Hospital Costs > In California > Beverly Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 25 | $39.024,60 | 772 / 9 | $14.579,10 | 1575 / 78 | $13.776,80 | 1562 / 88 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 22 | $22.328,50 | 473 / 2 | $8.195,18 | 963 / 42 | $7.319,55 | 959 / 55 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 46 | $18.792,70 | 933 / 5 | $7.607,20 | 1952 / 110 | $6.642,40 | 1947 / 121 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 43 | $24.954,80 | 654 / 5 | $10.686,70 | 1686 / 75 | $9.811,09 | 1683 / 89 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 37 | $13.333,40 | 763 / 2 | $5.895,75 | 1849 / 97 | $4.890,42 | 1843 / 109 |
Cellulitis W Mcc | 11 | 47 / 23 | $22.277,70 | 175 / 1 | $12.309,00 | 842 / 46 | $11.651,50 | 840 / 55 |
Cellulitis W/O Mcc | 30 | 159 / 56 | $15.389,70 | 905 / 4 | $7.964,67 | 2405 / 128 | $7.179,07 | 2397 / 152 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 14 | 77 / 21 | $18.132,70 | 53 / 1 | $9.917,43 | 318 / 9 | $9.598,00 | 318 / 15 |
Chest Pain | 55 | 96 / 22 | $16.257,10 | 610 / 8 | $6.198,18 | 1505 / 86 | $5.285,22 | 1496 / 97 |
Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 47 | $22.881,50 | 1287 / 11 | $8.202,04 | 2126 / 87 | $7.230,19 | 2119 / 99 |
Chronic Obstructive Pulmonary Disease W Mcc | 40 | 162 / 50 | $26.742,70 | 1256 / 7 | $10.455,40 | 2325 / 119 | $9.596,58 | 2317 / 128 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 31 | $20.363,60 | 1291 / 10 | $7.069,07 | 1930 / 81 | $6.102,67 | 1919 / 90 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 50 | $30.878,20 | 558 / 4 | $9.784,18 | 1481 / 64 | $9.013,27 | 1478 / 85 |
Diabetes W Cc | 14 | 78 / 21 | $14.421,90 | 297 / 2 | $7.899,57 | 1408 / 69 | $6.946,43 | 1403 / 78 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 22 | $22.775,30 | 328 / 4 | $10.548,60 | 1259 / 66 | $9.834,41 | 1254 / 78 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 46 | $16.121,70 | 882 / 6 | $7.190,36 | 2449 / 123 | $6.217,23 | 2434 / 139 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 18 | $17.338,20 | 272 / 3 | $7.369,69 | 734 / 37 | $6.532,77 | 732 / 46 |
G.I. Hemorrhage W Cc | 22 | 196 / 69 | $21.324,50 | 876 / 5 | $9.152,77 | 2178 / 115 | $8.245,14 | 2174 / 130 |
G.I. Hemorrhage W Mcc | 16 | 105 / 40 | $37.239,50 | 599 / 4 | $14.681,30 | 1426 / 72 | $14.153,30 | 1416 / 82 |
G.I. Obstruction W Cc | 13 | 79 / 39 | $16.796,40 | 422 / 1 | $8.842,23 | 1504 / 102 | $6.756,62 | 1499 / 77 |
Heart Failure & Shock W Cc | 44 | 234 / 58 | $21.291,70 | 1327 / 11 | $9.090,59 | 2517 / 130 | $8.430,23 | 2511 / 152 |
Heart Failure & Shock W Mcc | 71 | 213 / 57 | $37.777,10 | 1545 / 21 | $13.090,50 | 2350 / 127 | $12.350,70 | 2340 / 133 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 31 | $16.925,70 | 1051 / 5 | $6.790,29 | 1839 / 85 | $5.839,43 | 1826 / 90 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 34 | $112.559,00 | 649 / 3 | $42.253,80 | 1266 / 53 | $40.662,20 | 1256 / 58 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 46 | $21.995,60 | 706 / 4 | $9.848,05 | 1760 / 95 | $9.241,65 | 1756 / 113 |
Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 57 | $15.211,50 | 969 / 2 | $7.388,57 | 2478 / 130 | $6.557,50 | 2467 / 146 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 26 | 538 / 136 | $42.425,00 | 888 / 9 | $17.387,80 | 2355 / 104 | $15.763,80 | 2310 / 124 |
