Hospital Costs > In Texas > Wise Regional Health System, procedure costs

Wise Regional Health System, procedure costs

609 Medical Center Drive, Decatur, TX 76234,

Procedure Costs @ Wise Regional Health 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 Mcc74442 / 98$50.897,901825 / 107$10.725,70549 / 41$9.592,32548 / 38
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc73491 / 97$85.933,702308 / 171$12.528,20707 / 40$10.634,50697 / 84
Pulmonary Edema & Respiratory Failure66137 / 23$47.378,001701 / 88$7.849,92549 / 57$6.391,06549 / 30
Chronic Obstructive Pulmonary Disease W Mcc39163 / 54$33.158,501653 / 83$6.330,72162 / 5$5.311,49162 / 9
Simple Pneumonia & Pleurisy W Mcc36169 / 60$32.413,001191 / 47$7.660,28100 / 3$6.587,47100 / 7
Renal Failure W Mcc34161 / 63$30.640,10797 / 31$8.304,74118 / 7$7.321,03118 / 9
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc32243 / 79$22.188,001646 / 77$4.248,34100 / 9$2.938,38100 / 9
Simple Pneumonia & Pleurisy W Cc29174 / 78$26.747,301751 / 88$5.966,6294 / 51$4.135,5994 / 7
Heart Failure & Shock W Mcc27257 / 94$45.563,601861 / 113$8.609,26278 / 34$7.384,85278 / 13
Kidney & Urinary Tract Infections W/O Mcc26207 / 83$19.233,901484 / 75$4.181,6257 / 5$3.044,6257 / 5
Renal Failure W Cc25196 / 81$23.280,701296 / 51$5.477,84295 / 18$4.531,88293 / 21
Acute Myocardial Infarction, Discharged Alive W Mcc24101 / 38$40.125,20807 / 23$9.248,12134 / 4$8.058,21134 / 4
Kidney & Urinary Tract Infections W Mcc24120 / 52$23.370,60811 / 30$6.096,2524 / 6$4.646,9624 / 1
Hip & Femur Procedures Except Major Joint W Cc23120 / 49$57.682,701292 / 68$10.801,406 / 13$8.345,656 / 1
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc21145 / 65$13.746,00795 / 26$3.856,1454 / 6$2.721,3854 / 6
Chronic Obstructive Pulmonary Disease W Cc21158 / 54$22.925,001294 / 37$5.263,8179 / 12$3.946,9579 / 6
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc20187 / 71$31.910,301725 / 98$6.304,00114 / 22$4.672,00114 / 10
Chest Pain19132 / 47$23.972,901159 / 56$3.445,26243 / 4$2.610,42242 / 15
O.R. Procedures For Obesity W/O Cc/Mcc1760 / 26$43.839,80211 / 11$10.815,4014 / 14$6.670,2914 / 1
Respiratory System Diagnosis W Ventilator Support <96 Hours17114 / 49$54.620,40754 / 29$12.790,00256 / 19$11.753,00254 / 21
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc17179 / 57$66.058,40597 / 28$11.825,80140 / 12$9.611,29140 / 20
Heart Failure & Shock W Cc16262 / 96$21.027,801298 / 43$5.212,38117 / 4$4.386,38117 / 8
Simple Pneumonia & Pleurisy W/O Cc/Mcc1677 / 38$18.340,901059 / 49$3.859,19142 / 4$2.801,19141 / 7
Circulatory Disorders Except Ami, W Card Cath W/O Mcc16172 / 58$42.526,901014 / 62$8.016,004 / 86$4.102,754 / 1
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs16166 / 67$27.873,50992 / 25$5.942,00288 / 8$4.958,00287 / 22
Extracranial Procedures W/O Cc/Mcc1583 / 33$33.526,10512 / 35$5.754,4792 / 3$4.632,3392 / 5
Other Vascular Procedures W Cc1587 / 39$49.689,50202 / 9$15.968,3025 / 41$11.947,1025 / 4
Cardiac Arrhythmia & Conduction Disorders W Cc15146 / 58$24.053,701355 / 63$5.272,27122 / 70$3.342,93122 / 12
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc14136 / 51$15.467,901049 / 35$3.936,1430 / 59$1.788,5730 / 5
Cellulitis W/O Mcc14175 / 75$26.029,601929 / 126$5.581,79751 / 89$4.086,71747 / 63
G.I. Obstruction W/O Cc/Mcc1358 / 24$16.568,70630 / 20$3.338,08140 / 2$2.410,08140 / 13
G.I. Hemorrhage W Cc13205 / 76$28.936,501493 / 66$5.377,381 / 3$3.134,621 / 1
Cardiac Arrhythmia & Conduction Disorders W Mcc13110 / 50$41.196,501356 / 75$7.325,46427 / 38$6.261,85425 / 37
Coronary Bypass W Cardiac Cath W Mcc1244 / 16$181.897,00199 / 13$42.557,50135 / 16$39.752,80135 / 18
Acute Myocardial Infarction, Discharged Alive W Cc1279 / 33$43.922,601099 / 59$5.614,1741 / 1$4.472,5041 / 3
Spinal Fusion Except Cervical W/O Mcc12182 / 61$153.447,001129 / 89$29.129,801073 / 92$27.709,301068 / 111
Syncope & Collapse12157 / 53$20.819,20930 / 25$3.939,00103 / 3$2.989,42103 / 7
Major Small & Large Bowel Procedures W Cc1197 / 39$64.812,60744 / 33$14.198,90225 / 13$12.573,40223 / 23
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc11109 / 45$18.991,901184 / 41$3.918,64154 / 2$2.929,55154 / 8
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1145 / 22$46.724,80524 / 36$8.965,4517 / 5$7.109,2717 / 1
Total 40 procedures921discharges

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.