Hospital Costs > In California > Eden 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 | 208 | 308 / 79 | $88.042,90 | 2526 / 167 | $17.784,90 | 2628 / 193 | $16.651,40 | 2583 / 195 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 78 | 104 / 11 | $58.668,00 | 1854 / 106 | $10.015,20 | 1907 / 118 | $9.055,97 | 1903 / 136 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 75 | 489 / 104 | $98.727,80 | 2459 / 153 | $20.466,40 | 2519 / 178 | $17.962,30 | 2473 / 187 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 69 | 138 / 48 | $54.148,00 | 2329 / 167 | $9.959,71 | 2368 / 163 | $9.118,43 | 2358 / 181 |
Heart Failure & Shock W Mcc | 67 | 217 / 61 | $77.015,60 | 2427 / 150 | $14.434,90 | 2471 / 165 | $13.787,20 | 2460 / 175 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 60 | 108 / 16 | $114.870,00 | 1567 / 125 | $19.701,50 | 1571 / 130 | $18.572,40 | 1564 / 139 |
Heart Failure & Shock W Cc | 52 | 226 / 52 | $45.480,80 | 2471 / 120 | $9.917,69 | 2476 / 164 | $8.111,31 | 2470 / 138 |
Kidney & Urinary Tract Infections W/O Mcc | 49 | 184 / 61 | $39.458,90 | 2483 / 144 | $7.233,92 | 2472 / 122 | $6.517,51 | 2461 / 144 |
Syncope & Collapse | 47 | 122 / 21 | $42.976,60 | 1746 / 96 | $7.152,96 | 1720 / 94 | $6.235,60 | 1712 / 103 |
Renal Failure W Cc | 42 | 179 / 46 | $50.174,30 | 2254 / 132 | $9.185,00 | 2225 / 126 | $8.293,57 | 2215 / 139 |
Transient Ischemia | 40 | 85 / 18 | $42.091,50 | 1476 / 85 | $6.907,58 | 1498 / 87 | $5.853,42 | 1490 / 97 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 70 | $37.154,80 | 2407 / 115 | $7.388,73 | 2475 / 136 | $6.376,23 | 2460 / 149 |
Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 51 | $55.041,40 | 2281 / 108 | $10.630,80 | 2379 / 125 | $10.010,50 | 2371 / 146 |
G.I. Hemorrhage W Cc | 37 | 181 / 56 | $57.250,50 | 2275 / 141 | $10.144,30 | 2287 / 147 | $9.234,00 | 2283 / 161 |
Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 30 | $95.573,90 | 1857 / 84 | $20.047,80 | 1869 / 141 | $15.721,60 | 1849 / 109 |
Pulmonary Edema & Respiratory Failure | 33 | 170 / 42 | $69.081,20 | 2046 / 101 | $13.118,30 | 2157 / 143 | $12.551,80 | 2151 / 151 |
Renal Failure W Mcc | 32 | 163 / 55 | $80.392,60 | 1998 / 123 | $15.211,70 | 2034 / 141 | $14.400,80 | 2030 / 152 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 32 | 70 / 16 | $52.558,60 | 1518 / 89 | $7.698,28 | 1479 / 90 | $6.564,28 | 1475 / 96 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 48 | $37.588,30 | 2319 / 122 | $6.785,97 | 2249 / 116 | $5.804,97 | 2241 / 121 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 41 | $42.488,60 | 2120 / 93 | $8.451,16 | 2184 / 103 | $7.545,16 | 2177 / 117 |
Respiratory Infections & Inflammations W Cc | 31 | 57 / 18 | $61.125,20 | 1263 / 53 | $11.990,20 | 1285 / 74 | $10.344,80 | 1280 / 60 |
Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 61 | $76.313,50 | 2313 / 130 | $13.950,70 | 2387 / 155 | $13.223,20 | 2381 / 165 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 61 | $47.445,70 | 2506 / 122 | $9.147,59 | 2574 / 132 | $8.235,03 | 2565 / 149 |
Respiratory Infections & Inflammations W Mcc | 28 | 108 / 44 | $74.013,40 | 1453 / 53 | $16.572,10 | 1639 / 86 | $15.828,10 | 1623 / 94 |
Seizures W/O Mcc | 28 | 80 / 14 | $38.543,90 | 1115 / 44 | $7.731,04 | 1127 / 61 | $6.419,36 | 1125 / 59 |
Cellulitis W/O Mcc | 28 | 161 / 58 | $40.601,80 | 2424 / 146 | $8.038,39 | 2379 / 133 | $6.996,11 | 2371 / 143 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 27 | 62 / 18 | $53.598,30 | 612 / 22 | $11.061,90 | 700 / 53 | $8.990,00 | 699 / 52 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 39 | $290.084,00 | 1497 / 106 | $61.611,80 | 1564 / 137 | $59.432,30 | 1554 / 141 |
Red Blood Cell Disorders W/O Mcc | 26 | 117 / 30 | $33.337,00 | 1621 / 55 | $7.927,42 | 1800 / 100 | $6.953,88 | 1791 / 103 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 26 | 28 / 5 | $64.064,70 | 395 / 19 | $7.393,81 | 341 / 17 | $6.088,88 | 341 / 19 |
Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 42 | $163.268,00 | 1169 / 46 | $40.548,10 | 1252 / 80 | $32.748,90 | 1247 / 66 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 45 | $40.111,60 | 1909 / 89 | $9.133,71 | 1965 / 153 | $6.758,86 | 1960 / 126 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 34 | $357.850,00 | 1045 / 113 | $72.741,70 | 1092 / 136 | $71.589,70 | 1091 / 138 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 21 | 110 / 32 | $154.398,00 | 1785 / 105 | $25.376,90 | 1796 / 124 | $23.894,40 | 1782 / 125 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 45 | $48.521,20 | 1656 / 87 | $9.963,86 | 1731 / 98 | $8.985,57 | 1727 / 105 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 25 | $35.413,40 | 1821 / 65 | $6.822,20 | 1863 / 88 | $6.097,40 | 1850 / 95 |
