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University Of Texas Medical Branch, procedure costs

301 University Boulevard, Galveston, TX 77555,

Procedure Costs @ University Of Texas Medical Branch
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 Mcc137379 / 68$47.732,401696 / 92$24.442,802726 / 210$18.531,402681 / 212
Circulatory Disorders Except Ami, W Card Cath W/O Mcc12566 / 5$47.816,801148 / 79$16.354,301608 / 132$11.847,301605 / 131
Kidney & Urinary Tract Infections W/O Mcc111122 / 21$19.032,701463 / 71$12.807,402673 / 221$9.487,652662 / 218
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc95469 / 87$69.355,901977 / 128$25.099,102612 / 223$20.153,302566 / 221
Cellulitis W/O Mcc85104 / 16$17.123,201140 / 47$13.237,602574 / 198$9.624,892566 / 198
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc82193 / 42$22.369,401665 / 79$12.611,602683 / 206$9.217,982668 / 204
Heart Failure & Shock W Cc78200 / 44$26.467,801776 / 87$15.391,802709 / 211$11.445,002703 / 211
Simple Pneumonia & Pleurisy W Cc64139 / 45$22.873,501442 / 59$14.687,702763 / 219$10.862,302754 / 217
Chronic Obstructive Pulmonary Disease W Cc54125 / 25$21.086,501118 / 27$13.511,402398 / 168$10.689,302391 / 169
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc53143 / 26$76.895,80814 / 50$24.658,201462 / 128$20.433,601454 / 128
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc49158 / 46$28.507,501525 / 79$16.485,502519 / 194$11.831,202509 / 193
Renal Failure W Cc49172 / 58$23.570,201314 / 52$14.765,702382 / 182$10.773,202372 / 181
Heart Failure & Shock W Mcc48236 / 75$41.194,801708 / 93$21.564,002581 / 201$16.802,602570 / 202
Other Kidney & Urinary Tract Diagnoses W Cc4757 / 8$41.897,10677 / 32$17.669,00857 / 51$13.438,00857 / 51
Cardiac Arrhythmia & Conduction Disorders W Cc47114 / 26$27.122,401496 / 79$13.306,202132 / 159$9.665,832127 / 157
Red Blood Cell Disorders W/O Mcc4796 / 23$20.391,90928 / 36$13.167,101954 / 154$9.688,871945 / 152
Other Circulatory System Diagnoses W Mcc4769 / 14$40.037,90488 / 14$23.705,901310 / 102$18.645,001302 / 103
G.I. Hemorrhage W Cc44174 / 47$30.871,901607 / 80$15.552,802387 / 168$11.617,002383 / 166
Chronic Obstructive Pulmonary Disease W Mcc41161 / 52$31.777,001578 / 71$16.493,902525 / 193$12.696,102517 / 191
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs40142 / 45$35.362,801373 / 65$16.453,402030 / 141$11.588,302026 / 139
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc39127 / 48$17.065,701214 / 44$11.586,002496 / 198$8.652,562487 / 197
Circulatory Disorders Except Ami, W Card Cath W Mcc3855 / 9$68.152,70570 / 32$28.412,30873 / 62$21.448,30865 / 61
Acute Myocardial Infarction, Discharged Alive W Mcc3788 / 26$59.895,301324 / 71$23.593,701766 / 127$17.912,501753 / 127
Acute Myocardial Infarction, Discharged Alive W Cc3655 / 12$43.155,801090 / 56$16.872,301412 / 91$11.953,101410 / 90
Chest Pain34117 / 33$20.314,00943 / 28$10.410,701658 / 126$7.822,351649 / 124
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3270 / 24$30.285,401111 / 55$13.016,501585 / 104$9.016,031581 / 103
Seizures W/O Mcc2979 / 19$25.191,00783 / 27$12.672,101271 / 86$8.964,451269 / 85
Other Digestive System Diagnoses W Cc2869 / 16$23.317,10580 / 14$14.646,701409 / 87$11.272,501405 / 86
Hip & Femur Procedures Except Major Joint W Cc28115 / 44$53.221,301155 / 55$24.248,201999 / 147$18.903,201977 / 147
Major Cardiovasc Procedures W/O Mcc2873 / 22$120.336,00741 / 48$38.638,30984 / 71$34.466,00983 / 71
Kidney Transplant2873 / 12$249.860,00139 / 14$42.457,30161 / 18$34.306,80161 / 18
