Hospital Costs > In California > Bakersfield Memorial 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 | 113 | 403 / 120 | $100.082,00 | 2637 / 196 | $17.886,30 | 2652 / 195 | $17.126,70 | 2607 / 207 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 107 | 457 / 83 | $77.984,50 | 2167 / 89 | $18.305,00 | 2411 / 134 | $16.329,80 | 2365 / 151 |
Chronic Obstructive Pulmonary Disease W Mcc | 72 | 130 / 20 | $51.667,30 | 2219 / 93 | $10.715,90 | 2361 / 129 | $9.900,32 | 2353 / 139 |
Heart Failure & Shock W Cc | 68 | 210 / 38 | $51.940,40 | 2575 / 152 | $9.816,75 | 2581 / 161 | $8.926,51 | 2575 / 173 |
Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 49 | $32.337,20 | 2290 / 85 | $8.010,03 | 2534 / 157 | $6.921,39 | 2523 / 162 |
Heart Failure & Shock W Mcc | 57 | 227 / 71 | $82.899,20 | 2480 / 162 | $14.214,10 | 2459 / 160 | $13.527,60 | 2448 / 170 |
Renal Failure W Cc | 48 | 173 / 40 | $51.624,30 | 2275 / 141 | $9.740,79 | 2289 / 150 | $8.845,98 | 2279 / 159 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 63 | $33.507,40 | 2304 / 94 | $7.795,15 | 2533 / 155 | $6.767,06 | 2518 / 165 |
Cellulitis W/O Mcc | 45 | 144 / 41 | $35.693,00 | 2313 / 113 | $8.505,33 | 2428 / 153 | $7.299,80 | 2420 / 162 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 67 | $59.956,00 | 2409 / 191 | $11.293,70 | 2477 / 201 | $10.339,50 | 2467 / 214 |
Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 31 | $47.355,50 | 2205 / 115 | $9.970,31 | 2257 / 159 | $8.137,00 | 2250 / 138 |
G.I. Hemorrhage W Cc | 41 | 177 / 53 | $48.454,70 | 2129 / 105 | $9.681,22 | 2188 / 137 | $8.280,32 | 2184 / 132 |
Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 49 | $45.696,90 | 2478 / 112 | $9.677,95 | 2593 / 153 | $8.354,83 | 2584 / 155 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 39 | $51.644,10 | 1775 / 83 | $10.847,30 | 1829 / 144 | $8.400,81 | 1825 / 109 |
Renal Failure W Mcc | 37 | 158 / 50 | $74.817,70 | 1957 / 115 | $13.985,60 | 1873 / 115 | $12.433,30 | 1869 / 103 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 44 | $40.048,10 | 2372 / 137 | $9.844,08 | 2355 / 185 | $6.422,33 | 2346 / 150 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 22 | $71.850,10 | 1483 / 56 | $14.615,40 | 1574 / 81 | $13.769,60 | 1561 / 87 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 29 | $56.327,80 | 1564 / 106 | $11.170,90 | 1560 / 118 | $9.961,60 | 1557 / 114 |
Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 62 | $49.631,20 | 1909 / 45 | $12.513,20 | 2226 / 109 | $11.555,40 | 2220 / 113 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 17 | $34.958,10 | 1845 / 57 | $7.539,72 | 1984 / 97 | $6.581,93 | 1973 / 105 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 24 | $107.011,00 | 1582 / 53 | $18.846,40 | 1535 / 45 | $18.059,70 | 1521 / 51 |
Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 37 | $58.407,10 | 1793 / 124 | $10.679,80 | 1762 / 125 | $9.251,72 | 1758 / 114 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 38 | $41.371,60 | 1932 / 95 | $8.132,89 | 2025 / 130 | $7.268,89 | 2020 / 146 |
Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 38 | $80.055,50 | 1708 / 52 | $16.361,90 | 1829 / 90 | $15.285,30 | 1810 / 99 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 27 | 169 / 45 | $86.480,50 | 993 / 22 | $18.057,60 | 1263 / 61 | $14.945,40 | 1256 / 53 |
Red Blood Cell Disorders W/O Mcc | 27 | 116 / 29 | $38.161,40 | 1736 / 80 | $8.512,41 | 1813 / 116 | $7.065,85 | 1804 / 110 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 27 | 161 / 34 | $53.572,20 | 1288 / 37 | $10.732,40 | 1491 / 88 | $9.084,22 | 1488 / 89 |
Other Circulatory System Diagnoses W Mcc | 24 | 92 / 26 | $86.747,00 | 1203 / 61 | $16.100,50 | 1160 / 59 | $15.213,20 | 1152 / 66 |
Diabetes W Cc | 24 | 68 / 11 | $38.230,20 | 1367 / 48 | $8.243,46 | 1475 / 79 | $7.538,12 | 1470 / 95 |
Major Small & Large Bowel Procedures W Cc | 23 | 85 / 32 | $84.344,60 | 1050 / 8 | $22.417,00 | 1274 / 65 | $18.454,00 | 1260 / 47 |
Chest Pain | 23 | 128 / 49 | $32.088,60 | 1444 / 74 | $6.781,04 | 1583 / 109 | $6.004,00 | 1574 / 117 |
Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 19 | $174.136,00 | 939 / 42 | $28.053,00 | 880 / 32 | $26.945,50 | 879 / 36 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 25 | $36.911,60 | 1288 / 38 | $8.195,61 | 1454 / 101 | $6.231,74 | 1450 / 88 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 49 | $131.906,00 | 1597 / 137 | $16.607,00 | 1480 / 104 | $15.512,70 | 1473 / 110 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 32 | $51.713,60 | 1566 / 59 | $11.171,60 | 1720 / 94 | $10.127,30 | 1717 / 97 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 45 | $299.502,00 | 1510 / 113 | $56.139,90 | 1387 / 128 | $44.944,70 | 1377 / 85 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 29 | $24.231,80 | 1597 / 36 | $6.435,15 | 1894 / 114 | $5.350,35 | 1888 / 122 |
