Hospital Costs > In California > California Hospital Medical Center La, 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 | 22 | 167 / 64 | $27.116,10 | 1997 / 48 | $15.547,50 | 2637 / 220 | $14.608,00 | 2629 / 223 |
| Chest Pain | 11 | 140 / 61 | $26.079,80 | 1252 / 43 | $13.678,30 | 1708 / 154 | $12.924,10 | 1699 / 155 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 62 | $22.558,50 | 1257 / 10 | $15.891,90 | 2444 / 191 | $15.285,90 | 2437 / 194 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 35 | $33.630,50 | 1811 / 50 | $14.669,60 | 2112 / 139 | $13.710,50 | 2100 / 140 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 45 | $43.553,20 | 1038 / 14 | $17.481,90 | 1640 / 131 | $16.691,20 | 1637 / 132 |
| Heart Failure & Shock W Cc | 27 | 251 / 73 | $34.207,40 | 2148 / 56 | $16.701,40 | 2754 / 223 | $15.715,60 | 2748 / 224 |
| Heart Failure & Shock W Mcc | 30 | 254 / 92 | $47.643,60 | 1927 / 49 | $20.793,80 | 2611 / 218 | $19.914,00 | 2600 / 220 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 49 | $150.827,00 | 1025 / 23 | $48.806,90 | 1451 / 97 | $47.777,80 | 1441 / 102 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 51 | $53.146,90 | 1792 / 87 | $17.648,60 | 2079 / 183 | $16.548,50 | 2074 / 183 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 57 | $111.528,00 | 1555 / 119 | $25.947,40 | 1626 / 152 | $24.768,90 | 1619 / 159 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 34 | $36.267,90 | 1271 / 33 | $14.117,90 | 1608 / 126 | $12.722,80 | 1604 / 127 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 94 | $23.689,10 | 1904 / 34 | $14.982,00 | 2718 / 223 | $13.847,70 | 2707 / 223 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 141 | $90.423,00 | 2364 / 130 | $27.181,60 | 2677 / 220 | $25.854,40 | 2631 / 229 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 42 | $35.986,40 | 1198 / 33 | $17.541,20 | 1734 / 161 | $16.748,00 | 1730 / 164 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 36 | $71.831,70 | 1073 / 37 | $26.124,10 | 1386 / 126 | $25.146,90 | 1378 / 131 |
| Other Vascular Procedures W Mcc | 16 | 81 / 26 | $98.577,10 | 587 / 12 | $34.480,80 | 960 / 70 | $33.386,70 | 957 / 70 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 30 | $135.775,00 | 757 / 23 | $32.914,80 | 993 / 76 | $32.055,80 | 988 / 82 |
| Renal Failure W Cc | 20 | 201 / 68 | $36.490,60 | 1944 / 59 | $16.716,70 | 2436 / 200 | $15.780,80 | 2426 / 202 |
| Renal Failure W Mcc | 25 | 170 / 61 | $43.457,80 | 1396 / 27 | $21.255,10 | 2152 / 183 | $20.277,70 | 2148 / 188 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $61.828,30 | 949 / 8 | $27.494,10 | 1830 / 129 | $26.548,50 | 1816 / 134 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 42 | $149.889,00 | 522 / 9 | $55.657,90 | 1010 / 107 | $54.593,50 | 1009 / 112 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 68 | 448 / 150 | $62.313,90 | 2141 / 78 | $24.223,10 | 2794 / 252 | $23.258,50 | 2749 / 255 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 89 | $31.606,60 | 1712 / 45 | $17.494,80 | 2568 / 241 | $16.460,80 | 2558 / 243 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 14 | 32 / 9 | $42.688,20 | 194 / 11 | $16.873,70 | 257 / 32 | $15.754,90 | 257 / 32 | Total 24 procedures | 461 | 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.