Hospital Costs > In California > Fountain Valley Regional 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 | 216 | 300 / 74 | $128.193,00 | 2767 / 237 | $17.072,00 | 2594 / 177 | $16.130,50 | 2549 / 186 |
Simple Pneumonia & Pleurisy W Mcc | 91 | 114 / 11 | $99.888,20 | 2458 / 171 | $13.906,30 | 2357 / 151 | $12.792,10 | 2351 / 154 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 89 | 475 / 93 | $103.387,00 | 2513 / 171 | $19.375,60 | 2472 / 162 | $17.119,50 | 2426 / 172 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 75 | 200 / 38 | $41.748,10 | 2511 / 144 | $8.322,77 | 2592 / 174 | $7.256,41 | 2577 / 181 |
Heart Failure & Shock W Mcc | 73 | 211 / 55 | $100.805,00 | 2567 / 191 | $14.278,80 | 2455 / 162 | $13.464,10 | 2444 / 168 |
Kidney & Urinary Tract Infections W/O Mcc | 72 | 161 / 41 | $47.632,40 | 2618 / 177 | $8.467,61 | 2593 / 175 | $7.584,07 | 2582 / 180 |
Chest Pain | 65 | 86 / 16 | $40.892,60 | 1604 / 110 | $7.147,78 | 1573 / 115 | $5.875,35 | 1564 / 113 |
Simple Pneumonia & Pleurisy W Cc | 62 | 141 / 29 | $61.745,90 | 2715 / 174 | $10.108,60 | 2665 / 166 | $8.915,77 | 2656 / 172 |
Chronic Obstructive Pulmonary Disease W Mcc | 58 | 144 / 32 | $72.811,10 | 2466 / 154 | $11.891,70 | 2400 / 159 | $10.217,80 | 2392 / 154 |
Renal Failure W Mcc | 53 | 142 / 34 | $97.391,40 | 2103 / 160 | $14.910,20 | 2014 / 134 | $14.135,00 | 2010 / 143 |
Respiratory Infections & Inflammations W Mcc | 49 | 87 / 27 | $111.138,00 | 1704 / 108 | $17.231,30 | 1660 / 101 | $16.126,70 | 1644 / 101 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 48 | 134 / 30 | $66.775,50 | 1961 / 127 | $10.781,30 | 1953 / 142 | $9.655,75 | 1949 / 148 |
Cellulitis W/O Mcc | 47 | 142 / 39 | $47.709,30 | 2534 / 174 | $8.995,66 | 2511 / 172 | $8.148,89 | 2503 / 182 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 34 | $44.260,80 | 2432 / 151 | $8.051,57 | 2403 / 160 | $6.810,67 | 2394 / 162 |
Red Blood Cell Disorders W/O Mcc | 43 | 100 / 13 | $42.689,90 | 1803 / 100 | $8.742,79 | 1886 / 122 | $7.882,81 | 1877 / 127 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 43 | 125 / 29 | $113.111,00 | 1561 / 123 | $16.347,10 | 1447 / 100 | $14.755,90 | 1440 / 103 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 43 | 83 / 18 | $71.283,00 | 1673 / 138 | $10.968,10 | 1558 / 113 | $9.946,40 | 1555 / 112 |
Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 32 | $56.493,00 | 2329 / 144 | $9.652,61 | 2309 / 147 | $8.661,37 | 2302 / 153 |
Other Vascular Procedures W Mcc | 41 | 56 / 6 | $183.014,00 | 949 / 66 | $26.797,00 | 809 / 34 | $25.958,90 | 806 / 39 |
Kidney & Urinary Tract Infections W Mcc | 39 | 105 / 27 | $63.129,20 | 1844 / 136 | $11.425,30 | 1790 / 145 | $9.592,21 | 1786 / 126 |
Heart Failure & Shock W Cc | 39 | 239 / 63 | $54.001,30 | 2601 / 159 | $10.184,30 | 2610 / 172 | $9.205,21 | 2604 / 182 |
G.I. Hemorrhage W Mcc | 38 | 83 / 18 | $83.184,80 | 1467 / 90 | $15.873,70 | 1448 / 97 | $14.400,30 | 1438 / 90 |
Renal Failure W Cc | 37 | 184 / 51 | $58.360,10 | 2348 / 163 | $9.882,03 | 2313 / 154 | $9.137,24 | 2303 / 166 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 36 | 152 / 26 | $89.100,90 | 1601 / 110 | $10.617,70 | 1530 / 85 | $9.657,83 | 1527 / 103 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 31 | $368.999,00 | 1555 / 135 | $49.862,70 | 1455 / 102 | $48.018,90 | 1445 / 104 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 20 | $78.361,70 | 1831 / 118 | $11.787,90 | 1781 / 105 | $10.979,30 | 1778 / 116 |
G.I. Hemorrhage W Cc | 33 | 185 / 58 | $58.300,30 | 2286 / 145 | $10.242,20 | 2315 / 152 | $9.532,79 | 2311 / 168 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 76 | $58.953,20 | 2400 / 190 | $10.704,30 | 2439 / 187 | $9.785,55 | 2429 / 198 |
