Hospital Costs > In California > Centinela Hospital Medical Center, 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 Cc | 24 | 67 / 12 | $54.375,10 | 1235 / 54 | $8.927,54 | 1246 / 52 | $8.101,96 | 1244 / 64 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 81 | 44 / 3 | $83.184,10 | 1584 / 80 | $13.533,80 | 1491 / 45 | $12.829,00 | 1479 / 52 |
| Allergic Reactions W/O Mcc | 11 | 11 / 1 | $27.329,50 | 20 / 1 | $4.967,27 | 16 / 1 | $4.088,73 | 16 / 1 |
| Angina Pectoris | 12 | 13 / 5 | $30.651,10 | 52 / 4 | $5.343,83 | 55 / 4 | $4.237,17 | 55 / 5 |
| Atherosclerosis W Mcc | 13 | 8 / 4 | $41.912,40 | 16 / 3 | $8.717,62 | 15 / 2 | $8.111,38 | 15 / 2 |
| Atherosclerosis W/O Mcc | 18 | 40 / 8 | $31.666,30 | 464 / 20 | $5.583,67 | / 17 | $4.573,67 | / |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 12 | $44.545,40 | 957 / 38 | $7.552,29 | 899 / 31 | $6.529,67 | 895 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 53 | 108 / 14 | $36.291,50 | 1831 / 68 | $6.956,28 | 1867 / 79 | $6.135,75 | 1862 / 95 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 52 | 71 / 7 | $53.288,00 | 1592 / 64 | $9.919,02 | 1593 / 47 | $9.166,29 | 1590 / 62 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W Mcc | 11 | 17 / 3 | $220.133,00 | 50 / 1 | $52.367,10 | 51 / 2 | $51.292,20 | 51 / 2 |
| Cellulitis W Mcc | 14 | 44 / 20 | $67.701,20 | 857 / 56 | $11.872,90 | 809 / 34 | $11.104,70 | 807 / 42 |
| Cellulitis W/O Mcc | 32 | 157 / 54 | $36.126,50 | 2322 / 116 | $7.265,62 | 2236 / 83 | $6.252,28 | 2228 / 105 |
| Cervical Spinal Fusion W Mcc | 16 | 6 / 2 | $240.016,00 | 31 / 1 | $37.289,90 | 22 / 1 | $36.641,30 | 22 / 1 |
| Chest Pain | 142 | 26 / 1 | $30.816,30 | 1407 / 68 | $5.851,11 | 1392 / 74 | $4.627,65 | 1384 / 76 |
| Chronic Obstructive Pulmonary Disease W Cc | 63 | 116 / 14 | $40.439,50 | 2075 / 77 | $7.954,24 | 2124 / 76 | $7.224,70 | 2117 / 98 |
| Chronic Obstructive Pulmonary Disease W Mcc | 90 | 112 / 10 | $49.375,60 | 2169 / 76 | $9.687,28 | 2185 / 77 | $8.743,17 | 2177 / 81 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 50 | 70 / 3 | $36.861,80 | 1891 / 68 | $6.411,28 | 1845 / 52 | $5.591,12 | 1834 / 69 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 16 | $103.276,00 | 780 / 24 | $16.577,80 | 727 / 19 | $15.901,50 | 720 / 25 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 38 | $55.554,70 | 1322 / 41 | $9.145,00 | 1411 / 41 | $8.296,17 | 1408 / 65 |
| Cranial & Peripheral Nerve Disorders W Mcc | 70 | 1 / 1 | $41.921,10 | 100 / 8 | $10.729,40 | 109 / 7 | $9.861,84 | 109 / 7 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 114 | 3 / 1 | $35.727,60 | 545 / 18 | $7.683,25 | 556 / 22 | $6.507,24 | 556 / 20 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 19 | $259.120,00 | 475 / 31 | $34.201,90 | 376 / 12 | $33.199,10 | 376 / 15 |
| Degenerative Nervous System Disorders W Mcc | 16 | 22 / 3 | $48.934,90 | 137 / 2 | $13.211,40 | 149 / 4 | $12.613,40 | 149 / 5 |
| Diabetes W Cc | 31 | 61 / 7 | $42.338,90 | 1447 / 64 | $7.232,65 | 1377 / 45 | $6.643,97 | 1372 / 68 |
