Hospital Costs > In California > Desert Regional Medical Center, 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 | 99 | 465 / 85 | $114.267,00 | 2567 / 187 | $17.424,00 | 2228 / 105 | $14.830,00 | 2184 / 89 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 74 | 442 / 146 | $169.176,00 | 2817 / 263 | $16.194,20 | 2507 / 152 | $15.297,30 | 2463 / 160 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 72 | 124 / 13 | $189.966,00 | 1476 / 117 | $18.000,20 | 1257 / 59 | $14.831,50 | 1250 / 50 |
G.I. Hemorrhage W Cc | 62 | 156 / 34 | $71.757,80 | 2387 / 185 | $9.173,02 | 2180 / 117 | $8.249,27 | 2176 / 131 |
Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 32 | $83.355,50 | 2807 / 215 | $9.406,92 | 2521 / 141 | $7.813,56 | 2512 / 135 |
Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 53 | $61.758,60 | 2693 / 210 | $7.415,88 | 2440 / 132 | $6.319,21 | 2429 / 134 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 56 | 126 / 23 | $97.977,50 | 2066 / 177 | $9.695,57 | 1837 / 106 | $8.469,48 | 1833 / 110 |
Renal Failure W Cc | 52 | 169 / 37 | $84.956,20 | 2431 / 200 | $9.397,15 | 2119 / 133 | $7.541,23 | 2109 / 107 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 49 | 226 / 61 | $68.882,60 | 2718 / 220 | $7.597,43 | 2471 / 144 | $6.340,29 | 2456 / 148 |
Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 28 | $80.661,90 | 2427 / 182 | $9.026,40 | 2198 / 124 | $7.643,62 | 2191 / 120 |
Heart Failure & Shock W Cc | 43 | 235 / 59 | $68.540,70 | 2723 / 209 | $9.100,56 | 2505 / 131 | $8.350,49 | 2499 / 149 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 39 | $54.979,60 | 2504 / 185 | $6.974,71 | 2290 / 124 | $6.031,78 | 2282 / 135 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 39 | 92 / 16 | $171.194,00 | 1809 / 116 | $18.750,40 | 1528 / 42 | $17.922,20 | 1514 / 50 |
Renal Failure W Mcc | 38 | 157 / 49 | $156.151,00 | 2166 / 189 | $14.966,20 | 2012 / 137 | $14.110,90 | 2008 / 142 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 38 | 130 / 33 | $170.202,00 | 1627 / 154 | $15.481,70 | 1419 / 83 | $14.395,00 | 1412 / 91 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 37 | 151 / 25 | $104.951,00 | 1627 / 124 | $9.611,54 | 1404 / 58 | $8.252,30 | 1401 / 62 |
Syncope & Collapse | 37 | 132 / 30 | $68.224,10 | 1918 / 159 | $7.187,97 | 1690 / 99 | $6.045,30 | 1682 / 94 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 11 | $68.658,80 | 2097 / 133 | $7.156,72 | 1910 / 86 | $5.975,64 | 1899 / 83 |
Chest Pain | 36 | 115 / 37 | $44.725,10 | 1647 / 123 | $6.217,56 | 1450 / 87 | $4.995,11 | 1442 / 86 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 34 | 68 / 14 | $80.367,60 | 1604 / 124 | $7.465,79 | 1429 / 79 | $6.049,41 | 1425 / 81 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 32 | $75.187,10 | 2157 / 174 | $7.682,74 | 1934 / 111 | $6.453,71 | 1929 / 118 |
Heart Failure & Shock W Mcc | 33 | 251 / 89 | $101.612,00 | 2569 / 192 | $12.635,00 | 2298 / 106 | $11.795,10 | 2288 / 116 |
Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 33 | $143.138,00 | 2037 / 142 | $15.755,20 | 1766 / 72 | $14.581,60 | 1747 / 79 |
Cellulitis W/O Mcc | 31 | 158 / 55 | $71.823,20 | 2632 / 222 | $8.543,61 | 2458 / 154 | $7.501,26 | 2450 / 167 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 29 | 71 / 13 | $275.223,00 | 1006 / 87 | $25.592,30 | 837 / 29 | $24.611,40 | 832 / 37 |
Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 61 | $97.248,30 | 2552 / 190 | $10.367,10 | 2298 / 116 | $9.384,72 | 2290 / 120 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 21 | $54.427,90 | 1973 / 139 | $5.968,39 | 1837 / 99 | $4.790,18 | 1831 / 105 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 31 | $96.098,70 | 1728 / 160 | $10.970,90 | 1556 / 115 | $9.916,54 | 1553 / 111 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 18 | $47.904,00 | 1970 / 112 | $6.808,26 | 1848 / 86 | $5.949,30 | 1835 / 92 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 19 | $50.857,80 | 1911 / 107 | $7.027,73 | 1818 / 88 | $5.847,00 | 1810 / 98 |
Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 67 | $87.695,80 | 2397 / 149 | $12.372,50 | 2101 / 102 | $10.664,00 | 2097 / 73 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 34 | $39.959,40 | 1761 / 90 | $7.695,41 | 1781 / 89 | $6.824,64 | 1772 / 94 |
Major Small & Large Bowel Procedures W Cc | 21 | 87 / 34 | $236.529,00 | 1533 / 118 | $22.655,00 | 1413 / 66 | $21.102,30 | 1399 / 87 |
G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 9 | $55.353,10 | 988 / 62 | $6.976,10 | 912 / 42 | $5.987,43 | 908 / 51 |
G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 21 | $44.608,40 | 1266 / 83 | $7.779,05 | 1117 / 92 | $4.382,90 | 1114 / 53 |
Signs & Symptoms W/O Mcc | 20 | 71 / 18 | $61.530,10 | 1327 / 85 | $6.937,80 | 1164 / 56 | $5.908,40 | 1161 / 61 |
Pulmonary Embolism W/O Mcc | 20 | 54 / 10 | $75.271,90 | 1264 / 68 | $9.018,10 | 1170 / 44 | $7.964,40 | 1167 / 59 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 5 | $83.674,00 | 857 / 42 | $7.418,89 | 797 / 28 | $6.474,72 | 793 / 33 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 18 | 48 / 13 | $99.819,90 | 527 / 34 | $9.750,61 | 444 / 18 | $8.932,67 | 443 / 23 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 16 | $111.354,00 | 905 / 63 | $13.540,60 | 800 / 39 | $12.238,90 | 797 / 42 |
G.I. Obstruction W Cc | 18 | 74 / 34 | $87.641,30 | 1727 / 137 | $9.103,44 | 1651 / 107 | $8.177,78 | 1646 / 119 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 91 | $99.949,60 | 2567 / 245 | $9.666,06 | 2286 / 143 | $8.546,28 | 2277 / 156 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $75.221,60 | 928 / 53 | $6.589,47 | 795 / 33 | $5.643,47 | 794 / 37 |
Medical Back Problems W/O Mcc | 16 | 105 / 41 | $72.401,70 | 1488 / 127 | $8.210,00 | 1287 / 82 | $6.546,00 | 1283 / 75 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 20 | $116.496,00 | 1426 / 101 | $9.624,00 | 1219 / 66 | $7.852,00 | 1217 / 50 |
G.I. Hemorrhage W Mcc | 16 | 105 / 40 | $181.321,00 | 1671 / 159 | $19.943,60 | 1626 / 148 | $18.956,90 | 1616 / 149 |
Transient Ischemia | 15 | 110 / 41 | $65.337,90 | 1644 / 131 | $7.390,27 | 1465 / 109 | $5.575,27 | 1457 / 86 |
Renal Failure W/O Cc/Mcc | 15 | 41 / 6 | $52.365,80 | 851 / 30 | $6.455,73 | 800 / 24 | $5.591,40 | 798 / 26 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 15 | 39 / 13 | $74.405,60 | 400 / 21 | $10.533,40 | 324 / 22 | $5.836,07 | 324 / 16 |
Seizures W/O Mcc | 15 | 93 / 27 | $62.664,30 | 1290 / 86 | $7.419,53 | 1125 / 51 | $6.391,80 | 1123 / 58 |