Syncope & Collapse | 33 | 136 / 34 | $55.174,20 | 1872 / 131 | $8.177,64 | 1807 / 128 | $7.064,88 | 1799 / 131 |
Other Circulatory System Diagnoses W Mcc | 32 | 84 / 19 | $104.301,00 | 1292 / 89 | $16.582,90 | 1205 / 67 | $15.946,10 | 1197 / 75 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 41 | $143.780,00 | 1417 / 93 | $18.554,50 | 1334 / 69 | $15.951,70 | 1327 / 75 |
Medical Back Problems W/O Mcc | 31 | 90 / 27 | $49.280,60 | 1398 / 84 | $9.091,29 | 1404 / 106 | $7.905,00 | 1399 / 109 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 23 | $165.489,00 | 1802 / 112 | $20.947,90 | 1677 / 81 | $20.101,70 | 1663 / 92 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 19 | $31.754,90 | 1804 / 76 | $6.878,90 | 1921 / 122 | $5.820,33 | 1915 / 129 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 23 | $134.675,00 | 1792 / 139 | $16.327,30 | 1696 / 113 | $15.376,00 | 1683 / 122 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 39 | $49.070,20 | 2053 / 130 | $8.573,89 | 2032 / 143 | $7.341,96 | 2027 / 147 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 24 | 72 / 20 | $60.873,70 | 1279 / 76 | $11.701,80 | 1332 / 93 | $10.885,10 | 1327 / 101 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 21 | $43.920,80 | 1857 / 89 | $7.867,00 | 1900 / 113 | $6.749,58 | 1892 / 119 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 32 | $338.261,00 | 1033 / 107 | $52.859,70 | 889 / 99 | $46.310,50 | 888 / 75 |
Other Circulatory System O.R. Procedures | 23 | 32 / 5 | $153.709,00 | 422 / 25 | $23.049,20 | 368 / 16 | $22.444,60 | 368 / 18 |
Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 12 | $127.151,00 | 885 / 56 | $22.650,70 | 857 / 53 | $20.969,90 | 853 / 50 |
Other Digestive System Diagnoses W Cc | 22 | 75 / 20 | $49.025,00 | 1254 / 76 | $10.004,00 | 1341 / 106 | $8.946,14 | 1337 / 112 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 22 | 41 / 8 | $288.911,00 | 719 / 41 | $42.812,80 | 671 / 34 | $41.691,00 | 671 / 39 |
Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 45 | $114.263,00 | 1972 / 115 | $17.355,40 | 1913 / 112 | $16.464,90 | 1893 / 120 |
Diabetes W Cc | 20 | 72 / 15 | $43.007,60 | 1458 / 68 | $8.738,95 | 1496 / 92 | $7.759,00 | 1491 / 98 |
Transient Ischemia | 20 | 105 / 36 | $73.867,60 | 1658 / 140 | $9.005,40 | 1629 / 129 | $8.026,75 | 1621 / 132 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 23 | $203.280,00 | 966 / 67 | $27.340,20 | 897 / 47 | $26.616,60 | 892 / 56 |
Spinal Fusion Except Cervical W/O Mcc | 19 | 175 / 47 | $209.121,00 | 1292 / 70 | $33.037,10 | 1231 / 45 | $31.870,10 | 1226 / 56 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 14 | $152.138,00 | 893 / 53 | $19.926,10 | 790 / 41 | $17.535,90 | 783 / 38 |
G.I. Obstruction W Cc | 18 | 74 / 34 | $47.213,10 | 1565 / 81 | $9.216,78 | 1654 / 109 | $8.260,50 | 1649 / 120 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 30 | $75.635,20 | 1371 / 80 | $13.128,80 | 1406 / 96 | $12.151,30 | 1401 / 99 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 29 | $41.310,40 | 1972 / 90 | $8.001,41 | 2019 / 112 | $7.006,88 | 2007 / 113 |
Degenerative Nervous System Disorders W/O Mcc | 17 | 61 / 13 | $53.884,80 | 795 / 36 | $9.730,06 | 779 / 36 | $8.932,76 | 779 / 40 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 28 | $39.649,90 | 1888 / 82 | $7.725,76 | 1919 / 110 | $6.718,94 | 1906 / 109 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 13 | $120.081,00 | 842 / 58 | $15.432,90 | 799 / 55 | $12.738,00 | 795 / 46 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 16 | 60 / 20 | $113.000,00 | 530 / 53 | $16.180,80 | 447 / 39 | $15.319,20 | 447 / 40 |
Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 17 | $62.858,50 | 1058 / 66 | $9.281,62 | 1008 / 66 | $8.050,62 | 1004 / 68 |
