Hospital Costs > In California > Doctors Medical Center, 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 | 151 | 365 / 102 | $211.451,00 | 2827 / 270 | $19.776,50 | 2675 / 233 | $17.632,10 | 2630 / 213 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 118 | 446 / 76 | $118.716,00 | 2589 / 194 | $20.012,70 | 2539 / 174 | $18.406,20 | 2493 / 193 |
Kidney & Urinary Tract Infections W/O Mcc | 91 | 142 / 24 | $94.653,80 | 2717 / 226 | $10.020,50 | 2621 / 199 | $8.089,94 | 2610 / 192 |
Heart Failure & Shock W Mcc | 80 | 204 / 48 | $146.757,00 | 2627 / 232 | $15.041,80 | 2486 / 178 | $14.117,70 | 2475 / 181 |
Chest Pain | 77 | 74 / 13 | $75.668,20 | 1713 / 156 | $7.710,84 | 1619 / 124 | $6.613,87 | 1610 / 125 |
Simple Pneumonia & Pleurisy W Cc | 74 | 129 / 22 | $116.747,00 | 2825 / 225 | $11.804,00 | 2713 / 198 | $9.588,55 | 2704 / 189 |
Heart Failure & Shock W Cc | 64 | 214 / 41 | $100.853,00 | 2763 / 230 | $11.051,00 | 2645 / 187 | $9.737,17 | 2639 / 193 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 61 | 135 / 16 | $184.088,00 | 1471 / 115 | $19.735,50 | 1402 / 89 | $17.437,70 | 1394 / 96 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 55 | $79.605,20 | 2730 / 228 | $9.190,27 | 2610 / 190 | $7.559,44 | 2595 / 187 |
Chronic Obstructive Pulmonary Disease W Mcc | 55 | 147 / 35 | $113.583,00 | 2561 / 194 | $12.431,70 | 2485 / 166 | $11.430,70 | 2477 / 176 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 54 | 134 / 11 | $120.010,00 | 1638 / 131 | $11.560,20 | 1565 / 100 | $10.540,00 | 1562 / 111 |
Extracranial Procedures W/O Cc/Mcc | 53 | 45 / 4 | $74.699,90 | 880 / 38 | $11.199,90 | 918 / 52 | $10.241,10 | 915 / 54 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 51 | 131 / 27 | $130.801,00 | 2081 / 185 | $11.446,50 | 1982 / 154 | $10.247,60 | 1978 / 157 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 31 | $71.414,30 | 2537 / 205 | $8.833,04 | 2445 / 172 | $7.461,10 | 2436 / 175 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 50 | 81 / 8 | $279.916,00 | 1853 / 146 | $21.845,70 | 1716 / 94 | $20.938,20 | 1702 / 103 |
Cellulitis W/O Mcc | 49 | 140 / 37 | $77.994,50 | 2639 / 226 | $9.575,80 | 2535 / 182 | $8.542,45 | 2527 / 190 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 49 | 44 / 3 | $75.419,00 | 1955 / 129 | $8.464,29 | 1921 / 121 | $7.303,04 | 1913 / 125 |
Simple Pneumonia & Pleurisy W Mcc | 48 | 157 / 43 | $140.795,00 | 2514 / 197 | $15.546,50 | 2390 / 178 | $13.269,40 | 2384 / 166 |
Renal Failure W Cc | 47 | 174 / 41 | $97.412,00 | 2443 / 206 | $10.646,20 | 2350 / 170 | $9.670,70 | 2340 / 173 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 65 | $146.642,00 | 2576 / 251 | $12.012,30 | 2462 / 213 | $10.068,10 | 2452 / 208 |
Transient Ischemia | 45 | 80 / 14 | $87.386,20 | 1664 / 144 | $8.416,58 | 1613 / 124 | $7.273,22 | 1605 / 127 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 44 | 76 / 6 | $64.849,50 | 2090 / 130 | $8.611,32 | 2054 / 122 | $7.752,93 | 2042 / 126 |
Syncope & Collapse | 44 | 125 / 23 | $98.165,20 | 1931 / 166 | $8.720,23 | 1833 / 137 | $7.533,95 | 1825 / 137 |
G.I. Hemorrhage W Cc | 43 | 175 / 51 | $110.609,00 | 2422 / 200 | $10.905,90 | 2333 / 168 | $9.800,72 | 2329 / 174 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 42 | 126 / 30 | $208.989,00 | 1636 / 160 | $18.028,10 | 1524 / 117 | $16.800,10 | 1517 / 124 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 42 | 84 / 19 | $98.522,50 | 1729 / 161 | $11.765,20 | 1631 / 130 | $11.084,40 | 1628 / 134 |
