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South Texas Health System

Types of cases

Avg. amount hospital


billed

Avg. amount paid


by Medicare

AMOUNT

AMOUNT

SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+


HOURS W MCC

$98,736

$13,935

PSYCHOSES

$22,631

$6,846

HEART FAILURE & SHOCK W MCC

$79,962

$11,301

HEART FAILURE & SHOCK W CC

$52,202

$7,177

SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+


HOURS W/O MCC

$53,733

$7,664

KIDNEY & URINARY TRACT INFECTIONS W/O MCC

$35,849

$5,274

ESOPHAGITIS, GASTROENT & MISC DIGEST


DISORDERS W/O MCC

$41,684

$4,939

SIMPLE PNEUMONIA & PLEURISY W CC

$58,140

$6,857

TRANSIENT ISCHEMIA

$45,776

$5,047

SIMPLE PNEUMONIA & PLEURISY W MCC

$89,574

$11,017

MISC DISORDERS OF
NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES
W MCC

$44,538

$7,915

ACUTE MYOCARDIAL INFARCTION, DISCHARGED


ALIVE W MCC

$88,678

$13,235

CHRONIC OBSTRUCTIVE PULMONARY DISEASE W


MCC

$63,549

$8,432

INTRACRANIAL HEMORRHAGE OR CEREBRAL


INFARCTION W CC OR TPA IN 24 HRS

$66,235

$7,769

RENAL FAILURE W CC

$42,006

$6,905

MAJOR JOINT REPLACEMENT OR REATTACHMENT


OF LOWER EXTREMITY W/O MCC

$130,455

$15,339

MISC DISORDERS OF
NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES
W/O MCC

$37,720

$4,655

CELLULITIS W/O MCC

$39,351

$5,573

CHRONIC OBSTRUCTIVE PULMONARY DISEASE W


CC

$53,486

$6,626

HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT


W CC

$126,145

$14,323

PERC CARDIOVASC PROC W DRUG-ELUTING


STENT W/O MCC

$127,764

$14,498

INTRACRANIAL HEMORRHAGE OR CEREBRAL


INFARCTION W MCC

$113,146

$14,334

HEART FAILURE & SHOCK W/O CC/MCC

$42,271

$4,526

CARDIAC ARRHYTHMIA & CONDUCTION


DISORDERS W/O CC/MCC

$32,257

$3,288

G.I. HEMORRHAGE W CC

$44,228

$7,271

CIRCULATORY DISORDERS EXCEPT AMI, W CARD


CATH W/O MCC

$84,072

$7,379

INFECTIOUS & PARASITIC DISEASES W O.R.


