Hospital Costs > In California > Doctors Hospital Of Manteca, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 50 | $62.054,60 | 2694 / 211 | $6.149,31 | 2083 / 43 | $5.149,51 | 2072 / 47 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 55 | 509 / 114 | $138.258,00 | 2645 / 217 | $15.803,20 | 2211 / 46 | $14.751,30 | 2167 / 85 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 42 | 474 / 167 | $117.544,00 | 2735 / 223 | $14.181,90 | 2253 / 62 | $13.390,30 | 2213 / 78 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 41 | 79 / 7 | $65.345,30 | 2091 / 131 | $6.460,41 | 1576 / 58 | $4.607,29 | 1565 / 20 |
Heart Failure & Shock W Cc | 40 | 238 / 62 | $81.846,90 | 2748 / 218 | $7.884,33 | 2256 / 57 | $7.161,10 | 2250 / 79 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 75 | $71.804,20 | 2723 / 223 | $6.258,03 | 1998 / 63 | $4.781,17 | 1984 / 36 |
Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 59 | $94.924,30 | 2817 / 220 | $7.525,71 | 2200 / 37 | $6.629,71 | 2192 / 48 |
Cellulitis W/O Mcc | 31 | 158 / 55 | $63.961,30 | 2618 / 214 | $6.550,68 | 2056 / 29 | $5.693,90 | 2048 / 52 |
Renal Failure W Cc | 30 | 191 / 58 | $87.873,70 | 2435 / 201 | $7.492,13 | 1925 / 37 | $6.729,47 | 1915 / 54 |
G.I. Hemorrhage W Cc | 27 | 191 / 64 | $82.952,60 | 2407 / 194 | $8.375,56 | 1767 / 71 | $6.519,59 | 1763 / 30 |
Pulmonary Edema & Respiratory Failure | 26 | 177 / 49 | $112.075,00 | 2221 / 163 | $9.258,27 | 1756 / 20 | $8.712,42 | 1751 / 33 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 49 | $82.710,90 | 2432 / 184 | $7.232,58 | 1901 / 31 | $6.379,25 | 1894 / 37 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 55 | $70.193,10 | 2535 / 203 | $5.753,62 | 1906 / 47 | $4.672,12 | 1900 / 43 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 86 | $103.773,00 | 2569 / 246 | $8.188,52 | 2046 / 48 | $7.467,13 | 2038 / 74 |
Syncope & Collapse | 23 | 146 / 44 | $61.496,00 | 1904 / 149 | $5.792,78 | 1419 / 25 | $4.900,96 | 1412 / 37 |
Heart Failure & Shock W Mcc | 21 | 263 / 101 | $127.374,00 | 2617 / 224 | $11.197,30 | 2016 / 40 | $10.455,20 | 2008 / 46 |
Red Blood Cell Disorders W/O Mcc | 21 | 122 / 35 | $72.299,60 | 1994 / 151 | $6.336,43 | 1513 / 24 | $5.534,90 | 1504 / 34 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 32 | $46.465,50 | 1955 / 126 | $4.558,71 | 1611 / 26 | $3.771,88 | 1605 / 56 |
Signs & Symptoms W/O Mcc | 15 | 76 / 23 | $54.258,70 | 1311 / 76 | $5.478,07 | 936 / 13 | $4.671,67 | 933 / 19 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 27 | $85.158,30 | 1424 / 132 | $7.538,87 | 1022 / 25 | $6.572,47 | 1018 / 25 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 40 | $181.497,00 | 1498 / 100 | $23.713,70 | 719 / 82 | $14.426,20 | 712 / 2 |
Chest Pain | 15 | 136 / 57 | $74.203,30 | 1711 / 155 | $5.136,33 | 1295 / 39 | $4.253,13 | 1288 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 60 | $94.714,00 | 2061 / 173 | $7.866,57 | 1565 / 20 | $7.087,14 | 1562 / 37 |
Renal Failure W Mcc | 14 | 181 / 72 | $190.429,00 | 2172 / 194 | $15.559,40 | 1892 / 150 | $12.640,70 | 1888 / 110 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 32 | $73.551,50 | 1954 / 128 | $6.036,08 | 1735 / 47 | $5.300,08 | 1727 / 71 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 32 | $68.634,20 | 2006 / 129 | $5.429,15 | 1551 / 19 | $4.592,23 | 1538 / 33 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 53 | $63.309,60 | 2134 / 162 | $6.135,77 | 1705 / 28 | $5.483,46 | 1700 / 53 |
Diabetes W Cc | 13 | 79 / 22 | $92.049,50 | 1626 / 128 | $6.531,38 | 1143 / 17 | $5.514,77 | 1138 / 17 |
Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 79 | $147.689,00 | 2574 / 203 | $13.040,50 | 2264 / 176 | $9.167,00 | 2256 / 106 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 37 | $53.166,70 | 1523 / 91 | $6.682,91 | 1117 / 51 | $4.613,82 | 1113 / 21 |
G.I. Obstruction W Cc | 11 | 81 / 41 | $85.442,20 | 1724 / 135 | $6.865,64 | 1334 / 24 | $5.987,09 | 1329 / 33 | Total 31 procedures | 745 | 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.