Hospital Costs > In California > East Los Angeles Doctors Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 18 | 171 / 68 | $36.649,90 | 2338 / 122 | $11.453,00 | 2607 / 207 | $10.777,40 | 2599 / 213 |
| Chest Pain | 14 | 137 / 58 | $19.918,00 | 917 / 19 | $9.580,93 | 1678 / 140 | $8.636,93 | 1669 / 143 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 75 | $57.838,80 | 2324 / 115 | $13.830,90 | 2542 / 183 | $13.429,80 | 2534 / 191 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 97 | $36.034,70 | 2383 / 108 | $10.670,80 | 2692 / 211 | $9.555,69 | 2677 / 215 |
| Heart Failure & Shock W Mcc | 15 | 269 / 107 | $97.535,70 | 2556 / 186 | $17.167,20 | 2559 / 199 | $15.768,70 | 2548 / 203 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 43 | $30.734,10 | 1527 / 44 | $11.118,20 | 1975 / 143 | $10.559,50 | 1966 / 151 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 39 | $248.166,00 | 892 / 62 | $46.089,70 | 839 / 55 | $44.725,60 | 838 / 58 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 36 | 480 / 173 | $112.441,00 | 2720 / 215 | $19.132,40 | 2717 / 220 | $18.352,60 | 2672 / 229 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 79 | $87.057,90 | 2391 / 148 | $15.877,80 | 2472 / 181 | $15.269,80 | 2466 / 190 |
| Syncope & Collapse | 11 | 158 / 56 | $45.772,20 | 1786 / 105 | $10.551,30 | 1913 / 153 | $10.056,70 | 1905 / 158 | Total 10 procedures | 163 | 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.