Hospital Costs > In California > California Pacific Medical Ctr - St. Luke's Campus, 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 | 64 | 452 / 152 | $90.449,20 | 2550 / 173 | $19.062,30 | 2698 / 215 | $18.004,50 | 2653 / 223 |
| Heart Failure & Shock W Cc | 33 | 245 / 68 | $58.896,80 | 2658 / 181 | $11.116,40 | 2658 / 189 | $10.066,30 | 2652 / 196 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 65 | $61.654,00 | 2713 / 172 | $12.313,60 | 2773 / 203 | $11.337,90 | 2764 / 206 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 87 | $33.035,40 | 2314 / 92 | $8.895,09 | 2604 / 185 | $7.751,23 | 2593 / 185 |
| Heart Failure & Shock W Mcc | 20 | 264 / 102 | $105.973,00 | 2581 / 199 | $21.228,20 | 2615 / 220 | $20.093,80 | 2604 / 223 |
| Renal Failure W Cc | 20 | 201 / 68 | $45.232,80 | 2164 / 105 | $10.825,80 | 2354 / 173 | $9.791,75 | 2344 / 175 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 19 | 188 / 90 | $41.050,80 | 2066 / 100 | $11.788,20 | 2488 / 209 | $10.707,00 | 2478 / 217 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 60 | $48.004,30 | 2476 / 168 | $9.023,42 | 2467 / 174 | $7.983,84 | 2458 / 181 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 91 | $41.441,90 | 2501 / 142 | $8.851,42 | 2636 / 185 | $7.900,95 | 2621 / 198 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 143 | $99.354,30 | 2470 / 158 | $22.104,80 | 2630 / 198 | $20.875,10 | 2584 / 218 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 73 | $58.928,00 | 2338 / 118 | $12.564,90 | 2490 / 169 | $11.499,80 | 2482 / 178 |
| G.I. Hemorrhage W Cc | 15 | 203 / 76 | $53.412,60 | 2228 / 128 | $10.753,60 | 2339 / 167 | $9.889,00 | 2335 / 177 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 58 | $41.113,80 | 2098 / 84 | $10.047,10 | 2346 / 161 | $9.107,27 | 2339 / 165 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 48 | $84.152,90 | 1712 / 150 | $20.885,10 | 1697 / 166 | $12.962,50 | 1693 / 152 |
| Syncope & Collapse | 11 | 158 / 56 | $40.380,30 | 1703 / 88 | $8.687,09 | 1851 / 136 | $7.864,45 | 1843 / 140 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 55 | $43.014,30 | 1963 / 105 | $9.292,73 | 2090 / 157 | $8.340,18 | 2085 / 160 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 80 | $72.869,50 | 2272 / 121 | $14.884,60 | 2427 / 170 | $13.905,00 | 2421 / 175 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 44 | $269.819,00 | 943 / 73 | $58.985,50 | 1038 / 116 | $57.686,10 | 1037 / 119 | Total 18 procedures | 361 | 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.