Hospital Costs > In California > Hazel Hawkins Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 36 | $29.776,50 | 1751 / 67 | $6.085,38 | 1864 / 103 | $5.050,69 | 1858 / 114 |
Cellulitis W/O Mcc | 26 | 163 / 60 | $31.313,70 | 2172 / 78 | $8.866,27 | 2496 / 166 | $7.971,88 | 2488 / 177 |
Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 62 | $33.807,70 | 1878 / 46 | $9.772,36 | 2328 / 151 | $8.890,91 | 2321 / 159 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 31 | $34.086,40 | 1820 / 53 | $7.631,13 | 2000 / 99 | $6.745,80 | 1989 / 107 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 88 | $30.550,90 | 2195 / 74 | $7.899,55 | 2542 / 158 | $6.850,82 | 2527 / 167 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 20 | $26.999,80 | 548 / 11 | $7.812,82 | 721 / 42 | $6.320,45 | 719 / 43 |
G.I. Hemorrhage W Cc | 13 | 205 / 78 | $56.513,40 | 2263 / 137 | $10.153,90 | 2226 / 148 | $8.587,31 | 2222 / 144 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 13 | $31.951,10 | 836 / 27 | $7.462,88 | 922 / 49 | $6.185,75 | 918 / 54 |
Heart Failure & Shock W Cc | 23 | 255 / 77 | $48.670,90 | 2524 / 138 | $10.262,00 | 2633 / 177 | $9.615,43 | 2627 / 191 |
Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 91 | $25.057,10 | 1979 / 38 | $8.181,44 | 2579 / 164 | $7.377,89 | 2568 / 176 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 23 | 541 / 138 | $86.050,80 | 2309 / 113 | $21.451,80 | 2613 / 192 | $20.282,20 | 2567 / 214 |
Medical Back Problems W/O Mcc | 11 | 110 / 46 | $42.212,40 | 1295 / 65 | $8.932,82 | 1401 / 103 | $7.830,27 | 1396 / 107 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 49 | $26.741,80 | 1978 / 55 | $7.505,77 | 2389 / 146 | $6.712,42 | 2380 / 159 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 44 | 472 / 165 | $68.552,00 | 2263 / 102 | $18.084,50 | 2659 / 198 | $17.240,20 | 2614 / 210 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 84 | $41.251,70 | 2071 / 103 | $11.049,90 | 2456 / 197 | $9.992,68 | 2446 / 205 |
Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 66 | $46.118,50 | 2489 / 116 | $10.101,30 | 2694 / 165 | $9.244,00 | 2685 / 181 |
Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 78 | $86.156,80 | 2389 / 147 | $14.782,90 | 2439 / 168 | $14.138,00 | 2433 / 179 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 19 | 74 / 26 | $39.815,30 | 1805 / 77 | $7.515,63 | 1883 / 104 | $6.475,32 | 1875 / 114 |
Syncope & Collapse | 12 | 157 / 55 | $35.148,60 | 1586 / 63 | $7.733,67 | 1797 / 117 | $6.923,00 | 1789 / 128 | Total 19 procedures | 370 | 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.