Hospital Costs > In California > Dominican Hospital, 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 | 162 | 402 / 61 | $132.518,00 | 2633 / 212 | $19.933,80 | 2514 / 172 | $17.914,90 | 2468 / 184 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 156 | 360 / 100 | $133.499,00 | 2785 / 245 | $19.656,20 | 2734 / 228 | $18.701,50 | 2689 / 231 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 91 | 184 / 27 | $59.316,20 | 2698 / 205 | $7.240,97 | 2457 / 126 | $6.243,34 | 2442 / 143 |
Heart Failure & Shock W Cc | 87 | 191 / 23 | $72.516,40 | 2735 / 216 | $9.298,67 | 2520 / 140 | $8.452,31 | 2514 / 154 |
Simple Pneumonia & Pleurisy W Cc | 69 | 134 / 25 | $64.607,40 | 2739 / 184 | $9.061,94 | 2549 / 129 | $8.081,54 | 2540 / 144 |
G.I. Hemorrhage W Cc | 69 | 149 / 29 | $66.494,40 | 2356 / 171 | $9.828,90 | 2197 / 140 | $8.370,07 | 2193 / 134 |
Heart Failure & Shock W Mcc | 64 | 220 / 64 | $125.873,00 | 2615 / 223 | $17.156,60 | 2572 / 198 | $16.341,80 | 2561 / 207 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 63 | 119 / 17 | $60.066,90 | 1870 / 109 | $9.661,29 | 1807 / 105 | $8.253,13 | 1803 / 102 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 57 | $81.462,40 | 2544 / 233 | $9.866,22 | 2345 / 155 | $8.929,38 | 2335 / 174 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 58 | 138 / 19 | $130.111,00 | 1373 / 80 | $19.861,30 | 1397 / 90 | $17.182,70 | 1389 / 94 |
Hip & Femur Procedures Except Major Joint W Cc | 55 | 88 / 15 | $109.497,00 | 1946 / 107 | $17.729,90 | 1922 / 121 | $16.611,60 | 1902 / 125 |
Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 59 | $47.181,10 | 2612 / 174 | $7.419,21 | 2447 / 133 | $6.373,67 | 2436 / 137 |
Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 44 | $117.046,00 | 2497 / 190 | $16.964,10 | 2360 / 188 | $12.811,20 | 2354 / 157 |
Cellulitis W/O Mcc | 45 | 144 / 41 | $54.725,70 | 2594 / 201 | $7.992,58 | 2369 / 130 | $6.944,40 | 2361 / 139 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 45 | 143 / 17 | $83.206,00 | 1579 / 101 | $11.347,00 | 1477 / 97 | $8.933,18 | 1474 / 84 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 35 | $51.437,50 | 2492 / 177 | $6.763,60 | 2226 / 114 | $5.688,51 | 2218 / 115 |
Psychoses | 44 | 233 / 20 | $98.508,40 | 616 / 42 | $11.800,30 | 579 / 25 | $10.526,80 | 579 / 28 |
Heart Failure & Shock W/O Cc/Mcc | 42 | 68 / 8 | $56.237,20 | 1994 / 123 | $6.551,00 | 1807 / 74 | $5.627,57 | 1794 / 80 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 38 | $76.462,60 | 2424 / 179 | $8.831,63 | 2222 / 115 | $7.866,14 | 2215 / 127 |
Renal Failure W Mcc | 34 | 161 / 53 | $134.005,00 | 2156 / 181 | $19.065,00 | 2136 / 176 | $18.286,60 | 2132 / 182 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 37 | $83.729,30 | 1394 / 81 | $14.420,20 | 1349 / 68 | $13.462,10 | 1343 / 79 |
Major Small & Large Bowel Procedures W Cc | 32 | 76 / 23 | $159.006,00 | 1470 / 91 | $23.568,20 | 1461 / 74 | $22.775,10 | 1447 / 99 |
G.I. Hemorrhage W Mcc | 32 | 89 / 24 | $105.404,00 | 1584 / 128 | $15.895,30 | 1488 / 98 | $15.063,30 | 1478 / 103 |
Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 59 | $84.668,60 | 2524 / 175 | $11.023,70 | 2377 / 139 | $10.005,90 | 2369 / 144 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 35 | $65.286,20 | 2137 / 164 | $8.000,65 | 1932 / 124 | $6.446,90 | 1927 / 117 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 25 | $93.633,70 | 1883 / 136 | $13.438,90 | 1850 / 130 | $12.520,90 | 1847 / 135 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 19 | $52.381,80 | 1516 / 88 | $7.273,14 | 1446 / 72 | $6.148,72 | 1442 / 86 |
Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 37 | $59.524,80 | 1811 / 126 | $10.150,90 | 1741 / 105 | $9.109,28 | 1737 / 108 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 38 | $434.923,00 | 1574 / 146 | $70.059,10 | 1592 / 149 | $69.077,80 | 1582 / 151 |
G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 15 | $42.261,50 | 1255 / 78 | $6.080,15 | 1192 / 64 | $4.808,58 | 1189 / 74 |
G.I. Obstruction W Cc | 25 | 67 / 27 | $53.851,00 | 1629 / 100 | $8.362,80 | 1583 / 87 | $7.296,56 | 1578 / 100 |
Pulmonary Edema & Respiratory Failure | 25 | 178 / 50 | $105.444,00 | 2211 / 158 | $14.810,40 | 2135 / 160 | $11.967,80 | 2129 / 147 |
Renal Failure W Cc | 25 | 196 / 63 | $66.094,40 | 2394 / 180 | $8.479,12 | 2126 / 99 | $7.560,08 | 2116 / 110 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 35 | $87.563,50 | 1717 / 154 | $11.462,00 | 1599 / 127 | $10.558,00 | 1596 / 126 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 48 | $113.995,00 | 1715 / 112 | $16.768,20 | 1643 / 93 | $15.866,80 | 1627 / 96 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 24 | 100 / 15 | $64.100,20 | 844 / 44 | $6.685,71 | 720 / 21 | $5.981,71 | 719 / 25 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 23 | 95 / 19 | $311.895,00 | 512 / 25 | $46.722,70 | 495 / 16 | $45.613,80 | 495 / 22 |
Fractures Of Hip & Pelvis W/O Mcc | 22 | 39 / 9 | $46.307,50 | 893 / 58 | $7.974,91 | 802 / 64 | $5.290,00 | 801 / 42 |
Syncope & Collapse | 22 | 147 / 45 | $47.820,70 | 1821 / 114 | $7.062,00 | 1706 / 90 | $6.183,45 | 1698 / 96 |
Spinal Fusion Except Cervical W/O Mcc | 22 | 172 / 44 | $218.942,00 | 1310 / 76 | $35.492,00 | 1272 / 60 | $34.338,50 | 1267 / 71 |
Chest Pain | 20 | 131 / 52 | $50.381,90 | 1686 / 139 | $5.965,20 | 1507 / 79 | $5.302,80 | 1498 / 99 |
Medical Back Problems W/O Mcc | 20 | 101 / 37 | $52.261,10 | 1425 / 93 | $8.113,85 | 1339 / 77 | $7.024,25 | 1334 / 89 |
Seizures W/O Mcc | 20 | 88 / 22 | $51.197,10 | 1240 / 68 | $7.367,50 | 1117 / 50 | $6.276,30 | 1115 / 57 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 26 | $57.353,50 | 2080 / 125 | $6.880,75 | 1887 / 74 | $5.792,75 | 1876 / 78 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 29 | $66.594,20 | 1306 / 61 | $11.976,90 | 1337 / 73 | $11.023,70 | 1332 / 78 |
Other Digestive System Diagnoses W Cc | 19 | 78 / 23 | $75.068,10 | 1413 / 124 | $9.011,00 | 1274 / 82 | $8.187,42 | 1270 / 94 |
Pulmonary Embolism W/O Mcc | 19 | 55 / 11 | $65.229,80 | 1238 / 60 | $8.807,26 | 1161 / 38 | $7.852,32 | 1158 / 56 |
Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 17 | $68.241,30 | 1361 / 79 | $9.937,74 | 1309 / 73 | $8.861,53 | 1307 / 76 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 16 | $66.753,30 | 1048 / 60 | $10.229,80 | 970 / 43 | $9.189,83 | 968 / 46 |
Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 17 | $96.641,90 | 952 / 72 | $15.952,70 | 945 / 69 | $15.077,90 | 942 / 76 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 26 | $69.894,80 | 1362 / 98 | $11.194,30 | 1294 / 83 | $10.252,10 | 1289 / 89 |
Diabetes W Cc | 18 | 74 / 17 | $56.201,60 | 1568 / 103 | $7.966,33 | 1432 / 72 | $7.091,67 | 1427 / 82 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 31 | $102.653,00 | 1068 / 67 | $15.399,10 | 1040 / 60 | $14.973,70 | 1036 / 66 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 32 | $41.992,40 | 1938 / 121 | $5.546,35 | 1806 / 81 | $4.620,24 | 1800 / 98 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 16 | $147.469,00 | 886 / 52 | $21.270,20 | 851 / 48 | $20.202,90 | 843 / 50 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 28 | $51.675,20 | 1916 / 109 | $8.678,59 | 1765 / 125 | $5.463,53 | 1757 / 79 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 9 | $87.674,10 | 620 / 24 | $19.713,20 | 654 / 41 | $17.174,80 | 653 / 35 |
