Hospital Costs > In California > Good Samaritan Hospital Los Angeles, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 19 | $83.445,70 | 1588 / 82 | $15.167,80 | 1630 / 97 | $14.380,40 | 1617 / 107 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 21 | 68 / 24 | $79.058,80 | 731 / 55 | $10.333,30 | 707 / 43 | $9.094,57 | 706 / 54 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 21 | $56.024,80 | 1037 / 56 | $8.685,67 | 990 / 55 | $7.727,00 | 986 / 64 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 42 | $52.049,90 | 2084 / 142 | $8.070,17 | 2015 / 128 | $7.163,75 | 2010 / 140 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 37 | $48.174,50 | 1497 / 45 | $11.244,10 | 1752 / 96 | $10.559,90 | 1749 / 106 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 45 | 105 / 7 | $29.005,70 | 1736 / 61 | $6.272,07 | 1883 / 109 | $5.235,53 | 1877 / 120 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 31 | 17 / 1 | $296.185,00 | 116 / 2 | $49.257,60 | 96 / 2 | $48.323,30 | 96 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 29 | 40 / 5 | $455.018,00 | 261 / 10 | $77.718,10 | 235 / 6 | $76.919,30 | 235 / 8 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 38 | 80 / 10 | $276.694,00 | 492 / 18 | $42.308,00 | 454 / 10 | $41.433,40 | 454 / 14 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 26 | $429.172,00 | 451 / 28 | $65.931,60 | 407 / 14 | $65.251,50 | 407 / 18 |
Cellulitis W/O Mcc | 31 | 158 / 55 | $40.611,80 | 2425 / 147 | $8.440,32 | 2466 / 151 | $7.606,13 | 2458 / 170 |
Chest Pain | 66 | 85 / 15 | $33.015,20 | 1463 / 78 | $6.631,09 | 1555 / 107 | $5.711,09 | 1546 / 111 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 50 | $61.868,40 | 2375 / 158 | $9.143,87 | 2273 / 129 | $8.296,91 | 2266 / 143 |
Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 74 | $64.836,30 | 2406 / 137 | $10.789,40 | 2340 / 133 | $9.755,00 | 2332 / 132 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 23 | $39.450,70 | 1945 / 82 | $7.423,35 | 1963 / 92 | $6.390,48 | 1952 / 103 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 51 | 137 / 13 | $67.182,40 | 1472 / 72 | $10.323,80 | 1508 / 78 | $9.356,94 | 1505 / 98 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 14 | 28 / 10 | $63.016,10 | 209 / 9 | $15.062,60 | 233 / 13 | $14.496,10 | 233 / 14 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 18 | $42.496,50 | 633 / 30 | $8.747,77 | 653 / 31 | $7.682,54 | 653 / 33 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 17 | $32.410,40 | 548 / 12 | $9.263,00 | 729 / 27 | $8.110,54 | 729 / 29 |
Diabetes W Cc | 21 | 71 / 14 | $40.353,10 | 1409 / 53 | $8.352,10 | 1458 / 83 | $7.392,10 | 1453 / 90 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 21 | $57.965,90 | 532 / 42 | $9.133,00 | 496 / 29 | $8.608,54 | 496 / 36 |
Dysequilibrium | 15 | 50 / 12 | $34.807,10 | 461 / 13 | $6.781,73 | 513 / 28 | $5.545,20 | 513 / 31 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 26 | $78.384,20 | 1409 / 115 | $11.178,30 | 1305 / 82 | $10.430,60 | 1300 / 93 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 70 | 205 / 42 | $38.042,60 | 2429 / 125 | $7.702,97 | 2536 / 149 | $6.798,80 | 2521 / 166 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 19 | $38.808,80 | 716 / 31 | $7.814,08 | 740 / 43 | $6.674,25 | 738 / 49 |
G.I. Hemorrhage W Cc | 33 | 185 / 58 | $54.540,00 | 2243 / 132 | $9.643,55 | 2258 / 135 | $8.887,73 | 2254 / 150 |
G.I. Hemorrhage W Mcc | 23 | 98 / 33 | $108.180,00 | 1594 / 132 | $16.062,70 | 1511 / 103 | $15.354,90 | 1501 / 112 |
G.I. Hemorrhage W/O Cc/Mcc | 22 | 46 / 8 | $39.954,00 | 917 / 43 | $7.349,59 | 938 / 48 | $6.377,68 | 934 / 57 |
