Hospital Costs > In California > Community Memorial Hospital San Buenaventura, 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 | 222 | 294 / 69 | $78.973,40 | 2412 / 131 | $13.871,20 | 2083 / 48 | $12.677,20 | 2046 / 45 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 183 | 381 / 53 | $96.277,50 | 2427 / 148 | $15.916,80 | 2188 / 49 | $14.613,30 | 2144 / 81 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 98 | 109 / 24 | $40.894,00 | 2059 / 99 | $8.030,73 | 1775 / 41 | $6.748,59 | 1768 / 40 |
Kidney & Urinary Tract Infections W/O Mcc | 59 | 174 / 52 | $32.678,70 | 2299 / 90 | $6.292,64 | 2020 / 56 | $5.046,49 | 2009 / 37 |
Heart Failure & Shock W Cc | 59 | 219 / 45 | $36.080,20 | 2216 / 68 | $7.549,25 | 2101 / 36 | $6.739,24 | 2095 / 51 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 57 | $34.672,20 | 2342 / 102 | $6.009,81 | 2154 / 38 | $5.125,28 | 2140 / 62 |
Heart Failure & Shock W Mcc | 47 | 237 / 78 | $65.252,50 | 2271 / 112 | $11.517,10 | 1934 / 58 | $10.154,50 | 1927 / 37 |
G.I. Hemorrhage W Cc | 46 | 172 / 48 | $44.197,10 | 2053 / 89 | $7.975,74 | 1905 / 43 | $6.929,61 | 1901 / 49 |
Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 44 | $41.169,70 | 2365 / 80 | $7.623,43 | 2133 / 40 | $6.446,65 | 2125 / 39 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 45 | $53.063,00 | 2243 / 97 | $8.798,93 | 1871 / 33 | $7.608,84 | 1863 / 26 |
Cellulitis W/O Mcc | 43 | 146 / 43 | $31.635,40 | 2186 / 81 | $6.734,60 | 1960 / 42 | $5.473,30 | 1952 / 36 |
Spinal Fusion Except Cervical W/O Mcc | 43 | 151 / 25 | $157.808,00 | 1152 / 42 | $28.965,80 | 1081 / 16 | $27.804,70 | 1076 / 30 |
Hip & Femur Procedures Except Major Joint W Cc | 41 | 102 / 26 | $78.258,10 | 1682 / 49 | $14.359,70 | 1584 / 31 | $13.225,60 | 1565 / 34 |
Renal Failure W Cc | 38 | 183 / 50 | $38.616,30 | 2006 / 69 | $7.409,84 | 1841 / 35 | $6.502,21 | 1831 / 35 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 44 | $29.213,80 | 2109 / 75 | $5.992,56 | 1620 / 65 | $4.215,47 | 1615 / 21 |
Renal Failure W Mcc | 36 | 159 / 51 | $64.404,90 | 1817 / 87 | $11.096,10 | 1514 / 18 | $10.350,00 | 1513 / 23 |
Chronic Obstructive Pulmonary Disease W Cc | 34 | 145 / 39 | $41.665,50 | 2109 / 88 | $6.942,56 | 1791 / 19 | $6.081,38 | 1784 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 42 | $44.960,80 | 1632 / 50 | $8.138,58 | 1560 / 29 | $7.068,24 | 1557 / 36 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 28 | 140 / 43 | $71.624,60 | 1278 / 51 | $12.507,00 | 1106 / 15 | $11.587,60 | 1100 / 21 |
Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 64 | $65.181,50 | 2178 / 92 | $10.856,70 | 1959 / 37 | $9.953,07 | 1959 / 42 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 41 | $35.399,10 | 1813 / 65 | $6.259,76 | 1691 / 31 | $5.436,64 | 1686 / 48 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 23 | $36.680,60 | 1281 / 37 | $6.068,76 | 1219 / 24 | $4.908,08 | 1215 / 34 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 22 | $42.226,00 | 1986 / 92 | $6.096,33 | 1584 / 37 | $4.619,88 | 1573 / 21 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 43 | $199.853,00 | 1261 / 47 | $37.308,40 | 1056 / 21 | $36.243,20 | 1049 / 26 |
G.I. Hemorrhage W Mcc | 22 | 99 / 34 | $75.820,40 | 1399 / 75 | $12.444,40 | 1156 / 14 | $11.936,50 | 1148 / 24 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 49 | $114.229,00 | 1291 / 63 | $15.617,60 | 1112 / 23 | $13.265,60 | 1105 / 27 |
Pulmonary Embolism W/O Mcc | 22 | 52 / 8 | $39.656,30 | 1048 / 22 | $7.512,05 | 988 / 15 | $6.495,05 | 985 / 20 |
Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 44 | $46.615,20 | 1633 / 82 | $8.400,32 | 1495 / 32 | $7.594,41 | 1491 / 41 |
G.I. Obstruction W Cc | 22 | 70 / 30 | $33.004,10 | 1295 / 34 | $6.928,32 | 1317 / 27 | $5.926,59 | 1312 / 28 |
Syncope & Collapse | 21 | 148 / 46 | $34.275,30 | 1566 / 61 | $6.239,33 | 1199 / 52 | $4.388,00 | 1192 / 15 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 20 | 36 / 6 | $68.945,00 | 551 / 17 | $13.396,00 | 448 / 10 | $12.728,80 | 447 / 10 |
