Hospital Costs > In California > Garfield 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 | 170 | 346 / 93 | $211.445,00 | 2826 / 269 | $18.462,30 | 2686 / 206 | $17.794,80 | 2641 / 218 |
Heart Failure & Shock W Mcc | 104 | 180 / 32 | $134.262,00 | 2621 / 227 | $14.529,20 | 2472 / 168 | $13.810,00 | 2461 / 176 |
Respiratory Infections & Inflammations W Mcc | 73 | 63 / 10 | $251.854,00 | 1810 / 157 | $19.947,90 | 1774 / 138 | $19.129,20 | 1758 / 147 |
Simple Pneumonia & Pleurisy W Mcc | 72 | 133 / 22 | $143.683,00 | 2516 / 199 | $14.076,00 | 2370 / 156 | $12.980,00 | 2364 / 160 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 21 | $81.700,40 | 2040 / 162 | $10.751,50 | 1954 / 141 | $9.668,98 | 1950 / 149 |
G.I. Hemorrhage W Cc | 54 | 164 / 41 | $72.379,20 | 2390 / 186 | $10.509,00 | 2317 / 161 | $9.547,81 | 2313 / 169 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 53 | 154 / 59 | $118.008,00 | 2571 / 248 | $10.981,10 | 2449 / 194 | $9.900,66 | 2439 / 201 |
Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 38 | $111.418,00 | 2559 / 193 | $11.992,60 | 2458 / 160 | $10.972,20 | 2450 / 169 |
Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 42 | $104.028,00 | 2822 / 223 | $10.319,60 | 2705 / 174 | $9.390,90 | 2696 / 187 |
Heart Failure & Shock W Cc | 46 | 232 / 57 | $91.482,20 | 2758 / 226 | $10.347,70 | 2622 / 178 | $9.455,87 | 2616 / 184 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 43 | 232 / 67 | $63.613,10 | 2711 / 216 | $8.447,44 | 2595 / 177 | $7.270,00 | 2580 / 182 |
Kidney & Urinary Tract Infections W/O Mcc | 41 | 192 / 68 | $83.996,70 | 2714 / 224 | $8.679,24 | 2615 / 180 | $7.873,00 | 2604 / 189 |
Red Blood Cell Disorders W/O Mcc | 40 | 103 / 16 | $68.686,60 | 1990 / 150 | $8.920,55 | 1896 / 127 | $7.987,75 | 1887 / 131 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 41 | $62.047,50 | 2526 / 197 | $8.105,87 | 2428 / 163 | $7.117,97 | 2419 / 168 |
Renal Failure W Cc | 35 | 186 / 53 | $95.260,50 | 2442 / 205 | $10.188,30 | 2318 / 164 | $9.188,09 | 2308 / 168 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 32 | 99 / 22 | $321.868,00 | 1857 / 148 | $25.036,10 | 1802 / 118 | $24.394,00 | 1788 / 126 |
Syncope & Collapse | 31 | 138 / 36 | $63.864,00 | 1910 / 152 | $8.301,77 | 1825 / 134 | $7.287,06 | 1817 / 135 |
Respiratory Infections & Inflammations W Cc | 28 | 60 / 21 | $183.830,00 | 1486 / 127 | $14.453,70 | 1452 / 106 | $13.678,80 | 1447 / 114 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 33 | $82.065,20 | 1576 / 99 | $12.190,10 | 1534 / 111 | $9.745,64 | 1531 / 105 |
Transient Ischemia | 27 | 98 / 29 | $71.738,10 | 1656 / 138 | $8.109,67 | 1607 / 118 | $7.127,15 | 1599 / 125 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 26 | 170 / 46 | $167.564,00 | 1457 / 107 | $18.591,10 | 1386 / 70 | $16.804,30 | 1378 / 91 |
Renal Failure W Mcc | 24 | 171 / 62 | $136.930,00 | 2159 / 183 | $14.500,50 | 1979 / 125 | $13.492,50 | 1975 / 135 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 18 | $240.638,00 | 996 / 82 | $27.913,60 | 873 / 52 | $25.687,40 | 868 / 46 |
Chest Pain | 23 | 128 / 49 | $52.292,00 | 1690 / 143 | $7.365,48 | 1603 / 119 | $6.316,43 | 1594 / 123 |
G.I. Hemorrhage W Mcc | 23 | 98 / 33 | $100.994,00 | 1564 / 121 | $15.844,20 | 1506 / 96 | $15.264,00 | 1496 / 109 |
Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 51 | $102.922,00 | 2444 / 193 | $9.844,00 | 2308 / 155 | $8.659,36 | 2301 / 152 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 50 | $280.210,00 | 1641 / 163 | $19.067,20 | 1559 / 127 | $18.095,00 | 1552 / 133 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 34 | $613.551,00 | 1096 / 143 | $55.752,80 | 1019 / 108 | $55.133,40 | 1018 / 113 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 46 | $146.601,00 | 2040 / 144 | $17.845,70 | 1927 / 124 | $16.695,30 | 1907 / 126 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 46 | $476.784,00 | 1581 / 151 | $47.288,90 | 1433 / 89 | $46.746,60 | 1423 / 97 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 141 | $170.361,00 | 2678 / 230 | $19.457,80 | 2544 / 164 | $18.496,20 | 2498 / 195 |