Hip & Femur Procedures Except Major Joint W Cc | 40 | 103 / 27 | $141.405,00 | 2033 / 139 | $17.906,90 | 1934 / 125 | $16.780,40 | 1914 / 128 |
Kidney & Urinary Tract Infections W Mcc | 40 | 104 / 26 | $153.433,00 | 1955 / 172 | $13.016,70 | 1897 / 156 | $11.733,40 | 1893 / 156 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 27 | $104.041,00 | 2170 / 183 | $9.224,21 | 2089 / 155 | $8.332,21 | 2084 / 159 |
Chronic Obstructive Pulmonary Disease W Cc | 39 | 140 / 34 | $128.777,00 | 2448 / 196 | $10.819,20 | 2370 / 170 | $9.744,36 | 2363 / 173 |
Red Blood Cell Disorders W/O Mcc | 36 | 107 / 20 | $96.212,10 | 2002 / 156 | $10.704,70 | 1957 / 141 | $9.765,17 | 1948 / 145 |
Medical Back Problems W/O Mcc | 35 | 86 / 24 | $87.429,90 | 1494 / 129 | $9.261,63 | 1424 / 108 | $8.312,29 | 1419 / 113 |
Heart Failure & Shock W/O Cc/Mcc | 33 | 77 / 14 | $62.315,00 | 2002 / 127 | $8.250,94 | 1957 / 114 | $7.452,06 | 1944 / 118 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 31 | 61 / 24 | $641.138,00 | 1099 / 145 | $56.654,80 | 1022 / 112 | $55.228,60 | 1021 / 114 |
Coronary Bypass W Cardiac Cath W Mcc | 31 | 25 / 1 | $676.566,00 | 438 / 32 | $63.831,50 | 395 / 16 | $61.727,70 | 395 / 17 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 35 | $608.786,00 | 1592 / 157 | $54.573,40 | 1525 / 120 | $53.398,80 | 1515 / 127 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 19 | $78.113,00 | 1989 / 149 | $7.354,30 | 1936 / 129 | $6.123,17 | 1930 / 134 |
Spinal Fusion Except Cervical W/O Mcc | 30 | 164 / 37 | $202.404,00 | 1280 / 68 | $33.893,80 | 1248 / 53 | $32.649,60 | 1243 / 64 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 18 | $89.951,60 | 1609 / 128 | $9.427,30 | 1541 / 112 | $7.526,13 | 1537 / 112 |
Renal Failure W Mcc | 29 | 166 / 58 | $165.866,00 | 2169 / 192 | $15.279,30 | 2030 / 142 | $14.309,40 | 2026 / 150 |
Pulmonary Edema & Respiratory Failure | 29 | 174 / 46 | $146.596,00 | 2241 / 180 | $12.668,70 | 2120 / 137 | $11.662,30 | 2114 / 142 |
Poisoning & Toxic Effects Of Drugs W Mcc | 27 | 45 / 9 | $199.091,00 | 989 / 85 | $17.633,30 | 939 / 77 | $14.815,60 | 936 / 75 |
Coronary Bypass W Cardiac Cath W/O Mcc | 27 | 49 / 5 | $474.497,00 | 615 / 35 | $48.238,60 | 560 / 31 | $36.831,00 | 560 / 20 |
G.I. Hemorrhage W Mcc | 25 | 96 / 31 | $189.262,00 | 1673 / 161 | $17.613,20 | 1578 / 128 | $16.757,50 | 1568 / 132 |
Other Circulatory System Diagnoses W Mcc | 24 | 92 / 26 | $183.061,00 | 1390 / 130 | $18.704,60 | 1259 / 95 | $17.288,50 | 1251 / 92 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 18 | $319.645,00 | 1015 / 93 | $30.306,90 | 956 / 67 | $29.113,80 | 951 / 69 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 24 | 37 / 3 | $76.577,00 | 929 / 54 | $7.989,75 | 870 / 43 | $7.105,88 | 869 / 47 |
Signs & Symptoms W/O Mcc | 24 | 67 / 14 | $72.911,50 | 1339 / 92 | $8.399,00 | 1277 / 78 | $7.614,12 | 1274 / 82 |
Other Vascular Procedures W Cc | 23 | 79 / 21 | $253.025,00 | 1134 / 79 | $23.151,00 | 1043 / 45 | $22.113,30 | 1038 / 48 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 32 | $159.085,00 | 1918 / 153 | $14.272,30 | 1811 / 133 | $11.492,00 | 1808 / 124 |
Major Cardiovasc Procedures W Mcc | 22 | 46 / 8 | $541.349,00 | 645 / 50 | $50.449,20 | 598 / 34 | $49.266,10 | 597 / 35 |
