Hospital Costs > In California > Alta Bates Summit 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 Cc | 15 | 76 / 21 | $49.941,50 | 1181 / 42 | $10.753,90 | 1335 / 85 | $9.296,80 | 1333 / 84 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 22 | $118.565,00 | 1763 / 125 | $18.400,20 | 1733 / 132 | $16.568,10 | 1720 / 131 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 13 | 111 / 26 | $44.282,80 | 806 / 33 | $7.504,85 | 721 / 31 | $5.983,00 | 720 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 29 | $38.228,80 | 1874 / 77 | $8.413,81 | 1997 / 140 | $7.025,08 | 1992 / 137 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 40 | 83 / 14 | $59.409,20 | 1675 / 81 | $12.691,80 | 1805 / 123 | $11.451,00 | 1802 / 122 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 18 | $30.209,40 | 1759 / 69 | $6.297,29 | 1853 / 111 | $4.960,97 | 1847 / 111 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 20 | 30 / 2 | $203.846,00 | 210 / 6 | $50.351,60 | 231 / 6 | $48.562,00 | 231 / 5 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 14 | 55 / 10 | $386.008,00 | 240 / 5 | $93.384,20 | 223 / 10 | $74.325,90 | 223 / 6 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 24 | 94 / 18 | $282.232,00 | 497 / 20 | $48.874,90 | 508 / 23 | $47.125,80 | 508 / 25 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 26 | 90 / 14 | $351.115,00 | 416 / 20 | $68.328,80 | 412 / 15 | $66.592,20 | 412 / 19 |
| Cellulitis W Mcc | 12 | 46 / 22 | $55.995,50 | 777 / 38 | $14.223,90 | 886 / 72 | $12.617,10 | 884 / 66 |
| Cellulitis W/O Mcc | 33 | 156 / 53 | $38.284,00 | 2371 / 130 | $8.885,73 | 2442 / 167 | $7.377,24 | 2434 / 164 |
| Chest Pain | 42 | 109 / 31 | $26.750,90 | 1285 / 48 | $6.596,21 | 1530 / 103 | $5.463,48 | 1521 / 103 |
| Chronic Obstructive Pulmonary Disease W Cc | 31 | 148 / 42 | $46.801,50 | 2197 / 113 | $9.513,42 | 2239 / 142 | $8.032,13 | 2232 / 133 |
| Chronic Obstructive Pulmonary Disease W Mcc | 56 | 146 / 34 | $58.427,10 | 2332 / 116 | $11.652,10 | 2384 / 154 | $10.035,50 | 2376 / 148 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 19 | $37.235,60 | 1897 / 71 | $7.765,19 | 1966 / 104 | $6.407,04 | 1955 / 104 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 17 | $111.880,00 | 812 / 31 | $21.404,80 | 845 / 49 | $19.969,60 | 837 / 48 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 35 | $61.137,00 | 1403 / 60 | $11.146,00 | 1539 / 92 | $9.778,58 | 1536 / 106 |
| Complications Of Treatment W Mcc | 11 | 40 / 12 | $131.776,00 | 301 / 21 | $32.034,70 | 252 / 23 | $15.759,70 | 252 / 14 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 11 | 48 / 8 | $313.560,00 | 228 / 8 | $49.375,80 | 207 / 3 | $47.742,60 | 206 / 4 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 14 | $229.933,00 | 562 / 18 | $40.016,40 | 548 / 25 | $31.146,70 | 547 / 15 |
| Diabetes W Cc | 33 | 59 / 6 | $43.318,70 | 1463 / 71 | $8.689,88 | 1467 / 91 | $7.465,27 | 1462 / 92 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 17 | 53 / 17 | $53.757,50 | 519 / 38 | $9.843,82 | 488 / 37 | $8.430,76 | 488 / 35 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 12 | $41.076,90 | 802 / 24 | $9.626,46 | 883 / 44 | $8.121,31 | 880 / 43 |
| Dysequilibrium | 12 | 53 / 15 | $35.090,70 | 467 / 15 | $6.869,75 | 499 / 31 | $5.319,75 | 499 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 26 | $61.568,00 | 1291 / 78 | $12.328,60 | 1329 / 102 | $10.814,40 | 1324 / 100 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 51 | 224 / 59 | $59.076,20 | 2697 / 204 | $9.515,55 | 2634 / 195 | $7.895,47 | 2619 / 196 |
| G.I. Hemorrhage W Cc | 86 | 132 / 17 | $48.919,50 | 2142 / 109 | $10.305,00 | 2273 / 157 | $9.039,21 | 2269 / 158 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 27 | $70.821,20 | 1352 / 66 | $16.506,20 | 1490 / 110 | $15.064,40 | 1480 / 104 |
| G.I. Obstruction W Cc | 34 | 58 / 18 | $46.291,90 | 1556 / 79 | $9.397,06 | 1636 / 112 | $7.980,44 | 1631 / 116 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 30 | $26.351,10 | 1039 / 32 | $6.674,91 | 1184 / 80 | $4.760,82 | 1181 / 70 |
| Heart Failure & Shock W Cc | 110 | 168 / 9 | $46.105,30 | 2481 / 124 | $10.201,70 | 2563 / 174 | $8.797,96 | 2557 / 168 |
