Hospital Costs > In California > Clovis Community Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 118 | 446 / 76 | $64.442,60 | 1845 / 56 | $16.251,90 | 2173 / 64 | $14.498,50 | 2129 / 75 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 109 | 407 / 122 | $76.105,50 | 2378 / 125 | $15.647,10 | 2392 / 133 | $14.204,90 | 2349 / 117 |
Simple Pneumonia & Pleurisy W Cc | 77 | 126 / 19 | $35.695,40 | 2206 / 52 | $8.360,65 | 2333 / 93 | $6.984,57 | 2324 / 81 |
Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 42 | $29.475,50 | 2195 / 63 | $6.806,17 | 2335 / 98 | $5.867,58 | 2324 / 111 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 70 | 137 / 47 | $34.952,20 | 1855 / 66 | $8.639,74 | 2151 / 77 | $7.818,94 | 2143 / 110 |
G.I. Hemorrhage W Cc | 63 | 155 / 33 | $38.323,60 | 1904 / 63 | $8.451,13 | 2045 / 74 | $7.476,68 | 2041 / 84 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 34 | $40.750,90 | 1536 / 37 | $8.927,93 | 1741 / 63 | $7.885,33 | 1737 / 85 |
Heart Failure & Shock W Cc | 43 | 235 / 59 | $32.240,60 | 2067 / 44 | $8.016,37 | 2236 / 72 | $7.087,51 | 2230 / 73 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 68 | $35.052,90 | 2351 / 105 | $6.598,76 | 2341 / 84 | $5.679,90 | 2326 / 109 |
Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 28 | $62.031,20 | 1400 / 11 | $14.945,60 | 1681 / 48 | $13.895,30 | 1662 / 57 |
Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 51 | $42.287,70 | 1996 / 46 | $9.552,87 | 2118 / 67 | $8.374,51 | 2110 / 62 |
Heart Failure & Shock W Mcc | 38 | 246 / 85 | $72.280,40 | 2381 / 140 | $13.360,00 | 2388 / 136 | $12.695,60 | 2377 / 149 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 38 | 10 / 2 | $32.439,70 | 140 / 3 | $8.995,29 | 187 / 16 | $6.976,26 | 187 / 18 |
Renal Failure W Mcc | 37 | 158 / 50 | $59.548,50 | 1754 / 76 | $12.111,40 | 1736 / 51 | $11.391,90 | 1734 / 63 |
Cellulitis W/O Mcc | 36 | 153 / 50 | $31.876,50 | 2192 / 85 | $7.134,94 | 2245 / 74 | $6.297,61 | 2237 / 107 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 56 | $59.028,50 | 2084 / 74 | $11.398,90 | 2096 / 59 | $10.606,20 | 2092 / 70 |
Renal Failure W Cc | 30 | 191 / 58 | $39.957,30 | 2045 / 76 | $8.369,27 | 1969 / 92 | $6.870,97 | 1959 / 63 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 15 | $28.693,10 | 1581 / 30 | $6.363,20 | 1741 / 62 | $5.321,07 | 1733 / 74 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 53 | $31.837,80 | 2191 / 91 | $6.363,74 | 2139 / 92 | $5.344,78 | 2131 / 89 |
O.R. Procedures For Obesity W/O Cc/Mcc | 26 | 51 / 5 | $50.890,50 | 267 / 5 | $12.421,30 | 334 / 8 | $11.212,70 | 333 / 12 |
Major Small & Large Bowel Procedures W Cc | 26 | 82 / 29 | $88.276,30 | 1091 / 12 | $19.528,80 | 1282 / 25 | $18.506,00 | 1268 / 48 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 29 | $236.657,00 | 853 / 56 | $52.933,20 | 913 / 100 | $47.809,60 | 912 / 81 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 29 | $53.469,80 | 1596 / 65 | $9.876,36 | 1555 / 46 | $8.924,68 | 1552 / 48 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 43 | $153.948,00 | 1047 / 24 | $38.087,80 | 1118 / 26 | $37.299,00 | 1110 / 33 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 49 | $61.917,20 | 1162 / 33 | $15.648,10 | 1291 / 87 | $12.922,00 | 1285 / 61 |
Pulmonary Edema & Respiratory Failure | 21 | 182 / 54 | $53.273,10 | 1820 / 50 | $10.116,00 | 1897 / 53 | $9.366,29 | 1891 / 65 |
Other Digestive System Diagnoses W Cc | 21 | 76 / 21 | $35.768,80 | 1040 / 35 | $8.194,00 | 1202 / 54 | $7.444,29 | 1198 / 72 |
Syncope & Collapse | 20 | 149 / 47 | $33.125,40 | 1534 / 54 | $6.485,50 | 1586 / 64 | $5.483,90 | 1579 / 70 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 53 | $33.362,60 | 1861 / 42 | $7.846,30 | 2031 / 71 | $6.820,70 | 2024 / 73 |
G.I. Obstruction W Cc | 19 | 73 / 33 | $29.067,20 | 1163 / 17 | $7.622,89 | 1422 / 61 | $6.323,89 | 1417 / 57 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 47 | $37.531,30 | 1432 / 41 | $10.330,10 | 1419 / 113 | $7.377,79 | 1415 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 47 | $38.574,20 | 1879 / 78 | $6.897,05 | 1789 / 77 | $5.798,63 | 1784 / 75 |
