Hospital Costs > In California > French Hospital Medical Center, 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 | 262 | 303 / 30 | $88.668,80 | 2343 / 123 | $14.900,20 | 1924 / 19 | $13.337,90 | 1882 / 37 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 146 | 370 / 105 | $88.081,20 | 2527 / 168 | $13.083,00 | 1922 / 22 | $12.108,30 | 1887 / 27 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 65 | 142 / 51 | $50.637,40 | 2276 / 149 | $7.432,11 | 1678 / 23 | $6.537,09 | 1671 / 32 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 59 | 137 / 18 | $132.466,00 | 1383 / 85 | $14.349,30 | 1120 / 5 | $13.344,90 | 1113 / 29 |
Pulmonary Edema & Respiratory Failure | 37 | 166 / 39 | $105.049,00 | 2209 / 156 | $9.892,24 | 1851 / 39 | $9.116,87 | 1846 / 54 |
G.I. Hemorrhage W Cc | 34 | 184 / 57 | $45.008,10 | 2066 / 92 | $7.149,94 | 1670 / 10 | $6.296,29 | 1666 / 22 |
Heart Failure & Shock W Cc | 34 | 244 / 67 | $42.565,40 | 2403 / 102 | $6.808,62 | 1726 / 16 | $6.030,26 | 1721 / 22 |
Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 61 | $45.322,90 | 2468 / 110 | $6.736,21 | 1716 / 11 | $5.740,90 | 1708 / 13 |
Renal Failure W Cc | 29 | 192 / 59 | $43.829,40 | 2127 / 94 | $6.708,34 | 1497 / 16 | $5.751,66 | 1488 / 19 |
Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 64 | $65.384,40 | 2181 / 94 | $10.210,90 | 1759 / 17 | $9.271,04 | 1759 / 22 |
Heart Failure & Shock W Mcc | 27 | 257 / 95 | $70.477,00 | 2354 / 136 | $9.868,89 | 1489 / 8 | $9.016,74 | 1485 / 9 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 27 | 161 / 34 | $62.989,30 | 1429 / 63 | $7.679,44 | 1088 / 3 | $6.648,33 | 1085 / 13 |
Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 67 | $65.887,20 | 2417 / 140 | $8.077,04 | 1621 / 6 | $7.029,39 | 1613 / 10 |
Extracranial Procedures W/O Cc/Mcc | 22 | 76 / 18 | $56.074,80 | 817 / 27 | $7.441,82 | 658 / 8 | $6.343,64 | 655 / 9 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 20 | 98 / 21 | $265.977,00 | 483 / 16 | $35.368,10 | 325 / 2 | $34.396,90 | 325 / 2 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 18 | 70 / 12 | $188.968,00 | 529 / 14 | $24.486,90 | 385 / 2 | $23.350,90 | 384 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 31 | $31.337,70 | 1792 / 74 | $4.086,89 | 1193 / 8 | $3.011,33 | 1188 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 93 | $41.484,90 | 2503 / 143 | $5.368,18 | 1605 / 13 | $4.229,35 | 1592 / 18 |
G.I. Obstruction W Cc | 17 | 75 / 35 | $45.051,00 | 1534 / 68 | $6.233,88 | 1106 / 9 | $5.309,65 | 1103 / 12 |
Cellulitis W/O Mcc | 17 | 172 / 69 | $35.590,10 | 2308 / 111 | $5.786,35 | 1500 / 9 | $4.726,59 | 1493 / 12 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 49 | $50.601,50 | 2071 / 137 | $5.684,41 | 1320 / 14 | $4.688,65 | 1315 / 14 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 20 | $46.541,20 | 1139 / 33 | $7.506,00 | 952 / 12 | $6.526,00 | 950 / 11 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 50 | $93.354,60 | 1835 / 79 | $13.391,40 | 1367 / 11 | $12.251,40 | 1349 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 59 | $52.659,40 | 1785 / 85 | $7.305,60 | 1366 / 9 | $6.503,47 | 1363 / 17 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 14 | 28 / 6 | $207.837,00 | 114 / 4 | $31.686,10 | 69 / 1 | $30.474,60 | 69 / 1 |
Coronary Bypass W Cardiac Cath W/O Mcc | 14 | 62 / 14 | $244.908,00 | 551 / 15 | $31.430,30 | 443 / 1 | $30.225,80 | 443 / 6 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 27 | $95.621,40 | 740 / 28 | $15.503,50 | 626 / 7 | $14.289,80 | 622 / 12 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $42.227,80 | 1084 / 27 | $6.874,86 | 900 / 7 | $6.097,71 | 897 / 17 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 27 | $29.719,60 | 1107 / 42 | $4.452,64 | 785 / 9 | $3.410,36 | 782 / 13 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 10 | $44.408,50 | 769 / 22 | $5.468,46 | 565 / 2 | $4.540,46 | 561 / 4 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 39 | $68.416,30 | 1437 / 50 | $11.711,20 | 1185 / 8 | $10.970,20 | 1179 / 13 |
G.I. Hemorrhage W Mcc | 13 | 108 / 43 | $83.767,50 | 1470 / 91 | $11.266,30 | 828 / 1 | $10.616,50 | 825 / 5 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 14 | $94.802,90 | 640 / 29 | $14.816,60 | 481 / 4 | $13.611,20 | 480 / 7 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 44 | $41.971,70 | 1794 / 97 | $5.763,25 | 1230 / 6 | $4.856,58 | 1222 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 36 | $47.021,80 | 1454 / 71 | $5.483,83 | 1022 / 10 | $4.374,50 | 1018 / 15 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 20 | $106.601,00 | 437 / 15 | $19.438,20 | 296 / 7 | $15.883,20 | 295 / 2 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 43 | $135.680,00 | 1407 / 68 | $17.427,60 | 1056 / 3 | $16.214,20 | 1043 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 67 | $37.940,20 | 2326 / 123 | $4.975,08 | 1499 / 10 | $4.068,42 | 1494 / 15 |
Renal Failure W Mcc | 11 | 184 / 75 | $53.738,70 | 1652 / 58 | $10.017,90 | 1218 / 3 | $9.473,91 | 1218 / 6 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 23 | $74.215,90 | 812 / 33 | $11.188,50 | 641 / 3 | $10.088,80 | 638 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 43 | $80.001,00 | 1845 / 123 | $8.749,00 | 1252 / 12 | $7.760,00 | 1249 / 13 | Total 41 procedures | 1.206 | 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.