Hospital Costs > In California > Fresno Heart And Surgical Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc | 14 | 18 / 1 | $61.425,10 | 92 / 1 | $16.120,40 | 90 / 1 | $15.603,90 | 90 / 1 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 33 | $38.580,80 | 441 / 4 | $7.312,83 | 424 / 2 | $6.102,17 | 423 / 11 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 21 | 97 / 20 | $182.078,00 | 380 / 4 | $36.817,40 | 371 / 3 | $35.951,90 | 371 / 4 |
| Cellulitis W/O Mcc | 13 | 176 / 73 | $28.837,40 | 2072 / 59 | $5.642,15 | 1392 / 6 | $4.618,15 | 1386 / 10 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 17 | 171 / 44 | $46.011,90 | 1101 / 19 | $7.288,88 | 1015 / 1 | $6.366,53 | 1012 / 7 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 19 | 57 / 11 | $161.104,00 | 394 / 2 | $32.677,40 | 486 / 2 | $31.725,80 | 486 / 10 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 41 | 47 / 2 | $134.280,00 | 420 / 2 | $27.483,80 | 447 / 4 | $25.137,30 | 446 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 90 | $25.499,00 | 1918 / 43 | $4.962,10 | 1622 / 4 | $4.249,30 | 1609 / 19 |
| Extracranial Procedures W/O Cc/Mcc | 60 | 38 / 2 | $26.812,20 | 332 / 1 | $6.980,05 | 575 / 1 | $6.022,35 | 574 / 6 |
| Heart Failure & Shock W Cc | 44 | 234 / 58 | $36.421,50 | 2227 / 69 | $6.588,07 | 1634 / 8 | $5.918,52 | 1629 / 18 |
| Major Cardiovasc Procedures W/O Mcc | 27 | 74 / 15 | $63.251,10 | 161 / 1 | $22.234,40 | 541 / 2 | $20.741,40 | 541 / 1 |
| Major Chest Procedures W Cc | 21 | 53 / 10 | $78.016,10 | 320 / 3 | $17.898,60 | 330 / 4 | $16.804,50 | 328 / 8 |
| Major Chest Procedures W/O Cc/Mcc | 19 | 40 / 6 | $54.292,60 | 142 / 2 | $12.075,60 | 132 / 1 | $11.184,60 | 132 / 2 |
| Major Small & Large Bowel Procedures W Cc | 28 | 80 / 27 | $87.902,20 | 1083 / 11 | $18.830,60 | 1018 / 16 | $15.960,50 | 1007 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 64 | $21.128,00 | 1654 / 26 | $4.957,13 | 1310 / 9 | $3.891,80 | 1306 / 12 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 47 | 30 / 2 | $41.800,00 | 193 / 1 | $10.786,10 | 198 / 2 | $8.816,85 | 198 / 1 |
| Other Vascular Procedures W Cc | 19 | 83 / 25 | $67.944,90 | 486 / 2 | $16.945,60 | 673 / 3 | $16.182,60 | 670 / 5 |
| Other Vascular Procedures W/O Cc/Mcc | 32 | 24 / 3 | $50.718,30 | 295 / 2 | $11.222,20 | 307 / 1 | $10.019,70 | 306 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 51 | $70.183,20 | 686 / 9 | $13.949,00 | 1077 / 2 | $13.048,20 | 1070 / 18 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 26 | 69 / 7 | $78.107,60 | 318 / 4 | $12.532,80 | 82 / 1 | $9.864,69 | 81 / 1 |
| Peritoneal Adhesiolysis W/O Cc/Mcc | 12 | 12 / 3 | $43.956,00 | 34 / 1 | $10.552,70 | 34 / 1 | $9.550,00 | 34 / 2 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 14 | $47.561,00 | 259 / 1 | $14.879,50 | 337 / 6 | $12.168,50 | 336 / 1 |
| Stomach, Esophageal & Duodenal Proc W Cc | 24 | 26 / 6 | $57.936,80 | 68 / 1 | $17.305,40 | 98 / 1 | $16.301,40 | 98 / 2 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 32 | 16 / 2 | $42.796,40 | 116 / 2 | $10.005,50 | 117 / 2 | $8.873,50 | 117 / 3 |
| Thyroid, Parathyroid & Thyroglossal Procedures W/O Cc/Mcc | 16 | 14 / 2 | $24.297,10 | 11 / 1 | $5.677,25 | 6 / 1 | $4.208,56 | 6 / 1 | Total 25 procedures | 611 | 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.