Hospital Costs > In California > Good Samaritan Hospital San Jose, procedure costs

Good Samaritan Hospital San Jose, procedure costs

2425 Samaritan Drive, San Jose, CA 95124,

Procedure Costs @ Good Samaritan Hospital San Jose
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc261304 / 31$177.826,002686 / 233$19.966,602412 / 173$16.343,502366 / 152
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc188328 / 85$160.830,002813 / 260$19.070,302642 / 216$16.955,902597 / 202
Heart Failure & Shock W Cc109169 / 10$75.710,702741 / 217$9.779,782414 / 159$7.847,582408 / 123
Heart Failure & Shock W Mcc98186 / 35$122.450,002607 / 217$13.759,602387 / 146$12.692,702376 / 148
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc9868 / 7$51.687,502493 / 178$7.194,122147 / 132$5.360,572139 / 91
G.I. Hemorrhage W Cc95123 / 11$64.487,402344 / 167$9.410,332100 / 125$7.728,952096 / 102
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc87188 / 29$60.969,002701 / 208$7.261,642360 / 130$5.741,662345 / 114
Kidney & Urinary Tract Infections W/O Mcc83150 / 32$57.025,902679 / 203$7.330,282406 / 128$6.182,962395 / 126
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc82125 / 38$83.008,002547 / 235$9.915,302276 / 160$8.474,112267 / 149
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs80102 / 10$107.083,002073 / 179$9.770,951820 / 108$8.334,161816 / 104
Cellulitis W/O Mcc68121 / 23$53.387,302583 / 197$7.919,402329 / 127$6.680,932321 / 130
Chronic Obstructive Pulmonary Disease W Mcc67135 / 24$103.883,002555 / 191$12.428,602339 / 165$9.751,132331 / 131
Simple Pneumonia & Pleurisy W Cc61142 / 30$76.461,902793 / 206$9.385,212485 / 140$7.642,232476 / 123
Simple Pneumonia & Pleurisy W Mcc52153 / 40$119.324,002501 / 192$16.035,302245 / 184$11.717,802239 / 119
Heart Failure & Shock W/O Cc/Mcc5258 / 4$54.026,701989 / 122$6.600,131775 / 76$5.456,901762 / 74
Red Blood Cell Disorders W/O Mcc4994 / 10$49.192,201900 / 117$9.469,651682 / 132$6.240,551673 / 75
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc46150 / 27$255.708,001487 / 121$20.822,401364 / 97$16.475,501356 / 83
Pulmonary Edema & Respiratory Failure44159 / 34$101.720,002202 / 152$11.649,201985 / 117$10.011,801979 / 100
Hip & Femur Procedures Except Major Joint W Cc43100 / 25$155.540,002045 / 149$17.378,401853 / 113$15.549,001833 / 105
Major Small & Large Bowel Procedures W Cc4365 / 13$173.233,001489 / 98$22.910,901299 / 69$18.784,201285 / 54
Intracranial Hemorrhage Or Cerebral Infarction W Mcc43125 / 29$188.805,001631 / 156$18.820,501556 / 126$17.860,901549 / 132
Cardiac Arrhythmia & Conduction Disorders W Mcc4281 / 12$75.489,001817 / 115$10.774,301691 / 83$9.829,981688 / 90
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc41109 / 10$46.897,601957 / 128$5.659,801691 / 84$4.049,221685 / 74
Infectious & Parasitic Diseases W O.R. Procedure W Mcc4183 / 25$503.049,001586 / 154$65.935,101554 / 146$57.789,601544 / 135
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc4062 / 9$101.377,001613 / 131$8.108,231430 / 99$6.062,121426 / 82
Renal Failure W Cc40181 / 48$65.128,502388 / 175$9.973,552047 / 159$7.204,772037 / 87
Renal Failure W Mcc38157 / 49$97.882,402104 / 161$13.165,901858 / 85$12.313,201854 / 98