PROCEDURE W MCC

$295,011

$39,020

RENAL FAILURE W MCC

$64,613

$11,783

SYNCOPE & COLLAPSE

$45,011

$4,778

SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS

$222,821

$42,477

CARDIAC ARRHYTHMIA & CONDUCTION


DISORDERS W CC

$37,669

$5,447

RESPIRATORY INFECTIONS & INFLAMMATIONS W


MCC

$108,054

$14,678

DIABETES W CC

$39,159

$5,697

PULMONARY EDEMA & RESPIRATORY FAILURE

$72,327

$9,054

OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC

$65,240

$13,074

RED BLOOD CELL DISORDERS W/O MCC

$31,346

$5,328

RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR


SUPPORT <96 HOURS

$98,857

$17,227

G.I. HEMORRHAGE W MCC

$75,250

$13,274

HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT


W/O CC/MCC

$105,308

$11,393

CHEST PAIN

$37,711

$3,506

CHRONIC OBSTRUCTIVE PULMONARY DISEASE


W/O CC/MCC

$44,161

$4,788

SEIZURES W/O MCC

$44,928

$5,031

CARDIAC ARRHYTHMIA & CONDUCTION


DISORDERS W MCC

$58,296

$8,837

ACUTE MYOCARDIAL INFARCTION, DISCHARGED


ALIVE W CC

$58,418

$7,718

HYPERTENSION W/O MCC

$34,482

$3,835

OTHER VASCULAR PROCEDURES W MCC

$137,609

$24,814

OTHER KIDNEY & URINARY TRACT DIAGNOSES W


CC

$51,724

$7,034

DEGENERATIVE NERVOUS SYSTEM DISORDERS


W/O MCC

$48,551

$6,561

G.I. OBSTRUCTION W CC

$49,913

$6,452

SPINAL FUSION EXCEPT CERVICAL W/O MCC

$179,208

$29,217

MEDICAL BACK PROBLEMS W/O MCC

$62,686

$5,776

RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR


SUPPORT 96+ HOURS

$235,091

$39,574

HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT


W MCC

$168,930

$22,988

SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC

$43,204

$4,828

ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O


REHABILITATION THERAPY W/O MCC

$22,700

$4,207

OTHER DIGESTIVE SYSTEM DIAGNOSES W CC

$59,252

$6,996

ESOPHAGITIS, GASTROENT & MISC DIGEST


DISORDERS W MCC

$63,003

$8,654

ACUTE MYOCARDIAL INFARCTION, DISCHARGED


ALIVE W/O CC/MCC

$53,992

$5,164

LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W


CC

$113,373

$12,533

RED BLOOD CELL DISORDERS W MCC

$61,569

$9,178

KIDNEY & URINARY TRACT INFECTIONS W MCC

$69,877

$8,527

MAJOR SMALL & LARGE BOWEL PROCEDURES W


MCC

$286,643

$39,263

BRONCHITIS & ASTHMA W CC/MCC

$48,919

$5,731

RENAL FAILURE W/O CC/MCC

$36,675

$4,130

DISORDERS OF PANCREAS EXCEPT MALIGNANCY


W CC

$53,843

$6,732

PERMANENT CARDIAC PACEMAKER IMPLANT W CC

$109,525

$18,581

INTRACRANIAL HEMORRHAGE OR CEREBRAL


INFARCTION W/O CC/MCC

$49,432

$5,374

ATHEROSCLEROSIS W/O MCC

$39,606

$3,587

OTHER KIDNEY & URINARY TRACT DIAGNOSES W


MCC

$74,337

$12,039

G.I. OBSTRUCTION W/O CC/MCC

$35,332

$4,365

OTHER VASCULAR PROCEDURES W CC

$181,835

$18,610

FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP,


PELVIS & THIGH W/O MCC

$50,173

$4,764

CELLULITIS W MCC

$54,517

$10,200

CIRCULATORY DISORDERS EXCEPT AMI, W CARD


CATH W MCC

$86,654

$13,495

PERIPHERAL VASCULAR DISORDERS W CC

$59,713

$6,682

PULMONARY EMBOLISM W/O MCC

$56,851

$7,256

BACK & NECK PROC EXC SPINAL FUSION W/O


CC/MCC

$95,311

$7,206

SIGNS & SYMPTOMS W/O MCC

$28,440

$4,886

FRACTURES OF HIP & PELVIS W/O MCC

$34,386

$4,702

PERC CARDIOVASC PROC W DRUG-ELUTING


STENT W MCC OR 4+ VESSELS/STENTS

$151,360

$24,296

PERMANENT CARDIAC PACEMAKER IMPLANT W/O


CC/MCC

$111,189

$15,386

RESPIRATORY INFECTIONS & INFLAMMATIONS W


CC

$72,357

$10,156

POISONING & TOXIC EFFECTS OF DRUGS W/O MCC

$26,036

$3,977

MAJOR JOINT REPLACEMENT OR REATTACHMENT


OF LOWER EXTREMITY W MCC

$214,067

$24,202

MAJOR GASTROINTESTINAL DISORDERS &


PERITONEAL INFECTIONS W CC

$49,068

$9,019

MAJOR SMALL & LARGE BOWEL PROCEDURES W


CC

$179,871

$19,460

tem
Charge Up %

609%
231%
608%
627%
601%
580%
744%
748%
807%
713%
463%

570%
654%
753%

508%
750%

710%

606%
707%
781%
781%
689%
834%
881%

508%
1039%
656%
448%
842%
425%
592%
636%
587%
699%
399%
488%
474%
467%
824%
976%
822%
793%
560%
657%
799%
455%
635%
640%
674%
513%
985%
494%
635%
795%
440%

747%
628%
946%
805%
571%
719%
630%
754%
788%
700%
489%
820%
1004%
517%
709%
877%
953%

434%
542%
794%
684%
1223%
482%
631%
523%

623%
612%
555%
785%

444%

824%

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