Other Disorders Of Nervous System W Cc | 16 | 40 / 11 | $64.275,30 | 601 / 44 | $9.119,56 | 581 / 39 | $8.285,56 | 580 / 42 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 29 | $89.266,60 | 749 / 60 | $10.307,00 | 708 / 42 | $9.097,00 | 707 / 55 |
Transient Ischemia | 15 | 110 / 41 | $43.178,50 | 1492 / 89 | $6.989,27 | 1506 / 92 | $5.873,47 | 1498 / 101 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 19 | $78.809,30 | 833 / 41 | $14.868,10 | 856 / 56 | $13.658,50 | 853 / 58 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 25 | $263.302,00 | 1186 / 54 | $44.780,10 | 1155 / 50 | $43.809,30 | 1153 / 53 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 4 | $104.958,00 | 503 / 8 | $16.798,90 | 538 / 14 | $15.834,70 | 536 / 17 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 10 | $69.563,30 | 924 / 49 | $6.243,80 | 785 / 27 | $5.516,33 | 784 / 35 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 38 | $98.373,10 | 1694 / 107 | $15.355,60 | 1625 / 104 | $14.320,10 | 1612 / 106 |
Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 23 | $134.713,00 | 844 / 43 | $20.525,10 | 834 / 40 | $19.400,50 | 831 / 47 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 8 | $84.889,10 | 482 / 17 | $17.131,10 | 464 / 25 | $11.887,30 | 464 / 22 |
Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 21 | $113.243,00 | 830 / 43 | $23.970,00 | 910 / 62 | $22.756,30 | 906 / 66 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 29 | $180.895,00 | 917 / 52 | $29.408,20 | 938 / 63 | $28.204,50 | 933 / 65 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 17 | $60.237,00 | 828 / 44 | $9.370,08 | 752 / 30 | $8.535,62 | 752 / 36 |
Seizures W Mcc | 13 | 53 / 17 | $101.355,00 | 732 / 43 | $13.945,50 | 640 / 29 | $13.082,80 | 640 / 34 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 13 | $74.617,20 | 533 / 35 | $11.492,90 | 559 / 36 | $10.471,40 | 558 / 41 |
Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 13 | 18 / 5 | $91.034,10 | 127 / 7 | $18.383,50 | 133 / 11 | $14.923,90 | 133 / 12 |
Signs & Symptoms W/O Mcc | 13 | 78 / 25 | $43.869,80 | 1269 / 61 | $6.660,08 | 1149 / 48 | $5.828,08 | 1146 / 58 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 19 | $63.768,30 | 715 / 40 | $8.439,00 | 646 / 29 | $7.532,33 | 646 / 30 |
Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 12 | 41 / 11 | $66.833,00 | 446 / 13 | $11.188,00 | 425 / 9 | $10.478,70 | 425 / 11 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 15 | $92.720,30 | 559 / 19 | $17.953,30 | 600 / 31 | $17.142,70 | 596 / 36 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 19 | $111.789,00 | 737 / 42 | $15.155,60 | 708 / 30 | $13.951,30 | 708 / 36 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 22 | $48.327,30 | 993 / 45 | $8.347,55 | 960 / 47 | $7.250,82 | 956 / 54 |
Digestive Malignancy W Cc | 11 | 36 / 12 | $67.920,30 | 368 / 17 | $13.664,70 | 318 / 21 | $9.821,27 | 316 / 13 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 18 | $52.372,50 | 983 / 60 | $6.804,45 | 908 / 37 | $5.925,91 | 904 / 49 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 23 | $59.809,30 | 540 / 43 | $8.697,82 | 462 / 25 | $7.926,91 | 462 / 29 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 39 | $120.572,00 | 1339 / 113 | $16.310,80 | 1200 / 62 | $15.874,50 | 1192 / 74 | Total 83 procedures | 2.514 | 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.