Hospital Costs > In California > Ahmc Anaheim Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 38 | $106.520,00 | 1728 / 116 | $13.650,00 | 1508 / 48 | $12.959,70 | 1495 / 55 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 11 | 19 / 4 | $125.265,00 | 193 / 7 | $14.655,50 | 148 / 1 | $13.771,20 | 147 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 49 | $53.593,40 | 2093 / 146 | $6.854,41 | 1845 / 75 | $6.005,47 | 1840 / 87 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 42 | $65.599,90 | 1740 / 96 | $9.852,42 | 1621 / 44 | $9.348,42 | 1618 / 73 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 23 | $38.154,80 | 1903 / 106 | $5.839,88 | 1637 / 93 | $3.846,42 | 1631 / 64 |
Cellulitis W Mcc | 11 | 47 / 23 | $85.334,50 | 923 / 71 | $10.705,50 | 695 / 18 | $9.940,36 | 693 / 24 |
Cellulitis W/O Mcc | 33 | 156 / 53 | $51.442,80 | 2567 / 192 | $7.376,73 | 2125 / 92 | $5.884,76 | 2117 / 70 |
Chest Pain | 43 | 108 / 30 | $48.963,40 | 1679 / 137 | $5.550,63 | 1350 / 61 | $4.436,74 | 1342 / 65 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 41 | $54.864,50 | 2306 / 138 | $7.786,00 | 2070 / 65 | $6.994,00 | 2063 / 85 |
Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 42 | $79.021,40 | 2503 / 168 | $9.417,12 | 2168 / 61 | $8.635,12 | 2160 / 77 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 30 | $50.512,20 | 2053 / 112 | $6.330,50 | 1820 / 48 | $5.426,50 | 1809 / 62 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 17 | $106.109,00 | 794 / 27 | $15.858,60 | 698 / 10 | $15.256,60 | 691 / 19 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 31 | $79.356,00 | 1560 / 93 | $10.277,50 | 1294 / 76 | $7.455,23 | 1291 / 33 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 20 | $54.199,50 | 695 / 39 | $7.515,73 | 588 / 18 | $6.747,73 | 588 / 22 |
Diabetes W Cc | 16 | 76 / 19 | $57.352,90 | 1576 / 108 | $7.017,31 | 1270 / 36 | $6.033,31 | 1265 / 43 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 22 | $122.081,00 | 540 / 57 | $16.359,80 | 415 / 42 | $14.567,10 | 415 / 36 |
Disorders Of Pancreas Except Malignancy W Mcc | 13 | 33 / 8 | $92.434,30 | 327 / 21 | $13.482,50 | 217 / 8 | $12.177,90 | 217 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 23 | $71.790,60 | 1376 / 103 | $9.739,10 | 1148 / 38 | $8.931,48 | 1143 / 45 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 68 | 207 / 44 | $52.757,50 | 2663 / 187 | $6.746,74 | 2280 / 93 | $5.461,78 | 2265 / 99 |
G.I. Hemorrhage W Cc | 30 | 188 / 61 | $75.054,30 | 2394 / 188 | $8.321,57 | 2079 / 66 | $7.635,70 | 2075 / 94 |
G.I. Hemorrhage W Mcc | 12 | 109 / 44 | $93.689,80 | 1525 / 104 | $13.249,90 | 1226 / 30 | $12.393,90 | 1218 / 37 |
G.I. Obstruction W Cc | 15 | 77 / 37 | $58.079,30 | 1663 / 111 | $9.406,80 | 1389 / 113 | $6.184,93 | 1384 / 47 |
Heart Failure & Shock W Cc | 61 | 217 / 44 | $63.272,30 | 2689 / 191 | $8.370,79 | 2308 / 95 | $7.339,10 | 2302 / 92 |
Heart Failure & Shock W Mcc | 71 | 213 / 57 | $89.923,30 | 2528 / 175 | $12.310,00 | 2154 / 88 | $11.012,50 | 2144 / 79 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 52 | $115.040,00 | 1975 / 117 | $15.016,00 | 1670 / 49 | $13.816,00 | 1651 / 52 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 38 | $296.795,00 | 1507 / 111 | $39.221,10 | 1011 / 31 | $35.624,10 | 1005 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 52 | $80.458,50 | 2033 / 158 | $8.887,77 | 1786 / 62 | $8.116,86 | 1782 / 94 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 57 | $108.715,00 | 1545 / 117 | $13.287,30 | 1251 / 35 | $12.512,50 | 1245 / 52 |
Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 35 | $80.834,50 | 1924 / 159 | $9.543,10 | 1705 / 83 | $8.733,32 | 1701 / 93 |