G.I. Obstruction W Cc | 13 | 79 / 39 | $53.791,10 | 1628 / 99 | $8.820,00 | 1628 / 100 | $7.925,08 | 1623 / 112 |
Heart Failure & Shock W Cc | 86 | 192 / 24 | $57.928,60 | 2647 / 174 | $9.584,79 | 2561 / 149 | $8.785,26 | 2555 / 167 |
Heart Failure & Shock W Mcc | 62 | 222 / 66 | $88.068,70 | 2519 / 171 | $13.652,40 | 2395 / 143 | $12.807,10 | 2384 / 152 |
Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 13 | $45.895,70 | 1956 / 104 | $7.163,97 | 1888 / 97 | $6.338,21 | 1875 / 104 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 51 | $95.454,10 | 1854 / 83 | $15.667,70 | 1763 / 69 | $14.554,90 | 1744 / 77 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 23 | $78.293,70 | 831 / 39 | $14.449,50 | 840 / 50 | $13.179,80 | 837 / 52 |
Hypertension W/O Mcc | 12 | 53 / 14 | $35.755,90 | 709 / 15 | $6.882,42 | 681 / 18 | $5.151,83 | 679 / 16 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 45 | $322.767,00 | 1531 / 123 | $50.497,40 | 1475 / 103 | $49.577,50 | 1465 / 108 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 52 | $59.911,30 | 1869 / 108 | $10.106,20 | 1910 / 122 | $9.065,23 | 1906 / 137 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 52 | $106.169,00 | 1536 / 114 | $16.685,80 | 1483 / 106 | $15.586,90 | 1476 / 111 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 35 | $54.615,50 | 1533 / 93 | $7.844,54 | 1491 / 92 | $6.678,54 | 1487 / 100 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 49 | $43.227,40 | 1571 / 64 | $10.550,50 | 1779 / 118 | $9.446,29 | 1775 / 122 |
Kidney & Urinary Tract Infections W/O Mcc | 53 | 180 / 58 | $38.724,90 | 2471 / 139 | $7.908,47 | 2545 / 151 | $6.989,64 | 2534 / 166 |
Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 27 | $138.412,00 | 833 / 26 | $28.024,30 | 882 / 31 | $27.031,30 | 881 / 37 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 158 | 406 / 64 | $99.602,20 | 2472 / 159 | $18.349,50 | 2440 / 136 | $16.704,20 | 2394 / 162 |
Medical Back Problems W/O Mcc | 23 | 98 / 34 | $45.291,00 | 1348 / 77 | $8.526,35 | 1371 / 91 | $7.372,26 | 1366 / 98 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 23 | $53.049,20 | 1532 / 96 | $10.510,90 | 1536 / 99 | $9.675,94 | 1533 / 107 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 69 | 97 / 16 | $36.464,70 | 2290 / 114 | $7.371,28 | 2360 / 140 | $6.457,48 | 2351 / 153 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 38 | $109.003,00 | 1306 / 96 | $18.122,40 | 1266 / 87 | $17.483,60 | 1258 / 94 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 30 | $45.166,80 | 1205 / 64 | $9.399,17 | 1305 / 90 | $8.555,17 | 1301 / 102 |
Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 12 | $39.828,50 | 277 / 10 | $7.975,91 | 283 / 9 | $7.174,27 | 283 / 12 |
Other Vascular Procedures W Cc | 28 | 74 / 16 | $133.648,00 | 1024 / 44 | $22.151,20 | 1014 / 40 | $21.224,40 | 1009 / 44 |
Other Vascular Procedures W Mcc | 25 | 72 / 17 | $124.930,00 | 763 / 25 | $26.600,20 | 802 / 32 | $25.763,10 | 799 / 36 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 24 | $181.820,00 | 921 / 54 | $28.040,80 | 913 / 54 | $27.125,80 | 908 / 59 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 43 | 153 / 30 | $105.798,00 | 1219 / 51 | $17.540,40 | 1362 / 53 | $16.433,70 | 1354 / 82 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 16 | 38 / 4 | $148.070,00 | 229 / 5 | $24.694,40 | 208 / 5 | $24.168,10 | 208 / 8 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 43 | 52 / 3 | $98.608,00 | 454 / 13 | $17.026,40 | 521 / 22 | $16.183,70 | 517 / 28 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 18 | $59.017,60 | 1208 / 78 | $9.432,07 | 1136 / 64 | $8.492,07 | 1133 / 71 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 8 | $34.604,30 | 356 / 7 | $7.160,18 | 369 / 11 | $6.136,73 | 369 / 12 |
Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 16 | $125.956,00 | 881 / 55 | $22.093,10 | 863 / 48 | $21.210,10 | 859 / 53 |
Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 13 | $132.502,00 | 469 / 18 | $30.438,10 | 522 / 24 | $29.384,30 | 522 / 28 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 14 | $98.972,80 | 651 / 32 | $18.432,20 | 659 / 31 | $17.388,00 | 658 / 37 |
Pulmonary Edema & Respiratory Failure | 35 | 168 / 41 | $78.861,00 | 2122 / 121 | $11.499,50 | 2058 / 113 | $10.732,40 | 2052 / 126 |
Red Blood Cell Disorders W/O Mcc | 36 | 107 / 20 | $38.487,60 | 1741 / 83 | $8.145,75 | 1858 / 106 | $7.397,36 | 1849 / 123 |
Renal Failure W Cc | 38 | 183 / 50 | $64.336,30 | 2382 / 172 | $9.425,61 | 2256 / 134 | $8.537,50 | 2246 / 148 |
Renal Failure W Mcc | 26 | 169 / 60 | $100.819,00 | 2116 / 166 | $16.099,20 | 2057 / 155 | $15.070,60 | 2053 / 160 |
Respiratory Infections & Inflammations W Cc | 21 | 67 / 27 | $79.650,30 | 1391 / 85 | $12.577,70 | 1382 / 86 | $11.756,60 | 1377 / 92 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 52 | $107.637,00 | 1691 / 103 | $16.218,70 | 1612 / 76 | $15.468,50 | 1596 / 84 |
Respiratory Neoplasms W Cc | 12 | 35 / 12 | $58.363,50 | 438 / 18 | $10.979,70 | 442 / 15 | $10.120,00 | 441 / 20 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 40 | $119.830,00 | 1677 / 74 | $18.756,80 | 1549 / 43 | $18.208,20 | 1535 / 55 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 21 | 50 / 12 | $270.144,00 | 890 / 50 | $41.743,20 | 808 / 36 | $40.783,50 | 807 / 39 |
Revision Of Hip Or Knee Replacement W Cc | 31 | 55 / 10 | $145.241,00 | 605 / 18 | $27.696,80 | 599 / 17 | $26.673,50 | 597 / 18 |
Seizures W/O Mcc | 15 | 93 / 27 | $46.285,90 | 1196 / 57 | $7.834,07 | 1192 / 66 | $6.992,47 | 1190 / 73 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 39 | 53 / 16 | $264.843,00 | 932 / 71 | $42.953,10 | 730 / 32 | $41.757,60 | 729 / 39 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 209 | 307 / 78 | $115.689,00 | 2731 / 221 | $17.035,20 | 2602 / 176 | $16.232,90 | 2557 / 188 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 46 | $65.519,10 | 2464 / 206 | $10.332,60 | 2407 / 172 | $9.505,21 | 2397 / 191 |
Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 64 | $59.646,70 | 2695 / 168 | $9.449,69 | 2621 / 143 | $8.562,62 | 2612 / 160 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 75 | $92.174,30 | 2427 / 160 | $13.367,70 | 2334 / 136 | $12.453,40 | 2328 / 143 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 32 | $48.190,80 | 1894 / 100 | $7.411,62 | 1879 / 101 | $6.430,38 | 1871 / 111 |
Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 24 | $170.935,00 | 1197 / 52 | $33.027,40 | 1233 / 44 | $32.001,30 | 1228 / 57 |
Syncope & Collapse | 50 | 119 / 19 | $39.919,10 | 1695 / 85 | $7.571,08 | 1775 / 109 | $6.618,68 | 1767 / 122 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 16 | 48 / 8 | $512.339,00 | 516 / 33 | $82.709,20 | 431 / 16 | $81.715,40 | 430 / 20 |
Transient Ischemia | 20 | 105 / 36 | $47.006,60 | 1540 / 99 | $7.360,75 | 1563 / 107 | $6.472,65 | 1555 / 116 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 14 | 30 / 10 | $33.545,20 | 218 / 7 | $7.679,00 | 272 / 23 | $6.522,86 | 272 / 22 |
Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 15 | 31 / 8 | $36.101,50 | 162 / 5 | $9.584,80 | 226 / 20 | $8.363,87 | 226 / 22 | Total 83 procedures | 2.494 | 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.