Major Small & Large Bowel Procedures W Cc | 20 | 88 / 35 | $111.257,00 | 1301 / 40 | $18.797,30 | 1023 / 14 | $15.989,00 | 1012 / 13 |
Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 18 | $105.478,00 | 788 / 28 | $16.546,40 | 716 / 9 | $15.397,50 | 713 / 18 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 20 | 69 / 25 | $61.956,90 | 682 / 35 | $8.437,95 | 592 / 18 | $7.229,30 | 591 / 27 |
Other Circulatory System Diagnoses W Mcc | 19 | 97 / 31 | $93.521,50 | 1230 / 70 | $14.598,00 | 1053 / 31 | $13.956,60 | 1046 / 40 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 19 | 54 / 15 | $32.076,90 | 703 / 3 | $8.408,32 | 817 / 8 | $7.892,42 | 815 / 15 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 53 | $71.969,20 | 1425 / 47 | $13.648,30 | 1293 / 14 | $12.895,90 | 1278 / 19 |
Cellulitis W Mcc | 18 | 40 / 16 | $76.971,90 | 899 / 63 | $12.052,00 | 814 / 41 | $11.189,80 | 812 / 44 |
Other Vascular Procedures W Cc | 18 | 84 / 26 | $185.210,00 | 1111 / 67 | $20.071,30 | 928 / 23 | $19.316,20 | 923 / 29 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 26 | $56.170,20 | 1233 / 63 | $9.186,94 | 1012 / 23 | $8.213,94 | 1007 / 22 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 28 | $28.203,30 | 1660 / 38 | $5.868,71 | 1490 / 39 | $4.412,06 | 1478 / 22 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 28 | $28.432,10 | 1573 / 29 | $5.710,35 | 1519 / 26 | $4.495,65 | 1511 / 28 |
Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 24 | $167.801,00 | 923 / 37 | $25.010,60 | 774 / 9 | $24.085,80 | 773 / 17 |
Pulmonary Edema & Respiratory Failure | 16 | 187 / 59 | $58.973,50 | 1913 / 67 | $9.719,25 | 1618 / 30 | $8.153,62 | 1613 / 18 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 14 | $80.925,80 | 678 / 19 | $12.250,50 | 593 / 10 | $11.023,90 | 593 / 17 |
Medical Back Problems W/O Mcc | 16 | 105 / 41 | $38.001,90 | 1209 / 47 | $6.777,88 | 1020 / 31 | $5.311,75 | 1017 / 21 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 33 | $50.166,50 | 1150 / 29 | $10.918,90 | 1105 / 46 | $9.088,60 | 1100 / 21 |
Major Male Pelvic Procedures W/O Cc/Mcc | 14 | 59 / 16 | $113.042,00 | 361 / 26 | $10.418,80 | 253 / 9 | $8.040,64 | 253 / 5 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 28 | $32.208,60 | 940 / 24 | $7.570,93 | 1077 / 27 | $6.783,29 | 1073 / 39 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 47 | $55.057,90 | 1314 / 39 | $8.419,43 | 1244 / 14 | $7.207,64 | 1241 / 28 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 26 | $229.599,00 | 1120 / 42 | $34.637,50 | 815 / 3 | $33.842,30 | 813 / 6 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 21 | $64.040,30 | 745 / 20 | $12.021,80 | 729 / 10 | $10.992,10 | 726 / 18 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 36 | $28.060,10 | 1704 / 52 | $4.675,46 | 1633 / 33 | $3.838,46 | 1627 / 63 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 18 | $77.583,20 | 716 / 23 | $12.126,80 | 632 / 10 | $10.427,30 | 630 / 9 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 24 | $51.386,60 | 315 / 13 | $13.850,80 | 351 / 10 | $13.019,00 | 351 / 12 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 8 | $103.952,00 | 502 / 7 | $13.621,50 | 455 / 2 | $12.621,50 | 453 / 4 |
Transient Ischemia | 11 | 114 / 45 | $36.906,50 | 1374 / 57 | $5.672,82 | 1221 / 25 | $4.577,00 | 1215 / 33 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $104.072,00 | 1553 / 48 | $17.883,10 | 1197 / 26 | $15.054,40 | 1184 / 7 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 19 | $254.886,00 | 572 / 21 | $31.102,50 | 460 / 10 | $25.478,90 | 459 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 43 | $51.792,20 | 1568 / 60 | $9.271,64 | 1393 / 24 | $8.275,64 | 1390 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 48 | $50.749,60 | 1497 / 84 | $8.242,82 | 1105 / 18 | $7.357,18 | 1102 / 22 |
Other Vascular Procedures W Mcc | 11 | 86 / 31 | $214.439,00 | 980 / 75 | $28.476,90 | 864 / 49 | $27.566,50 | 861 / 54 | Total 62 procedures | 1.933 | 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.