Hospital Costs > In Texas > United Regional Health Care System, procedure costs

United Regional Health Care System, procedure costs

1600 11Th Street, Wichita Falls, TX 76301,

Procedure Costs @ United Regional Health Care System
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 Mcc305213 / 22$53.900,901915 / 114$13.589,701906 / 177$12.067,301871 / 176
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc191373 / 39$52.920,001415 / 74$15.529,401873 / 175$13.097,701831 / 198
Heart Failure & Shock W Cc154124 / 15$24.765,801645 / 76$7.215,731538 / 158$5.814,891533 / 133
Heart Failure & Shock W Mcc152132 / 16$39.799,401649 / 82$10.539,001749 / 146$9.596,541744 / 157
Renal Failure W Cc14875 / 12$26.303,501509 / 69$6.803,991462 / 115$5.696,621453 / 127
Simple Pneumonia & Pleurisy W Cc14757 / 7$30.114,601953 / 110$7.211,001628 / 162$5.647,851621 / 140
Simple Pneumonia & Pleurisy W Mcc13669 / 12$35.730,601395 / 60$10.444,201625 / 147$8.963,891625 / 145
Renal Failure W Mcc12076 / 13$36.183,601110 / 56$11.024,801386 / 120$9.915,081386 / 134
G.I. Hemorrhage W Cc109109 / 12$27.202,901382 / 51$7.132,681435 / 110$5.865,681432 / 109
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc104171 / 27$23.005,301714 / 85$5.406,961433 / 121$4.073,251422 / 119
Chronic Obstructive Pulmonary Disease W Mcc97105 / 15$27.097,501274 / 47$8.214,831470 / 126$6.795,151464 / 125
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs9092 / 17$27.856,00990 / 24$7.687,811298 / 93$6.336,581295 / 106
Respiratory System Diagnosis W Ventilator Support <96 Hours8844 / 6$53.013,40709 / 23$16.484,301049 / 112$14.354,201039 / 104
Hip & Femur Procedures Except Major Joint W Cc8558 / 14$47.199,00940 / 30$13.951,001380 / 126$12.305,901362 / 130
Pulmonary Edema & Respiratory Failure80123 / 16$34.546,901273 / 55$8.805,171245 / 105$7.310,421243 / 99
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc79128 / 28$33.201,501773 / 106$7.682,201521 / 136$6.293,521515 / 133
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc76120 / 14$67.346,00625 / 31$15.529,20988 / 100$12.433,70981 / 115
Cardiac Arrhythmia & Conduction Disorders W Cc7685 / 12$22.253,601226 / 53$5.525,791202 / 90$4.510,701198 / 103
Cellulitis W/O Mcc75114 / 22$27.190,802004 / 136$5.971,411635 / 115$4.882,431628 / 144
Extracranial Procedures W/O Cc/Mcc7325 / 5$33.022,50500 / 33$7.737,07573 / 55$6.014,14572 / 57
Intracranial Hemorrhage Or Cerebral Infarction W Mcc7197 / 17$41.302,60732 / 16$12.398,00989 / 79$10.994,40984 / 76
Chronic Obstructive Pulmonary Disease W Cc69110 / 19$25.966,601513 / 58$6.745,851316 / 113$5.285,251311 / 102
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc64102 / 28$23.305,801794 / 102$4.975,771339 / 113$3.921,311334 / 112
Kidney & Urinary Tract Infections W/O Mcc61172 / 54$23.625,701896 / 125$5.371,131624 / 126$4.467,101613 / 146
Kidney & Urinary Tract Infections W Mcc5589 / 25$32.879,101283 / 76$7.863,891258 / 103$6.907,601254 / 112
Respiratory Infections & Inflammations W Mcc5284 / 17$51.943,801117 / 53$13.931,201304 / 104$12.957,201289 / 116
Cardiac Arrhythmia & Conduction Disorders W Mcc5172 / 17$31.974,001048 / 43$8.603,511096 / 86$7.340,551093 / 92
