Hospital Costs > In California > Gardens Regional Hospital And Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 48 | 141 / 38 | $22.679,60 | 1703 / 24 | $6.795,88 | 2131 / 49 | $5.899,21 | 2123 / 72 |
Chest Pain | 14 | 137 / 58 | $17.131,10 | 703 / 11 | $5.249,43 | 1315 / 46 | $4.300,86 | 1308 / 59 |
Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 31 | $24.152,30 | 1392 / 14 | $7.618,43 | 2015 / 56 | $6.753,67 | 2008 / 65 |
Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 26 | $29.974,50 | 1479 / 11 | $9.134,84 | 2122 / 45 | $8.383,59 | 2114 / 64 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 18 | $19.240,10 | 1207 / 8 | $6.145,96 | 1677 / 40 | $4.886,07 | 1666 / 37 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 32 | $29.595,00 | 622 / 11 | $9.472,50 | 1070 / 31 | $8.469,83 | 1065 / 32 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 50 | 225 / 60 | $28.255,40 | 2078 / 60 | $6.252,04 | 2214 / 62 | $5.264,84 | 2199 / 75 |
G.I. Hemorrhage W Cc | 16 | 202 / 75 | $26.967,80 | 1365 / 15 | $8.048,38 | 1996 / 49 | $7.252,38 | 1992 / 70 |
G.I. Obstruction W Mcc | 12 | 30 / 10 | $38.698,90 | 232 / 4 | $11.597,40 | 316 / 9 | $10.350,80 | 316 / 8 |
Heart Failure & Shock W Cc | 20 | 258 / 80 | $30.029,30 | 1958 / 32 | $7.997,45 | 2272 / 69 | $7.210,25 | 2266 / 83 |
Heart Failure & Shock W Mcc | 40 | 244 / 83 | $42.328,20 | 1754 / 34 | $11.365,80 | 2024 / 49 | $10.475,80 | 2015 / 50 |
Kidney & Urinary Tract Infections W Mcc | 46 | 98 / 21 | $38.098,90 | 1447 / 43 | $8.855,83 | 1471 / 46 | $7.519,13 | 1467 / 36 |
Kidney & Urinary Tract Infections W/O Mcc | 84 | 149 / 31 | $20.590,80 | 1636 / 18 | $6.353,61 | 2188 / 63 | $5.427,51 | 2177 / 69 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 26 | 538 / 136 | $72.636,80 | 2058 / 77 | $16.282,50 | 2280 / 68 | $15.216,60 | 2236 / 100 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 49 | $19.587,10 | 1519 / 19 | $5.869,68 | 2052 / 56 | $5.011,87 | 2044 / 70 |
O.R. Procedures For Obesity W/O Cc/Mcc | 23 | 54 / 7 | $58.117,70 | 316 / 9 | $12.238,40 | 327 / 6 | $11.078,10 | 326 / 9 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 28 | $37.340,40 | 1078 / 40 | $7.859,86 | 1148 / 34 | $7.130,71 | 1144 / 57 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 43 | $19.732,00 | 878 / 7 | $6.668,77 | 1623 / 45 | $5.927,85 | 1614 / 60 |
Renal Failure W Cc | 36 | 185 / 52 | $26.484,90 | 1519 / 18 | $7.779,72 | 1917 / 55 | $6.705,94 | 1907 / 51 |
Renal Failure W Mcc | 23 | 172 / 63 | $76.514,50 | 1973 / 117 | $13.269,60 | 1791 / 91 | $11.726,30 | 1787 / 77 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 9 | $15.547,30 | 395 / 1 | $5.332,50 | 692 / 11 | $4.420,50 | 690 / 12 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 34 | $37.817,60 | 920 / 8 | $10.722,80 | 1245 / 38 | $10.017,60 | 1240 / 45 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 40 | $150.385,00 | 524 / 10 | $38.514,30 | 528 / 8 | $37.352,70 | 527 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 75 | 441 / 145 | $51.676,40 | 1845 / 49 | $13.914,10 | 2154 / 50 | $13.023,50 | 2116 / 57 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 79 | $31.758,60 | 1721 / 47 | $8.496,97 | 2079 / 64 | $7.560,97 | 2071 / 81 |
Signs & Symptoms W/O Mcc | 15 | 76 / 23 | $22.779,50 | 809 / 13 | $5.895,93 | 1000 / 27 | $4.931,67 | 997 / 30 |
Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 65 | $37.025,80 | 2250 / 56 | $7.890,48 | 2306 / 59 | $6.908,08 | 2298 / 74 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 71 | $34.750,00 | 1334 / 11 | $11.054,70 | 1941 / 47 | $9.876,30 | 1941 / 37 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 33 | $21.114,90 | 1266 / 11 | $5.837,50 | 1662 / 32 | $4.925,50 | 1654 / 51 |
Syncope & Collapse | 18 | 151 / 49 | $20.670,90 | 920 / 11 | $6.134,11 | 1468 / 46 | $5.056,78 | 1461 / 42 | Total 30 procedures | 878 | 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.