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South Texas Health System

Types of cases

Avg. amount hospital


billed

Avg. amount paid


by Medicare

Charge Up %

AMOUNT

AMOUNT

SEPTICEMIA OR SEVERE SEPSIS


W/O MV 96+ HOURS W MCC

$98,736

$13,935

609%

PSYCHOSES

$22,631

$6,846

231%

HEART FAILURE & SHOCK W MCC

$79,962

$11,301

608%

HEART FAILURE & SHOCK W CC

$52,202

$7,177

627%

SEPTICEMIA OR SEVERE SEPSIS


W/O MV 96+ HOURS W/O MCC

$53,733

$7,664

601%

KIDNEY & URINARY TRACT


INFECTIONS W/O MCC

$35,849

$5,274

580%

ESOPHAGITIS, GASTROENT & MISC


DIGEST DISORDERS W/O MCC

$41,684

$4,939

744%

SIMPLE PNEUMONIA & PLEURISY W


CC

$58,140

$6,857

748%

TRANSIENT ISCHEMIA

$45,776

$5,047

807%

SIMPLE PNEUMONIA & PLEURISY W


MCC

$89,574

$11,017

713%

MISC DISORDERS OF
NUTRITION,METABOLISM,FLUIDS/EL
ECTROLYTES W MCC

$44,538

$7,915

463%

ACUTE MYOCARDIAL INFARCTION,


DISCHARGED ALIVE W MCC

$88,678

$13,235

570%

CHRONIC OBSTRUCTIVE
PULMONARY DISEASE W MCC

$63,549

$8,432

654%

INTRACRANIAL HEMORRHAGE OR
CEREBRAL INFARCTION W CC OR
TPA IN 24 HRS

$66,235

$7,769

753%

RENAL FAILURE W CC

$42,006

$6,905

508%

MAJOR JOINT REPLACEMENT OR


REATTACHMENT OF LOWER
EXTREMITY W/O MCC

$130,455

$15,339

750%

MISC DISORDERS OF
NUTRITION,METABOLISM,FLUIDS/EL
ECTROLYTES W/O MCC

$37,720

$4,655

710%

CELLULITIS W/O MCC

$39,351

$5,573

606%

CHRONIC OBSTRUCTIVE
PULMONARY DISEASE W CC

$53,486

$6,626

707%

HIP & FEMUR PROCEDURES EXCEPT


MAJOR JOINT W CC

$126,145

$14,323

781%

PERC CARDIOVASC PROC W DRUGELUTING STENT W/O MCC

$127,764

$14,498

781%

INTRACRANIAL HEMORRHAGE OR
CEREBRAL INFARCTION W MCC

$113,146

$14,334

689%

HEART FAILURE & SHOCK W/O


CC/MCC

$42,271

$4,526

834%

CARDIAC ARRHYTHMIA &


CONDUCTION DISORDERS W/O
CC/MCC

$32,257

$3,288

881%

G.I. HEMORRHAGE W CC

$44,228

$7,271

508%

CIRCULATORY DISORDERS EXCEPT


AMI, W CARD CATH W/O MCC

$84,072

$7,379

1039%

INFECTIOUS & PARASITIC DISEASES


W O.R. PROCEDURE W MCC

$295,011

$39,020

656%

RENAL FAILURE W MCC

$64,613

$11,783

448%

SYNCOPE & COLLAPSE

$45,011

$4,778

842%

SEPTICEMIA OR SEVERE SEPSIS W


MV 96+ HOURS

$222,821

$42,477

425%

CARDIAC ARRHYTHMIA &


CONDUCTION DISORDERS W CC

$37,669

$5,447

592%

RESPIRATORY INFECTIONS &


INFLAMMATIONS W MCC

$108,054

$14,678

636%

DIABETES W CC

$39,159

$5,697

587%

PULMONARY EDEMA &


RESPIRATORY FAILURE

$72,327

$9,054

699%

OTHER CIRCULATORY SYSTEM


DIAGNOSES W MCC

$65,240

$13,074

399%

RED BLOOD CELL DISORDERS W/O


MCC

$31,346

$5,328

488%

RESPIRATORY SYSTEM DIAGNOSIS


W VENTILATOR SUPPORT <96
HOURS
G.I. HEMORRHAGE W MCC

$98,857

$17,227

474%

$75,250

$13,274

467%

HIP & FEMUR PROCEDURES EXCEPT


MAJOR JOINT W/O CC/MCC

$105,308

$11,393

824%

CHEST PAIN

$37,711

$3,506

976%

CHRONIC OBSTRUCTIVE
PULMONARY DISEASE W/O CC/MCC

$44,161

$4,788

822%

SEIZURES W/O MCC

$44,928

$5,031

793%

CARDIAC ARRHYTHMIA &


CONDUCTION DISORDERS W MCC

