Hospital Costs > In California > Chinese Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 59 | $39.460,60 | 1898 / 35 | $11.005,50 | 2387 / 138 | $10.069,30 | 2379 / 149 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 60 | $28.431,70 | 1861 / 22 | $9.659,33 | 2639 / 151 | $8.649,20 | 2630 / 164 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 87 | $20.338,30 | 1611 / 16 | $7.842,59 | 2509 / 150 | $6.798,23 | 2498 / 155 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 24 | $15.416,40 | 775 / 2 | $7.391,43 | 1873 / 100 | $6.353,71 | 1865 / 109 |
| Heart Failure & Shock W Cc | 21 | 257 / 79 | $32.483,00 | 2077 / 48 | $9.759,90 | 2560 / 158 | $8.780,10 | 2554 / 166 |
| G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 12 | $17.097,30 | 429 / 2 | $7.342,18 | 929 / 47 | $6.276,76 | 925 / 56 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 95 | $27.050,60 | 2008 / 52 | $7.724,27 | 2513 / 152 | $6.593,60 | 2498 / 160 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 41 | $20.677,40 | 956 / 11 | $8.211,00 | 1842 / 108 | $7.244,60 | 1833 / 117 |
| Heart Failure & Shock W Mcc | 14 | 270 / 108 | $66.764,90 | 2291 / 117 | $17.448,80 | 2574 / 203 | $16.411,10 | 2563 / 209 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 14 | 502 / 188 | $44.484,10 | 1549 / 31 | $16.098,50 | 2513 / 148 | $15.328,20 | 2469 / 165 |
| Cellulitis W/O Mcc | 13 | 176 / 73 | $15.686,90 | 945 / 5 | $8.290,23 | 2422 / 146 | $7.271,15 | 2414 / 158 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 66 | $14.813,70 | 938 / 5 | $7.387,15 | 2345 / 141 | $6.363,15 | 2336 / 147 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 62 | $22.510,00 | 1253 / 9 | $9.138,55 | 2259 / 128 | $8.146,55 | 2252 / 139 | Total 13 procedures | 237 | 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.