Renal Failure W/O Cc/Mcc | 18 | 38 / 3 | $23.435,20 | 653 / 4 | $5.770,61 | 736 / 20 | $4.833,72 | 734 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 30 | $36.533,70 | 1277 / 35 | $6.766,56 | 1362 / 53 | $5.554,11 | 1358 / 65 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 42 | $41.577,20 | 1329 / 51 | $9.608,12 | 1410 / 72 | $8.757,29 | 1407 / 75 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 28 | $29.495,40 | 1695 / 44 | $6.071,12 | 1682 / 51 | $4.993,06 | 1669 / 51 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 45 | $52.069,20 | 1256 / 34 | $9.038,38 | 1309 / 35 | $7.523,81 | 1306 / 36 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 15 | 33 / 9 | $48.787,10 | 141 / 5 | $11.716,40 | 171 / 4 | $10.668,90 | 170 / 7 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 25 | $158.803,00 | 856 / 7 | $38.498,90 | 994 / 18 | $37.453,50 | 992 / 22 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 58 | $41.552,70 | 841 / 1 | $14.787,50 | 1485 / 41 | $14.097,20 | 1469 / 51 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 16 | $83.240,30 | 689 / 24 | $12.841,60 | 625 / 16 | $11.630,20 | 625 / 22 |
Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 17 | $25.001,90 | 655 / 12 | $6.312,57 | 800 / 39 | $5.277,14 | 799 / 40 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 34 | $40.512,50 | 975 / 12 | $11.105,60 | 1223 / 55 | $9.887,36 | 1218 / 42 |
Transient Ischemia | 14 | 111 / 42 | $34.127,60 | 1306 / 42 | $6.329,00 | 1428 / 63 | $5.378,14 | 1420 / 80 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 11 | $43.510,90 | 823 / 29 | $8.181,00 | 832 / 27 | $7.317,00 | 829 / 32 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 27 | $22.498,70 | 926 / 13 | $6.051,64 | 1093 / 63 | $4.268,43 | 1090 / 49 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 20 | $34.503,20 | 744 / 5 | $9.446,79 | 919 / 28 | $8.667,36 | 917 / 30 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 38 | $54.020,80 | 1221 / 22 | $12.835,40 | 1350 / 33 | $11.759,90 | 1340 / 33 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 13 | $42.031,80 | 334 / 5 | $9.989,77 | 517 / 14 | $8.877,15 | 516 / 28 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 33 | $32.613,40 | 1781 / 42 | $6.334,77 | 1795 / 49 | $5.313,23 | 1784 / 57 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 43 | $31.981,40 | 1578 / 47 | $7.041,62 | 1696 / 67 | $6.300,69 | 1687 / 81 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 57 | $93.229,50 | 1086 / 34 | $15.634,20 | 1227 / 24 | $14.428,00 | 1220 / 44 |
G.I. Hemorrhage W Mcc | 13 | 108 / 43 | $58.698,10 | 1171 / 36 | $13.698,80 | 1324 / 44 | $13.044,10 | 1314 / 53 |
Stomach, Esophageal & Duodenal Proc W Cc | 13 | 37 / 11 | $68.933,60 | 108 / 2 | $19.889,10 | 145 / 3 | $18.682,90 | 145 / 5 |
Thyroid, Parathyroid & Thyroglossal Procedures W/O Cc/Mcc | 12 | 18 / 4 | $26.663,80 | 17 / 3 | $7.371,67 | 24 / 3 | $6.166,33 | 24 / 4 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 20 | $89.999,20 | 380 / 8 | $21.119,70 | 393 / 11 | $18.214,20 | 392 / 12 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 37 | $17.905,30 | 1264 / 9 | $5.397,00 | 1576 / 74 | $3.678,83 | 1570 / 49 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 19 | $34.363,30 | 952 / 12 | $10.327,50 | 888 / 61 | $6.072,82 | 885 / 15 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 22 | $225.233,00 | 812 / 30 | $47.879,60 | 831 / 61 | $41.642,80 | 830 / 47 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 25 | $44.200,90 | 1102 / 25 | $8.799,18 | 1228 / 49 | $7.951,18 | 1226 / 54 |
Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 11 | 21 / 7 | $34.837,90 | 71 / 2 | $9.596,36 | 98 / 3 | $8.070,55 | 98 / 3 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 23 | $33.283,10 | 412 / 13 | $7.863,00 | 428 / 15 | $7.319,00 | 428 / 21 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 19 | $52.252,60 | 498 / 3 | $14.703,00 | 665 / 46 | $10.793,00 | 663 / 15 |
Signs & Symptoms W/O Mcc | 11 | 80 / 27 | $31.960,00 | 1069 / 34 | $6.297,09 | 1092 / 42 | $5.415,64 | 1089 / 50 | Total 64 procedures | 1.705 | 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.