Hospital Costs > In California > Adventist Medical Center Hanford, procedure costs
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 Mcc | 214 | 302 / 75 | $53.508,40 | 1907 / 54 | $14.853,00 | 2298 / 97 | $13.643,50 | 2257 / 91 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 148 | 416 / 67 | $57.524,70 | 1600 / 40 | $16.122,00 | 2184 / 57 | $14.586,80 | 2140 / 78 |
Renal Failure W Mcc | 111 | 85 / 8 | $47.087,70 | 1501 / 37 | $13.116,50 | 1857 / 83 | $12.292,30 | 1853 / 97 |
Kidney & Urinary Tract Infections W/O Mcc | 106 | 127 / 14 | $22.901,50 | 1834 / 29 | $6.419,70 | 2193 / 68 | $5.439,39 | 2182 / 71 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 96 | 111 / 26 | $34.709,00 | 1848 / 63 | $8.861,64 | 2182 / 100 | $7.950,14 | 2173 / 119 |
Heart Failure & Shock W Mcc | 94 | 190 / 39 | $31.216,30 | 1167 / 8 | $11.478,00 | 2108 / 54 | $10.790,60 | 2098 / 65 |
Renal Failure W Cc | 92 | 129 / 12 | $29.381,40 | 1666 / 28 | $8.833,63 | 1979 / 116 | $6.902,78 | 1969 / 65 |
Simple Pneumonia & Pleurisy W Cc | 87 | 116 / 14 | $30.926,10 | 1998 / 33 | $8.002,74 | 2354 / 71 | $7.061,11 | 2345 / 87 |
Heart Failure & Shock W Cc | 81 | 197 / 28 | $23.570,10 | 1545 / 19 | $7.999,11 | 2274 / 70 | $7.233,88 | 2268 / 85 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 81 | 194 / 34 | $24.455,80 | 1840 / 35 | $6.272,96 | 2228 / 66 | $5.320,47 | 2213 / 80 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 81 | 45 / 5 | $28.292,30 | 874 / 13 | $9.172,91 | 1368 / 56 | $8.463,86 | 1365 / 67 |
Chronic Obstructive Pulmonary Disease W Mcc | 76 | 126 / 17 | $32.964,10 | 1646 / 16 | $9.322,46 | 2156 / 55 | $8.572,78 | 2148 / 71 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 72 | 94 / 13 | $19.407,70 | 1495 / 17 | $5.930,46 | 2061 / 61 | $5.028,01 | 2053 / 73 |
G.I. Hemorrhage W Cc | 69 | 149 / 29 | $27.512,20 | 1406 / 16 | $8.104,12 | 1971 / 51 | $7.156,17 | 1967 / 63 |
Simple Pneumonia & Pleurisy W Mcc | 67 | 138 / 27 | $38.691,70 | 1513 / 21 | $11.543,30 | 1969 / 65 | $10.005,70 | 1969 / 44 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 66 | 54 / 1 | $19.615,00 | 1236 / 9 | $6.058,02 | 1742 / 35 | $5.108,20 | 1731 / 46 |
Chest Pain | 56 | 95 / 21 | $12.824,20 | 299 / 3 | $5.341,84 | 1242 / 51 | $4.120,93 | 1235 / 42 |
Cellulitis W/O Mcc | 56 | 133 / 32 | $27.116,00 | 1996 / 47 | $6.967,16 | 2176 / 63 | $6.021,45 | 2168 / 83 |
Chronic Obstructive Pulmonary Disease W Cc | 52 | 127 / 21 | $25.879,50 | 1499 / 18 | $7.583,94 | 2023 / 51 | $6.778,71 | 2016 / 70 |
Heart Failure & Shock W/O Cc/Mcc | 47 | 63 / 6 | $16.051,70 | 962 / 4 | $5.751,47 | 1672 / 35 | $4.954,87 | 1659 / 49 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 46 | 47 / 5 | $19.514,70 | 1163 / 8 | $5.993,30 | 1680 / 45 | $5.050,00 | 1672 / 55 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 41 | 84 / 12 | $38.160,50 | 737 / 7 | $13.050,00 | 1422 / 39 | $12.223,40 | 1410 / 41 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 38 | $32.963,90 | 1280 / 16 | $8.562,95 | 1690 / 48 | $7.574,32 | 1686 / 67 |
Red Blood Cell Disorders W/O Mcc | 36 | 107 / 20 | $19.124,60 | 820 / 6 | $6.684,94 | 1603 / 48 | $5.856,28 | 1594 / 55 |
G.I. Obstruction W Cc | 35 | 57 / 17 | $28.406,10 | 1139 / 13 | $7.572,69 | 1492 / 57 | $6.710,51 | 1487 / 76 |
Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 31 | $24.366,20 | 879 / 8 | $8.912,06 | 1601 / 51 | $8.118,46 | 1597 / 65 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 34 | 68 / 14 | $23.599,40 | 814 / 3 | $6.395,88 | 1319 / 37 | $5.295,65 | 1315 / 53 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 28 | $38.301,10 | 890 / 7 | $8.640,88 | 1289 / 22 | $7.434,29 | 1286 / 32 |
