Hospital Costs > In Texas > Wilson N Jones Regional Medical Center, procedure costs

Wilson N Jones Regional Medical Center, procedure costs

500 N Highland Avenue, Sherman, TX 75091,

Procedure Costs @ Wilson N Jones Regional Medical Center
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 Mcc89427 / 88$54.260,101927 / 117$10.605,80734 / 32$9.835,83733 / 62
Simple Pneumonia & Pleurisy W Mcc70135 / 30$38.565,901509 / 71$8.694,86340 / 57$7.097,89340 / 24
Heart Failure & Shock W Mcc65219 / 61$41.092,501703 / 92$8.866,74851 / 53$8.109,57851 / 65
Kidney & Urinary Tract Infections W/O Mcc64169 / 51$22.676,201824 / 113$4.642,91817 / 36$3.834,66812 / 68
Simple Pneumonia & Pleurisy W Cc62141 / 47$26.666,401747 / 86$5.852,71677 / 40$4.799,40674 / 51
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc61214 / 55$22.749,401690 / 81$4.513,69621 / 23$3.503,85617 / 50
Heart Failure & Shock W Cc56222 / 60$23.807,601564 / 65$5.738,68532 / 26$4.918,11532 / 44
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc47517 / 117$76.674,502142 / 148$13.117,30980 / 71$11.022,40961 / 115
Cellulitis W/O Mcc45144 / 45$20.364,301522 / 78$5.087,27718 / 37$4.059,58714 / 60
Chronic Obstructive Pulmonary Disease W Cc43136 / 33$27.065,001576 / 65$5.693,12611 / 39$4.642,98609 / 48
Pulmonary Edema & Respiratory Failure42161 / 42$32.759,001194 / 49$7.191,19621 / 18$6.475,76621 / 35
Chronic Obstructive Pulmonary Disease W Mcc41161 / 52$29.710,901459 / 63$6.777,93495 / 23$5.778,90494 / 36
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc39168 / 53$25.692,201306 / 57$6.295,82709 / 21$5.397,36707 / 49
Renal Failure W Cc37184 / 69$24.298,501372 / 59$5.559,41463 / 22$4.709,24459 / 39
Respiratory Infections & Inflammations W Mcc36100 / 29$54.763,501167 / 59$11.241,40566 / 28$10.606,70558 / 44
G.I. Hemorrhage W Cc35183 / 55$31.332,701633 / 87$5.987,43699 / 33$5.088,69698 / 51
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs34148 / 50$30.622,401192 / 46$6.306,91555 / 29$5.278,21554 / 44
Chest Pain30121 / 37$21.194,10998 / 36$3.898,77351 / 23$2.752,83350 / 19
Syncope & Collapse29140 / 37$19.821,20841 / 16$4.416,45532 / 18$3.583,34530 / 37
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc26140 / 60$25.787,601927 / 129$4.551,35403 / 57$3.245,00403 / 37
Red Blood Cell Disorders W/O Mcc25118 / 42$21.086,80994 / 42$4.843,16406 / 23$3.875,48405 / 38
Cardiac Arrhythmia & Conduction Disorders W Cc24137 / 49$21.206,401142 / 43$4.778,88388 / 28$3.721,54388 / 34
Hip & Femur Procedures Except Major Joint W Cc24119 / 48$54.617,401196 / 58$13.114,40422 / 105$9.955,42421 / 36
Renal Failure W Mcc23172 / 73$40.752,001310 / 78$9.479,91345 / 58$7.817,52345 / 32
Spinal Fusion Except Cervical W/O Mcc22172 / 51$179.446,001221 / 99$29.434,50915 / 94$25.185,80910 / 105
Cardiac Arrhythmia & Conduction Disorders W Mcc21102 / 42$35.199,401170 / 52$7.163,33418 / 29$6.246,00416 / 32
Respiratory System Diagnosis W Ventilator Support <96 Hours21110 / 45$90.365,001418 / 90$13.432,80328 / 36$11.952,30324 / 30
Respiratory Infections & Inflammations W Cc2167 / 24$29.072,60652 / 21$8.495,43225 / 47$6.807,62223 / 13
Transient Ischemia20105 / 43$21.900,90797 / 21$4.264,45322 / 15$3.179,65322 / 20
Acute Myocardial Infarction, Discharged Alive W Mcc19106 / 43$47.687,701074 / 45$9.977,63634 / 30$9.282,05633 / 48
