Hospital Costs > In California > Desert Valley Hospital, 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 | 218 | 298 / 73 | $47.439,80 | 1684 / 38 | $13.083,30 | 1962 / 23 | $12.226,60 | 1926 / 30 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 85 | 190 / 31 | $20.035,20 | 1394 / 13 | $5.683,42 | 2004 / 24 | $4.796,91 | 1990 / 37 |
Heart Failure & Shock W Mcc | 63 | 221 / 65 | $29.692,60 | 1061 / 5 | $10.699,90 | 1882 / 24 | $9.978,75 | 1877 / 30 |
Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 41 | $32.729,40 | 1209 / 6 | $10.270,50 | 1853 / 19 | $9.549,35 | 1853 / 28 |
Pulmonary Edema & Respiratory Failure | 50 | 153 / 29 | $30.884,40 | 1091 / 9 | $8.964,28 | 1611 / 10 | $8.134,96 | 1606 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 65 | $29.725,60 | 1607 / 37 | $7.939,39 | 1914 / 33 | $7.055,41 | 1906 / 55 |
Chest Pain | 45 | 106 / 28 | $20.848,90 | 980 / 21 | $4.721,11 | 1165 / 15 | $3.885,04 | 1158 / 29 |
Renal Failure W Cc | 44 | 177 / 44 | $20.535,50 | 1031 / 6 | $7.161,23 | 1790 / 27 | $6.382,59 | 1780 / 31 |
Heart Failure & Shock W Cc | 44 | 234 / 58 | $22.524,60 | 1445 / 13 | $7.392,41 | 2098 / 28 | $6.726,64 | 2092 / 49 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 43 | 521 / 122 | $98.796,40 | 2462 / 155 | $15.634,40 | 2169 / 39 | $14.444,40 | 2125 / 73 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 41 | 83 / 25 | $162.979,00 | 1090 / 28 | $36.622,90 | 1005 / 19 | $35.597,20 | 999 / 21 |
Kidney & Urinary Tract Infections W/O Mcc | 40 | 193 / 69 | $22.728,80 | 1826 / 27 | $5.828,67 | 2005 / 24 | $5.007,15 | 1994 / 35 |
Syncope & Collapse | 38 | 131 / 29 | $21.954,70 | 1036 / 18 | $5.568,24 | 1354 / 18 | $4.727,13 | 1347 / 28 |
Atherosclerosis W/O Mcc | 35 | 23 / 2 | $19.438,10 | 298 / 7 | $4.748,26 | / 3 | $3.985,34 | / |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 34 | 162 / 38 | $99.594,70 | 1153 / 43 | $14.603,40 | 1161 / 8 | $13.608,60 | 1154 / 33 |
Other Respiratory System Diagnoses W/O Mcc | 34 | 13 / 2 | $23.520,20 | 162 / 3 | $6.041,65 | 167 / 1 | $4.937,65 | 167 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 49 | $17.964,10 | 1317 / 10 | $5.362,68 | 1820 / 22 | $4.505,90 | 1815 / 27 |
Transient Ischemia | 31 | 94 / 25 | $21.058,00 | 740 / 5 | $5.380,58 | 1135 / 17 | $4.331,81 | 1129 / 23 |
Renal Failure W Mcc | 30 | 165 / 57 | $29.878,60 | 755 / 7 | $11.062,60 | 1500 / 17 | $10.290,50 | 1499 / 22 |
Cellulitis W/O Mcc | 28 | 161 / 58 | $25.497,90 | 1900 / 39 | $6.283,46 | 1889 / 21 | $5.333,75 | 1881 / 31 |
Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 47 | $24.535,80 | 1422 / 16 | $7.019,46 | 1790 / 24 | $6.080,50 | 1783 / 23 |
Seizures W/O Mcc | 25 | 83 / 17 | $18.093,40 | 433 / 5 | $5.800,84 | 876 / 6 | $5.003,40 | 873 / 13 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 36 | $48.688,80 | 1175 / 25 | $8.062,96 | 1234 / 10 | $7.140,08 | 1231 / 27 |
Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 65 | $27.849,40 | 1831 / 19 | $7.185,20 | 2056 / 23 | $6.276,88 | 2048 / 29 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 43 | $17.133,10 | 764 / 2 | $6.009,87 | 1506 / 21 | $4.990,30 | 1501 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 32 | $29.379,90 | 923 / 8 | $8.722,36 | 1257 / 11 | $7.773,36 | 1254 / 14 |
