Hospital Costs > In California > Corona Regional Medical Center, 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 | 124 | 392 / 113 | $63.269,20 | 2165 / 85 | $14.683,80 | 2267 / 83 | $13.468,80 | 2227 / 80 |
Heart Failure & Shock W Mcc | 61 | 223 / 67 | $53.186,70 | 2075 / 73 | $11.995,10 | 2186 / 76 | $11.176,80 | 2176 / 86 |
Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 39 | $44.511,20 | 1737 / 32 | $11.090,00 | 1988 / 48 | $10.083,20 | 1988 / 46 |
Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 63 | $25.794,60 | 2016 / 39 | $7.161,32 | 2319 / 119 | $5.828,89 | 2308 / 103 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 75 | $23.518,20 | 1764 / 27 | $6.844,26 | 2383 / 104 | $5.843,11 | 2368 / 122 |
Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 58 | $41.989,80 | 1985 / 45 | $10.183,20 | 2160 / 105 | $8.604,97 | 2152 / 73 |
G.I. Hemorrhage W Cc | 29 | 189 / 62 | $30.896,30 | 1608 / 27 | $8.685,24 | 2090 / 86 | $7.692,69 | 2086 / 98 |
Heart Failure & Shock W Cc | 28 | 250 / 72 | $28.647,70 | 1885 / 28 | $8.565,25 | 2392 / 107 | $7.745,82 | 2386 / 114 |
Chest Pain | 26 | 125 / 46 | $31.642,20 | 1434 / 71 | $5.810,54 | 1442 / 72 | $4.925,62 | 1434 / 84 |
Syncope & Collapse | 25 | 144 / 42 | $29.494,50 | 1418 / 36 | $6.692,68 | 1639 / 74 | $5.722,44 | 1631 / 82 |
Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 65 | $31.188,30 | 2016 / 34 | $8.435,76 | 2435 / 103 | $7.422,00 | 2426 / 108 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 23 | 541 / 138 | $74.893,40 | 2111 / 84 | $16.779,50 | 2353 / 84 | $15.733,20 | 2308 / 123 |
Renal Failure W Cc | 22 | 199 / 66 | $31.974,20 | 1791 / 41 | $8.261,77 | 2107 / 87 | $7.496,68 | 2097 / 105 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 57 | $22.296,50 | 1735 / 33 | $6.516,64 | 2227 / 105 | $5.694,82 | 2219 / 116 |
Pulmonary Edema & Respiratory Failure | 21 | 182 / 54 | $49.912,90 | 1753 / 43 | $10.213,40 | 1913 / 61 | $9.462,14 | 1907 / 70 |
Cellulitis W/O Mcc | 21 | 168 / 65 | $23.743,80 | 1797 / 31 | $7.356,05 | 2249 / 90 | $6.321,38 | 2241 / 108 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 30 | $21.978,50 | 1504 / 21 | $5.869,47 | 1751 / 95 | $4.296,32 | 1745 / 88 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 53 | $53.981,60 | 1155 / 15 | $13.946,10 | 1333 / 21 | $13.119,10 | 1318 / 24 |
Renal Failure W Mcc | 18 | 177 / 68 | $51.410,40 | 1610 / 51 | $12.407,80 | 1793 / 64 | $11.737,60 | 1789 / 79 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 17 | 75 / 38 | $166.887,00 | 618 / 17 | $39.173,00 | 582 / 13 | $38.294,90 | 581 / 17 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 43 | $34.455,40 | 1147 / 25 | $9.402,69 | 1381 / 66 | $8.570,69 | 1378 / 70 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 50 | $32.856,70 | 1732 / 49 | $7.134,75 | 1897 / 89 | $6.234,75 | 1892 / 106 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 51 | $32.233,50 | 1256 / 22 | $9.471,67 | 1698 / 76 | $8.663,13 | 1694 / 90 |
G.I. Hemorrhage W Mcc | 15 | 106 / 41 | $50.769,40 | 1019 / 26 | $13.809,50 | 1344 / 51 | $13.160,90 | 1334 / 59 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 42 | $24.488,80 | 1217 / 23 | $7.219,57 | 1688 / 73 | $6.273,29 | 1679 / 76 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 52 | $148.310,00 | 1011 / 21 | $40.327,10 | 1214 / 39 | $39.291,70 | 1204 / 49 |
Diabetes W Cc | 14 | 78 / 21 | $24.950,10 | 993 / 14 | $7.407,14 | 1398 / 52 | $6.801,43 | 1393 / 74 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 52 | $65.542,90 | 1470 / 14 | $15.313,50 | 1736 / 56 | $14.282,60 | 1717 / 71 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 95 | $33.583,50 | 1796 / 58 | $9.130,21 | 2230 / 117 | $8.186,21 | 2221 / 133 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 32 | $22.688,20 | 1341 / 15 | $6.524,54 | 1776 / 72 | $5.503,00 | 1768 / 82 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 61 | $39.923,80 | 1513 / 34 | $9.197,54 | 1823 / 78 | $8.368,00 | 1819 / 106 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 41 | $42.646,70 | 1388 / 28 | $10.138,90 | 1627 / 64 | $9.395,54 | 1624 / 74 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 36 | $28.795,80 | 1059 / 12 | $7.220,00 | 1230 / 68 | $4.937,33 | 1226 / 35 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 39 | $49.422,30 | 727 / 11 | $14.990,20 | 1115 / 39 | $14.658,50 | 1107 / 54 |
Transient Ischemia | 11 | 114 / 45 | $24.497,40 | 938 / 14 | $6.608,91 | 1368 / 77 | $5.096,45 | 1361 / 64 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 50 | $58.395,20 | 1365 / 52 | $9.147,64 | 1409 / 42 | $8.277,82 | 1406 / 64 | Total 36 procedures | 884 | 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.