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West Houston Medical Center, procedure costs

12141 Richmond Ave, Houston, TX 77082,

Procedure Costs @ West Houston Medical Center
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Acute Myocardial Infarction, Discharged Alive W Cc1279 / 33$33.097,80854 / 32$8.870,081047 / 80$6.874,421045 / 77
Acute Myocardial Infarction, Discharged Alive W Mcc2798 / 35$70.551,301469 / 87$12.536,301355 / 97$11.792,501344 / 115
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1178 / 29$46.816,00562 / 38$8.572,55607 / 44$7.306,73606 / 54
Bronchitis & Asthma W Cc/Mcc1165 / 31$34.882,80810 / 54$7.936,73561 / 80$4.960,73557 / 49
Cardiac Arrhythmia & Conduction Disorders W Cc28133 / 45$31.758,001694 / 105$6.771,461703 / 137$5.473,611698 / 143
Cardiac Arrhythmia & Conduction Disorders W Mcc16107 / 47$57.197,101648 / 111$9.272,251441 / 110$8.450,121438 / 123
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc17133 / 48$28.257,801710 / 108$5.350,181543 / 127$3.614,241537 / 118
Cellulitis W Mcc1246 / 21$57.440,10794 / 54$10.717,90671 / 49$9.770,42669 / 66
Cellulitis W/O Mcc32157 / 58$41.392,602442 / 181$6.950,121941 / 168$5.436,591933 / 174
Cervical Spinal Fusion W/O Cc/Mcc1193 / 36$76.361,40645 / 50$15.122,40555 / 42$13.210,80552 / 64
Chest Pain6487 / 13$39.068,001577 / 112$5.637,621270 / 106$4.197,691263 / 105
Chronic Obstructive Pulmonary Disease W Cc21158 / 54$56.395,202326 / 161$7.682,862074 / 148$7.017,712067 / 161
Chronic Obstructive Pulmonary Disease W Mcc49153 / 44$59.184,802342 / 171$9.101,572050 / 162$8.104,272042 / 173
Circulatory Disorders Except Ami, W Card Cath W Mcc1281 / 25$88.824,20702 / 40$15.523,50498 / 45$12.904,20492 / 49
Circulatory Disorders Except Ami, W Card Cath W/O Mcc29159 / 45$52.088,101257 / 89$8.688,381172 / 101$6.908,931169 / 111
Coronary Bypass W Cardiac Cath W Mcc1739 / 12$240.983,00311 / 30$49.072,80224 / 36$43.490,80224 / 33
Cranial & Peripheral Nerve Disorders W Mcc1224 / 7$56.332,90124 / 10$9.957,8395 / 8$9.269,3395 / 10
Degenerative Nervous System Disorders W/O Mcc1365 / 17$47.043,90746 / 41$7.968,46636 / 40$6.972,46636 / 47
Diabetes W Cc1478 / 37$39.009,601379 / 96$6.811,641272 / 86$6.043,791267 / 103
Diabetes W/O Cc/Mcc1325 / 6$34.644,80282 / 21$5.372,00233 / 20$4.710,77233 / 20
Disorders Of Pancreas Except Malignancy W Mcc1135 / 14$78.712,00308 / 22$13.729,90201 / 21$11.747,30201 / 20
Dysequilibrium1451 / 14$42.964,40522 / 27$7.581,07347 / 31$3.827,71347 / 25
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1467 / 17$552.437,00298 / 24$107.672,00182 / 18$104.949,00182 / 18
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2472 / 31$64.237,601316 / 87$9.771,041103 / 83$8.640,251098 / 91
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc66209 / 54$41.493,702504 / 186$7.310,142195 / 190$5.221,942180 / 185
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc2142 / 14$244.594,00692 / 51$33.295,70442 / 39$31.943,90442 / 46
Extracranial Procedures W/O Cc/Mcc1187 / 37$63.635,30848 / 67$10.869,00490 / 71$5.723,00489 / 47
Fractures Of Hip & Pelvis W/O Mcc1249 / 17$30.365,00751 / 48$6.095,17793 / 49$5.204,00792 / 58
G.I. Hemorrhage W Cc29189 / 61$58.082,202284 / 161$7.964,031906 / 140$6.930,031902 / 152
G.I. Hemorrhage W Mcc2497 / 33$73.706,701379 / 85$12.710,501061 / 91$11.548,501053 / 92
Heart Failure & Shock W Cc47231 / 66$41.915,002383 / 171$7.941,472176 / 184$6.939,472170 / 189
Heart Failure & Shock W Mcc84200 / 48$66.744,402289 / 166$11.907,501913 / 177$10.102,801907 / 173
Heart Failure & Shock W/O Cc/Mcc1991 / 37$35.472,401823 / 142$5.946,001677 / 137$4.966,111664 / 143
Hip & Femur Procedures Except Major Joint W Cc26117 / 46$94.782,801846 / 123$14.079,501534 / 128$12.961,301516 / 138
Hypertension W/O Mcc1352 / 20$39.698,20735 / 64$5.701,38560 / 56$4.122,46558 / 51
Infectious & Parasitic Diseases W O.R. Procedure W Mcc4678 / 22$187.379,001207 / 84$34.206,00789 / 64$32.598,40783 / 81
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs28154 / 55$61.004,301882 / 122$8.809,611607 / 125$7.236,361604 / 126
Intracranial Hemorrhage Or Cerebral Infarction W Mcc28140 / 46$89.934,201437 / 87$12.515,301122 / 82$11.661,901116 / 91
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1191 / 44$45.092,601429 / 86$7.128,271205 / 94$4.861,451201 / 93
Kidney & Urinary Tract Infections W Mcc5094 / 28$53.598,701722 / 127$8.774,001515 / 129$7.670,061511 / 136