Hypertension W/O Mcc | 16 | 49 / 10 | $44.161,40 | 757 / 24 | $7.380,81 | 740 / 23 | $6.380,69 | 738 / 22 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 15 | $56.674,60 | 924 / 42 | $13.148,10 | 961 / 69 | $10.660,90 | 957 / 52 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 18 | $345.105,00 | 952 / 72 | $47.086,90 | 898 / 58 | $46.228,00 | 897 / 63 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 16 | $53.400,20 | 688 / 37 | $9.349,07 | 683 / 35 | $8.373,00 | 683 / 38 |
Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 9 | $154.714,00 | 519 / 22 | $29.459,50 | 515 / 21 | $28.536,70 | 515 / 24 |
Dysequilibrium | 15 | 50 / 12 | $48.717,90 | 545 / 29 | $7.387,40 | 532 / 34 | $6.325,53 | 532 / 35 |
Other Digestive System Diagnoses W Mcc | 15 | 47 / 19 | $73.602,30 | 652 / 51 | $15.210,00 | 650 / 49 | $14.383,70 | 649 / 52 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 41 | $155.590,00 | 1458 / 84 | $21.723,60 | 1397 / 60 | $20.730,10 | 1383 / 81 |
Cellulitis W Mcc | 14 | 44 / 20 | $56.497,20 | 785 / 43 | $13.238,10 | 823 / 59 | $11.290,60 | 821 / 49 |
Transurethral Prostatectomy W/O Cc/Mcc | 14 | 15 / 2 | $44.939,10 | 76 / 4 | $8.299,43 | 81 / 7 | $7.340,79 | 81 / 7 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 20 | $83.062,30 | 853 / 47 | $15.014,00 | 863 / 58 | $13.960,60 | 860 / 61 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 20 | $64.329,90 | 547 / 46 | $9.728,43 | 504 / 36 | $8.923,36 | 504 / 38 |
Diabetes W Mcc | 14 | 43 / 13 | $109.279,00 | 736 / 40 | $14.434,90 | 705 / 40 | $13.525,30 | 704 / 42 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 16 | $32.855,40 | 848 / 30 | $8.066,77 | 941 / 57 | $6.401,38 | 937 / 58 |
Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 28 | $172.421,00 | 937 / 41 | $28.167,30 | 812 / 34 | $24.929,10 | 811 / 23 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 15 | $117.012,00 | 779 / 22 | $24.296,10 | 829 / 41 | $23.237,50 | 826 / 43 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 22 | $90.937,00 | 939 / 66 | $13.437,70 | 839 / 53 | $11.533,70 | 836 / 49 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 10 | $70.295,30 | 249 / 25 | $10.193,60 | 235 / 25 | $8.971,92 | 235 / 25 |
Signs & Symptoms W/O Mcc | 12 | 79 / 26 | $44.786,70 | 1279 / 65 | $7.825,17 | 1246 / 72 | $6.900,67 | 1243 / 74 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 63 | $105.262,00 | 2210 / 157 | $13.421,50 | 2163 / 147 | $12.727,00 | 2157 / 154 |
Organic Disturbances & Mental Retardation | 12 | 47 / 12 | $51.054,40 | 500 / 19 | $10.006,20 | 476 / 18 | $8.719,42 | 476 / 16 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 18 | $222.672,00 | 547 / 13 | $39.793,30 | 474 / 9 | $38.970,30 | 473 / 12 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 12 | 33 / 6 | $270.432,00 | 273 / 7 | $31.068,30 | 264 / 7 | $29.902,00 | 263 / 7 |
Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 7 | $42.069,50 | 386 / 12 | $8.762,67 | 375 / 14 | $6.390,67 | 375 / 14 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 14 | $104.001,00 | 571 / 44 | $12.851,10 | 572 / 45 | $11.721,10 | 571 / 47 |
Other Vascular Procedures W Cc | 11 | 91 / 33 | $171.975,00 | 1095 / 60 | $21.949,20 | 1020 / 39 | $21.368,40 | 1015 / 45 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 25 | $102.889,00 | 1419 / 97 | $11.558,50 | 1301 / 92 | $8.717,18 | 1299 / 74 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 14 | $183.599,00 | 452 / 42 | $23.193,90 | 440 / 33 | $22.163,90 | 439 / 35 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 13 | $175.242,00 | 420 / 25 | $23.349,00 | 361 / 12 | $22.419,10 | 359 / 19 | Total 86 procedures | 2.621 | 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.