Major Cardiovasc Procedures W Mcc | 15 | 53 / 15 | $357.397,00 | 629 / 41 | $41.044,10 | 494 / 12 | $39.952,40 | 493 / 16 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 29 | $68.205,30 | 1345 / 92 | $10.475,70 | 1260 / 63 | $9.840,33 | 1255 / 79 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 37 | $123.642,00 | 1775 / 131 | $14.029,50 | 1533 / 61 | $13.208,70 | 1520 / 71 |
Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 27 | $174.643,00 | 941 / 43 | $25.764,40 | 800 / 14 | $24.651,80 | 799 / 21 |
Other Vascular Procedures W Mcc | 14 | 83 / 28 | $198.194,00 | 969 / 69 | $24.335,90 | 687 / 10 | $23.419,70 | 684 / 13 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 26 | $393.715,00 | 1273 / 85 | $49.098,60 | 1216 / 66 | $46.907,20 | 1213 / 65 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 13 | 31 / 11 | $178.698,00 | 422 / 26 | $22.260,20 | 338 / 10 | $21.269,00 | 336 / 16 |
Coronary Bypass W Cardiac Cath W/O Mcc | 13 | 63 / 15 | $360.764,00 | 603 / 28 | $34.708,00 | 453 / 6 | $30.483,80 | 453 / 7 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 37 | $104.961,00 | 1297 / 91 | $15.730,00 | 1129 / 50 | $14.817,80 | 1121 / 58 |
Diabetes W Cc | 13 | 79 / 22 | $59.847,80 | 1588 / 113 | $7.903,69 | 1399 / 70 | $6.811,00 | 1394 / 75 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 13 | 38 / 15 | $208.251,00 | 348 / 25 | $18.756,80 | 304 / 15 | $17.856,80 | 304 / 16 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 15 | $215.706,00 | 958 / 72 | $25.429,50 | 847 / 48 | $24.261,60 | 844 / 49 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 22 | $150.111,00 | 987 / 83 | $14.382,80 | 909 / 61 | $13.387,00 | 906 / 67 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 17 | $295.852,00 | 723 / 42 | $39.743,20 | 624 / 25 | $38.829,90 | 624 / 29 |
Seizures W Mcc | 12 | 54 / 18 | $184.486,00 | 773 / 58 | $16.660,30 | 722 / 43 | $15.701,30 | 722 / 47 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 14 | $73.546,40 | 537 / 16 | $17.302,60 | 633 / 27 | $16.345,00 | 632 / 30 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 30 | $71.987,10 | 1405 / 120 | $8.899,17 | 1258 / 76 | $8.015,25 | 1254 / 91 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 8 | $58.602,20 | 452 / 20 | $6.641,42 | 426 / 16 | $5.761,17 | 425 / 18 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 63 | $65.357,10 | 1995 / 87 | $10.397,00 | 1874 / 72 | $9.253,17 | 1869 / 59 |
Major Chest Procedures W Mcc | 12 | 37 / 13 | $270.942,00 | 309 / 15 | $37.269,50 | 239 / 6 | $36.234,70 | 238 / 7 |
Major Chest Procedures W Cc | 11 | 63 / 19 | $117.185,00 | 444 / 16 | $17.457,90 | 135 / 2 | $13.715,70 | 135 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 55 | $487.995,00 | 1582 / 152 | $46.209,90 | 1396 / 81 | $45.256,00 | 1386 / 88 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 10 | $53.889,90 | 223 / 11 | $14.225,00 | 258 / 13 | $13.382,10 | 258 / 14 |
Nervous System Neoplasms W Mcc | 11 | 37 / 12 | $177.098,00 | 311 / 21 | $15.487,50 | 296 / 13 | $14.248,20 | 296 / 16 |
Hiv W Major Related Condition W Cc | 11 | 13 / 4 | $77.044,40 | 40 / 4 | $11.559,10 | 17 / 2 | $10.365,50 | 17 / 2 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 22 | $720.349,00 | 511 / 49 | $68.382,80 | 509 / 48 | $63.881,80 | 509 / 47 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 28 | $67.461,10 | 838 / 49 | $9.071,45 | 725 / 32 | $8.218,45 | 725 / 36 | Total 77 procedures | 2.006 | 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.