Hospital Costs > In California > Barton Memorial Hospital, 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 | 13 | 176 / 73 | $31.725,40 | 2190 / 84 | $9.077,69 | 2509 / 176 | $8.126,31 | 2501 / 181 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 61 | $35.358,80 | 1926 / 50 | $13.112,00 | 2055 / 185 | $6.905,17 | 2048 / 80 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 98 | $28.524,50 | 2095 / 62 | $9.997,82 | 2468 / 200 | $6.322,36 | 2453 / 147 |
| G.I. Hemorrhage W Cc | 14 | 204 / 77 | $37.129,30 | 1859 / 53 | $11.010,00 | 2269 / 171 | $9.000,79 | 2265 / 156 |
| Heart Failure & Shock W Cc | 27 | 251 / 73 | $35.206,00 | 2189 / 65 | $11.244,10 | 2630 / 192 | $9.591,04 | 2624 / 188 |
| Heart Failure & Shock W Mcc | 12 | 272 / 110 | $49.760,30 | 1982 / 58 | $16.298,60 | 2552 / 191 | $15.495,90 | 2541 / 200 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 95 | $37.299,10 | 2438 / 129 | $8.354,71 | 2585 / 170 | $7.490,71 | 2574 / 178 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 87 | 477 / 94 | $93.727,00 | 2397 / 138 | $24.708,30 | 2645 / 213 | $21.713,40 | 2599 / 220 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 28 | 488 / 180 | $65.574,40 | 2212 / 93 | $20.678,70 | 2688 / 237 | $17.885,30 | 2643 / 220 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 97 | $44.291,80 | 2153 / 117 | $11.666,20 | 2406 / 206 | $9.503,00 | 2396 / 190 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 69 | $31.972,40 | 2055 / 37 | $11.429,10 | 2683 / 193 | $9.103,62 | 2674 / 177 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 33 | $38.337,60 | 1777 / 68 | $8.512,17 | 1825 / 122 | $5.872,58 | 1817 / 99 | Total 12 procedures | 263 | 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.