Diabetes W Cc | 21 | 71 / 14 | $78.724,60 | 1618 / 123 | $9.068,57 | 1532 / 98 | $8.363,14 | 1527 / 105 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 21 | 49 / 13 | $101.046,00 | 571 / 54 | $10.787,70 | 514 / 41 | $9.200,05 | 514 / 41 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 23 | $132.729,00 | 1469 / 138 | $12.447,30 | 1372 / 105 | $11.621,10 | 1367 / 114 |
Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 21 | $252.590,00 | 992 / 61 | $30.325,20 | 936 / 44 | $29.372,10 | 935 / 46 |
Other Vascular Procedures W Mcc | 18 | 79 / 24 | $274.585,00 | 999 / 85 | $28.190,30 | 859 / 44 | $27.284,70 | 856 / 52 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 16 | $125.181,00 | 912 / 69 | $15.717,50 | 871 / 61 | $14.405,80 | 868 / 63 |
Coronary Bypass W/O Cardiac Cath W Mcc | 18 | 41 / 2 | $574.255,00 | 239 / 12 | $50.436,00 | 211 / 4 | $49.254,60 | 210 / 5 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 17 | 46 / 13 | $410.934,00 | 752 / 57 | $44.764,90 | 694 / 39 | $43.633,10 | 694 / 42 |
G.I. Obstruction W Cc | 17 | 75 / 35 | $96.694,60 | 1732 / 141 | $9.688,65 | 1674 / 120 | $8.499,24 | 1669 / 123 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 12 | $74.200,10 | 1001 / 69 | $9.161,65 | 971 / 64 | $7.130,47 | 967 / 63 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 17 | 101 / 24 | $403.585,00 | 531 / 34 | $44.516,70 | 478 / 12 | $43.374,40 | 478 / 18 |
Seizures W/O Mcc | 17 | 91 / 25 | $95.642,60 | 1317 / 99 | $10.221,00 | 1221 / 87 | $7.449,94 | 1219 / 78 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 55 | $196.360,00 | 1802 / 152 | $17.284,50 | 1673 / 102 | $16.447,80 | 1657 / 107 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 5 | $67.837,30 | 858 / 32 | $7.921,88 | 837 / 32 | $7.079,31 | 835 / 32 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 39 | $235.587,00 | 1532 / 117 | $23.673,80 | 1451 / 80 | $22.486,40 | 1437 / 94 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 16 | 100 / 21 | $617.287,00 | 473 / 37 | $64.754,90 | 396 / 11 | $63.646,20 | 396 / 16 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 14 | $140.420,00 | 857 / 62 | $16.053,40 | 844 / 57 | $14.834,30 | 840 / 62 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 15 | $192.049,00 | 1114 / 91 | $15.050,20 | 1063 / 78 | $13.613,80 | 1059 / 78 |
Cellulitis W Mcc | 15 | 43 / 19 | $164.289,00 | 968 / 91 | $14.637,90 | 917 / 76 | $13.636,10 | 915 / 77 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 18 | $96.331,90 | 1254 / 92 | $10.258,50 | 1182 / 77 | $9.333,13 | 1179 / 82 |
Respiratory Infections & Inflammations W Cc | 15 | 73 / 33 | $157.791,00 | 1484 / 125 | $15.818,50 | 1467 / 113 | $14.753,60 | 1462 / 118 |
Major Chest Procedures W Mcc | 15 | 34 / 10 | $306.386,00 | 318 / 18 | $42.053,80 | 284 / 12 | $41.188,10 | 283 / 14 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 19 | $503.250,00 | 981 / 87 | $46.870,60 | 894 / 57 | $45.789,40 | 893 / 62 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 14 | 37 / 14 | $288.930,00 | 353 / 30 | $22.309,60 | 285 / 20 | $16.708,20 | 285 / 12 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 14 | 30 / 10 | $254.090,00 | 431 / 30 | $25.234,90 | 387 / 19 | $24.081,00 | 385 / 23 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $165.846,00 | 1280 / 78 | $10.886,80 | 1255 / 66 | $9.703,14 | 1252 / 74 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 26 | $114.488,00 | 864 / 60 | $10.865,90 | 815 / 45 | $9.983,85 | 815 / 51 |
