Hospital Costs > In California > Alta Bates Summit Medical Center - Alta Bates Camp, 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 | 208 | 308 / 79 | $93.043,10 | 2578 / 182 | $22.540,30 | 2767 / 246 | $20.317,50 | 2722 / 247 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 160 | 404 / 62 | $98.782,30 | 2461 / 154 | $25.153,20 | 2603 / 215 | $19.885,20 | 2557 / 211 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 46 | $58.283,70 | 2391 / 187 | $13.161,30 | 2513 / 225 | $11.604,40 | 2503 / 227 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 57 | 125 / 22 | $56.063,60 | 1825 / 95 | $12.435,00 | 2018 / 165 | $11.138,40 | 2014 / 167 |
Psychoses | 56 | 223 / 19 | $47.956,90 | 580 / 29 | $12.452,50 | 586 / 30 | $10.992,50 | 586 / 29 |
Heart Failure & Shock W Cc | 53 | 225 / 51 | $51.736,00 | 2574 / 151 | $12.561,60 | 2678 / 205 | $10.618,00 | 2672 / 204 |
G.I. Hemorrhage W Cc | 53 | 165 / 42 | $49.713,60 | 2157 / 113 | $12.466,40 | 2370 / 184 | $10.817,30 | 2366 / 184 |
Heart Failure & Shock W Mcc | 49 | 235 / 76 | $87.040,40 | 2514 / 169 | $18.253,10 | 2586 / 208 | $17.160,80 | 2575 / 214 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 64 | $42.768,50 | 2535 / 151 | $10.636,80 | 2657 / 209 | $8.518,24 | 2642 / 205 |
Red Blood Cell Disorders W/O Mcc | 43 | 100 / 13 | $54.140,90 | 1942 / 133 | $10.661,40 | 1956 / 139 | $9.734,84 | 1947 / 144 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 41 | 50 / 6 | $82.981,60 | 376 / 24 | $13.686,00 | 380 / 23 | $12.912,10 | 380 / 27 |
Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 50 | $49.246,90 | 2540 / 132 | $12.034,20 | 2758 / 202 | $10.745,50 | 2749 / 201 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 40 | 84 / 26 | $246.698,00 | 1415 / 76 | $59.285,40 | 1543 / 132 | $55.892,10 | 1533 / 130 |
Spinal Fusion Except Cervical W/O Mcc | 37 | 157 / 31 | $157.869,00 | 1153 / 43 | $41.753,30 | 1318 / 87 | $38.365,20 | 1313 / 85 |
Renal Failure W Cc | 35 | 186 / 53 | $43.113,50 | 2117 / 93 | $12.032,30 | 2375 / 185 | $10.465,90 | 2365 / 182 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 37 | $111.708,00 | 1556 / 120 | $21.829,20 | 1594 / 143 | $20.252,80 | 1587 / 149 |
Syncope & Collapse | 33 | 136 / 34 | $38.047,70 | 1652 / 78 | $9.833,85 | 1875 / 146 | $8.691,82 | 1867 / 147 |
Renal Failure W Mcc | 31 | 164 / 56 | $142.801,00 | 2161 / 185 | $28.548,30 | 2175 / 191 | $27.066,20 | 2171 / 193 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 36 | $38.660,30 | 1881 / 79 | $10.227,80 | 2125 / 166 | $9.446,27 | 2120 / 168 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 29 | 60 / 17 | $58.580,20 | 658 / 29 | $14.153,50 | 752 / 72 | $11.019,10 | 751 / 69 |
Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 62 | $70.081,40 | 2445 / 147 | $15.703,20 | 2554 / 191 | $14.308,10 | 2546 / 195 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 27 | 74 / 23 | $86.638,80 | 1034 / 58 | $21.125,30 | 1089 / 78 | $19.112,40 | 1085 / 80 |
Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 82 | $54.119,60 | 2664 / 195 | $10.235,10 | 2649 / 201 | $8.786,89 | 2638 / 201 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 53 | $55.941,50 | 2509 / 187 | $11.079,80 | 2519 / 193 | $9.862,96 | 2510 / 196 |
Cellulitis W/O Mcc | 27 | 162 / 59 | $39.991,30 | 2408 / 139 | $10.926,80 | 2575 / 201 | $9.640,93 | 2567 / 204 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 32 | $64.425,70 | 1629 / 117 | $13.448,60 | 1676 / 146 | $12.280,80 | 1672 / 148 |
Pulmonary Edema & Respiratory Failure | 26 | 177 / 49 | $88.985,00 | 2174 / 142 | $17.293,00 | 2224 / 172 | $16.259,40 | 2218 / 176 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 40 | $118.010,00 | 1991 / 122 | $23.526,70 | 2033 / 152 | $21.767,90 | 2011 / 153 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 49 | $46.431,00 | 2191 / 111 | $11.382,50 | 2386 / 176 | $10.232,60 | 2379 / 177 |
Chest Pain | 24 | 127 / 48 | $35.054,50 | 1500 / 86 | $8.683,08 | 1647 / 136 | $7.606,42 | 1638 / 136 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 24 | 42 / 12 | $87.199,80 | 493 / 18 | $22.523,40 | 556 / 42 | $17.545,40 | 552 / 41 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 25 | $45.258,20 | 1432 / 66 | $10.085,20 | 1578 / 115 | $8.823,09 | 1574 / 119 |
Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 68 | $101.297,00 | 2462 / 175 | $19.261,20 | 2506 / 193 | $17.967,00 | 2500 / 197 |
Transient Ischemia | 23 | 102 / 33 | $38.915,60 | 1415 / 67 | $9.443,43 | 1627 / 134 | $7.905,43 | 1619 / 131 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 21 | $69.574,00 | 1359 / 96 | $14.386,50 | 1426 / 119 | $13.364,60 | 1421 / 127 |
Red Blood Cell Disorders W Mcc | 23 | 48 / 8 | $113.390,00 | 1109 / 88 | $18.733,70 | 1100 / 90 | $17.289,70 | 1096 / 91 |
G.I. Obstruction W Cc | 21 | 71 / 31 | $43.272,20 | 1503 / 63 | $11.358,70 | 1717 / 130 | $10.164,90 | 1712 / 135 |
Diabetes W Cc | 19 | 73 / 16 | $51.120,20 | 1541 / 93 | $10.751,10 | 1565 / 109 | $9.393,47 | 1560 / 112 |
Cervical Spinal Fusion W/O Cc/Mcc | 18 | 86 / 20 | $111.989,00 | 810 / 33 | $23.667,90 | 863 / 51 | $22.329,90 | 860 / 55 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 23 | $29.650,40 | 1106 / 41 | $8.814,22 | 1300 / 98 | $7.639,89 | 1297 / 99 |
G.I. Hemorrhage W Mcc | 17 | 104 / 39 | $82.539,90 | 1459 / 89 | $19.223,50 | 1610 / 143 | $17.987,60 | 1600 / 145 |
Organic Disturbances & Mental Retardation | 16 | 43 / 8 | $74.794,40 | 551 / 26 | $15.474,80 | 550 / 27 | $14.210,70 | 550 / 27 |
Degenerative Nervous System Disorders W/O Mcc | 16 | 62 / 14 | $42.031,40 | 695 / 22 | $11.687,40 | 828 / 44 | $10.463,20 | 828 / 47 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 33 | $93.987,60 | 1447 / 104 | $16.531,80 | 1469 / 115 | $14.929,90 | 1464 / 119 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 8 | $78.001,50 | 464 / 15 | $14.279,00 | 467 / 13 | $13.521,90 | 467 / 15 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $56.494,70 | 1204 / 52 | $13.631,10 | 1248 / 75 | $9.433,71 | 1245 / 71 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 35 | $25.941,40 | 1655 / 47 | $8.868,21 | 1946 / 138 | $6.612,43 | 1940 / 138 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 41 | $154.894,00 | 1452 / 83 | $28.013,20 | 1514 / 105 | $26.471,50 | 1500 / 115 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 13 | 85 / 20 | $258.560,00 | 474 / 30 | $49.887,10 | 493 / 36 | $47.752,80 | 493 / 37 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 10 | $120.899,00 | 324 / 16 | $25.171,40 | 348 / 24 | $23.477,70 | 347 / 24 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 40 | $81.116,60 | 1563 / 78 | $18.219,40 | 1745 / 130 | $16.993,90 | 1732 / 138 |
Cellulitis W Mcc | 12 | 46 / 22 | $56.222,20 | 780 / 41 | $15.965,80 | 935 / 82 | $14.669,10 | 933 / 85 |
Cervical Spinal Fusion W Cc | 12 | 41 / 15 | $142.239,00 | 352 / 16 | $29.818,90 | 375 / 24 | $28.596,50 | 374 / 25 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 54 | $50.996,20 | 1696 / 95 | $12.822,40 | 1887 / 155 | $11.274,90 | 1883 / 153 |
Other Resp System O.R. Procedures W Cc | 11 | 36 / 7 | $144.592,00 | 324 / 9 | $23.349,10 | 322 / 8 | $20.868,50 | 322 / 8 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $172.983,00 | 1813 / 118 | $34.704,20 | 1857 / 145 | $33.303,40 | 1843 / 147 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 25 | $47.714,20 | 1152 / 36 | $11.817,00 | 1310 / 93 | $8.892,45 | 1308 / 77 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 11 | 23 / 7 | $140.105,00 | 51 / 5 | $29.707,50 | 49 / 4 | $25.705,20 | 49 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 43 | $92.838,70 | 1882 / 135 | $21.360,20 | 1918 / 150 | $20.002,50 | 1915 / 152 |
Vaginal Delivery W/O Complicating Diagnoses | 11 | 14 / 1 | $25.812,70 | 70 / 1 | $8.411,73 | 71 / 1 | $7.029,73 | 71 / 1 |
Cesarean Section W Cc/Mcc | 11 | 12 / 1 | $104.791,00 | 46 / 1 | $14.641,90 | 41 / 1 | $13.282,10 | 41 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $47.838,80 | 851 / 32 | $11.681,50 | 942 / 55 | $10.432,80 | 939 / 57 |
Signs & Symptoms W/O Mcc | 11 | 80 / 27 | $54.262,40 | 1312 / 77 | $10.289,50 | 1315 / 85 | $9.028,36 | 1312 / 88 | Total 63 procedures | 1.917 | 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.