Syncope & Collapse38131 / 29$56.587,501887 / 140$6.822,131647 / 83$5.766,261639 / 85
Medical Back Problems W/O Mcc3784 / 22$69.231,801478 / 120$8.028,381307 / 72$6.722,651302 / 81
Cardiac Arrhythmia & Conduction Disorders W Cc37124 / 29$70.747,202152 / 171$7.354,321920 / 104$6.373,571915 / 113
Transient Ischemia3788 / 21$75.878,101660 / 142$6.787,891375 / 83$5.136,731368 / 67
Kidney & Urinary Tract Infections W Mcc34110 / 32$83.589,901927 / 161$10.471,201725 / 116$8.899,761721 / 101
Simple Pneumonia & Pleurisy W/O Cc/Mcc3360 / 12$46.778,501885 / 99$6.560,551781 / 75$5.534,611773 / 83
Circulatory Disorders Except Ami, W Card Cath W/O Mcc32156 / 30$113.082,001634 / 129$11.439,101489 / 99$9.073,751486 / 87
Chronic Obstructive Pulmonary Disease W Cc32147 / 41$86.245,602438 / 189$9.257,252242 / 132$8.036,592235 / 134
G.I. Obstruction W/O Cc/Mcc3140 / 10$54.102,201296 / 96$6.189,421082 / 66$4.222,231079 / 45
Respiratory Infections & Inflammations W Mcc31105 / 41$153.330,001785 / 142$19.699,801754 / 136$18.544,901738 / 136
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc2997 / 30$85.795,601715 / 152$9.927,141469 / 85$9.220,931466 / 90
Respiratory Infections & Inflammations W Cc2860 / 21$94.099,901448 / 105$12.579,101263 / 87$10.140,501258 / 50
Signs & Symptoms W/O Mcc2764 / 11$67.117,601335 / 91$7.367,481107 / 65$5.484,411104 / 51
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc2663 / 19$96.430,90757 / 64$10.203,80669 / 40$8.204,12668 / 43
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc2698 / 14$36.942,30762 / 24$6.460,92647 / 20$5.258,58646 / 20
Chest Pain26125 / 46$54.787,401698 / 147$5.959,041257 / 78$4.148,081250 / 47
Other Digestive System Diagnoses W Cc2572 / 17$77.410,101415 / 126$9.505,641304 / 93$8.537,961300 / 101
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc2595 / 21$48.062,702037 / 106$7.443,441806 / 93$5.354,001795 / 60
G.I. Hemorrhage W Mcc2596 / 31$136.881,001655 / 151$16.873,601544 / 117$16.057,001534 / 122
Major Small & Large Bowel Procedures W Mcc2461 / 16$395.334,001274 / 86$58.843,801203 / 79$45.721,301200 / 63
G.I. Obstruction W Cc2468 / 28$77.703,501718 / 132$8.560,961520 / 95$6.840,251515 / 83
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2476 / 18$399.734,001019 / 96$38.661,101011 / 88$36.182,401006 / 89
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc2235 / 5$143.728,00707 / 44$20.323,10650 / 43$16.886,50649 / 34
Permanent Cardiac Pacemaker Implant W Cc2255 / 13$196.237,00959 / 76$23.666,20911 / 60$22.789,10907 / 67
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc2195 / 17$818.491,00478 / 42$98.460,40478 / 40$97.597,80478 / 41
Fractures Of Hip & Pelvis W/O Mcc2140 / 10$51.366,30904 / 59$6.507,67828 / 43$5.530,90827 / 51
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc2141 / 10$57.009,90794 / 55$6.874,00699 / 29$5.952,10697 / 39
Spinal Fusion Except Cervical W/O Mcc20174 / 46$468.760,001365 / 99$50.435,601349 / 96$45.595,901344 / 96
Respiratory System Diagnosis W Ventilator Support <96 Hours20111 / 33$204.985,001837 / 133$25.052,901723 / 119$21.106,801709 / 106
Hip & Femur Procedures Except Major Joint W Mcc1943 / 9$190.012,00941 / 62$25.325,90846 / 47$24.259,00843 / 48
