Hospital Costs > In California > Encino Hospital 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 | 230 | 286 / 66 | $55.673,00 | 1975 / 62 | $12.931,70 | 1858 / 19 | $11.911,20 | 1823 / 23 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 47 | 78 / 8 | $52.093,50 | 1182 / 19 | $11.821,20 | 1240 / 11 | $11.185,30 | 1231 / 18 |
| Heart Failure & Shock W Mcc | 46 | 238 / 79 | $36.539,70 | 1483 / 17 | $10.188,10 | 1641 / 12 | $9.361,85 | 1636 / 13 |
| Renal Failure W Mcc | 36 | 159 / 51 | $36.363,00 | 1116 / 14 | $10.379,20 | 1205 / 6 | $9.449,00 | 1205 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 38 | $32.026,40 | 1251 / 21 | $7.932,00 | 1391 / 20 | $7.274,57 | 1387 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 82 | $26.675,90 | 1976 / 47 | $5.622,11 | 1701 / 22 | $4.345,04 | 1688 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 89 | $32.978,10 | 1770 / 54 | $7.278,00 | 1647 / 19 | $6.494,00 | 1640 / 31 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 37 | $208.161,00 | 774 / 42 | $39.320,50 | 493 / 15 | $36.667,40 | 492 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 42 | $30.219,90 | 967 / 17 | $7.923,59 | 930 / 9 | $6.841,94 | 927 / 8 |
| G.I. Hemorrhage W Mcc | 16 | 105 / 40 | $65.019,20 | 1266 / 53 | $12.586,90 | 691 / 17 | $10.201,60 | 692 / 2 |
| Cellulitis W Mcc | 15 | 43 / 19 | $39.139,10 | 577 / 16 | $9.045,27 | 474 / 3 | $8.621,00 | 472 / 6 |
| Red Blood Cell Disorders W Mcc | 14 | 57 / 17 | $28.190,10 | 406 / 7 | $8.952,86 | 484 / 2 | $7.428,29 | 482 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 95 | $26.460,60 | 2053 / 42 | $5.626,36 | 1789 / 14 | $4.675,50 | 1778 / 21 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 18 | $27.891,80 | 418 / 9 | $6.399,54 | 387 / 3 | $5.378,00 | 387 / 3 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 59 | $59.295,10 | 1253 / 25 | $13.195,30 | 1195 / 12 | $12.540,50 | 1180 / 16 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 36 | $66.862,10 | 941 / 34 | $10.892,50 | 647 / 9 | $9.768,83 | 645 / 7 |
| Cellulitis W/O Mcc | 11 | 178 / 75 | $29.688,60 | 2112 / 69 | $6.119,18 | 2007 / 15 | $5.572,27 | 1999 / 46 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 55 | $183.413,00 | 1186 / 36 | $38.051,70 | 1001 / 25 | $35.542,40 | 995 / 20 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $50.833,60 | 468 / 13 | $12.662,70 | 464 / 17 | $11.379,50 | 463 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 43 | $39.273,30 | 1305 / 23 | $8.644,64 | 1246 / 9 | $7.746,09 | 1243 / 12 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 24 | $34.316,40 | 453 / 3 | $9.677,64 | 452 / 4 | $8.341,27 | 451 / 3 | Total 21 procedures | 622 | 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.