Hospital Costs > In California > Bakersfield Heart Hospital, 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 | 123 | 393 / 114 | $75.259,40 | 2362 / 120 | $12.367,20 | 1739 / 12 | $11.573,20 | 1706 / 19 |
Heart Failure & Shock W Mcc | 122 | 162 / 19 | $60.698,90 | 2206 / 95 | $10.596,40 | 1867 / 20 | $9.945,60 | 1862 / 28 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 90 | 106 / 9 | $80.339,80 | 872 / 14 | $14.481,30 | 1025 / 7 | $12.708,80 | 1018 / 12 |
Heart Failure & Shock W Cc | 85 | 193 / 25 | $42.553,20 | 2402 / 101 | $6.965,36 | 1859 / 19 | $6.242,54 | 1854 / 27 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 85 | 479 / 96 | $53.156,80 | 1427 / 32 | $10.467,00 | 55 / 1 | $9.071,73 | 55 / 1 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 69 | 119 / 5 | $52.582,00 | 1265 / 36 | $7.702,57 | 1089 / 4 | $6.652,13 | 1086 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 46 | 156 / 44 | $46.902,90 | 2114 / 63 | $8.142,61 | 1776 / 13 | $7.381,57 | 1768 / 16 |
Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 47 | $73.211,00 | 2274 / 122 | $11.721,40 | 2164 / 76 | $11.022,90 | 2159 / 93 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 39 | 84 / 15 | $47.431,10 | 1485 / 41 | $8.519,92 | 1285 / 8 | $7.869,26 | 1282 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 72 | $37.430,20 | 2411 / 117 | $5.360,32 | 1754 / 11 | $4.407,05 | 1741 / 24 |
Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 74 | $37.892,30 | 2453 / 133 | $5.443,31 | 1524 / 10 | $4.371,77 | 1513 / 15 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 38 | $44.723,40 | 2157 / 102 | $6.646,51 | 1659 / 10 | $5.781,60 | 1652 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 32 | $34.073,70 | 1775 / 56 | $5.637,21 | 1361 / 12 | $4.747,79 | 1356 / 15 |
Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 56 | $48.334,10 | 2528 / 130 | $7.742,29 | 1842 / 47 | $5.920,74 | 1834 / 18 |
G.I. Hemorrhage W Cc | 32 | 186 / 59 | $39.825,20 | 1950 / 72 | $6.967,66 | 1600 / 8 | $6.161,16 | 1596 / 19 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 29 | 71 / 13 | $98.453,00 | 469 / 8 | $21.635,20 | 574 / 2 | $20.532,90 | 570 / 3 |
Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 37 | $46.400,10 | 1629 / 80 | $7.502,03 | 1159 / 8 | $6.670,03 | 1155 / 12 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 38 | $175.891,00 | 1156 / 32 | $34.819,50 | 904 / 13 | $34.050,90 | 898 / 17 |
Chest Pain | 27 | 124 / 45 | $34.231,20 | 1486 / 83 | $4.416,19 | 887 / 6 | $3.385,07 | 882 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 83 | $52.085,60 | 2299 / 160 | $7.214,19 | 1565 / 18 | $6.373,58 | 1558 / 24 |
Renal Failure W Cc | 25 | 196 / 63 | $35.849,90 | 1926 / 56 | $6.472,84 | 1425 / 6 | $5.648,52 | 1416 / 14 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 28 | $70.389,90 | 1464 / 55 | $12.289,30 | 1291 / 23 | $11.484,00 | 1281 / 24 |
Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 18 | $101.612,00 | 595 / 8 | $23.056,20 | 656 / 4 | $21.996,20 | 655 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 25 | $28.071,20 | 1705 / 53 | $4.089,88 | 1310 / 9 | $3.181,88 | 1305 / 16 |
Cellulitis W/O Mcc | 21 | 168 / 65 | $42.833,10 | 2471 / 156 | $5.907,24 | 1617 / 12 | $4.866,48 | 1610 / 15 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 21 | 72 / 12 | $84.267,00 | 688 / 12 | $14.158,10 | 497 / 1 | $12.903,50 | 491 / 2 |