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1937 / 15$114.030,00906 / 64$14.810,40814 / 54$12.507,40811 / 45
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc1999 / 22$519.994,00539 / 40$86.768,10485 / 40$44.043,10485 / 19
Seizures W/O Mcc1890 / 24$81.644,901314 / 98$7.538,941076 / 54$6.005,061074 / 48
Seizures W Mcc1848 / 12$125.671,00755 / 47$13.724,90629 / 27$12.853,80629 / 31
G.I. Hemorrhage W/O Cc/Mcc1751 / 12$41.633,10935 / 47$6.577,00877 / 34$5.579,35873 / 42
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1624 / 9$233.902,00462 / 46$25.930,70447 / 39$23.478,70446 / 39
Coronary Bypass W/O Cardiac Cath W/O Mcc1672 / 14$399.358,00596 / 32$46.334,20539 / 28$29.911,90538 / 13
Circulatory Disorders Except Ami, W Card Cath W Mcc1677 / 17$188.336,00912 / 61$20.276,40793 / 43$17.550,40786 / 39
Acute Myocardial Infarction, Discharged Alive W Cc1675 / 20$105.710,001422 / 99$9.607,061286 / 65$8.553,061284 / 71
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1647 / 14$417.271,00753 / 58$77.334,80708 / 58$45.764,60708 / 44
Bronchitis & Asthma W Cc/Mcc1660 / 17$70.470,701072 / 73$8.031,19942 / 41$6.958,69938 / 49
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1657 / 18$120.404,001109 / 80$11.820,301075 / 68$11.142,201073 / 72
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1680 / 25$209.779,00820 / 50$20.153,60780 / 35$19.169,60776 / 42
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1540 / 12$149.112,00636 / 40$17.099,80574 / 27$16.052,30570 / 30
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc1532 / 7$105.783,00508 / 23$13.408,30470 / 16$12.200,80470 / 23
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1566 / 14$1.898.880,00453 / 35$244.546,00450 / 29$240.573,00449 / 32
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1532 / 11$101.619,00569 / 43$10.833,70512 / 29$8.745,27511 / 25
Cervical Spinal Fusion W/O Cc/Mcc1589 / 22$206.533,00882 / 59$25.763,50807 / 55$17.677,70804 / 41
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1581 / 29$108.735,001458 / 129$10.740,301281 / 73$10.096,001276 / 84
Craniotomy & Endovascular Intracranial Procedures W Mcc1484 / 19$370.402,00503 / 42$44.641,10483 / 29$43.777,10483 / 35
Other Kidney & Urinary Tract Diagnoses W Cc1489 / 25$71.130,20844 / 51$9.050,29751 / 31$8.618,29751 / 42
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc1455 / 10$960.961,00294 / 20$116.984,00288 / 16$108.429,00288 / 16
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim1452 / 20$142.510,00565 / 41$16.851,80476 / 28$14.287,80472 / 20
Septicemia Or Severe Sepsis W Mv 96+ Hours1478 / 41$524.399,001094 / 141$63.563,501057 / 123$62.267,401056 / 126
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc1433 / 9$743.961,00112 / 15$108.360,00112 / 15$73.363,20112 / 15
O.R. Procedures For Obesity W/O Cc/Mcc1463 / 14$141.051,00412 / 21$16.133,10302 / 18$10.367,20302 / 6
Revision Of Hip Or Knee Replacement W/O Cc/Mcc1455 / 18$177.901,00500 / 37$26.964,40452 / 35$21.121,50451 / 21
Poisoning & Toxic Effects Of Drugs W/O Mcc1447 / 11$62.481,10919 / 47$6.598,07808 / 34$5.823,21807 / 40
Major Chest Procedures W Mcc1336 / 12$457.251,00330 / 26$54.354,40319 / 20$50.321,90318 / 20
Red Blood Cell Disorders W Mcc1358 / 18$72.295,901043 / 73$11.229,90957 / 43$10.585,00953 / 51