| Diabetes W Mcc | 50 | 9 / 1 | $47.058,00 | 529 / 13 | $11.125,10 | 584 / 18 | $10.450,20 | 583 / 22 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 24 | $69.410,80 | 411 / 29 | $14.735,90 | 399 / 23 | $14.092,00 | 399 / 27 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 12 | $41.345,60 | 806 / 25 | $7.819,69 | 794 / 20 | $6.795,69 | 791 / 25 |
| Disorders Of Pancreas Except Malignancy W Mcc | 24 | 22 / 2 | $56.542,90 | 241 / 12 | $13.761,70 | 246 / 10 | $13.008,10 | 246 / 12 |
| Disorders Of The Biliary Tract W Cc | 14 | 40 / 10 | $41.207,60 | 331 / 5 | $8.863,50 | 365 / 12 | $7.877,93 | 365 / 15 |
| Disorders Of The Biliary Tract W Mcc | 23 | 16 / 3 | $54.845,60 | 176 / 4 | $12.934,10 | 176 / 6 | $12.117,00 | 176 / 6 |
| Dysequilibrium | 11 | 54 / 16 | $32.743,40 | 444 / 12 | $5.727,82 | 481 / 16 | $4.942,09 | 481 / 25 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 25 | 56 / 8 | $662.420,00 | 358 / 8 | $130.028,00 | 299 / 4 | $128.950,00 | 298 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 66 | 30 / 1 | $41.752,40 | 993 / 29 | $9.898,02 | 1189 / 46 | $9.223,47 | 1184 / 56 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 150 | 125 / 6 | $30.084,40 | 2170 / 72 | $6.602,27 | 2353 / 85 | $5.716,76 | 2338 / 113 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 14 | $241.638,00 | 688 / 33 | $37.479,40 | 580 / 19 | $36.384,60 | 580 / 20 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 18 | $36.632,40 | 686 / 27 | $6.714,38 | 692 / 26 | $5.879,92 | 690 / 38 |
| G.I. Hemorrhage W Cc | 61 | 157 / 35 | $49.897,10 | 2162 / 115 | $8.514,44 | 2061 / 76 | $7.558,05 | 2057 / 87 |
| G.I. Hemorrhage W Mcc | 62 | 59 / 5 | $64.909,50 | 1264 / 52 | $13.513,20 | 1235 / 38 | $12.446,40 | 1227 / 38 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 17 | $37.498,20 | 899 / 40 | $6.213,75 | 824 / 29 | $5.080,08 | 820 / 34 |
| G.I. Obstruction W Cc | 20 | 72 / 32 | $38.485,20 | 1426 / 53 | $7.573,20 | 1455 / 58 | $6.491,30 | 1450 / 65 |
| G.I. Obstruction W Mcc | 21 | 21 / 3 | $77.098,90 | 477 / 27 | $12.632,30 | 405 / 17 | $11.829,30 | 405 / 18 |
| Heart Failure & Shock W Cc | 107 | 171 / 11 | $41.178,00 | 2359 / 92 | $8.364,40 | 2351 / 93 | $7.566,50 | 2345 / 102 |
| Heart Failure & Shock W Mcc | 286 | 35 / 1 | $62.606,10 | 2236 / 101 | $12.291,40 | 2173 / 87 | $11.130,50 | 2163 / 83 |
| Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 13 | $36.603,90 | 1845 / 70 | $6.053,38 | 1748 / 50 | $5.309,68 | 1735 / 70 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 55 | $126.269,00 | 2012 / 130 | $15.279,70 | 1749 / 54 | $14.416,70 | 1730 / 73 |
| Hypertension W/O Mcc | 44 | 21 / 1 | $31.184,00 | 647 / 9 | $5.836,45 | 631 / 11 | $4.608,45 | 629 / 11 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 77 | 47 / 4 | $258.580,00 | 1436 / 82 | $40.587,50 | 1230 / 42 | $39.547,20 | 1220 / 54 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 45 | 137 / 33 | $50.431,60 | 1753 / 77 | $8.929,89 | 1773 / 64 | $8.065,11 | 1769 / 89 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 87 | 81 / 4 | $72.277,00 | 1287 / 55 | $13.526,80 | 1267 / 42 | $12.705,60 | 1261 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 36 | $31.876,80 | 1160 / 18 | $6.642,50 | 1420 / 48 | $5.938,50 | 1416 / 78 |
| Kidney & Urinary Tract Infections W Mcc | 62 | 82 / 11 | $46.536,10 | 1631 / 81 | $9.336,66 | 1683 / 73 | $8.555,71 | 1679 / 84 |
| Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 69 | $32.374,90 | 2293 / 88 | $6.752,42 | 2322 / 93 | $5.835,48 | 2311 / 104 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 21 | $235.080,00 | 912 / 51 | $24.817,80 | 782 / 24 | $23.877,80 | 779 / 30 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 32 | 532 / 131 | $212.258,00 | 2697 / 236 | $16.853,00 | 2337 / 87 | $15.614,20 | 2292 / 117 |
| Medical Back Problems W Mcc | 14 | 25 / 6 | $50.877,60 | 215 / 5 | $11.419,40 | 206 / 8 | $10.689,10 | 206 / 8 |
| Medical Back Problems W/O Mcc | 30 | 91 / 28 | $37.409,50 | 1198 / 46 | $7.267,90 | 1254 / 54 | $6.334,47 | 1250 / 70 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 72 | 54 / 7 | $43.190,20 | 1369 / 60 | $9.346,85 | 1372 / 63 | $8.481,90 | 1369 / 68 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 55 | 111 / 27 | $33.514,20 | 2224 / 97 | $6.320,98 | 2145 / 87 | $5.358,00 | 2137 / 90 |
| Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 12 | $38.288,50 | 357 / 11 | $8.365,86 | 390 / 14 | $7.415,00 | 390 / 14 |
| Nonspecific Cerebrovascular Disorders W Mcc | 44 | 9 / 1 | $59.642,00 | 307 / 15 | $13.016,80 | 321 / 13 | $12.336,30 | 321 / 16 |
| Other Circulatory System Diagnoses W Cc | 16 | 50 / 10 | $37.621,80 | 518 / 9 | $8.144,88 | 536 / 12 | $7.301,25 | 535 / 13 |
| Other Circulatory System Diagnoses W Mcc | 68 | 48 / 3 | $65.432,30 | 994 / 26 | $14.578,30 | 1009 / 29 | $13.611,70 | 1002 / 32 |
| Other Circulatory System O.R. Procedures | 21 | 34 / 6 | $125.711,00 | 391 / 21 | $20.650,60 | 294 / 7 | $19.593,10 | 294 / 7 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 21 | $46.717,00 | 1222 / 68 | $8.260,24 | 1193 / 57 | $7.410,90 | 1189 / 70 |
| Other Digestive System Diagnoses W Mcc | 30 | 32 / 5 | $62.351,50 | 575 / 32 | $13.301,90 | 548 / 25 | $12.453,30 | 547 / 28 |
| Other Disorders Of Nervous System W Mcc | 19 | 21 / 4 | $68.434,50 | 266 / 14 | $12.745,20 | 231 / 12 | $11.632,90 | 231 / 13 |
| Other Resp System O.R. Procedures W Mcc | 17 | 46 / 2 | $185.327,00 | 536 / 10 | $27.381,20 | 448 / 5 | $26.510,50 | 447 / 7 |
| Other Respiratory System Diagnoses W Mcc | 12 | 24 / 5 | $45.564,80 | 47 / 3 | $11.171,40 | 43 / 2 | $10.356,20 | 43 / 2 |
| Other Respiratory System Diagnoses W/O Mcc | 31 | 16 / 3 | $30.635,80 | 232 / 6 | $6.953,58 | 245 / 7 | $6.018,35 | 245 / 9 |
| Other Vascular Procedures W Cc | 47 | 55 / 4 | $159.189,00 | 1085 / 58 | $19.870,20 | 909 / 20 | $18.900,60 | 904 / 25 |
| Other Vascular Procedures W Mcc | 68 | 29 / 2 | $167.330,00 | 922 / 61 | $24.544,50 | 703 / 13 | $23.686,80 | 700 / 15 |
| Other Vascular Procedures W/O Cc/Mcc | 19 | 37 / 8 | $150.727,00 | 548 / 21 | $14.449,00 | 484 / 10 | $13.355,80 | 483 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 18 | $152.329,00 | 836 / 37 | $24.439,00 | 802 / 16 | $23.749,50 | 797 / 28 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 48 | 148 / 25 | $106.953,00 | 1229 / 53 | $18.820,90 | 1256 / 76 | $14.807,40 | 1249 / 49 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 13 | 41 / 6 | $188.579,00 | 262 / 11 | $23.313,00 | 185 / 3 | $23.017,40 | 185 / 6 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 15 | 80 / 15 | $111.711,00 | 501 / 18 | $15.622,40 | 470 / 13 | $14.577,10 | 466 / 21 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 11 | $39.616,40 | 1009 / 34 | $7.983,00 | 1000 / 28 | $7.213,55 | 997 / 37 |