Transient Ischemia | 34 | 91 / 23 | $24.001,80 | 917 / 12 | $6.007,88 | 1348 / 43 | $5.013,06 | 1341 / 56 |
G.I. Hemorrhage W Mcc | 33 | 88 / 23 | $49.934,70 | 1006 / 25 | $13.712,60 | 1308 / 46 | $12.936,50 | 1298 / 48 |
Pulmonary Edema & Respiratory Failure | 31 | 172 / 44 | $29.877,80 | 1038 / 7 | $9.630,94 | 1801 / 27 | $8.931,06 | 1796 / 41 |
G.I. Obstruction W/O Cc/Mcc | 28 | 43 / 13 | $24.212,30 | 984 / 19 | $5.252,39 | 1109 / 32 | $4.341,25 | 1106 / 52 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 28 | 42 / 9 | $27.880,50 | 337 / 7 | $7.827,75 | 404 / 14 | $6.991,25 | 404 / 16 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 21 | $13.324,00 | 762 / 1 | $4.953,25 | 1643 / 50 | $3.873,25 | 1637 / 67 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 40 | $121.616,00 | 752 / 7 | $41.517,30 | 1229 / 48 | $39.486,50 | 1219 / 53 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 40 | $59.379,50 | 1333 / 8 | $16.040,50 | 1655 / 80 | $13.713,20 | 1636 / 48 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 40 | $20.513,50 | 1093 / 8 | $6.606,96 | 1726 / 55 | $5.536,19 | 1721 / 60 |
Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 11 | $41.840,00 | 1071 / 23 | $8.283,84 | 1118 / 27 | $7.168,96 | 1116 / 28 |
Syncope & Collapse | 25 | 144 / 42 | $17.448,20 | 619 / 3 | $6.155,08 | 1527 / 47 | $5.236,04 | 1520 / 57 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 29 | $44.294,70 | 454 / 1 | $17.141,00 | 1364 / 16 | $16.186,30 | 1351 / 21 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 24 | 68 / 31 | $146.509,00 | 501 / 7 | $44.512,50 | 807 / 42 | $43.433,80 | 806 / 51 |
Seizures W/O Mcc | 24 | 84 / 18 | $24.060,80 | 737 / 10 | $6.393,00 | 1000 / 21 | $5.537,00 | 998 / 30 |
Diabetes W Cc | 24 | 68 / 11 | $23.094,70 | 894 / 7 | $6.872,79 | 1265 / 28 | $6.018,12 | 1260 / 41 |
Other Circulatory System Diagnoses W Mcc | 23 | 93 / 27 | $56.454,20 | 870 / 19 | $15.920,30 | 1126 / 57 | $14.803,80 | 1118 / 57 |
Signs & Symptoms W/O Mcc | 21 | 70 / 17 | $18.536,30 | 575 / 6 | $5.760,33 | 1006 / 22 | $4.955,76 | 1003 / 32 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 23 | $25.937,00 | 471 / 5 | $9.435,86 | 1102 / 28 | $8.629,76 | 1097 / 39 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 20 | 56 / 17 | $50.861,50 | 309 / 12 | $14.120,80 | 300 / 17 | $12.170,20 | 300 / 7 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 20 | 33 / 3 | $29.744,70 | 568 / 8 | $6.370,25 | 723 / 14 | $5.402,25 | 719 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 51 | $46.966,50 | 887 / 11 | $13.543,80 | 1259 / 43 | $12.639,70 | 1253 / 54 |
Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 21 | $169.474,00 | 912 / 10 | $45.273,70 | 1158 / 52 | $43.866,10 | 1156 / 54 |
Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 16 | $34.441,50 | 456 / 4 | $10.902,30 | 721 / 22 | $9.947,37 | 719 / 22 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 17 | 45 / 14 | $19.832,90 | 375 / 5 | $6.374,59 | 630 / 20 | $5.235,76 | 628 / 25 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 16 | $133.078,00 | 460 / 5 | $39.714,20 | 745 / 27 | $38.577,20 | 744 / 28 |
Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 13 | $29.873,00 | 497 / 8 | $7.810,82 | 618 / 12 | $6.818,82 | 618 / 15 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 57 | $66.504,30 | 1366 / 38 | $15.073,90 | 1519 / 52 | $14.368,80 | 1503 / 60 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 39 | $19.384,10 | 303 / 1 | $9.565,73 | 1520 / 31 | $8.763,60 | 1517 / 42 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 15 | $39.160,30 | 242 / 1 | $12.153,90 | 648 / 11 | $10.605,60 | 646 / 13 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 6 | $19.567,00 | 545 / 2 | $5.443,20 | 699 / 14 | $4.462,93 | 697 / 13 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 27 | $29.760,30 | 855 / 18 | $7.860,33 | 1085 / 35 | $6.821,40 | 1081 / 40 |
Disorders Of The Biliary Tract W Mcc | 15 | 24 / 8 | $30.844,10 | 51 / 1 | $12.244,70 | 154 / 3 | $11.355,10 | 154 / 4 |
Medical Back Problems W/O Mcc | 15 | 106 / 42 | $18.074,10 | 392 / 3 | $7.027,40 | 1199 / 47 | $5.986,33 | 1195 / 55 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 17 | $24.096,60 | 632 / 8 | $5.940,93 | 763 / 30 | $4.990,07 | 762 / 32 |
Peripheral Vascular Disorders W/O Cc/Mcc | 14 | 31 / 5 | $16.415,40 | 154 / 2 | $5.771,57 | 312 / 4 | $4.818,43 | 312 / 4 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 15 | $22.143,20 | 633 / 7 | $5.895,21 | 794 / 18 | $4.859,79 | 790 / 26 |
Atherosclerosis W/O Mcc | 13 | 45 / 13 | $12.617,40 | 106 / 2 | $5.312,77 | / 13 | $4.564,46 | / |
Red Blood Cell Disorders W Mcc | 13 | 58 / 18 | $39.400,50 | 671 / 18 | $9.986,31 | 804 / 19 | $9.055,92 | 800 / 16 |
Diabetes W Mcc | 13 | 44 / 14 | $37.762,60 | 426 / 8 | $10.944,40 | 580 / 17 | $10.383,20 | 579 / 20 |
Cellulitis W Mcc | 13 | 45 / 21 | $39.843,00 | 594 / 20 | $11.012,50 | 762 / 22 | $10.544,80 | 760 / 31 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 12 | $50.445,80 | 102 / 1 | $17.683,10 | 309 / 5 | $16.069,40 | 308 / 5 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 12 | $16.730,50 | 383 / 1 | $5.534,31 | 690 / 11 | $4.692,46 | 689 / 16 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 10 | $20.245,90 | 47 / 1 | $8.039,00 | 183 / 10 | $6.830,38 | 183 / 16 |
Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 23 | $80.765,80 | 630 / 15 | $19.838,60 | 772 / 19 | $19.030,60 | 769 / 29 |
Other Vascular Procedures W Cc | 12 | 90 / 32 | $100.810,00 | 849 / 21 | $20.619,70 | 801 / 28 | $17.388,50 | 796 / 13 |
Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 54 | $189.124,00 | 1247 / 62 | $36.217,70 | 1287 / 67 | $35.105,70 | 1282 / 78 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 21 | $89.878,20 | 572 / 4 | $23.799,20 | 726 / 16 | $22.588,50 | 723 / 20 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 27 | $28.943,20 | 497 / 4 | $7.961,92 | 649 / 12 | $7.356,58 | 649 / 20 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 43 | $76.541,00 | 954 / 3 | $20.784,70 | 1354 / 48 | $19.880,70 | 1340 / 67 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 22 | $25.104,30 | 588 / 5 | $7.170,27 | 883 / 20 | $6.399,36 | 879 / 31 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 23 | $49.343,30 | 560 / 3 | $12.532,80 | 757 / 20 | $11.436,10 | 754 / 27 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 16 | $40.851,30 | 154 / 1 | $15.105,20 | 508 / 11 | $14.119,00 | 504 / 18 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W/O Cc/Mcc | 11 | 5 / 1 | $20.091,80 | 6 / 1 | $5.581,00 | 8 / 1 | $4.920,64 | 8 / 1 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $40.748,70 | 330 / 6 | $12.109,40 | 407 / 10 | $10.896,30 | 406 / 4 | Total 82 procedures | 3.036 | discharges |
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.