Kidney & Urinary Tract Infections W/O Mcc | 76 | 157 / 37 | $55.263,60 | 2667 / 196 | $6.625,33 | 2301 / 81 | $5.769,96 | 2290 / 97 |
Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 30 | $229.055,00 | 983 / 56 | $27.571,10 | 872 / 28 | $26.800,10 | 871 / 34 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 37 | 527 / 126 | $119.387,00 | 2592 / 196 | $16.530,00 | 2307 / 75 | $15.417,80 | 2263 / 110 |
Medical Back Problems W/O Mcc | 17 | 104 / 40 | $45.040,50 | 1343 / 74 | $8.058,82 | 1125 / 74 | $5.713,88 | 1121 / 33 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 29 | $62.572,60 | 1617 / 114 | $9.311,87 | 1332 / 61 | $8.293,60 | 1329 / 54 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 33 | $46.033,90 | 2459 / 162 | $6.385,51 | 2128 / 94 | $5.287,28 | 2120 / 88 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 38 | $132.581,00 | 1357 / 118 | $17.034,20 | 1234 / 75 | $16.581,00 | 1226 / 82 |
Other Digestive System Diagnoses W Cc | 26 | 71 / 16 | $70.581,60 | 1401 / 117 | $8.128,92 | 1178 / 51 | $7.294,46 | 1174 / 65 |
Other Vascular Procedures W Mcc | 17 | 80 / 25 | $172.436,00 | 932 / 63 | $25.282,50 | 732 / 20 | $24.209,50 | 729 / 20 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 28 | $182.296,00 | 923 / 56 | $24.728,20 | 805 / 20 | $23.779,60 | 800 / 29 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 24 | 172 / 47 | $124.481,00 | 1344 / 75 | $14.924,30 | 1051 / 12 | $12.874,40 | 1044 / 15 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 18 | 77 / 12 | $128.090,00 | 550 / 27 | $15.393,10 | 443 / 11 | $14.007,10 | 439 / 13 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 22 | $56.869,20 | 1200 / 75 | $8.143,36 | 1050 / 36 | $7.596,45 | 1047 / 49 |
Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 21 | $153.093,00 | 933 / 66 | $20.490,40 | 695 / 28 | $17.793,50 | 694 / 14 |
Pulmonary Edema & Respiratory Failure | 17 | 186 / 58 | $93.302,20 | 2186 / 144 | $11.220,60 | 2022 / 101 | $10.351,90 | 2016 / 114 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 37 | $57.320,80 | 1962 / 141 | $6.673,89 | 1575 / 47 | $5.752,00 | 1566 / 48 |
Renal Failure W Cc | 43 | 178 / 45 | $77.005,30 | 2419 / 194 | $8.097,12 | 2059 / 78 | $7.282,98 | 2049 / 89 |
Renal Failure W Mcc | 38 | 157 / 49 | $84.838,10 | 2029 / 132 | $12.417,20 | 1782 / 65 | $11.652,60 | 1779 / 74 |
Respiratory Infections & Inflammations W Mcc | 21 | 115 / 51 | $120.205,00 | 1733 / 119 | $15.134,10 | 1521 / 55 | $14.387,40 | 1505 / 61 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 37 | $319.080,00 | 1013 / 101 | $40.647,90 | 584 / 22 | $38.354,50 | 583 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 157 | 359 / 99 | $124.685,00 | 2759 / 231 | $14.365,70 | 2273 / 72 | $13.527,70 | 2233 / 83 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 73 | $74.190,20 | 2514 / 222 | $8.784,30 | 2169 / 91 | $7.879,22 | 2160 / 115 |
Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 44 | $63.562,40 | 2730 / 179 | $7.966,20 | 2288 / 67 | $6.847,93 | 2280 / 66 |
Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 58 | $98.086,30 | 2453 / 170 | $11.788,30 | 2125 / 79 | $10.798,20 | 2120 / 81 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 30 | $51.920,10 | 1917 / 110 | $6.246,27 | 1725 / 57 | $5.277,73 | 1717 / 70 |
Syncope & Collapse | 35 | 134 / 32 | $55.376,20 | 1875 / 134 | $6.501,40 | 1554 / 66 | $5.328,20 | 1547 / 62 |
Transient Ischemia | 22 | 103 / 34 | $49.000,40 | 1561 / 107 | $6.217,36 | 1407 / 54 | $5.280,64 | 1400 / 75 | Total 56 procedures | 1.605 | 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.