$58,296

$8,837

560%

ACUTE MYOCARDIAL INFARCTION,


DISCHARGED ALIVE W CC

$58,418

$7,718

657%

HYPERTENSION W/O MCC

$34,482

$3,835

799%

OTHER VASCULAR PROCEDURES W


MCC

$137,609

$24,814

455%

OTHER KIDNEY & URINARY TRACT


DIAGNOSES W CC

$51,724

$7,034

635%

DEGENERATIVE NERVOUS SYSTEM


DISORDERS W/O MCC

$48,551

$6,561

640%

G.I. OBSTRUCTION W CC

$49,913

$6,452

674%

SPINAL FUSION EXCEPT CERVICAL


W/O MCC

$179,208

$29,217

513%

MEDICAL BACK PROBLEMS W/O MCC

$62,686

$5,776

985%

RESPIRATORY SYSTEM DIAGNOSIS


W VENTILATOR SUPPORT 96+
HOURS
HIP & FEMUR PROCEDURES EXCEPT

$235,091

$39,574

494%

$168,930

$22,988

635%

SIMPLE PNEUMONIA & PLEURISY


W/O CC/MCC

$43,204

$4,828

795%

ALCOHOL/DRUG ABUSE OR
DEPENDENCE W/O REHABILITATION
THERAPY W/O MCC

$22,700

$4,207

440%

MAJOR JOINT W MCC

OTHER DIGESTIVE SYSTEM


DIAGNOSES W CC

$59,252

$6,996

747%

ESOPHAGITIS, GASTROENT & MISC


DIGEST DISORDERS W MCC

$63,003

$8,654

628%

ACUTE MYOCARDIAL INFARCTION,


DISCHARGED ALIVE W/O CC/MCC

$53,992

$5,164

946%

LAPAROSCOPIC
CHOLECYSTECTOMY W/O C.D.E. W
CC
RED BLOOD CELL DISORDERS W

$113,373

$12,533

805%

$61,569

$9,178

571%

KIDNEY & URINARY TRACT


INFECTIONS W MCC

$69,877

$8,527

719%

MAJOR SMALL & LARGE BOWEL


PROCEDURES W MCC

$286,643

$39,263

630%

BRONCHITIS & ASTHMA W CC/MCC

$48,919

$5,731

754%

RENAL FAILURE W/O CC/MCC

$36,675

$4,130

788%

DISORDERS OF PANCREAS EXCEPT


MALIGNANCY W CC

$53,843

$6,732

700%

PERMANENT CARDIAC PACEMAKER


IMPLANT W CC

$109,525

$18,581

489%

INTRACRANIAL HEMORRHAGE OR
CEREBRAL INFARCTION W/O
CC/MCC
ATHEROSCLEROSIS W/O MCC

$49,432

$5,374

820%

$39,606

$3,587

1004%

OTHER KIDNEY & URINARY TRACT


DIAGNOSES W MCC

$74,337

$12,039

517%

MCC

G.I. OBSTRUCTION W/O CC/MCC

$35,332

$4,365

709%

OTHER VASCULAR PROCEDURES W


CC

$181,835

$18,610

877%

FX, SPRN, STRN & DISL EXCEPT


FEMUR, HIP, PELVIS & THIGH W/O
MCC

$50,173

$4,764

953%

CELLULITIS W MCC

$54,517

$10,200

434%

CIRCULATORY DISORDERS EXCEPT


AMI, W CARD CATH W MCC

$86,654

$13,495

542%

PERIPHERAL VASCULAR DISORDERS


W CC

$59,713

$6,682

794%

PULMONARY EMBOLISM W/O MCC

$56,851

$7,256

684%

BACK & NECK PROC EXC SPINAL


FUSION W/O CC/MCC

$95,311

$7,206

1223%

SIGNS & SYMPTOMS W/O MCC

$28,440

$4,886

482%

FRACTURES OF HIP & PELVIS W/O


MCC

$34,386

$4,702

631%

PERC CARDIOVASC PROC W DRUGELUTING STENT W MCC OR 4+


VESSELS/STENTS

$151,360

$24,296

523%

PERMANENT CARDIAC PACEMAKER


IMPLANT W/O CC/MCC

$111,189

$15,386

623%

RESPIRATORY INFECTIONS &


INFLAMMATIONS W CC

$72,357

$10,156

612%

POISONING & TOXIC EFFECTS OF


DRUGS W/O MCC

$26,036

$3,977

555%

MAJOR JOINT REPLACEMENT OR


REATTACHMENT OF LOWER
EXTREMITY W MCC

$214,067

$24,202

785%

MAJOR GASTROINTESTINAL
DISORDERS & PERITONEAL
INFECTIONS W CC

$49,068

$9,019

444%

MAJOR SMALL & LARGE BOWEL


PROCEDURES W CC

$179,871

$19,460

824%

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