28$49.442,101000 / 71$7.920,93840 / 79$6.163,21836 / 77
Cirrhosis & Alcoholic Hepatitis W Cc1412 / 4$38.592,9069 / 6$8.228,2961 / 11$7.348,2961 / 11
Acute Myocardial Infarction, Expired W Mcc1416 / 6$81.568,10164 / 7$12.648,70110 / 6$11.453,30110 / 7
Traumatic Stupor & Coma, Coma <1 Hr W Cc1452 / 15$67.785,30498 / 39$9.650,29374 / 31$7.746,29373 / 32
Seizures W Mcc1353 / 21$69.846,20636 / 47$11.473,80461 / 43$10.103,90461 / 48
Bronchitis & Asthma W/O Cc/Mcc1332 / 11$34.265,10336 / 30$6.374,00299 / 34$4.693,31299 / 35
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc1356 / 10$498.009,00269 / 15$57.972,3074 / 8$55.712,0074 / 10
Other Digestive System Diagnoses W Mcc1349 / 17$68.079,30621 / 47$12.710,20405 / 43$10.883,70404 / 42
Spinal Fusion Except Cervical W/O Mcc13181 / 60$199.493,001275 / 108$25.852,20683 / 55$23.000,60679 / 81
Cellulitis W Mcc1345 / 20$75.458,60894 / 67$11.818,20698 / 61$9.984,38696 / 68
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc12104 / 20$476.228,00460 / 24$53.032,60228 / 12$50.814,00228 / 16
Traumatic Stupor & Coma, Coma <1 Hr W Mcc1239 / 13$74.205,80251 / 12$13.771,40152 / 10$12.147,40152 / 12
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1253 / 23$217.634,00906 / 54$24.226,70696 / 48$22.024,00693 / 50
Respiratory Infections & Inflammations W Cc1276 / 33$79.891,401392 / 105$11.465,501243 / 110$10.014,801238 / 113
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1251 / 23$172.860,00556 / 37$30.245,50234 / 24$27.772,20234 / 24
Coronary Bypass W/O Cardiac Cath W/O Mcc1276 / 25$318.970,00587 / 48$25.841,10400 / 33$23.747,80399 / 41
O.R. Procedures For Obesity W/O Cc/Mcc1265 / 30$126.280,00410 / 38$12.307,80249 / 30$9.518,83249 / 28
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1146 / 15$123.265,00692 / 37$15.433,50508 / 31$13.888,80507 / 37
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1178 / 29$123.835,00770 / 60$9.187,27632 / 49$7.654,18631 / 56
Other Kidney & Urinary Tract Diagnoses W Cc1192 / 27$48.468,20737 / 41$8.614,82672 / 36$7.474,45672 / 44
G.I. Obstruction W Cc1181 / 39$54.159,501633 / 101$8.049,551435 / 101$6.385,551430 / 102
Renal Failure W/O Cc/Mcc1145 / 22$32.943,00765 / 62$6.415,82777 / 63$5.141,64775 / 64
Poisoning & Toxic Effects Of Drugs W Mcc1161 / 27$44.012,00622 / 28$11.203,60472 / 50$8.423,27470 / 35
Tendonitis, Myositis & Bursitis W/O Mcc1131 / 9$44.454,40297 / 13$7.727,00276 / 14$6.272,45275 / 14
Total 104 procedures3.653discharges

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.