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc28122 / 37$18.623,001318 / 63$9.966,391967 / 138$7.244,541961 / 137
Syncope & Collapse27142 / 39$25.085,001223 / 48$12.066,001889 / 133$8.999,261881 / 132
Heart Failure & Shock W/O Cc/Mcc2783 / 29$20.309,701306 / 62$12.224,201986 / 157$8.662,411973 / 154
Infectious & Parasitic Diseases W O.R. Procedure W Mcc2698 / 39$165.851,001106 / 69$68.610,801547 / 116$56.039,601537 / 115
Other Vascular Procedures W Cc2676 / 28$83.963,70691 / 48$30.336,801109 / 92$25.619,701104 / 94
Renal Failure W Mcc26169 / 70$40.665,701309 / 77$20.578,102095 / 160$16.116,202091 / 161
Pulmonary Embolism W/O Mcc2549 / 12$26.823,00721 / 19$14.438,701266 / 71$11.063,601263 / 71
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc2570 / 12$64.898,20224 / 12$24.028,30582 / 44$19.248,20578 / 45
Other Circulatory System Diagnoses W Cc2541 / 7$26.427,60338 / 14$14.691,60659 / 40$11.325,40658 / 40
Intracranial Hemorrhage Or Cerebral Infarction W Mcc24144 / 50$43.400,60792 / 21$23.186,101549 / 113$17.594,201542 / 112
Simple Pneumonia & Pleurisy W/O Cc/Mcc2271 / 32$17.760,40989 / 39$11.337,601948 / 160$8.541,181940 / 159
G.I. Hemorrhage W Mcc2299 / 35$53.051,501068 / 55$24.244,501622 / 117$18.798,901612 / 116
Other Vascular Procedures W Mcc2275 / 29$104.079,00627 / 48$38.622,20936 / 81$31.205,00933 / 80
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2278 / 24$86.090,90342 / 15$35.404,50955 / 79$29.105,90950 / 79
Pulmonary Edema & Respiratory Failure22181 / 61$57.932,501891 / 124$20.668,002187 / 160$13.639,602181 / 159
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc21105 / 52$30.370,40976 / 54$16.930,001688 / 133$12.727,001684 / 132
Medical Back Problems W/O Mcc21100 / 29$25.861,10863 / 32$13.452,601466 / 103$9.958,901461 / 101
Respiratory System Diagnosis W Ventilator Support <96 Hours21110 / 45$53.185,50714 / 24$27.476,301745 / 139$21.672,601731 / 139
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2199 / 35$21.578,201377 / 60$11.727,802078 / 147$8.670,142066 / 148
Diabetes W Cc2072 / 31$19.292,80644 / 16$12.563,801567 / 113$9.410,601562 / 111
G.I. Hemorrhage W/O Cc/Mcc2048 / 12$24.009,60684 / 43$11.930,70991 / 78$8.568,95987 / 77
Kidney & Urinary Tract Infections W Mcc19125 / 57$25.541,10954 / 39$16.564,401915 / 149$12.314,601911 / 149
Spinal Fusion Except Cervical W/O Mcc19175 / 54$114.986,00890 / 66$41.400,601310 / 116$37.266,801305 / 117
Coronary Bypass W/O Cardiac Cath W/O Mcc1969 / 19$107.339,00300 / 12$41.014,80576 / 47$34.112,50575 / 46
Simple Pneumonia & Pleurisy W Mcc19186 / 75$36.113,101413 / 61$19.573,502474 / 190$15.325,702468 / 191
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1878 / 37$30.513,50652 / 20$17.475,801422 / 97$13.239,801417 / 96
G.I. Obstruction W Cc1874 / 32$23.678,60903 / 27$14.669,101718 / 106$10.416,601713 / 106
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1871 / 22$53.844,80613 / 46$15.744,10766 / 60$13.339,40765 / 60
Cardiac Arrhythmia & Conduction Disorders W Mcc17106 / 46$27.012,10788 / 18$17.527,601881 / 135$13.905,201878 / 135
Hip & Femur Procedures Except Major Joint W Mcc1745 / 24$122.514,00802 / 50$47.654,80959 / 66$36.747,50956 / 66
Disorders Of Pancreas Except Malignancy W Cc1645 / 15$21.918,00366 / 6$15.127,20948 / 57$10.972,80945 / 56
Other Vascular Procedures W/O Cc/Mcc1541 / 17$55.355,90341 / 26$20.308,30540 / 45$17.588,30539 / 45
Other Circulatory System O.R. Procedures1540 / 14$59.179,60152 / 9$31.471,10402 / 37$25.103,80402 / 37