Infectious & Parasitic Diseases W O.R. Procedure W Mcc5074 / 19$115.188,00691 / 29$36.988,001032 / 80$35.883,401026 / 99
Circulatory Disorders Except Ami, W Card Cath W/O Mcc50138 / 27$38.020,70877 / 40$8.748,02880 / 103$6.080,48877 / 83
Red Blood Cell Disorders W/O Mcc4994 / 21$21.065,40992 / 41$5.584,671142 / 81$4.716,941134 / 98
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4953 / 14$22.595,00761 / 18$5.701,18676 / 65$3.828,20672 / 47
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc4977 / 28$30.885,801005 / 59$8.154,88750 / 93$6.498,73747 / 69
Major Cardiovasc Procedures W/O Mcc4358 / 13$105.408,00633 / 33$23.303,20665 / 51$22.119,20664 / 65
Transient Ischemia4382 / 25$23.049,00858 / 26$5.298,63619 / 71$3.494,42615 / 41
G.I. Hemorrhage W Mcc4180 / 18$47.188,80925 / 44$12.685,301128 / 88$11.834,701120 / 99
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc4080 / 16$20.990,701327 / 57$5.426,251108 / 106$3.835,701099 / 83
Diabetes W Cc3953 / 13$27.273,801086 / 60$6.183,59631 / 68$4.425,67630 / 43
Chest Pain39112 / 29$20.583,00964 / 30$4.192,62719 / 40$3.161,23714 / 53
G.I. Obstruction W Cc3854 / 15$23.048,10870 / 26$6.171,26880 / 58$4.927,11878 / 64
Major Small & Large Bowel Procedures W Cc3870 / 16$66.933,60796 / 37$17.758,101105 / 70$16.642,801092 / 90
Major Gastrointestinal Disorders & Peritoneal Infections W Cc3637 / 5$31.874,90701 / 30$8.214,94682 / 42$7.274,78680 / 55
Simple Pneumonia & Pleurisy W/O Cc/Mcc3657 / 18$18.508,501077 / 53$5.027,36996 / 86$3.675,14991 / 80
Diabetes W Mcc3621 / 4$34.274,80362 / 13$9.603,94409 / 28$8.733,50409 / 34
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc36114 / 29$14.563,00933 / 25$3.922,36916 / 57$2.757,25911 / 66
Acute Myocardial Infarction, Discharged Alive W Mcc3293 / 31$40.917,20850 / 26$12.052,101203 / 88$11.032,401196 / 100
Seizures W Mcc3234 / 8$44.291,30415 / 19$10.481,20334 / 32$9.134,41334 / 36
Syncope & Collapse31138 / 35$21.681,301006 / 33$5.506,32942 / 85$3.994,35936 / 70
Poisoning & Toxic Effects Of Drugs W Mcc3042 / 10$39.450,40567 / 25$10.170,80618 / 43$9.218,67616 / 49
Major Small & Large Bowel Procedures W Mcc2956 / 15$115.864,00523 / 19$38.573,00788 / 71$33.436,90786 / 67
Heart Failure & Shock W/O Cc/Mcc2981 / 27$14.745,00825 / 20$4.863,72895 / 95$3.638,00888 / 71
Respiratory Infections & Inflammations W Cc2959 / 17$38.490,90937 / 56$10.164,80853 / 97$8.154,79848 / 81
Pulmonary Embolism W/O Mcc2945 / 9$31.270,30872 / 33$7.877,07667 / 54$5.489,59664 / 45
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2967 / 26$37.345,00887 / 47$8.309,38758 / 52$7.267,07753 / 59
Other Digestive System Diagnoses W Cc2869 / 16$21.672,20498 / 9$7.217,61631 / 53$5.452,00627 / 41
Disorders Of Pancreas Except Malignancy W Cc2833 / 8$26.976,60537 / 21$6.388,14516 / 21$5.344,64514 / 34
Seizures W/O Mcc2682 / 21$19.970,00555 / 11$5.713,38447 / 47$3.970,96445 / 32
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc2531 / 10$41.443,10318 / 12$13.223,60401 / 26$12.260,10400 / 31
Respiratory Neoplasms W Mcc2527 / 5$40.576,60271 / 6$11.806,20372 / 22$10.872,40371 / 26
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2575 / 21$79.567,70272 / 12$21.950,60608 / 51$20.930,80604 / 68