| Heart Failure & Shock W Mcc | 119 | 165 / 21 | $77.460,20 | 2432 / 151 | $18.721,50 | 2484 / 209 | $14.086,00 | 2473 / 180 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 20 | $42.127,30 | 1925 / 94 | $7.434,84 | 1868 / 102 | $6.155,44 | 1855 / 98 |
| Hip & Femur Procedures Except Major Joint W Cc | 38 | 105 / 29 | $95.431,40 | 1852 / 82 | $18.341,80 | 1921 / 127 | $16.588,60 | 1901 / 124 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 17 | $164.967,00 | 908 / 51 | $29.017,10 | 910 / 61 | $27.320,00 | 907 / 63 |
| Hiv W Major Related Condition W Mcc | 14 | 23 / 4 | $123.995,00 | 75 / 4 | $29.339,40 | 69 / 4 | $27.202,90 | 69 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 40 | $293.117,00 | 1503 / 110 | $55.233,70 | 1485 / 125 | $50.240,40 | 1475 / 112 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 56 | 126 / 23 | $56.067,10 | 1826 / 96 | $10.596,90 | 1903 / 135 | $9.008,00 | 1899 / 134 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 35 | 133 / 36 | $96.258,30 | 1483 / 99 | $17.383,50 | 1489 / 111 | $15.696,00 | 1482 / 114 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 23 | $43.958,40 | 1419 / 62 | $8.012,92 | 1474 / 97 | $6.474,92 | 1470 / 94 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 44 | $67.575,80 | 1874 / 142 | $12.374,40 | 1875 / 152 | $10.993,10 | 1871 / 148 |
| Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 50 | $38.648,30 | 2470 / 138 | $8.209,16 | 2499 / 166 | $6.693,82 | 2488 / 152 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 18 | $102.856,00 | 813 / 48 | $18.791,80 | 819 / 63 | $13.343,30 | 815 / 55 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 9 | $105.250,00 | 507 / 22 | $14.743,10 | 489 / 22 | $13.164,50 | 489 / 24 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 37 | 59 / 11 | $95.305,80 | 739 / 27 | $21.986,20 | 777 / 39 | $19.008,70 | 773 / 40 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 201 | 363 / 47 | $99.143,10 | 2468 / 157 | $21.335,70 | 2523 / 189 | $18.038,70 | 2477 / 188 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 11 | $103.612,00 | 416 / 6 | $29.117,20 | 424 / 19 | $20.084,40 | 424 / 12 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 29 | $157.171,00 | 1465 / 88 | $24.857,40 | 1453 / 90 | $22.530,30 | 1439 / 95 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 20 | $354.574,00 | 1258 / 77 | $61.728,40 | 1275 / 84 | $58.004,90 | 1272 / 83 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 17 | $104.687,00 | 728 / 38 | $16.051,90 | 711 / 32 | $14.406,70 | 711 / 37 |
| Medical Back Problems W/O Mcc | 17 | 104 / 40 | $43.699,40 | 1322 / 69 | $8.787,41 | 1365 / 101 | $7.296,88 | 1360 / 95 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 39 | 87 / 22 | $52.844,90 | 1529 / 94 | $11.946,10 | 1609 / 133 | $10.712,00 | 1606 / 128 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 39 | $36.675,10 | 2295 / 115 | $7.795,29 | 2289 / 155 | $6.028,17 | 2281 / 134 |
| Organic Disturbances & Mental Retardation | 20 | 39 / 5 | $36.618,70 | 419 / 12 | $8.702,65 | 395 / 8 | $7.254,40 | 395 / 7 |
| Other Circulatory System Diagnoses W Mcc | 41 | 75 / 11 | $112.149,00 | 1316 / 99 | $22.557,80 | 1329 / 115 | $19.414,10 | 1321 / 112 |
| Other Circulatory System O.R. Procedures | 11 | 44 / 16 | $150.028,00 | 419 / 24 | $26.477,50 | 397 / 24 | $24.714,50 | 397 / 24 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 27 | $44.517,70 | 1195 / 61 | $9.851,40 | 1323 / 101 | $8.733,40 | 1319 / 106 |
| Other Digestive System Diagnoses W Mcc | 19 | 43 / 15 | $61.483,60 | 567 / 28 | $16.292,90 | 670 / 61 | $14.746,90 | 669 / 60 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 16 | $49.356,50 | 549 / 29 | $9.130,55 | 554 / 40 | $7.696,27 | 553 / 36 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 26 | $52.069,50 | 813 / 14 | $14.345,40 | 976 / 52 | $13.319,20 | 972 / 55 |
| Other Vascular Procedures W Cc | 11 | 91 / 33 | $129.444,00 | 1010 / 41 | $23.993,00 | 1053 / 53 | $22.507,30 | 1048 / 50 |