Other Vascular Procedures W/O Cc/Mcc | 13 | 43 / 13 | $121.263,00 | 538 / 17 | $16.098,20 | 503 / 14 | $14.283,70 | 502 / 14 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 13 | 78 / 22 | $132.909,00 | 400 / 33 | $11.758,30 | 362 / 19 | $11.247,10 | 362 / 23 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 11 | $1.064.470,00 | 570 / 57 | $103.190,00 | 513 / 39 | $100.061,00 | 512 / 40 |
Diabetes W Mcc | 13 | 44 / 14 | $117.899,00 | 739 / 42 | $13.731,30 | 698 / 38 | $13.071,40 | 697 / 40 |
Peripheral Vascular Disorders W Mcc | 13 | 36 / 9 | $162.123,00 | 592 / 38 | $14.513,40 | 560 / 36 | $13.617,70 | 560 / 36 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 17 | $114.482,00 | 530 / 36 | $11.750,50 | 492 / 29 | $10.607,40 | 491 / 31 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 13 | 85 / 20 | $396.231,00 | 505 / 43 | $46.989,50 | 452 / 32 | $38.053,20 | 452 / 27 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 29 | $114.773,00 | 1436 / 139 | $12.743,80 | 1362 / 131 | $9.286,54 | 1358 / 118 |
Organic Disturbances & Mental Retardation | 12 | 47 / 12 | $136.370,00 | 566 / 33 | $10.852,50 | 506 / 20 | $9.558,08 | 506 / 21 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 27 | $88.603,50 | 851 / 49 | $8.419,33 | 791 / 36 | $7.321,25 | 790 / 37 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 12 | 62 / 14 | $192.022,00 | 269 / 18 | $20.751,70 | 240 / 7 | $19.456,20 | 239 / 10 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 12 | 43 / 13 | $282.115,00 | 230 / 18 | $28.472,00 | 207 / 10 | $27.357,20 | 207 / 11 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 19 | $83.516,70 | 811 / 66 | $8.946,75 | 782 / 55 | $7.975,08 | 780 / 59 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 22 | $177.932,00 | 575 / 47 | $17.512,20 | 528 / 33 | $15.917,20 | 524 / 33 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 33 | $116.053,00 | 767 / 72 | $12.439,40 | 717 / 65 | $9.462,17 | 716 / 59 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 19 | $81.136,20 | 922 / 71 | $8.649,17 | 901 / 67 | $7.424,92 | 900 / 68 |
Hypertension W/O Mcc | 12 | 53 / 14 | $71.392,80 | 782 / 28 | $7.868,33 | 751 / 25 | $6.928,75 | 749 / 25 |
Atherosclerosis W/O Mcc | 12 | 46 / 14 | $114.847,00 | 548 / 33 | $7.779,33 | / 32 | $6.967,33 | / |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 21 | $216.324,00 | 916 / 63 | $19.670,40 | 819 / 40 | $18.417,60 | 811 / 42 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 40 | $209.992,00 | 1823 / 157 | $17.290,80 | 1720 / 122 | $16.220,30 | 1707 / 128 |
Dysequilibrium | 11 | 54 / 16 | $76.127,00 | 567 / 41 | $7.882,82 | 543 / 37 | $6.826,55 | 543 / 37 |
Major Chest Procedures W Cc | 11 | 63 / 19 | $296.903,00 | 505 / 37 | $27.162,00 | 492 / 24 | $26.286,80 | 490 / 28 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 24 | $201.977,00 | 963 / 79 | $24.115,30 | 916 / 63 | $22.986,60 | 912 / 68 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 19 | $360.706,00 | 592 / 28 | $32.977,30 | 554 / 14 | $31.865,30 | 553 / 17 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 30 | $88.401,80 | 1309 / 104 | $7.804,18 | 1294 / 93 | $6.931,18 | 1291 / 98 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 26 | $146.266,00 | 858 / 48 | $20.688,20 | 835 / 42 | $19.419,50 | 832 / 48 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 11 | 58 / 12 | $751.233,00 | 291 / 17 | $78.966,90 | 238 / 8 | $77.811,60 | 238 / 9 | Total 105 procedures | 3.101 | 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.