Hospital Costs > In California > Delano Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 11 | 178 / 75 | $15.769,30 | 960 / 6 | $9.856,36 | 2547 / 187 | $8.974,91 | 2539 / 195 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 62 | $22.199,80 | 1227 / 8 | $10.648,60 | 2366 / 168 | $9.659,55 | 2359 / 171 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 79 | $26.579,10 | 1248 / 6 | $12.705,50 | 2481 / 172 | $11.320,70 | 2473 / 174 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 33 | $17.367,90 | 1049 / 5 | $8.374,54 | 2039 / 119 | $7.398,85 | 2027 / 120 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 90 | $16.704,50 | 964 / 10 | $9.013,40 | 2637 / 188 | $7.987,80 | 2622 / 199 |
| G.I. Hemorrhage W Cc | 12 | 206 / 79 | $20.666,20 | 807 / 4 | $11.245,70 | 2285 / 173 | $9.215,42 | 2281 / 160 |
| Heart Failure & Shock W Cc | 19 | 259 / 81 | $24.592,90 | 1638 / 22 | $11.182,90 | 2676 / 191 | $10.512,60 | 2670 / 202 |
| Heart Failure & Shock W Mcc | 14 | 270 / 108 | $50.644,60 | 2001 / 60 | $16.884,30 | 2562 / 197 | $15.933,30 | 2551 / 204 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 47 | $22.386,40 | 735 / 5 | $11.861,10 | 1877 / 146 | $11.030,60 | 1873 / 150 |
| Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 64 | $15.453,20 | 1004 / 3 | $9.145,73 | 2622 / 190 | $8.097,40 | 2611 / 193 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 28 | 536 / 134 | $52.597,30 | 1403 / 30 | $20.844,60 | 2562 / 186 | $18.937,80 | 2516 / 201 |
| Renal Failure W Cc | 22 | 199 / 66 | $18.760,40 | 855 / 4 | $10.840,40 | 2357 / 174 | $9.873,09 | 2347 / 177 |
| Renal Failure W Mcc | 17 | 178 / 69 | $31.779,60 | 865 / 10 | $15.354,70 | 2008 / 144 | $13.995,40 | 2004 / 141 |
| Respiratory Infections & Inflammations W Cc | 13 | 75 / 35 | $33.018,30 | 792 / 2 | $14.483,90 | 1449 / 109 | $13.605,20 | 1444 / 112 |
| Respiratory Infections & Inflammations W Mcc | 23 | 113 / 49 | $46.053,90 | 972 / 4 | $18.447,70 | 1724 / 121 | $17.605,80 | 1708 / 127 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 35 | $52.333,80 | 687 / 5 | $22.123,40 | 1658 / 98 | $19.815,70 | 1644 / 85 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 28 | 488 / 180 | $38.070,60 | 1216 / 13 | $17.160,20 | 2604 / 181 | $16.272,00 | 2559 / 189 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 72 | $19.628,60 | 1095 / 5 | $10.792,70 | 2725 / 184 | $9.786,44 | 2716 / 191 |
| Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 69 | $37.361,90 | 1467 / 16 | $14.575,70 | 2412 / 163 | $13.646,20 | 2406 / 169 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 33 | $17.427,40 | 958 / 4 | $8.681,00 | 1928 / 126 | $7.577,00 | 1920 / 129 | Total 20 procedures | 376 | 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.