G.I. Hemorrhage W Cc | 22 | 196 / 69 | $29.105,10 | 1511 / 18 | $7.468,18 | 1608 / 22 | $6.173,73 | 1604 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 53 | $24.619,80 | 769 / 4 | $7.901,00 | 1526 / 21 | $6.964,00 | 1523 / 31 |
Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 69 | $29.387,70 | 1432 / 10 | $8.621,29 | 1911 / 25 | $7.719,62 | 1903 / 30 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 51 | $38.617,50 | 649 / 4 | $12.155,80 | 1062 / 9 | $11.371,80 | 1057 / 17 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 46 | $23.677,10 | 829 / 7 | $8.280,85 | 1389 / 27 | $7.273,30 | 1385 / 27 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 36 | $223.424,00 | 820 / 50 | $40.582,30 | 633 / 21 | $39.466,70 | 632 / 24 |
Peripheral Vascular Disorders W Cc | 19 | 65 / 14 | $31.239,50 | 839 / 13 | $7.240,47 | 829 / 11 | $6.314,63 | 826 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 26 | $29.022,10 | 596 / 10 | $8.550,28 | 893 / 4 | $7.742,22 | 888 / 11 |
Diabetes W Cc | 18 | 74 / 17 | $24.639,50 | 978 / 13 | $6.157,61 | 1187 / 8 | $5.690,06 | 1182 / 24 |
G.I. Hemorrhage W Mcc | 18 | 103 / 38 | $42.184,40 | 775 / 12 | $12.193,20 | 1010 / 11 | $11.303,20 | 1002 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 25 | $123.728,00 | 690 / 15 | $22.513,40 | 681 / 4 | $21.719,10 | 677 / 7 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 15 | $17.526,00 | 281 / 4 | $5.677,44 | 479 / 7 | $4.511,81 | 477 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 44 | $23.564,50 | 621 / 5 | $8.031,53 | 1000 / 16 | $7.078,73 | 997 / 13 |
Diabetes W Mcc | 15 | 42 / 12 | $27.804,70 | 238 / 2 | $9.775,60 | 396 / 5 | $8.643,80 | 396 / 3 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 28 | $27.793,90 | 787 / 13 | $7.225,00 | 1034 / 10 | $6.621,57 | 1030 / 30 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 37 | $34.388,70 | 330 / 2 | $13.590,60 | 934 / 11 | $12.956,50 | 927 / 17 |
Medical Back Problems W/O Mcc | 13 | 108 / 44 | $18.930,50 | 449 / 5 | $6.251,85 | 1024 / 15 | $5.318,92 | 1021 / 22 |
Signs & Symptoms W/O Mcc | 13 | 78 / 25 | $18.804,20 | 591 / 7 | $5.334,08 | 984 / 11 | $4.871,31 | 981 / 25 |
Disorders Of Pancreas Except Malignancy W Mcc | 12 | 34 / 9 | $37.504,00 | 117 / 3 | $11.998,40 | 182 / 2 | $11.434,10 | 182 / 3 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 44 | $21.102,30 | 997 / 13 | $6.096,75 | 1177 / 15 | $4.764,33 | 1169 / 11 |
Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 18 | $39.709,30 | 184 / 5 | $9.481,83 | 272 / 3 | $8.271,17 | 272 / 10 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $62.855,10 | 976 / 10 | $16.289,40 | 1249 / 5 | $15.364,80 | 1236 / 8 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $26.250,60 | 517 / 4 | $6.896,36 | 664 / 6 | $5.910,18 | 661 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 55 | $68.539,80 | 1518 / 19 | $14.138,50 | 1514 / 25 | $12.837,60 | 1496 / 26 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 41 | $40.647,00 | 831 / 11 | $12.559,50 | 1348 / 29 | $11.748,50 | 1338 / 32 | Total 51 procedures | 1.569 | 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.