Medical Back Problems W/O Mcc19102 / 31$23.408,40747 / 19$5.634,21236 / 37$3.832,32236 / 17
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc19131 / 46$13.413,10782 / 17$4.084,37255 / 74$2.203,42253 / 20
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc18178 / 56$70.185,70687 / 34$14.016,20163 / 65$9.688,28163 / 26
Intracranial Hemorrhage Or Cerebral Infarction W Mcc17151 / 56$46.337,10863 / 28$9.869,94372 / 19$9.015,35371 / 28
Major Small & Large Bowel Procedures W Mcc1669 / 28$175.964,00951 / 54$30.230,40474 / 30$29.361,30472 / 45
G.I. Hemorrhage W Mcc16105 / 41$60.524,901206 / 70$10.240,00493 / 24$9.632,00494 / 42
Diabetes W Cc1676 / 35$26.009,601039 / 56$4.985,75589 / 15$4.379,75588 / 40
Other Resp System O.R. Procedures W Mcc1548 / 14$91.016,00291 / 14$21.691,0092 / 16$18.909,9092 / 11
Kidney & Urinary Tract Infections W Mcc15129 / 61$29.363,901148 / 56$6.611,00517 / 37$5.725,67516 / 41
Permanent Cardiac Pacemaker Implant W Mcc1537 / 13$104.324,00353 / 17$20.924,20145 / 7$20.043,10145 / 10
Signs & Symptoms W/O Mcc1576 / 27$22.715,90802 / 31$4.443,13141 / 19$3.087,87141 / 8
Cervical Spinal Fusion W/O Cc/Mcc1589 / 32$75.466,90637 / 49$15.669,70193 / 48$11.044,90193 / 27
Heart Failure & Shock W/O Cc/Mcc1595 / 41$19.029,901221 / 51$4.129,80716 / 27$3.485,53712 / 49
Circulatory Disorders Except Ami, W Card Cath W/O Mcc14174 / 60$46.563,001111 / 70$6.627,71534 / 32$5.503,14532 / 50
Simple Pneumonia & Pleurisy W/O Cc/Mcc1479 / 40$17.768,40991 / 40$4.293,00425 / 27$3.170,71423 / 34
Other Vascular Procedures W Cc1488 / 40$72.440,80546 / 34$14.475,10213 / 13$13.439,70213 / 21
Headaches W/O Mcc1429 / 8$17.429,4066 / 2$4.756,0725 / 6$2.862,2125 / 3
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc13107 / 43$17.507,101063 / 31$4.730,00143 / 52$2.910,62143 / 7
Infectious & Parasitic Diseases W O.R. Procedure W Mcc13111 / 51$127.062,00801 / 40$29.436,60402 / 23$28.690,80401 / 38
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1360 / 22$30.820,50676 / 27$6.854,69290 / 9$6.113,77289 / 18
Hip & Femur Procedures Except Major Joint W Mcc1250 / 29$106.220,00731 / 44$19.355,80507 / 39$18.302,50504 / 45
Acute Myocardial Infarction, Discharged Alive W Cc1279 / 33$37.926,70980 / 46$6.265,33650 / 14$5.764,00648 / 45
Cranial & Peripheral Nerve Disorders W/O Mcc1157 / 18$24.869,80355 / 15$8.376,827 / 39$3.187,557 / 1
Red Blood Cell Disorders W Mcc1160 / 28$23.779,70259 / 7$7.366,09177 / 13$6.432,27177 / 16
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc1191 / 44$28.036,401019 / 45$4.608,91501 / 16$3.631,45497 / 33
Pulmonary Embolism W/O Mcc1163 / 26$31.165,20870 / 31$6.472,64252 / 26$4.709,00252 / 18
Other Digestive System Diagnoses W Cc1186 / 33$33.230,50975 / 49$5.776,18325 / 15$4.900,55322 / 24
Coronary Bypass W/O Cardiac Cath W/O Mcc1177 / 26$161.773,00494 / 38$21.989,80273 / 12$21.105,50272 / 29
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1159 / 24$27.989,60340 / 33$5.319,1841 / 4$4.330,0941 / 4
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1154 / 24$123.688,00758 / 39$20.094,80492 / 28$19.227,90489 / 37
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim1155 / 23$63.852,00376 / 29$10.929,40162 / 10$9.937,36162 / 18
Total 61 procedures1.600discharges

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.