Cellulitis W/O Mcc | 19 | 170 / 67 | $69.184,10 | 2628 / 220 | $8.982,58 | 2505 / 171 | $8.077,32 | 2497 / 180 |
G.I. Obstruction W Cc | 18 | 74 / 34 | $81.494,70 | 1720 / 133 | $9.529,22 | 1689 / 116 | $8.793,22 | 1684 / 127 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 41 | $135.273,00 | 1743 / 168 | $12.342,80 | 1648 / 138 | $11.473,40 | 1645 / 138 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 36 | $104.606,00 | 1900 / 144 | $12.128,80 | 1807 / 116 | $11.456,80 | 1804 / 123 |
Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 18 | $172.311,00 | 947 / 71 | $23.341,80 | 903 / 58 | $22.489,10 | 899 / 63 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 35 | $192.327,00 | 1821 / 155 | $17.547,40 | 1740 / 125 | $16.837,70 | 1727 / 135 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 33 | $51.106,10 | 1967 / 135 | $6.995,38 | 1923 / 124 | $5.857,38 | 1917 / 130 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 26 | $70.769,50 | 1402 / 118 | $10.025,00 | 1364 / 109 | $9.343,00 | 1360 / 120 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 15 | $474.819,00 | 756 / 59 | $48.494,60 | 722 / 44 | $47.613,50 | 722 / 48 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 16 | $197.866,00 | 1115 / 92 | $17.037,60 | 1094 / 85 | $16.154,30 | 1090 / 88 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 31 | $92.552,50 | 2105 / 139 | $8.090,73 | 2028 / 116 | $7.153,40 | 2016 / 116 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 51 | $70.680,90 | 2151 / 170 | $8.829,73 | 2071 / 150 | $7.942,27 | 2066 / 156 |
Digestive Malignancy W Cc | 15 | 32 / 8 | $111.533,00 | 390 / 25 | $12.249,20 | 357 / 14 | $11.602,80 | 355 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 33 | $64.479,00 | 1577 / 111 | $8.604,87 | 1519 / 108 | $7.038,93 | 1515 / 107 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 35 | $134.173,00 | 1359 / 120 | $17.306,80 | 1218 / 78 | $16.216,70 | 1210 / 78 |
Coronary Bypass W Cardiac Cath W Mcc | 15 | 41 / 9 | $695.798,00 | 440 / 34 | $64.991,00 | 409 / 19 | $64.109,90 | 409 / 21 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 12 | $151.842,00 | 712 / 48 | $19.579,60 | 680 / 40 | $18.715,60 | 678 / 44 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 19 | $467.982,00 | 975 / 83 | $52.149,30 | 942 / 70 | $51.465,80 | 941 / 75 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 62 | $131.579,00 | 2233 / 172 | $12.199,50 | 2110 / 132 | $11.549,70 | 2104 / 139 |
Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 53 | $113.082,00 | 1949 / 168 | $11.107,30 | 1828 / 140 | $9.994,69 | 1824 / 137 |
Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 11 | $290.623,00 | 606 / 47 | $31.991,20 | 544 / 34 | $31.060,70 | 544 / 35 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 42 | $255.868,00 | 1534 / 119 | $23.542,70 | 1447 / 73 | $22.339,00 | 1433 / 93 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 10 | $76.558,50 | 252 / 26 | $10.422,40 | 237 / 26 | $9.221,15 | 237 / 26 |
Disorders Of The Biliary Tract W Cc | 13 | 41 / 11 | $92.202,20 | 477 / 37 | $10.878,50 | 446 / 25 | $9.849,62 | 446 / 28 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 20 | $165.090,00 | 899 / 56 | $19.212,50 | 820 / 39 | $18.466,70 | 812 / 43 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 12 | $918.075,00 | 561 / 49 | $95.663,90 | 494 / 33 | $94.627,90 | 493 / 33 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 10 | $134.210,00 | 590 / 36 | $12.790,90 | 530 / 29 | $12.393,60 | 530 / 33 |
Respiratory Neoplasms W Mcc | 12 | 40 / 14 | $129.416,00 | 623 / 32 | $15.996,00 | 590 / 28 | $15.190,70 | 587 / 29 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 33 | $78.007,80 | 1958 / 131 | $8.140,83 | 1918 / 118 | $7.239,50 | 1910 / 124 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 29 | $45.889,30 | 1273 / 85 | $7.408,25 | 1284 / 91 | $6.301,58 | 1281 / 95 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 34 | $53.100,30 | 1987 / 120 | $7.937,09 | 1921 / 111 | $6.735,64 | 1908 / 110 |
Seizures W/O Mcc | 11 | 97 / 31 | $98.773,80 | 1320 / 101 | $8.604,55 | 1224 / 79 | $7.502,00 | 1222 / 80 | Total 63 procedures | 1.778 | 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.