| Other Vascular Procedures W Mcc | 25 | 72 / 17 | $161.945,00 | 909 / 54 | $32.897,70 | 938 / 66 | $31.382,30 | 935 / 66 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 32 | 68 / 11 | $128.049,00 | 719 / 16 | $31.683,10 | 927 / 73 | $27.631,20 | 922 / 62 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 63 | 133 / 15 | $83.308,40 | 926 / 20 | $23.578,20 | 1376 / 111 | $16.669,60 | 1368 / 88 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 3 | $80.229,10 | 417 / 3 | $20.422,10 | 536 / 18 | $15.728,80 | 534 / 16 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 27 | 68 / 6 | $92.812,20 | 427 / 10 | $21.628,30 | 494 / 34 | $15.456,40 | 490 / 25 |
| Permanent Cardiac Pacemaker Implant W Cc | 27 | 50 / 8 | $89.489,10 | 700 / 24 | $24.735,00 | 917 / 64 | $23.210,10 | 913 / 69 |
| Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 8 | $120.839,00 | 422 / 12 | $31.978,70 | 534 / 33 | $30.550,70 | 534 / 33 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 14 | $68.746,80 | 501 / 12 | $20.476,10 | 683 / 44 | $18.918,00 | 681 / 46 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 23 | $66.724,80 | 847 / 36 | $14.316,20 | 890 / 57 | $12.869,00 | 887 / 59 |
| Pulmonary Edema & Respiratory Failure | 64 | 139 / 21 | $79.851,30 | 2127 / 123 | $13.007,30 | 2113 / 142 | $11.566,90 | 2107 / 141 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 15 | $51.040,10 | 1169 / 42 | $10.810,30 | 1190 / 64 | $8.190,47 | 1187 / 63 |
| Red Blood Cell Disorders W Mcc | 20 | 51 / 11 | $63.569,90 | 981 / 57 | $12.618,50 | 990 / 64 | $11.203,20 | 986 / 59 |
| Red Blood Cell Disorders W/O Mcc | 35 | 108 / 21 | $53.372,40 | 1935 / 131 | $8.640,94 | 1845 / 120 | $7.282,17 | 1836 / 120 |
| Renal Failure W Cc | 87 | 134 / 14 | $51.525,20 | 2273 / 139 | $10.190,60 | 2263 / 165 | $8.593,34 | 2253 / 149 |
| Renal Failure W Mcc | 42 | 153 / 45 | $93.209,20 | 2082 / 150 | $16.395,80 | 2051 / 159 | $14.785,10 | 2047 / 157 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 35 | $43.473,40 | 1030 / 15 | $11.476,50 | 1284 / 59 | $10.329,50 | 1279 / 59 |
| Respiratory Infections & Inflammations W Mcc | 21 | 115 / 51 | $75.182,70 | 1458 / 58 | $19.329,70 | 1722 / 129 | $17.573,40 | 1706 / 126 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 15 | $73.982,60 | 525 / 13 | $16.672,50 | 593 / 31 | $15.526,20 | 590 / 30 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 26 | $143.997,00 | 1761 / 95 | $24.254,40 | 1671 / 116 | $20.024,20 | 1657 / 89 |
| Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 19 | $145.790,00 | 607 / 19 | $30.256,90 | 623 / 25 | $28.763,20 | 621 / 24 |
| Seizures W Mcc | 13 | 53 / 17 | $77.515,70 | 665 / 35 | $14.204,80 | 618 / 32 | $12.560,30 | 618 / 30 |
| Seizures W/O Mcc | 22 | 86 / 20 | $50.461,00 | 1232 / 64 | $8.170,23 | 1148 / 71 | $6.583,45 | 1146 / 63 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 39 | $460.566,00 | 1084 / 135 | $77.347,40 | 1094 / 139 | $71.635,10 | 1093 / 140 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 345 | 176 / 22 | $88.810,40 | 2536 / 172 | $18.391,30 | 2617 / 204 | $16.462,20 | 2572 / 193 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 78 | 129 / 41 | $50.344,70 | 2265 / 145 | $10.582,40 | 2357 / 181 | $9.034,09 | 2347 / 177 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 27 | $31.099,20 | 1055 / 31 | $7.232,00 | 1147 / 61 | $5.805,64 | 1144 / 57 |
| Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 41 | $44.154,00 | 2436 / 102 | $10.609,80 | 2550 / 181 | $8.082,55 | 2541 / 145 |
| Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 36 | $61.853,70 | 2122 / 83 | $13.923,40 | 2336 / 152 | $12.464,10 | 2330 / 144 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 34 | $39.412,50 | 1797 / 75 | $7.747,91 | 1882 / 111 | $6.471,55 | 1874 / 113 |
| Syncope & Collapse | 48 | 121 / 20 | $36.131,20 | 1614 / 71 | $8.261,42 | 1743 / 132 | $6.384,77 | 1735 / 112 |
| Transient Ischemia | 32 | 93 / 24 | $40.945,30 | 1464 / 82 | $7.566,50 | 1533 / 110 | $6.178,84 | 1525 / 110 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 12 | 34 / 11 | $76.708,50 | 253 / 27 | $10.026,30 | 232 / 23 | $8.603,00 | 232 / 24 | Total 94 procedures | 3.234 | 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.