G.I. Hemorrhage W Mcc | 19 | 102 / 37 | $107.567,00 | 1592 / 130 | $17.901,60 | 1581 / 133 | $16.961,10 | 1571 / 133 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 53 | $119.139,00 | 1727 / 117 | $17.465,00 | 1683 / 104 | $16.698,70 | 1667 / 111 |
G.I. Obstruction W Cc | 18 | 74 / 34 | $35.982,10 | 1369 / 43 | $8.846,33 | 1646 / 103 | $8.105,00 | 1641 / 118 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 27 | $43.039,40 | 1844 / 85 | $7.414,78 | 1863 / 102 | $6.277,00 | 1855 / 107 |
Seizures W/O Mcc | 18 | 90 / 24 | $37.954,40 | 1103 / 41 | $7.854,33 | 1198 / 67 | $7.047,22 | 1196 / 75 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 17 | 81 / 16 | $151.066,00 | 352 / 5 | $34.319,80 | 380 / 13 | $33.258,10 | 380 / 16 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 39 | $298.552,00 | 995 / 91 | $51.858,50 | 756 / 90 | $42.282,90 | 755 / 41 |
Syncope & Collapse | 16 | 153 / 51 | $33.264,50 | 1536 / 56 | $7.709,50 | 1785 / 115 | $6.774,25 | 1777 / 125 |
Peripheral Vascular Disorders W Cc | 16 | 68 / 17 | $42.528,90 | 1053 / 43 | $9.343,81 | 1141 / 62 | $8.591,81 | 1138 / 72 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 33 | $66.711,30 | 1307 / 62 | $12.077,10 | 1364 / 78 | $11.439,20 | 1359 / 87 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 27 | $119.148,00 | 657 / 13 | $26.603,30 | 764 / 40 | $23.007,50 | 759 / 17 |
Other Vascular Procedures W Mcc | 15 | 82 / 27 | $152.616,00 | 873 / 44 | $26.550,10 | 812 / 29 | $25.986,90 | 809 / 42 |
Medical Back Problems W/O Mcc | 15 | 106 / 42 | $35.711,00 | 1161 / 42 | $8.392,53 | 1362 / 86 | $7.268,27 | 1357 / 94 |
Signs & Symptoms W/O Mcc | 15 | 76 / 23 | $36.004,30 | 1152 / 40 | $7.977,73 | 1191 / 77 | $6.120,33 | 1188 / 67 |
Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 26 | $70.992,00 | 871 / 35 | $11.096,70 | 858 / 51 | $8.258,50 | 855 / 42 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 20 | $265.748,00 | 884 / 48 | $45.315,00 | 866 / 53 | $43.732,90 | 865 / 55 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 14 | $45.098,10 | 523 / 24 | $8.865,62 | 578 / 37 | $8.122,23 | 577 / 41 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 16 | $39.355,20 | 913 / 41 | $7.275,23 | 920 / 45 | $6.151,15 | 916 / 53 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $65.363,00 | 1328 / 85 | $12.858,10 | 1393 / 109 | $12.112,20 | 1388 / 119 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 29 | $58.768,00 | 1354 / 101 | $9.465,62 | 1303 / 92 | $8.535,15 | 1299 / 100 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 13 | 63 / 23 | $70.250,20 | 414 / 30 | $15.826,20 | 451 / 34 | $15.361,00 | 451 / 43 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 22 | $72.575,10 | 647 / 50 | $14.429,90 | 614 / 36 | $13.723,20 | 613 / 43 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 18 | $260.832,00 | 586 / 23 | $43.436,20 | 533 / 16 | $42.630,90 | 532 / 23 |
Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 23 | $136.052,00 | 906 / 61 | $21.766,70 | 854 / 41 | $20.862,70 | 850 / 49 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 21 | $37.727,50 | 853 / 21 | $8.713,92 | 995 / 56 | $7.804,58 | 991 / 66 |
Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 54 | $167.878,00 | 1186 / 49 | $31.630,70 | 1090 / 34 | $27.946,20 | 1085 / 32 |
Transient Ischemia | 12 | 113 / 44 | $39.786,00 | 1430 / 69 | $8.380,08 | 1509 / 123 | $5.941,33 | 1501 / 102 |
Other Vascular Procedures W Cc | 12 | 90 / 32 | $100.760,00 | 848 / 20 | $20.632,70 | 963 / 29 | $19.928,70 | 958 / 35 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 13 | $507.101,00 | 514 / 31 | $89.809,50 | 469 / 26 | $88.909,90 | 468 / 30 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 10 | $35.962,70 | 791 / 15 | $6.930,27 | 821 / 29 | $6.109,91 | 819 / 30 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 8 | $106.097,00 | 506 / 9 | $15.743,10 | 512 / 9 | $14.296,20 | 510 / 10 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 25 | $55.334,30 | 1251 / 57 | $10.052,30 | 1330 / 75 | $9.173,73 | 1328 / 82 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 23 | $67.254,40 | 769 / 25 | $13.047,90 | 789 / 30 | $11.954,10 | 786 / 35 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 23 | $94.713,30 | 517 / 23 | $16.097,60 | 499 / 21 | $14.995,10 | 495 / 24 | Total 71 procedures | 1.909 | 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.