Hospital Costs > In California > Alvarado Hospital Medical Center, 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 | 158 | 358 / 98 | $54.946,00 | 1944 / 60 | $13.910,00 | 1848 / 49 | $11.874,60 | 1813 / 22 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 84 | 480 / 97 | $98.055,90 | 2450 / 152 | $15.673,80 | 2060 / 40 | $13.846,40 | 2018 / 53 |
Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 35 | $44.565,90 | 1742 / 33 | $10.261,60 | 1818 / 18 | $9.469,91 | 1818 / 26 |
Kidney & Urinary Tract Infections W Mcc | 51 | 93 / 17 | $26.758,30 | 1019 / 10 | $8.066,10 | 1279 / 24 | $6.942,02 | 1275 / 17 |
Heart Failure & Shock W Mcc | 49 | 235 / 76 | $41.269,90 | 1713 / 30 | $10.659,80 | 1829 / 21 | $9.796,41 | 1824 / 23 |
Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 67 | $20.368,60 | 1615 / 17 | $5.892,43 | 2030 / 27 | $5.059,67 | 2019 / 39 |
Cellulitis W/O Mcc | 41 | 148 / 45 | $22.853,40 | 1715 / 26 | $6.307,56 | 1975 / 22 | $5.513,80 | 1967 / 41 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 40 | 52 / 15 | $169.693,00 | 629 / 18 | $36.866,00 | 443 / 4 | $35.710,00 | 442 / 5 |
Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 53 | $41.554,60 | 1969 / 43 | $9.594,05 | 1937 / 69 | $7.778,03 | 1929 / 35 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 44 | $20.795,50 | 1631 / 24 | $5.455,69 | 1812 / 29 | $4.494,44 | 1807 / 25 |
Spinal Fusion Except Cervical W/O Mcc | 35 | 159 / 33 | $243.415,00 | 1331 / 84 | $32.279,10 | 1179 / 38 | $30.135,10 | 1174 / 49 |
Heart Failure & Shock W Cc | 35 | 243 / 66 | $32.379,90 | 2072 / 46 | $7.353,00 | 2037 / 26 | $6.594,14 | 2032 / 40 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 34 | 162 / 38 | $173.894,00 | 1464 / 109 | $17.963,70 | 1314 / 58 | $15.582,20 | 1307 / 70 |
Renal Failure W Mcc | 32 | 163 / 55 | $39.482,20 | 1271 / 20 | $10.470,40 | 1378 / 8 | $9.888,44 | 1378 / 18 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 80 | $23.547,20 | 1765 / 28 | $5.759,13 | 2064 / 28 | $4.914,33 | 2050 / 43 |
Respiratory Infections & Inflammations W Mcc | 29 | 107 / 43 | $59.736,60 | 1260 / 26 | $12.783,70 | 1150 / 9 | $12.283,80 | 1136 / 12 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 38 | $166.721,00 | 1111 / 29 | $36.468,90 | 747 / 18 | $31.970,20 | 741 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 82 | $36.304,10 | 1908 / 74 | $7.859,52 | 1885 / 32 | $7.009,74 | 1877 / 51 |
G.I. Hemorrhage W Cc | 26 | 192 / 65 | $30.098,40 | 1562 / 23 | $7.507,85 | 1830 / 23 | $6.717,69 | 1826 / 38 |
Chest Pain | 26 | 125 / 46 | $20.630,50 | 968 / 20 | $4.880,58 | 1094 / 19 | $3.720,92 | 1087 / 22 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 25 | 75 / 17 | $202.827,00 | 964 / 65 | $24.925,50 | 825 / 21 | $24.250,90 | 820 / 34 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 34 | $23.863,00 | 637 / 6 | $7.976,76 | 1083 / 13 | $7.299,64 | 1080 / 18 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 67 | $32.125,30 | 2064 / 38 | $7.121,26 | 2131 / 19 | $6.442,30 | 2123 / 38 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 23 | $49.510,60 | 581 / 20 | $8.190,36 | 566 / 12 | $7.038,36 | 565 / 22 |
G.I. Hemorrhage W Mcc | 22 | 99 / 34 | $56.731,70 | 1137 / 34 | $12.148,70 | 1062 / 10 | $11.549,40 | 1054 / 14 |
Syncope & Collapse | 21 | 148 / 46 | $23.904,40 | 1157 / 23 | $5.649,76 | 1309 / 21 | $4.612,05 | 1302 / 23 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 52 | $28.646,40 | 1658 / 26 | $7.068,43 | 1846 / 25 | $6.207,48 | 1839 / 27 |
Pulmonary Edema & Respiratory Failure | 21 | 182 / 54 | $40.611,40 | 1516 / 23 | $9.066,90 | 1707 / 14 | $8.487,86 | 1702 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 34 | $35.129,60 | 1168 / 15 | $8.807,55 | 1313 / 13 | $7.964,35 | 1310 / 17 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 36 | $25.329,40 | 1272 / 26 | $6.166,70 | 1465 / 18 | $5.385,90 | 1456 / 26 |
Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 16 | $53.905,10 | 759 / 25 | $10.408,90 | 664 / 14 | $9.546,63 | 662 / 15 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 27 | $30.224,70 | 1717 / 31 | $5.572,68 | 1575 / 16 | $4.600,05 | 1564 / 19 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 19 | 45 / 5 | $321.075,00 | 354 / 9 | $73.121,50 | 354 / 4 | $72.212,90 | 353 / 4 |
Transient Ischemia | 19 | 106 / 37 | $27.217,10 | 1064 / 21 | $5.428,95 | 1204 / 19 | $4.546,42 | 1198 / 30 |
Renal Failure W Cc | 18 | 203 / 70 | $22.582,90 | 1236 / 8 | $6.741,67 | 1644 / 17 | $6.005,67 | 1635 / 23 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 17 | 51 / 14 | $25.540,00 | 369 / 6 | $6.602,24 | 409 / 4 | $5.469,06 | 409 / 4 |
Medical Back Problems W/O Mcc | 16 | 105 / 41 | $19.931,90 | 513 / 6 | $6.474,00 | 1129 / 22 | $5.718,00 | 1125 / 35 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 17 | $128.937,00 | 438 / 4 | $28.945,60 | 180 / 1 | $27.684,60 | 180 / 1 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 25 | $24.106,10 | 981 / 18 | $4.839,12 | 867 / 18 | $3.561,00 | 864 / 15 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 30 | $26.132,10 | 1507 / 24 | $5.484,00 | 1572 / 19 | $4.657,33 | 1564 / 35 |
Cellulitis W Mcc | 15 | 43 / 19 | $38.089,30 | 546 / 13 | $10.084,30 | 572 / 9 | $9.198,93 | 570 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 29 | $30.720,50 | 662 / 12 | $8.879,93 | 1020 / 13 | $8.233,53 | 1015 / 25 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 19 | $81.547,10 | 672 / 10 | $15.215,40 | 657 / 6 | $14.440,60 | 650 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 57 | $63.668,90 | 1188 / 36 | $12.572,80 | 1131 / 19 | $11.706,50 | 1125 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 60 | $45.297,70 | 1635 / 51 | $7.494,64 | 1428 / 12 | $6.635,21 | 1425 / 21 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 28 | $29.850,90 | 857 / 19 | $7.321,14 | 1017 / 13 | $6.546,29 | 1013 / 23 |
Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 23 | $130.014,00 | 837 / 38 | $19.318,40 | 632 / 30 | $13.931,20 | 629 / 10 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 18 | $31.985,80 | 510 / 10 | $9.273,92 | 806 / 5 | $9.064,08 | 802 / 17 |
G.I. Obstruction W Cc | 13 | 79 / 39 | $31.525,30 | 1249 / 26 | $6.688,85 | 1266 / 18 | $5.758,38 | 1262 / 22 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 35 | $41.042,00 | 984 / 14 | $9.756,62 | 1010 / 18 | $8.735,08 | 1005 / 15 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 22 | $50.835,20 | 469 / 14 | $12.097,90 | 482 / 8 | $11.593,90 | 481 / 16 |
Respiratory Signs & Symptoms | 12 | 34 / 3 | $28.777,00 | 220 / 3 | $5.338,33 | 187 / 1 | $4.431,67 | 187 / 3 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 37 | $21.017,50 | 1454 / 17 | $4.455,83 | 1469 / 20 | $3.447,83 | 1463 / 29 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 49 | $74.367,20 | 1532 / 88 | $10.909,20 | 1545 / 90 | $9.898,50 | 1542 / 107 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 41 | $46.041,50 | 1030 / 15 | $11.926,80 | 1257 / 12 | $11.263,50 | 1247 / 20 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 25 | $44.881,00 | 1115 / 27 | $7.961,64 | 1093 / 21 | $7.077,27 | 1091 / 26 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 11 | 36 / 12 | $472.756,00 | 111 / 14 | $62.598,10 | 109 / 13 | $61.716,60 | 109 / 13 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 39 | $41.174,90 | 513 / 5 | $12.413,80 | 684 / 2 | $11.515,60 | 682 / 1 |
Atherosclerosis W/O Mcc | 11 | 47 / 15 | $22.668,70 | 364 / 13 | $4.818,73 | / 4 | $3.937,27 | / |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $67.342,90 | 1092 / 15 | $16.480,50 | 1286 / 6 | $15.628,80 | 1273 / 10 | Total 60 procedures | 1.545 | 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.