Hospital Costs > In California > California Pacific Medical Ctr-Davies Campus Hosp, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 16 | 50 / 19 | $59.724,10 | 350 / 3 | $16.327,10 | 508 / 23 | $15.320,10 | 504 / 27 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 31 | 58 / 16 | $50.158,10 | 587 / 21 | $9.720,48 | 680 / 34 | $8.385,94 | 679 / 45 |
| Cellulitis W Mcc | 14 | 44 / 20 | $56.802,70 | 787 / 44 | $12.037,90 | 813 / 40 | $11.133,20 | 811 / 43 |
| Cellulitis W/O Mcc | 27 | 162 / 59 | $43.681,50 | 2484 / 160 | $7.733,07 | 2347 / 117 | $6.753,15 | 2339 / 133 |
| Cranio W Major Dev Impl/Acute Complex Cns Pdx W Mcc Or Chemo Implant | 13 | 29 / 9 | $349.215,00 | 172 / 9 | $56.385,30 | 169 / 9 | $55.248,90 | 169 / 9 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 13 | 85 / 20 | $172.456,00 | 399 / 13 | $35.397,30 | 410 / 18 | $34.597,80 | 410 / 21 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 11 | 63 / 15 | $104.217,00 | 222 / 6 | $25.027,30 | 194 / 14 | $16.916,20 | 193 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 98 | $43.372,60 | 2550 / 154 | $6.874,09 | 2407 / 109 | $5.964,09 | 2392 / 132 |
| Heart Failure & Shock W Cc | 13 | 265 / 87 | $51.386,10 | 2571 / 150 | $9.192,23 | 2498 / 135 | $8.308,38 | 2492 / 147 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 50 | 132 / 28 | $95.364,20 | 2063 / 174 | $12.297,10 | 1822 / 162 | $8.335,94 | 1818 / 105 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 34 | $150.906,00 | 1615 / 146 | $19.468,40 | 1565 / 129 | $18.343,30 | 1558 / 136 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 32 | $92.036,60 | 1610 / 129 | $7.499,06 | 1463 / 80 | $6.324,69 | 1459 / 91 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 92 | $45.950,90 | 2595 / 169 | $7.083,94 | 2412 / 117 | $6.193,59 | 2401 / 129 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 25 | 491 / 182 | $114.343,00 | 2726 / 218 | $19.408,20 | 2371 / 225 | $14.051,70 | 2329 / 112 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 95 | $55.624,40 | 2351 / 173 | $9.628,93 | 2275 / 140 | $8.465,36 | 2266 / 148 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 78 | $79.777,60 | 2798 / 209 | $10.363,10 | 2704 / 175 | $9.384,25 | 2695 / 186 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 51 | $145.208,00 | 1087 / 31 | $34.180,50 | 1260 / 55 | $33.099,10 | 1255 / 67 | Total 17 procedures | 335 | 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.