Lymphoma & Non-Acute Leukemia W Mcc1323 / 4$289.228,00129 / 8$33.343,20105 / 5$32.599,80105 / 5
Major Small & Large Bowel Procedures W/O Cc/Mcc1351 / 17$138.091,00747 / 45$19.857,10552 / 41$10.455,10552 / 12
Respiratory System Diagnosis W Ventilator Support 96+ Hours1358 / 20$441.561,00973 / 81$57.832,40924 / 78$48.533,90923 / 71
Dysequilibrium1253 / 15$70.632,00564 / 38$5.937,58483 / 21$5.030,92483 / 26
Peripheral Vascular Disorders W Cc1272 / 21$91.675,201252 / 91$10.220,901198 / 76$9.719,581195 / 85
Psychoses12263 / 31$79.113,80611 / 39$12.613,20495 / 31$8.021,00495 / 11
Respiratory Neoplasms W Cc1235 / 12$101.032,00505 / 30$11.655,00385 / 20$8.819,33384 / 9
Degenerative Nervous System Disorders W/O Mcc1266 / 18$78.787,50862 / 50$8.890,17724 / 23$7.988,83724 / 27
Interstitial Lung Disease W Mcc1213 / 2$132.657,0093 / 5$14.884,3081 / 5$13.980,4081 / 5
Organic Disturbances & Mental Retardation1247 / 12$81.776,70554 / 27$8.663,00423 / 7$7.756,33423 / 9
Combined Anterior/Posterior Spinal Fusion W Cc1234 / 13$866.823,00122 / 19$106.514,00121 / 18$105.412,00121 / 19
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc1232 / 12$58.080,30309 / 24$6.937,83247 / 14$5.828,50247 / 17
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1253 / 21$307.435,00921 / 58$32.710,20892 / 53$31.600,90888 / 53
Tendonitis, Myositis & Bursitis W/O Mcc1230 / 3$57.522,80325 / 7$7.511,58280 / 5$6.500,92279 / 5
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1226 / 8$52.098,00447 / 18$6.162,92405 / 14$5.152,25404 / 16
Stomach, Esophageal & Duodenal Proc W Cc1238 / 12$225.115,00220 / 12$21.359,90157 / 6$19.755,40157 / 7
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc1216 / 4$130.134,00100 / 7$14.863,6091 / 6$14.159,6091 / 6
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1244 / 18$119.786,00840 / 57$14.655,30828 / 45$13.650,00824 / 57
Peripheral Vascular Disorders W Mcc1138 / 11$77.313,50544 / 24$13.003,20432 / 30$9.854,45432 / 13
Diabetes W Cc1181 / 24$59.679,201586 / 111$7.675,091367 / 64$6.590,001362 / 65
Revision Of Hip Or Knee Replacement W Cc1175 / 22$282.721,00664 / 38$29.964,50625 / 24$28.969,60623 / 26
Major Cardiovasc Procedures W/O Mcc1190 / 30$379.669,001002 / 64$40.448,60996 / 60$39.346,20995 / 61
Cranial & Peripheral Nerve Disorders W/O Mcc1157 / 20$65.431,50723 / 43$11.473,40493 / 44$5.993,18493 / 7
Other Circulatory System Diagnoses W Mcc11105 / 39$231.748,001396 / 135$27.378,101388 / 129$26.413,601380 / 132
Coronary Bypass W Cardiac Cath W/O Mcc1165 / 17$447.486,00613 / 33$47.370,20572 / 30$38.323,20572 / 22
Permanent Cardiac Pacemaker Implant W Mcc1141 / 13$253.164,00602 / 46$31.772,30542 / 31$31.007,20542 / 34
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc1184 / 19$259.803,00602 / 41$25.122,40574 / 38$18.880,00570 / 36
Other Kidney & Urinary Tract Diagnoses W Mcc1190 / 37$116.271,001085 / 73$15.421,40913 / 62$12.323,20909 / 34
Pulmonary Embolism W Mcc1132 / 9$166.269,00580 / 30$16.638,10570 / 27$15.870,10569 / 28
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc1180 / 23$133.775,00401 / 34$13.343,60319 / 21$9.633,64319 / 16
Total 117 procedures3.620discharges

DATA

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.