Medical Back Problems W/O Mcc | 20 | 101 / 37 | $15.203,20 | 237 / 1 | $8.029,10 | 1344 / 73 | $7.062,70 | 1339 / 91 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 35 | $29.685,20 | 950 / 15 | $9.842,38 | 1463 / 80 | $9.175,04 | 1460 / 87 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 42 | $13.598,80 | 778 / 2 | $6.983,45 | 2301 / 125 | $6.089,13 | 2293 / 136 |
Other Circulatory System Diagnoses W Mcc | 17 | 99 / 33 | $37.016,50 | 402 / 3 | $15.526,60 | 1143 / 46 | $14.961,90 | 1135 / 61 |
Other Circulatory System O.R. Procedures | 14 | 41 / 13 | $26.441,40 | 14 / 1 | $20.824,10 | 321 / 8 | $20.394,40 | 321 / 11 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 30 | $18.664,20 | 333 / 1 | $8.913,50 | 1257 / 79 | $8.004,17 | 1253 / 90 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 20 | $21.101,20 | 458 / 2 | $8.944,62 | 1099 / 55 | $8.110,15 | 1096 / 59 |
Peripheral Vascular Disorders W/O Cc/Mcc | 13 | 32 / 6 | $15.644,50 | 144 / 1 | $6.746,00 | 356 / 9 | $5.726,92 | 356 / 10 |
Red Blood Cell Disorders W Mcc | 27 | 44 / 5 | $25.230,70 | 323 / 5 | $10.898,80 | 902 / 37 | $9.851,48 | 898 / 37 |
Red Blood Cell Disorders W/O Mcc | 36 | 107 / 20 | $17.890,60 | 703 / 3 | $7.665,19 | 1782 / 88 | $6.825,19 | 1773 / 95 |
Renal Failure W Cc | 14 | 207 / 74 | $24.872,90 | 1405 / 13 | $8.814,29 | 2207 / 114 | $8.119,43 | 2197 / 135 |
Renal Failure W Mcc | 19 | 176 / 67 | $27.396,10 | 601 / 5 | $12.924,90 | 1829 / 80 | $12.066,80 | 1825 / 88 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 36 | $34.301,70 | 829 / 3 | $11.828,00 | 1355 / 70 | $11.222,70 | 1350 / 85 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 56 | $47.882,00 | 1022 / 7 | $16.875,60 | 1667 / 94 | $16.202,10 | 1651 / 103 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 39 | $67.217,80 | 1088 / 13 | $19.103,60 | 1573 / 51 | $18.502,50 | 1559 / 61 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 39 | $115.140,00 | 290 / 1 | $41.442,60 | 652 / 26 | $39.827,60 | 651 / 26 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 164 | 352 / 96 | $44.520,00 | 1551 / 32 | $16.250,70 | 2510 / 154 | $15.313,90 | 2466 / 162 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 57 | $24.140,90 | 1174 / 16 | $9.538,19 | 2303 / 139 | $8.667,98 | 2294 / 159 |
Signs & Symptoms W/O Mcc | 20 | 71 / 18 | $21.096,80 | 706 / 11 | $6.834,55 | 1212 / 53 | $6.352,95 | 1209 / 72 |
Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 52 | $30.100,40 | 1951 / 30 | $9.179,76 | 2583 / 134 | $8.293,03 | 2574 / 152 |
Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 51 | $41.963,30 | 1634 / 26 | $12.473,20 | 2251 / 107 | $11.747,70 | 2245 / 121 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 33 | $19.245,60 | 1139 / 6 | $6.988,08 | 1838 / 87 | $5.982,75 | 1830 / 101 |
Syncope & Collapse | 31 | 138 / 36 | $21.385,70 | 976 / 15 | $7.147,13 | 1714 / 93 | $6.212,94 | 1706 / 101 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 12 | $259.586,00 | 265 / 5 | $88.603,20 | 463 / 24 | $87.417,80 | 462 / 28 |
Transient Ischemia | 14 | 111 / 42 | $23.439,60 | 882 / 7 | $6.938,71 | 1515 / 89 | $5.987,86 | 1507 / 104 | Total 52 procedures | 1.404 | 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.