Hospital Costs > In California > Dameron Hospital, 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 | 267 | 299 / 28 | $128.875,00 | 2620 / 207 | $18.281,50 | 2392 / 132 | $16.118,10 | 2347 / 140 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 95 | 421 / 130 | $126.858,00 | 2763 / 235 | $16.647,00 | 2522 / 166 | $15.434,00 | 2478 / 166 |
Pulmonary Edema & Respiratory Failure | 61 | 142 / 22 | $89.550,60 | 2178 / 143 | $11.199,00 | 2048 / 99 | $10.643,00 | 2042 / 121 |
Heart Failure & Shock W Mcc | 33 | 251 / 89 | $98.825,40 | 2563 / 189 | $13.024,20 | 2315 / 125 | $11.962,70 | 2305 / 120 |
G.I. Hemorrhage W Cc | 27 | 191 / 64 | $64.663,30 | 2346 / 169 | $9.497,22 | 2225 / 132 | $8.581,07 | 2221 / 143 |
Renal Failure W Cc | 26 | 195 / 62 | $60.365,90 | 2366 / 169 | $9.195,12 | 2239 / 127 | $8.410,19 | 2229 / 143 |
Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 66 | $114.180,00 | 2494 / 188 | $12.490,90 | 2277 / 108 | $11.948,80 | 2271 / 127 |
Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 84 | $56.676,20 | 2676 / 201 | $7.801,52 | 2542 / 148 | $6.983,60 | 2531 / 165 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 49 | $65.334,10 | 2394 / 163 | $8.847,62 | 2216 / 117 | $7.821,79 | 2209 / 125 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 86 | $58.614,20 | 2695 / 202 | $7.686,67 | 2459 / 147 | $6.251,25 | 2444 / 144 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 86 | $74.855,40 | 2519 / 224 | $10.063,70 | 2315 / 170 | $8.732,91 | 2306 / 162 |
Heart Failure & Shock W Cc | 22 | 256 / 78 | $64.401,40 | 2698 / 194 | $9.522,18 | 2497 / 147 | $8.306,18 | 2491 / 146 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 22 | 74 / 20 | $152.326,00 | 811 / 46 | $18.783,70 | 755 / 29 | $17.576,50 | 751 / 37 |
Renal Failure W Mcc | 21 | 174 / 65 | $87.879,50 | 2053 / 139 | $13.913,00 | 1785 / 110 | $11.683,50 | 1781 / 75 |
Cellulitis W/O Mcc | 20 | 169 / 66 | $51.065,60 | 2565 / 191 | $8.224,80 | 2358 / 140 | $6.806,30 | 2350 / 137 |
Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 71 | $89.997,10 | 2541 / 185 | $10.673,80 | 2346 / 127 | $9.791,32 | 2338 / 134 |
Spinal Fusion Except Cervical W/O Mcc | 18 | 176 / 48 | $219.051,00 | 1312 / 77 | $42.735,80 | 1070 / 90 | $27.684,40 | 1065 / 27 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 38 | $54.553,40 | 1947 / 135 | $8.063,00 | 1832 / 105 | $7.188,33 | 1823 / 115 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 49 | $104.750,00 | 1920 / 99 | $16.127,60 | 1816 / 82 | $15.131,90 | 1797 / 93 |
G.I. Hemorrhage W Mcc | 17 | 104 / 39 | $120.723,00 | 1627 / 140 | $15.164,70 | 1299 / 82 | $12.892,50 | 1289 / 47 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 39 | $385.496,00 | 1063 / 121 | $52.057,10 | 681 / 92 | $40.605,90 | 680 / 31 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 29 | $88.875,60 | 747 / 58 | $10.507,90 | 704 / 49 | $9.040,88 | 703 / 53 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 51 | $60.015,30 | 2120 / 157 | $7.981,13 | 1982 / 123 | $6.935,80 | 1977 / 133 |
Syncope & Collapse | 14 | 155 / 53 | $55.974,90 | 1883 / 137 | $7.503,14 | 1767 / 108 | $6.552,29 | 1759 / 120 |
Red Blood Cell Disorders W Mcc | 13 | 58 / 18 | $77.728,00 | 1060 / 77 | $11.333,80 | 888 / 47 | $9.762,15 | 884 / 33 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 58 | $107.433,00 | 1540 / 116 | $14.387,10 | 1377 / 66 | $13.830,80 | 1371 / 82 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 57 | $114.211,00 | 1287 / 62 | $16.605,00 | 1198 / 42 | $14.034,90 | 1191 / 39 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 40 | $143.717,00 | 1759 / 94 | $19.272,10 | 1570 / 53 | $18.458,50 | 1556 / 60 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 62 | $92.423,00 | 2060 / 172 | $10.158,30 | 1919 / 124 | $9.150,33 | 1915 / 140 |
Combined Anterior/Posterior Spinal Fusion W Cc | 12 | 34 / 13 | $474.530,00 | 115 / 13 | $66.006,00 | 95 / 7 | $64.795,30 | 95 / 8 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 11 | 36 / 12 | $343.245,00 | 107 / 10 | $50.560,60 | 97 / 5 | $47.713,40 | 97 / 8 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 55 | $61.822,80 | 1828 / 130 | $9.743,18 | 1721 / 92 | $8.861,73 | 1717 / 99 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 22 | $141.533,00 | 877 / 47 | $17.853,60 | 760 / 30 | $16.640,50 | 753 / 31 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 11 | 58 / 8 | $174.120,00 | 558 / 19 | $16.274,10 | 527 / 13 | $15.500,30 | 525 / 15 | Total 34 procedures | 985 | 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.