Peripheral Vascular Disorders W Cc2559 / 18$28.412,20760 / 38$7.022,84613 / 47$5.588,20610 / 49
Other Circulatory System Diagnoses W Mcc2492 / 33$40.467,70498 / 15$12.960,80626 / 64$11.238,00624 / 61
Other Circulatory System Diagnoses W Cc2343 / 9$27.808,20372 / 18$7.135,78323 / 22$5.633,70322 / 21
Laparoscopic Cholecystectomy W/O C.D.E. W Cc2333 / 13$43.317,80332 / 11$11.459,20616 / 52$10.313,60614 / 65
Acute Myocardial Infarction, Discharged Alive W Cc2269 / 23$33.468,90864 / 34$9.890,73724 / 87$5.939,41722 / 51
Septicemia Or Severe Sepsis W Mv 96+ Hours2270 / 24$103.946,00206 / 8$40.675,00642 / 57$39.597,20641 / 71
Bronchitis & Asthma W Cc/Mcc2155 / 21$24.115,50555 / 21$6.052,33591 / 38$5.049,29587 / 54
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc2149 / 14$22.659,70244 / 21$6.753,81231 / 30$5.490,19231 / 26
Major Joint/Limb Reattachment Procedure Of Upper Extremities2148 / 8$62.688,50223 / 8$18.259,00360 / 13$17.155,70360 / 18
Other Digestive System Diagnoses W Mcc2042 / 10$45.325,10394 / 22$12.131,40443 / 38$11.261,00442 / 46
Extracranial Procedures W Cc2026 / 9$49.774,40234 / 12$11.765,70213 / 26$9.413,50213 / 21
Peripheral Vascular Disorders W Mcc2029 / 7$30.741,50216 / 8$9.471,60347 / 26$8.829,00347 / 39
Coronary Bypass W Cardiac Cath W Mcc2036 / 10$194.387,00221 / 17$52.142,40290 / 39$47.722,50290 / 41
Respiratory System Diagnosis W Ventilator Support 96+ Hours2051 / 21$120.058,00383 / 17$37.292,10677 / 61$36.380,40676 / 69
Red Blood Cell Disorders W Mcc1952 / 20$25.599,70334 / 13$8.654,32635 / 50$7.945,05631 / 65
Respiratory Neoplasms W Cc1928 / 6$40.147,10323 / 7$8.190,00254 / 11$7.107,16253 / 18
Coronary Bypass W/O Cardiac Cath W/O Mcc1969 / 19$114.749,00336 / 17$26.208,20440 / 34$24.935,40439 / 43
Postoperative & Post-Traumatic Infections W/O Mcc1836 / 7$30.838,50295 / 14$6.868,28237 / 14$6.278,50237 / 20
Spinal Fusion Except Cervical W/O Mcc18176 / 55$82.572,50562 / 32$30.780,70898 / 99$25.001,40893 / 103
Peripheral Vascular Disorders W/O Cc/Mcc1827 / 6$18.502,20196 / 7$4.696,11144 / 8$3.463,00144 / 8
G.I. Obstruction W/O Cc/Mcc1853 / 19$16.748,80646 / 21$4.530,50541 / 47$3.012,89540 / 46
Other Vascular Procedures W Cc1785 / 37$64.970,30442 / 25$17.436,20704 / 64$16.465,60700 / 83
Permanent Cardiac Pacemaker Implant W Cc1760 / 22$45.318,00144 / 2$18.405,40650 / 56$17.266,80649 / 66
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1721 / 5$17.035,60175 / 8$4.825,41223 / 16$3.464,41223 / 16
Renal Failure W/O Cc/Mcc1739 / 16$18.060,70492 / 21$4.340,65470 / 26$3.499,00469 / 34
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1764 / 14$251.460,0040 / 2$120.426,00263 / 22$118.858,00262 / 28
Fractures Of Hip & Pelvis W/O Mcc1744 / 12$17.634,20418 / 13$4.965,24447 / 25$3.818,88447 / 30
Cellulitis W Mcc1642 / 17$47.133,90705 / 46$15.291,90386 / 70$8.267,94384 / 35
Signs & Symptoms W/O Mcc1675 / 26$23.213,20821 / 33$5.206,25560 / 46$3.780,25559 / 31
Stomach, Esophageal & Duodenal Proc W Mcc1625 / 7$94.893,4043 / 1$38.516,60117 / 9$37.386,80117 / 11
Hip & Femur Procedures Except Major Joint W Mcc1646 / 25$62.851,80337 / 7$21.223,80677 / 54$20.181,30674 / 60