Renal Failure W Mcc | 20 | 175 / 66 | $44.396,60 | 1429 / 32 | $10.189,20 | 1239 / 4 | $9.525,25 | 1239 / 7 |
Other Circulatory System Diagnoses W Mcc | 20 | 96 / 30 | $81.179,80 | 1155 / 49 | $13.839,80 | 907 / 13 | $12.769,80 | 901 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 39 | $44.942,60 | 1401 / 66 | $7.789,70 | 1087 / 6 | $7.306,50 | 1084 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 59 | $30.761,80 | 2158 / 85 | $5.088,90 | 1599 / 13 | $4.178,50 | 1594 / 18 |
Syncope & Collapse | 19 | 150 / 48 | $43.488,70 | 1754 / 98 | $5.245,05 | 1217 / 9 | $4.416,42 | 1210 / 16 |
Transient Ischemia | 18 | 107 / 38 | $42.950,50 | 1484 / 88 | $5.059,00 | 1010 / 7 | $4.059,89 | 1005 / 12 |
G.I. Hemorrhage W Mcc | 18 | 103 / 38 | $66.077,40 | 1281 / 58 | $12.054,50 | 996 / 8 | $11.249,20 | 989 / 10 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 39 | $34.344,30 | 1644 / 58 | $5.755,94 | 1285 / 5 | $4.971,00 | 1277 / 14 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 55 | $65.294,30 | 1351 / 34 | $12.708,00 | 1148 / 8 | $12.280,70 | 1134 / 11 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 29 | $36.680,50 | 1887 / 67 | $5.095,00 | 1318 / 6 | $4.101,12 | 1307 / 11 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 16 | $203.027,00 | 756 / 24 | $37.053,20 | 681 / 11 | $36.520,60 | 680 / 16 |
Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 18 | $84.662,50 | 661 / 20 | $17.898,10 | 626 / 3 | $17.043,50 | 625 / 9 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 36 | $80.801,80 | 1312 / 24 | $15.792,10 | 1182 / 4 | $15.010,90 | 1169 / 6 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 59 | $51.387,90 | 1781 / 46 | $8.584,75 | 1500 / 8 | $7.836,75 | 1495 / 11 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 40 | $199.875,00 | 748 / 37 | $38.787,80 | 578 / 9 | $38.224,70 | 577 / 16 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 15 | $69.098,00 | 650 / 16 | $11.524,70 | 643 / 5 | $10.556,10 | 641 / 12 |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 22 | $51.322,90 | 1197 / 46 | $8.494,50 | 788 / 36 | $6.091,86 | 786 / 5 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 18 | $46.199,20 | 778 / 24 | $8.792,31 | 639 / 1 | $7.957,85 | 635 / 4 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 32 | $43.986,90 | 1859 / 90 | $5.091,08 | 1376 / 9 | $4.165,54 | 1368 / 15 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 33 | $37.974,50 | 1871 / 74 | $4.908,00 | 1143 / 8 | $3.900,00 | 1134 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 62 | $56.621,50 | 1832 / 98 | $7.468,50 | 1351 / 11 | $6.463,17 | 1348 / 15 |
Other Vascular Procedures W Cc | 12 | 90 / 32 | $74.539,90 | 584 / 4 | $17.347,50 | 716 / 4 | $16.539,50 | 712 / 7 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 21 | $36.226,20 | 937 / 24 | $6.559,50 | 595 / 4 | $5.551,50 | 592 / 4 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 31 | $42.280,50 | 1163 / 53 | $6.878,91 | 895 / 5 | $6.108,00 | 891 / 14 |
Major Cardiovasc Procedures W Mcc | 11 | 57 / 19 | $153.064,00 | 361 / 2 | $32.979,60 | 251 / 2 | $31.769,50 | 251 / 3 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 37 | $62.647,80 | 1275 / 56 | $10.066,50 | 1123 / 23 | $9.190,82 | 1118 / 26 | Total 52 procedures | 1.593 | 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.