Hospital Costs > In California > Alhambra Hospital 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 | 15 | 110 / 37 | $100.789,00 | 1706 / 110 | $14.706,10 | 1550 / 84 | $13.494,40 | 1537 / 78 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 55 | $49.241,10 | 2055 / 132 | $7.326,55 | 1931 / 102 | $6.445,09 | 1926 / 116 |
Cellulitis W/O Mcc | 26 | 163 / 60 | $47.416,30 | 2528 / 171 | $7.460,46 | 2291 / 100 | $6.485,69 | 2283 / 123 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 56 | $66.483,90 | 2398 / 166 | $8.507,29 | 2165 / 107 | $7.441,88 | 2158 / 112 |
Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 68 | $64.205,20 | 2402 / 136 | $10.101,50 | 2256 / 99 | $9.109,55 | 2248 / 102 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 92 | $52.634,40 | 2661 / 185 | $6.880,94 | 2369 / 110 | $5.792,06 | 2354 / 117 |
G.I. Hemorrhage W Cc | 21 | 197 / 70 | $63.255,00 | 2336 / 162 | $8.872,67 | 2128 / 99 | $7.900,48 | 2124 / 114 |
G.I. Hemorrhage W Mcc | 13 | 108 / 43 | $94.263,60 | 1529 / 107 | $14.653,60 | 1412 / 71 | $14.006,30 | 1402 / 79 |
Heart Failure & Shock W Mcc | 34 | 250 / 88 | $95.196,20 | 2547 / 181 | $12.625,00 | 2286 / 103 | $11.733,00 | 2276 / 112 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 53 | $102.082,00 | 1904 / 97 | $16.076,10 | 1805 / 81 | $15.057,00 | 1786 / 91 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 59 | $65.028,70 | 1938 / 122 | $9.331,40 | 1824 / 83 | $8.373,53 | 1820 / 107 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 58 | $139.393,00 | 1608 / 142 | $18.162,80 | 1546 / 118 | $17.421,80 | 1539 / 130 |
Kidney & Urinary Tract Infections W/O Mcc | 44 | 189 / 65 | $51.004,00 | 2650 / 189 | $7.082,25 | 2384 / 116 | $6.091,70 | 2373 / 124 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 46 | $52.032,20 | 1516 / 90 | $9.671,46 | 1467 / 74 | $9.208,69 | 1464 / 88 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 65 | $38.148,60 | 2334 / 125 | $6.664,07 | 2248 / 109 | $5.802,36 | 2240 / 120 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 38 | $85.957,60 | 1192 / 59 | $14.194,90 | 978 / 20 | $13.437,60 | 971 / 23 |
Other Digestive System Diagnoses W Cc | 19 | 78 / 23 | $57.328,90 | 1347 / 98 | $8.649,26 | 1253 / 71 | $7.953,68 | 1249 / 87 |
Other Digestive System Diagnoses W Mcc | 28 | 34 / 7 | $87.653,40 | 694 / 59 | $13.655,60 | 585 / 31 | $12.920,80 | 584 / 38 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 18 | $68.947,20 | 1017 / 64 | $10.775,60 | 916 / 36 | $9.983,00 | 912 / 40 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 33 | $46.117,20 | 1863 / 110 | $7.409,09 | 1750 / 81 | $6.625,78 | 1741 / 87 |
Renal Failure W Cc | 23 | 198 / 65 | $55.475,00 | 2315 / 151 | $8.602,26 | 2134 / 105 | $7.604,70 | 2124 / 114 |
Renal Failure W Mcc | 29 | 166 / 58 | $83.129,60 | 2015 / 128 | $12.776,40 | 1813 / 76 | $11.943,30 | 1809 / 86 |
Respiratory Infections & Inflammations W Cc | 32 | 56 / 17 | $81.312,30 | 1401 / 89 | $11.542,80 | 1323 / 61 | $10.884,80 | 1318 / 72 |
Respiratory Infections & Inflammations W Mcc | 50 | 86 / 26 | $106.905,00 | 1688 / 102 | $15.764,50 | 1588 / 68 | $15.138,70 | 1572 / 79 |
Seizures W/O Mcc | 11 | 97 / 31 | $48.066,80 | 1216 / 60 | $7.203,18 | 1049 / 47 | $5.869,00 | 1047 / 41 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 37 | $247.162,00 | 889 / 61 | $38.445,80 | 517 / 7 | $37.182,70 | 516 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 211 | 305 / 77 | $107.426,00 | 2699 / 211 | $15.548,80 | 2460 / 125 | $14.796,70 | 2416 / 144 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 71 | $63.949,60 | 2451 / 202 | $9.355,49 | 2292 / 129 | $8.581,74 | 2283 / 157 |
Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 70 | $58.989,00 | 2682 / 164 | $8.439,60 | 2434 / 105 | $7.412,40 | 2425 / 107 |
Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 63 | $72.861,40 | 2271 / 120 | $11.989,00 | 2187 / 85 | $11.201,00 | 2182 / 100 |
Syncope & Collapse | 14 | 155 / 53 | $46.303,60 | 1795 / 107 | $6.855,43 | 1625 / 84 | $5.644,00 | 1618 / 77 | Total 31 procedures | 859 | 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.