Major Small & Large Bowel Procedures W/O Cc/Mcc1648 / 16$45.033,70390 / 23$13.741,10444 / 45$9.501,62444 / 40
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1649 / 19$73.847,20427 / 12$23.709,20722 / 47$22.482,20719 / 51
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1631 / 11$40.357,90315 / 27$8.498,19424 / 32$7.508,44423 / 49
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1525 / 10$70.119,20237 / 14$17.175,10290 / 24$15.816,90289 / 30
O.R. Procedures For Obesity W/O Cc/Mcc1562 / 28$39.170,50172 / 7$12.924,90163 / 34$8.428,40163 / 15
Major Cardiovasc Procedures W Mcc1553 / 18$167.340,00416 / 22$39.946,90472 / 36$38.822,10471 / 41
Coronary Bypass W Cardiac Cath W/O Mcc1561 / 21$156.759,00382 / 22$46.051,30238 / 43$25.697,20238 / 23
Hypertension W/O Mcc1550 / 18$22.377,70475 / 25$4.338,40261 / 21$3.055,33259 / 17
Disorders Of The Biliary Tract W Cc1440 / 9$38.914,10313 / 13$7.304,93232 / 14$6.339,50232 / 18
Poisoning & Toxic Effects Of Drugs W/O Mcc1447 / 17$50.938,00897 / 45$9.432,36895 / 40$8.462,93894 / 40
G.I. Hemorrhage W/O Cc/Mcc1454 / 18$17.961,90463 / 16$5.916,29228 / 67$3.229,93226 / 19
Digestive Malignancy W Cc1433 / 5$46.834,60279 / 14$8.776,14190 / 10$7.676,14188 / 10
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1462 / 18$40.048,70210 / 17$12.868,90268 / 36$11.767,40268 / 37
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1340 / 16$29.016,60555 / 16$5.518,69386 / 26$3.962,31383 / 23
Circulatory Disorders Except Ami, W Card Cath W Mcc1380 / 24$58.191,50440 / 17$16.938,50447 / 50$12.534,50441 / 38
Medical Back Problems W/O Mcc13108 / 37$25.334,20839 / 29$5.911,08821 / 48$4.805,23818 / 61
Fever1234 / 10$32.972,60246 / 12$6.041,75137 / 6$4.809,25137 / 8
Other Vascular Procedures W/O Cc/Mcc1244 / 19$53.337,40319 / 22$13.435,00300 / 40$9.905,33299 / 33
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1251 / 23$117.438,00332 / 14$37.451,30482 / 49$32.791,80482 / 50
Atherosclerosis W/O Mcc1246 / 14$18.054,60267 / 5$8.121,08 / $2.773,00 /
Other Kidney & Urinary Tract Diagnoses W Mcc1289 / 29$52.999,30818 / 30$11.522,60787 / 38$10.744,60785 / 47
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1252 / 21$132.038,0036 / 3$73.840,80359 / 38$72.531,50358 / 41
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc1218 / 10$43.991,8077 / 6$16.076,8096 / 18$11.628,2095 / 13
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc1251 / 13$77.650,80121 / 6$24.234,00188 / 12$22.955,50187 / 19
Pulmonary Embolism W Mcc1231 / 12$34.899,90246 / 3$10.648,70389 / 19$9.635,83389 / 26
Complications Of Treatment W Cc1141 / 11$29.887,80215 / 11$6.813,27175 / 8$6.168,00175 / 12
Vaginal Delivery W/O Complicating Diagnoses1114 / 4$9.880,4522 / 3$3.974,098 / 1$2.829,368 / 2
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1145 / 22$39.453,10390 / 19$11.302,50642 / 60$10.106,10639 / 67
Stomach, Esophageal & Duodenal Proc W Cc1139 / 9$63.519,7089 / 3$22.846,5011 / 12$12.770,2011 / 2
Urinary Stones W/O Esw Lithotripsy W/O Mcc1135 / 9$25.096,40238 / 7$4.794,73182 / 3$3.637,64181 / 4
Total 120 procedures4.939discharges

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.