Kidney & Urinary Tract Infections W/O Mcc72161 / 45$38.530,702468 / 196$6.541,252229 / 194$5.518,222218 / 199
Major Cardiovasc Procedures W Mcc2444 / 10$178.878,00452 / 25$37.719,70230 / 33$31.226,60230 / 23
Major Cardiovasc Procedures W/O Mcc1190 / 38$165.114,00919 / 63$24.430,20419 / 58$19.569,00419 / 46
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1145 / 22$68.012,20543 / 32$14.404,30208 / 32$10.677,30208 / 19
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc69495 / 100$111.482,002559 / 203$18.723,101421 / 211$11.860,401388 / 154
Medical Back Problems W/O Mcc21100 / 29$32.018,701085 / 67$7.003,951229 / 82$6.181,671225 / 92
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc25101 / 49$42.182,201347 / 91$8.732,401259 / 110$7.927,841256 / 117
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc24142 / 62$33.092,002216 / 164$6.110,041819 / 174$4.505,831814 / 162
Organic Disturbances & Mental Retardation1346 / 14$42.591,90460 / 17$7.753,15380 / 14$7.062,23380 / 18
Other Circulatory System Diagnoses W Mcc4274 / 17$53.948,60829 / 57$13.654,10928 / 78$12.885,90921 / 91
Other Circulatory System O.R. Procedures1144 / 17$92.873,90303 / 24$18.481,20228 / 21$17.802,50228 / 27
Other Digestive System Diagnoses W Cc2473 / 20$43.555,201182 / 68$7.837,621087 / 68$6.826,121083 / 78
Other Digestive System Diagnoses W Mcc2636 / 7$58.121,50538 / 35$12.162,60440 / 39$11.231,30439 / 45
Other Resp System O.R. Procedures W Mcc1152 / 18$168.662,00510 / 40$26.004,50389 / 38$24.713,80388 / 43
Other Vascular Procedures W Cc2379 / 31$107.432,00897 / 72$20.976,80542 / 87$15.212,50539 / 70
Other Vascular Procedures W Mcc3661 / 19$126.825,00773 / 60$22.203,00499 / 62$20.677,80496 / 67
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc22174 / 52$91.001,701058 / 83$15.485,20937 / 99$12.196,80930 / 112
Psychoses17258 / 17$32.349,70500 / 27$8.084,06434 / 25$7.125,82434 / 26
Pulmonary Edema & Respiratory Failure16187 / 65$53.963,301830 / 110$9.160,751767 / 120$8.766,751762 / 147
Red Blood Cell Disorders W Mcc2348 / 16$57.930,50934 / 74$9.628,48737 / 68$8.503,78733 / 75
Red Blood Cell Disorders W/O Mcc34109 / 34$34.727,501652 / 122$6.792,001643 / 129$6.031,881634 / 142
Renal Failure W Cc50171 / 57$41.152,102080 / 144$7.730,981965 / 153$6.857,661955 / 168
Renal Failure W Mcc68127 / 36$64.975,401830 / 128$12.276,601441 / 141$10.071,601441 / 139
Renal Failure W/O Cc/Mcc1145 / 22$28.232,50725 / 57$5.667,82710 / 55$4.606,73708 / 62
Respiratory Infections & Inflammations W Cc1276 / 33$68.254,401324 / 96$10.562,201171 / 104$9.518,921166 / 109
Respiratory Infections & Inflammations W Mcc32104 / 33$76.444,401472 / 89$12.962,801069 / 83$11.939,101055 / 94
Respiratory System Diagnosis W Ventilator Support <96 Hours25106 / 41$97.567,901490 / 103$16.427,601076 / 111$14.469,501066 / 105
Respiratory System Diagnosis W Ventilator Support 96+ Hours1952 / 22$187.040,00702 / 48$33.462,50392 / 43$30.524,90392 / 44
Seizures W/O Mcc1692 / 31$46.981,901203 / 78$6.457,44995 / 66$5.532,81993 / 75
Septicemia Or Severe Sepsis W Mv 96+ Hours2369 / 23$183.343,00684 / 44$35.337,10305 / 34$33.300,40304 / 40
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc155361 / 59$91.534,002562 / 184$13.816,202000 / 183$12.376,601963 / 186
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc29178 / 62$52.055,102298 / 166$8.376,281959 / 168$7.176,901951 / 173
Signs & Symptoms W/O Mcc1378 / 29$45.947,701288 / 84$6.117,381087 / 71$5.360,921084 / 79
Simple Pneumonia & Pleurisy W Cc29174 / 78$51.334,302580 / 197$7.823,452336 / 186$6.998,342327 / 201
Simple Pneumonia & Pleurisy W Mcc39166 / 57$60.120,202098 / 146$10.586,601848 / 155$9.537,081848 / 166
Skin Ulcers W Mcc128 / 3$70.325,3024 / 4$9.950,8315 / 4$8.706,0015 / 4
Spinal Fusion Except Cervical W/O Mcc15179 / 58$174.832,001214 / 98$26.889,50947 / 67$25.674,10942 / 108
Syncope & Collapse44125 / 28$46.982,701810 / 122$6.532,091440 / 116$4.967,091433 / 112
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1549 / 18$424.819,00458 / 41$69.651,10313 / 35$67.826,60313 / 38
Transient Ischemia14111 / 49$40.067,201440 / 90$6.129,431321 / 93$4.934,141315 / 102
Traumatic Stupor & Coma, Coma <1 Hr W Cc1155 / 18$49.467,50414 / 30$8.751,45367 / 27$7.658,36366 / 31
Total 81 procedures2.186discharges

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.