Hospital Costs > In California > Fresno Surgical Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cervical Spinal Fusion W Cc | 11 | 42 / 16 | $43.361,50 | 49 / 1 | $19.013,00 | 173 / 1 | $16.676,30 | 172 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 42 | 62 / 4 | $42.424,40 | 237 / 1 | $14.961,30 | 580 / 2 | $13.448,10 | 577 / 7 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 55 | 41 / 4 | $55.683,20 | 423 / 4 | $15.048,30 | 457 / 4 | $12.486,30 | 454 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 745 | 47 / 5 | $49.674,20 | 1270 / 25 | $14.418,80 | 1688 / 9 | $12.519,10 | 1651 / 17 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 29 | 40 / 8 | $72.780,50 | 282 / 1 | $18.053,50 | 238 / 2 | $15.162,60 | 237 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 24 | $68.270,60 | 343 / 2 | $26.676,70 | 906 / 3 | $25.110,80 | 901 / 9 | Total 6 procedures | 927 | 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.