Chest Pain | 20 | 131 / 52 | $30.097,70 | 1392 / 65 | $6.334,95 | 1458 / 93 | $5.033,35 | 1450 / 87 |
G.I. Obstruction W Cc | 20 | 72 / 32 | $57.689,60 | 1660 / 109 | $8.781,65 | 1601 / 99 | $7.512,35 | 1596 / 104 |
Medical Back Problems W/O Mcc | 19 | 102 / 38 | $51.537,40 | 1414 / 91 | $11.530,10 | 1257 / 121 | $6.343,11 | 1253 / 72 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 40 | $52.757,60 | 1527 / 93 | $10.429,10 | 1549 / 96 | $9.854,79 | 1546 / 108 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 19 | 79 / 14 | $207.653,00 | 439 / 19 | $46.690,50 | 466 / 31 | $40.406,80 | 466 / 29 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 13 | $58.199,60 | 799 / 58 | $11.067,50 | 636 / 62 | $5.285,17 | 634 / 26 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 18 | 33 / 10 | $124.034,00 | 327 / 16 | $20.967,40 | 330 / 18 | $20.291,80 | 330 / 22 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 23 | $36.674,70 | 1204 / 64 | $6.233,44 | 1223 / 68 | $5.193,44 | 1220 / 77 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 18 | 48 / 13 | $63.321,50 | 479 / 16 | $10.587,80 | 470 / 27 | $9.588,67 | 469 / 28 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 34 | $65.799,60 | 1406 / 46 | $15.217,30 | 1632 / 99 | $14.413,70 | 1619 / 108 |
Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 13 | $47.922,10 | 756 / 31 | $9.228,18 | 734 / 26 | $8.166,53 | 734 / 30 |
Signs & Symptoms W/O Mcc | 17 | 74 / 21 | $46.325,80 | 1290 / 68 | $6.888,12 | 1182 / 55 | $6.035,41 | 1179 / 64 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 30 | $40.560,20 | 1963 / 88 | $7.953,44 | 1859 / 110 | $5.624,75 | 1848 / 75 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 19 | $82.582,60 | 910 / 56 | $16.358,30 | 898 / 72 | $13.012,90 | 895 / 62 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 38 | $47.462,90 | 1488 / 42 | $11.481,50 | 1771 / 100 | $10.799,50 | 1768 / 111 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 33 | $28.346,90 | 1715 / 55 | $5.770,56 | 1838 / 88 | $4.790,56 | 1832 / 106 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 39 | $168.273,00 | 1486 / 97 | $28.088,10 | 1519 / 107 | $27.262,20 | 1505 / 118 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 16 | $54.422,70 | 900 / 39 | $11.836,70 | 1003 / 53 | $11.352,50 | 999 / 64 |
Diabetes W Cc | 15 | 77 / 20 | $40.708,50 | 1418 / 55 | $7.994,13 | 1435 / 73 | $7.113,07 | 1430 / 83 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 19 | $42.464,60 | 925 / 33 | $8.515,21 | 991 / 52 | $7.740,36 | 987 / 65 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 14 | 30 / 10 | $47.227,90 | 297 / 21 | $7.392,57 | 261 / 18 | $6.188,00 | 261 / 19 |
Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 14 | $180.229,00 | 929 / 57 | $32.142,90 | 939 / 70 | $31.102,90 | 936 / 72 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 12 | $42.069,90 | 866 / 32 | $6.436,23 | 791 / 31 | $5.601,77 | 790 / 36 |
G.I. Hemorrhage W Mcc | 13 | 108 / 43 | $94.956,40 | 1534 / 109 | $17.022,50 | 1564 / 119 | $16.329,50 | 1554 / 128 |
Organic Disturbances & Mental Retardation | 13 | 46 / 11 | $36.813,00 | 422 / 13 | $8.710,62 | 425 / 9 | $7.785,08 | 425 / 10 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 12 | $521.511,00 | 518 / 34 | $115.814,00 | 546 / 46 | $114.521,00 | 545 / 50 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 38 | $106.040,00 | 1300 / 92 | $23.143,30 | 1333 / 117 | $19.800,70 | 1325 / 113 |
Other Disorders Of Nervous System W Cc | 11 | 45 / 16 | $57.661,50 | 589 / 39 | $9.234,27 | 585 / 41 | $8.361,55 | 584 / 43 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 19 | $47.500,00 | 1142 / 35 | $11.019,20 | 1153 / 68 | $7.758,55 | 1150 / 52 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 23 | $53.970,10 | 983 / 37 | $13.106,30 | 950 / 72 | $8.986,55 | 948 / 40 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 34 | $37.597,30 | 1770 / 65 | $6.891,55 | 1798 / 82 | $5.681,36 | 1790 / 91 | Total 67 procedures | 1.989 | 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.