Hospital Costs > In California > Alameda Hospital, 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 | 79 | 437 / 141 | $66.647,90 | 2238 / 98 | $15.529,20 | 2462 / 122 | $14.798,70 | 2418 / 145 |
Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 71 | $34.718,80 | 2367 / 105 | $6.821,47 | 2346 / 99 | $5.922,74 | 2335 / 113 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 75 | $33.751,80 | 2314 / 95 | $6.773,29 | 2382 / 96 | $5.842,54 | 2367 / 121 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 45 | $33.430,00 | 2223 / 96 | $6.432,46 | 2188 / 98 | $5.496,23 | 2180 / 108 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 76 | $39.622,80 | 2027 / 89 | $9.094,67 | 2247 / 114 | $8.292,73 | 2238 / 140 |
Pulmonary Edema & Respiratory Failure | 28 | 175 / 47 | $59.862,90 | 1930 / 73 | $10.820,10 | 1995 / 84 | $10.129,90 | 1989 / 105 |
Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 63 | $66.639,40 | 2200 / 99 | $13.236,20 | 2351 / 130 | $12.675,10 | 2345 / 151 |
Cellulitis W/O Mcc | 27 | 162 / 59 | $32.939,90 | 2229 / 88 | $7.623,85 | 2222 / 112 | $6.202,30 | 2214 / 99 |
Heart Failure & Shock W Cc | 24 | 254 / 76 | $45.432,30 | 2468 / 117 | $8.791,42 | 2426 / 120 | $7.888,75 | 2420 / 126 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 67 | $41.908,70 | 2380 / 87 | $8.233,17 | 2428 / 84 | $7.394,22 | 2419 / 105 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 23 | $33.891,70 | 1709 / 56 | $6.433,27 | 1796 / 68 | $5.662,36 | 1788 / 90 |
Respiratory Infections & Inflammations W Mcc | 21 | 115 / 51 | $79.454,20 | 1502 / 65 | $16.247,00 | 1619 / 78 | $15.585,60 | 1603 / 86 |
Heart Failure & Shock W Mcc | 21 | 263 / 101 | $46.647,80 | 1899 / 43 | $12.806,30 | 2336 / 114 | $12.174,00 | 2326 / 127 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 28 | $22.291,30 | 1521 / 23 | $5.161,90 | 1642 / 60 | $3.862,67 | 1636 / 66 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 46 | $29.937,30 | 1627 / 33 | $7.171,95 | 1901 / 93 | $6.267,95 | 1896 / 107 |
Renal Failure W Cc | 19 | 202 / 69 | $37.518,80 | 1969 / 66 | $8.483,11 | 2161 / 100 | $7.785,84 | 2151 / 121 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 33 | $54.264,90 | 1201 / 44 | $10.995,10 | 1256 / 50 | $10.105,50 | 1251 / 48 |
G.I. Hemorrhage W Cc | 15 | 203 / 76 | $50.414,40 | 2173 / 118 | $8.894,60 | 2168 / 100 | $8.177,80 | 2164 / 127 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 58 | $41.672,70 | 2110 / 89 | $8.348,33 | 2139 / 96 | $7.300,87 | 2132 / 105 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 146 | $100.636,00 | 2488 / 165 | $18.641,70 | 2497 / 150 | $17.432,10 | 2451 / 179 |
Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 75 | $51.695,70 | 2220 / 94 | $10.011,10 | 2271 / 94 | $9.204,67 | 2263 / 110 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 60 | $46.368,40 | 1661 / 55 | $9.446,07 | 1854 / 90 | $8.584,36 | 1850 / 116 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 57 | $70.960,00 | 1273 / 49 | $14.487,50 | 1371 / 71 | $13.712,60 | 1365 / 81 |
Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 53 | $38.234,20 | 1451 / 45 | $9.630,54 | 1714 / 86 | $8.791,15 | 1710 / 97 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 37 | $65.133,30 | 993 / 25 | $15.831,40 | 1154 / 54 | $15.179,10 | 1146 / 63 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 32 | $28.224,20 | 1661 / 39 | $6.197,38 | 1808 / 62 | $5.641,08 | 1795 / 81 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 36 | $38.972,80 | 1337 / 45 | $6.919,50 | 1416 / 63 | $5.916,83 | 1412 / 77 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 44 | $36.209,20 | 1695 / 67 | $7.266,00 | 1758 / 75 | $6.663,33 | 1749 / 88 | Total 28 procedures | 640 | 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.