Hospital Costs > In California > Arrowhead Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 26 | 163 / 60 | $23.085,10 | 1746 / 28 | $15.265,40 | 2629 / 219 | $13.622,40 | 2621 / 217 |
Chest Pain | 44 | 107 / 29 | $21.110,90 | 994 / 22 | $12.962,40 | 1699 / 151 | $11.560,70 | 1690 / 150 |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 61 | $33.486,70 | 1862 / 43 | $15.936,20 | 2436 / 192 | $14.255,30 | 2429 / 190 |
Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 78 | $43.895,60 | 2038 / 52 | $18.224,80 | 2569 / 199 | $16.674,20 | 2561 / 201 |
Diabetes W Cc | 13 | 79 / 22 | $33.024,60 | 1262 / 34 | $15.341,60 | 1617 / 125 | $13.630,50 | 1612 / 124 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 80 | $29.820,50 | 2159 / 69 | $14.608,70 | 2726 / 225 | $12.854,30 | 2711 / 225 |
G.I. Hemorrhage W Cc | 17 | 201 / 74 | $29.812,10 | 1544 / 21 | $16.647,10 | 2424 / 197 | $14.948,10 | 2420 / 198 |
G.I. Hemorrhage W Mcc | 17 | 104 / 39 | $57.432,80 | 1149 / 35 | $23.751,90 | 1651 / 154 | $21.274,40 | 1641 / 154 |
Heart Failure & Shock W Cc | 35 | 243 / 66 | $34.947,90 | 2174 / 62 | $16.669,70 | 2752 / 222 | $15.038,20 | 2746 / 222 |
Heart Failure & Shock W Mcc | 22 | 262 / 100 | $47.840,40 | 1929 / 50 | $22.002,10 | 2614 / 221 | $20.075,40 | 2603 / 222 |
Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 16 | $26.565,20 | 1611 / 31 | $13.881,00 | 2012 / 134 | $12.263,60 | 1999 / 134 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 21 | $63.533,50 | 739 / 19 | $22.033,00 | 913 / 72 | $20.014,40 | 910 / 73 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 44 | $41.360,70 | 1554 / 39 | $17.641,90 | 2072 / 182 | $15.507,10 | 2067 / 181 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 48 | $78.886,60 | 1359 / 73 | $25.141,40 | 1617 / 151 | $22.815,70 | 1610 / 155 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 34 | 68 / 14 | $42.268,10 | 1396 / 56 | $15.515,60 | 1614 / 131 | $13.413,80 | 1610 / 130 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 54 | $27.200,30 | 1053 / 12 | $17.223,80 | 1947 / 169 | $15.475,10 | 1943 / 169 |
Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 69 | $24.927,50 | 1971 / 37 | $14.680,40 | 2711 / 219 | $13.029,40 | 2700 / 220 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 11 | 553 / 150 | $64.830,60 | 1855 / 60 | $26.362,70 | 2669 / 217 | $24.570,00 | 2623 / 226 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 55 | $21.274,50 | 1673 / 29 | $13.957,80 | 2540 / 203 | $12.514,80 | 2531 / 204 |
Organic Disturbances & Mental Retardation | 13 | 46 / 11 | $33.021,60 | 387 / 9 | $17.434,80 | 551 / 30 | $15.097,10 | 551 / 28 |
Other Circulatory System Diagnoses W Mcc | 17 | 99 / 33 | $30.765,40 | 234 / 1 | $23.782,70 | 1368 / 121 | $22.533,90 | 1360 / 126 |
Pulmonary Edema & Respiratory Failure | 11 | 192 / 64 | $79.887,00 | 2129 / 125 | $19.926,70 | 2230 / 177 | $17.708,50 | 2224 / 177 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 38 | $29.250,20 | 1470 / 40 | $14.915,90 | 1991 / 156 | $12.876,80 | 1982 / 156 |
Renal Failure W Cc | 21 | 200 / 67 | $25.688,00 | 1472 / 15 | $16.393,90 | 2429 / 199 | $13.852,00 | 2419 / 199 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 34 | $102.779,00 | 1545 / 46 | $32.589,60 | 1841 / 142 | $28.539,80 | 1827 / 139 |
Seizures W/O Mcc | 13 | 95 / 29 | $27.780,10 | 881 / 19 | $14.566,70 | 1309 / 102 | $12.728,40 | 1307 / 101 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 86 | 430 / 134 | $57.956,00 | 2028 / 69 | $25.010,60 | 2787 / 256 | $22.555,50 | 2742 / 253 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 68 | $33.874,00 | 1806 / 59 | $17.095,60 | 2563 / 239 | $15.544,80 | 2553 / 241 |
Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 70 | $35.120,90 | 2188 / 50 | $16.284,80 | 2816 / 218 | $14.847,00 | 2807 / 219 |
Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 73 | $37.184,40 | 1459 / 15 | $20.474,40 | 2512 / 198 | $18.714,20 | 2506 / 199 |
Syncope & Collapse | 38 | 131 / 29 | $21.293,80 | 965 / 14 | $13.860,30 | 1921 / 162 | $12.047,60 | 1913 / 162 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 13 | $220.854,00 | 187 / 1 | $90.050,50 | 452 / 27 | $85.904,50 | 451 / 25 |
Transient Ischemia | 26 | 99 / 30 | $32.124,30 | 1242 / 36 | $14.235,10 | 1663 / 145 | $12.505,60 | 1655 / 143 | Total 33 procedures | 799 | 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.