Other Kidney & Urinary Tract Diagnoses W Mcc1586 / 26$93.192,901049 / 54$31.929,501101 / 56$21.509,101097 / 56
Signs & Symptoms W/O Mcc1576 / 27$21.313,40718 / 20$12.073,701307 / 83$8.906,201304 / 83
Carotid Artery Stent Procedure W/O Cc/Mcc1517 / 7$39.091,9036 / 1$19.748,0095 / 12$17.710,5095 / 12
Craniotomy & Endovascular Intracranial Procedures W Mcc1583 / 17$134.310,00307 / 15$50.303,70465 / 36$40.201,80465 / 35
Degenerative Nervous System Disorders W/O Mcc1563 / 15$17.722,30150 / 1$14.228,00840 / 54$11.050,80840 / 54
Major Cardiovasc Procedures W Mcc1454 / 19$143.931,00324 / 16$58.000,40565 / 45$45.571,20564 / 43
Hypertension W/O Mcc1451 / 19$17.309,50312 / 10$10.547,10762 / 68$7.527,43760 / 68
Cranial & Peripheral Nerve Disorders W/O Mcc1454 / 15$28.051,30423 / 18$14.261,50708 / 42$9.406,71708 / 41
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1442 / 19$39.863,10405 / 23$20.630,40898 / 75$16.901,20895 / 75
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1456 / 21$32.156,60399 / 39$16.164,80565 / 61$13.105,10565 / 61
Septicemia Or Severe Sepsis W Mv 96+ Hours1379 / 33$209.094,00779 / 57$82.164,501063 / 87$63.618,901062 / 87
Bronchitis & Asthma W Cc/Mcc1363 / 29$27.323,90646 / 30$14.530,501064 / 84$10.244,601060 / 84
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc13105 / 17$144.018,00269 / 12$55.580,40516 / 24$48.726,80516 / 25
Atherosclerosis W/O Mcc1345 / 13$19.219,80294 / 7$10.624,80 / $8.491,54 /
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1340 / 16$39.203,80725 / 30$12.465,10847 / 44$9.438,08843 / 44
Bone Diseases & Arthropathies W/O Mcc1232 / 5$21.100,30182 / 7$12.981,20280 / 12$9.083,58280 / 12
Postoperative & Post-Traumatic Infections W/O Mcc1242 / 13$21.351,10150 / 3$14.732,80437 / 32$10.579,30437 / 32
G.I. Obstruction W/O Cc/Mcc1259 / 25$17.054,80666 / 25$11.140,401307 / 89$7.965,501304 / 89
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1252 / 21$228.230,00202 / 16$91.256,70395 / 44$77.322,10394 / 45
Poisoning & Toxic Effects Of Drugs W/O Mcc1249 / 19$24.551,40638 / 18$11.027,60902 / 42$8.804,17901 / 41
Pulmonary Embolism W Mcc1231 / 12$37.505,70284 / 9$21.146,80572 / 31$16.321,40571 / 31
Renal Failure W/O Cc/Mcc1244 / 21$13.511,20286 / 9$11.103,90851 / 68$8.221,67849 / 68
Poisoning & Toxic Effects Of Drugs W Mcc1161 / 27$29.596,60336 / 12$18.824,90944 / 58$15.059,50941 / 58
Red Blood Cell Disorders W Mcc1160 / 28$24.411,90285 / 10$17.142,701068 / 89$13.920,001064 / 88
Postoperative & Post-Traumatic Infections W Mcc1132 / 8$44.925,6093 / 3$23.738,60196 / 12$16.929,00196 / 12
Malignancy Of Hepatobiliary System Or Pancreas W Cc1120 / 6$33.098,1092 / 5$18.047,90190 / 13$12.466,50190 / 13
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1165 / 21$32.715,20132 / 8$22.826,80507 / 56$18.116,50507 / 56
Other Respiratory System Diagnoses W/O Mcc1135 / 10$28.918,80217 / 9$13.907,80313 / 16$9.902,73313 / 16
Cesarean Section W Cc/Mcc1112 / 2$29.959,8017 / 2$19.374,4040 / 2$13.193,8040 / 2
Revision Of Hip Or Knee Replacement W/O Cc/Mcc1158 / 19$103.035,00428 / 24$30.441,80495 / 32$24.831,50494 / 32
Peripheral Vascular Disorders W Cc1173 / 31$21.895,70496 / 15$15.486,201238 / 85$11.174,901235 / 84
Seizures W Mcc1155 / 23$64.234,90604 / 42$26.102,60762 / 59$19.046,30762 / 58
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1170 / 20$383.786,00163 / 12$162.935,00279 / 31$124.308,00278 / 30
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc1135 / 11$36.448,70167 / 10$13.323,70252 / 15$11.131,20252 / 15
Total 98 procedures2.829discharges

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.