Hospital Costs > In California > Garden Grove 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 | 184 | 332 / 88 | $67.206,90 | 2247 / 100 | $16.606,30 | 2558 / 160 | $15.728,20 | 2514 / 179 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 39 | 53 / 16 | $177.769,00 | 664 / 23 | $45.781,70 | 843 / 52 | $44.776,60 | 842 / 59 |
Renal Failure W Mcc | 38 | 157 / 49 | $39.559,50 | 1276 / 21 | $13.774,50 | 1885 / 102 | $12.594,00 | 1881 / 107 |
Heart Failure & Shock W Mcc | 37 | 247 / 86 | $57.809,80 | 2161 / 85 | $13.829,10 | 2393 / 150 | $12.800,80 | 2382 / 151 |
Renal Failure W Cc | 36 | 185 / 52 | $35.572,40 | 1918 / 52 | $9.886,08 | 2286 / 155 | $8.814,08 | 2276 / 157 |
Respiratory Infections & Inflammations W Mcc | 35 | 101 / 38 | $74.045,70 | 1454 / 54 | $17.492,50 | 1698 / 105 | $16.918,50 | 1682 / 115 |
Chest Pain | 29 | 122 / 44 | $30.216,10 | 1396 / 66 | $8.150,86 | 1591 / 130 | $6.126,31 | 1582 / 119 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 51 | $25.981,30 | 1939 / 47 | $8.039,34 | 2420 / 159 | $6.997,69 | 2411 / 166 |
Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 37 | $36.875,70 | 1413 / 37 | $10.866,70 | 1833 / 130 | $10.034,70 | 1829 / 140 |
Syncope & Collapse | 25 | 144 / 42 | $32.560,10 | 1517 / 51 | $8.221,88 | 1820 / 129 | $7.252,92 | 1812 / 133 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 85 | $25.041,80 | 1889 / 40 | $8.354,72 | 2590 / 176 | $7.247,52 | 2575 / 180 |
Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 86 | $30.915,00 | 2253 / 75 | $8.563,78 | 2611 / 178 | $7.827,78 | 2600 / 188 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 30 | $63.616,50 | 1376 / 44 | $15.285,90 | 1644 / 101 | $14.570,20 | 1631 / 110 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 37 | $29.969,40 | 959 / 16 | $11.254,30 | 1572 / 120 | $10.214,30 | 1569 / 119 |
Heart Failure & Shock W Cc | 20 | 258 / 80 | $37.751,30 | 2255 / 76 | $10.185,40 | 2624 / 173 | $9.462,20 | 2618 / 186 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 71 | $44.798,90 | 1754 / 34 | $13.592,40 | 2359 / 146 | $12.808,40 | 2353 / 156 |
G.I. Hemorrhage W Mcc | 20 | 101 / 36 | $46.068,80 | 899 / 18 | $15.817,00 | 1502 / 95 | $15.210,50 | 1492 / 108 |
Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 70 | $44.074,60 | 2043 / 53 | $11.679,00 | 2403 / 155 | $10.246,10 | 2395 / 156 |
G.I. Hemorrhage W Cc | 18 | 200 / 73 | $37.336,80 | 1868 / 55 | $10.323,10 | 2322 / 158 | $9.651,11 | 2318 / 172 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 49 | $136.040,00 | 889 / 13 | $38.116,60 | 1103 / 27 | $37.027,70 | 1096 / 29 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 92 | $31.506,20 | 1705 / 42 | $10.515,40 | 2409 / 179 | $9.521,47 | 2399 / 192 |
Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 73 | $37.979,60 | 2274 / 60 | $10.114,50 | 2679 / 167 | $9.045,29 | 2670 / 174 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 51 | $43.051,40 | 1964 / 106 | $8.720,20 | 2061 / 148 | $7.760,20 | 2056 / 153 |
Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 59 | $38.280,00 | 2029 / 67 | $9.875,93 | 2320 / 156 | $8.755,93 | 2313 / 157 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $41.179,80 | 977 / 28 | $11.868,20 | 1339 / 99 | $11.028,80 | 1334 / 104 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 20 | $165.663,00 | 634 / 16 | $39.488,50 | 738 / 25 | $38.137,10 | 737 / 24 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 30 | $26.681,20 | 744 / 11 | $10.021,80 | 1354 / 108 | $9.216,50 | 1350 / 115 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 44 | $20.308,50 | 923 / 10 | $8.806,67 | 1903 / 125 | $8.136,00 | 1894 / 133 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 19 | $26.976,60 | 372 / 6 | $12.318,00 | 1021 / 61 | $11.816,70 | 1017 / 66 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 59 | $49.155,00 | 945 / 14 | $15.428,40 | 1421 / 80 | $14.417,80 | 1414 / 92 |
Atherosclerosis W/O Mcc | 12 | 46 / 14 | $35.648,50 | 496 / 25 | $7.292,67 | / 30 | $6.186,00 | / |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 25 | $29.356,70 | 712 / 8 | $10.195,60 | 1343 / 77 | $9.427,64 | 1341 / 85 |
Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 55 | $92.752,10 | 1831 / 77 | $17.744,50 | 1917 / 122 | $16.540,20 | 1897 / 122 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $78.549,00 | 1294 / 22 | $20.430,50 | 1638 / 74 | $19.527,20 | 1624 / 79 | Total 34 procedures | 870 | 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.