Hospital Costs > In California > Greater El Monte Community Hospital, 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 | 12 | 177 / 74 | $41.356,90 | 2441 / 150 | $10.576,90 | 2566 / 197 | $9.472,92 | 2558 / 201 |
| Chest Pain | 19 | 132 / 53 | $44.114,50 | 1641 / 122 | $8.659,63 | 1663 / 135 | $8.023,00 | 1654 / 139 |
| Heart Failure & Shock W Mcc | 13 | 271 / 109 | $97.496,20 | 2555 / 185 | $15.827,30 | 2545 / 186 | $15.364,50 | 2534 / 196 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 42 | $261.374,00 | 924 / 69 | $44.783,50 | 811 / 43 | $43.521,40 | 810 / 54 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 68 | 448 / 150 | $104.533,00 | 2673 / 204 | $17.885,70 | 2645 / 194 | $17.012,60 | 2600 / 203 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 96 | $49.915,80 | 2260 / 143 | $12.181,60 | 2515 / 216 | $11.667,20 | 2505 / 229 |
| Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 77 | $71.557,30 | 2251 / 113 | $14.446,10 | 2429 / 160 | $13.927,20 | 2423 / 177 |
| Syncope & Collapse | 13 | 156 / 54 | $55.496,60 | 1876 / 135 | $9.637,00 | 1888 / 144 | $8.992,08 | 1880 / 151 | Total 8 procedures | 165 | 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.