Hospital Costs > In California > Contra Costa Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 23 | $25.544,80 | 632 / 13 | $14.024,50 | 828 / 46 | $11.436,10 | 827 / 43 |
| Cellulitis W/O Mcc | 15 | 174 / 71 | $34.836,10 | 2293 / 105 | $23.428,50 | 2643 / 226 | $15.822,20 | 2635 / 224 |
| Chest Pain | 22 | 129 / 50 | $18.127,20 | 780 / 14 | $12.526,50 | 1696 / 148 | $10.587,70 | 1687 / 149 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 59 | $35.104,20 | 1915 / 47 | $18.474,50 | 2438 / 195 | $14.417,10 | 2431 / 191 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 71 | $37.992,80 | 1860 / 32 | $18.724,30 | 2564 / 200 | $16.043,70 | 2556 / 198 |
| Degenerative Nervous System Disorders W/O Mcc | 31 | 47 / 3 | $34.061,00 | 584 / 16 | $21.693,50 | 871 / 56 | $15.138,20 | 871 / 54 |
| Diabetes W Cc | 19 | 73 / 16 | $28.555,10 | 1126 / 18 | $14.967,60 | 1613 / 123 | $12.992,40 | 1608 / 123 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 88 | $24.981,00 | 1884 / 39 | $14.617,20 | 2721 / 226 | $11.919,20 | 2706 / 222 |
| Heart Failure & Shock W Cc | 26 | 252 / 74 | $35.580,70 | 2200 / 66 | $19.183,50 | 2749 / 228 | $14.663,90 | 2743 / 220 |
| Heart Failure & Shock W Mcc | 18 | 266 / 104 | $67.518,20 | 2306 / 120 | $30.223,40 | 2633 / 231 | $24.339,30 | 2622 / 229 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 86 | $22.139,30 | 1765 / 23 | $14.517,40 | 2705 / 218 | $12.363,30 | 2694 / 217 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 65 | $20.512,10 | 1603 / 21 | $13.039,30 | 2533 / 201 | $11.479,00 | 2524 / 201 |
| Organic Disturbances & Mental Retardation | 19 | 40 / 6 | $34.537,80 | 399 / 11 | $20.579,70 | 555 / 32 | $16.443,90 | 555 / 31 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 14 | $24.175,00 | 623 / 3 | $13.372,30 | 915 / 52 | $10.777,90 | 914 / 51 |
| Psychoses | 15 | 260 / 28 | $27.426,80 | 444 / 13 | $17.784,30 | 608 / 37 | $14.564,20 | 608 / 36 |
| Renal Failure W Cc | 13 | 208 / 75 | $28.512,80 | 1633 / 27 | $17.199,30 | 2430 / 203 | $14.385,40 | 2420 / 200 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 26 | 490 / 181 | $62.809,30 | 2156 / 82 | $29.173,60 | 2814 / 264 | $25.185,70 | 2769 / 261 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 65 | $31.352,00 | 2028 / 35 | $18.070,60 | 2813 / 223 | $14.485,50 | 2804 / 218 | Total 18 procedures | 348 | 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.