| Peripheral Vascular Disorders W Mcc | 17 | 32 / 5 | $59.245,60 | 481 / 12 | $10.744,20 | 440 / 11 | $10.090,90 | 440 / 15 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 26 | 46 / 10 | $48.728,00 | 693 / 18 | $11.441,00 | 788 / 31 | $10.696,40 | 786 / 39 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 13 | $31.093,20 | 767 / 15 | $5.848,00 | 724 / 19 | $4.941,33 | 723 / 23 |
| Pulmonary Edema & Respiratory Failure | 113 | 90 / 5 | $61.450,30 | 1953 / 79 | $10.052,50 | 1883 / 50 | $9.272,92 | 1877 / 62 |
| Pulmonary Embolism W Mcc | 14 | 29 / 6 | $96.230,90 | 560 / 21 | $11.923,10 | 504 / 15 | $11.474,90 | 503 / 18 |
| Red Blood Cell Disorders W Mcc | 71 | 7 / 1 | $44.245,10 | 744 / 21 | $10.307,50 | 848 / 27 | $9.439,39 | 844 / 27 |
| Red Blood Cell Disorders W/O Mcc | 58 | 85 / 6 | $34.972,60 | 1662 / 61 | $7.125,19 | 1591 / 69 | $5.809,21 | 1582 / 51 |
| Renal Failure W Cc | 72 | 149 / 19 | $45.228,90 | 2163 / 104 | $8.223,65 | 2087 / 84 | $7.420,93 | 2077 / 98 |
| Renal Failure W Mcc | 202 | 17 / 1 | $59.326,00 | 1752 / 75 | $12.139,80 | 1740 / 55 | $11.411,30 | 1737 / 64 |
| Respiratory Infections & Inflammations W Mcc | 48 | 88 / 28 | $89.806,10 | 1588 / 79 | $15.230,40 | 1529 / 57 | $14.454,50 | 1513 / 64 |
| Respiratory Neoplasms W Mcc | 15 | 37 / 11 | $71.927,70 | 513 / 11 | $13.630,10 | 537 / 13 | $13.236,10 | 534 / 22 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 51 | 80 / 7 | $109.917,00 | 1609 / 61 | $17.709,70 | 1434 / 24 | $16.772,30 | 1420 / 31 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 28 | 43 / 6 | $225.811,00 | 815 / 32 | $37.828,30 | 686 / 13 | $36.606,90 | 685 / 17 |
| Seizures W Mcc | 70 | 4 / 1 | $43.314,20 | 401 / 9 | $12.084,20 | 551 / 15 | $11.302,80 | 551 / 22 |
| Seizures W/O Mcc | 24 | 84 / 18 | $33.796,30 | 1042 / 31 | $6.631,33 | 1050 / 33 | $5.879,33 | 1048 / 42 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 54 | 38 / 6 | $276.467,00 | 958 / 76 | $43.102,20 | 709 / 33 | $41.247,60 | 708 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 399 | 139 / 14 | $87.644,10 | 2521 / 165 | $14.498,00 | 2311 / 76 | $13.710,90 | 2270 / 94 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 74 | 133 / 43 | $50.429,00 | 2269 / 146 | $8.894,80 | 2196 / 103 | $8.001,03 | 2187 / 123 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 63 | $38.173,50 | 2279 / 61 | $8.166,93 | 2401 / 80 | $7.235,63 | 2392 / 98 |
| Simple Pneumonia & Pleurisy W Mcc | 78 | 127 / 17 | $71.738,90 | 2255 / 114 | $11.861,70 | 2138 / 82 | $10.863,80 | 2133 / 85 |
| Syncope & Collapse | 58 | 111 / 13 | $35.483,80 | 1597 / 64 | $6.490,59 | 1628 / 65 | $5.656,55 | 1621 / 78 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 25 | 39 / 3 | $473.789,00 | 492 / 23 | $82.464,00 | 426 / 15 | $81.435,90 | 425 / 17 |
| Transient Ischemia | 24 | 101 / 32 | $36.342,80 | 1360 / 52 | $6.289,83 | 1409 / 60 | $5.283,17 | 1402 / 77 | Total 100 procedures | 4.710 | 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.