Hospital Costs > In California > Henry Mayo Newhall Hospital, 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 | 144 | 372 / 106 | $79.304,30 | 2420 / 136 | $14.280,70 | 2121 / 68 | $12.868,80 | 2084 / 49 |
Simple Pneumonia & Pleurisy W Mcc | 90 | 115 / 12 | $66.803,10 | 2203 / 101 | $10.990,20 | 2014 / 42 | $10.187,30 | 2013 / 54 |
Heart Failure & Shock W Mcc | 89 | 195 / 42 | $65.807,60 | 2281 / 114 | $11.289,20 | 2050 / 44 | $10.575,90 | 2041 / 56 |
Chronic Obstructive Pulmonary Disease W Mcc | 74 | 128 / 18 | $53.449,40 | 2254 / 99 | $8.888,47 | 1970 / 36 | $7.888,95 | 1962 / 38 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 46 | $50.073,30 | 2264 / 144 | $8.551,16 | 1820 / 70 | $6.834,17 | 1812 / 44 |
Pulmonary Edema & Respiratory Failure | 64 | 139 / 21 | $59.029,80 | 1914 / 68 | $10.797,40 | 1557 / 83 | $7.978,23 | 1552 / 15 |
Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 50 | $37.591,60 | 2446 / 131 | $5.914,43 | 1926 / 29 | $4.864,16 | 1915 / 28 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 59 | 107 / 24 | $40.638,50 | 2388 / 141 | $5.652,92 | 2004 / 38 | $4.896,85 | 1996 / 62 |
Renal Failure W Cc | 59 | 162 / 31 | $47.955,50 | 2218 / 117 | $7.627,14 | 1684 / 47 | $6.085,34 | 1675 / 24 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 53 | $38.613,10 | 2442 / 127 | $6.675,90 | 1808 / 87 | $4.490,88 | 1795 / 27 |
Heart Failure & Shock W Cc | 57 | 221 / 47 | $46.361,90 | 2492 / 128 | $7.972,86 | 1900 / 66 | $6.332,51 | 1895 / 29 |
Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 42 | $43.084,40 | 2413 / 95 | $7.672,60 | 2077 / 44 | $6.325,29 | 2069 / 30 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 48 | 516 / 118 | $82.641,20 | 2253 / 103 | $15.399,40 | 2086 / 32 | $13.994,20 | 2044 / 56 |
Transient Ischemia | 46 | 79 / 13 | $45.649,80 | 1530 / 94 | $6.142,63 | 1170 / 50 | $4.423,67 | 1164 / 27 |
Kidney & Urinary Tract Infections W Mcc | 46 | 98 / 21 | $49.096,80 | 1665 / 91 | $8.795,07 | 1467 / 43 | $7.511,65 | 1463 / 35 |
Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 30 | $45.153,20 | 2170 / 107 | $7.132,49 | 1882 / 28 | $6.324,49 | 1875 / 32 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 41 | 85 / 20 | $52.757,50 | 1526 / 92 | $8.870,71 | 1318 / 38 | $8.236,95 | 1315 / 48 |
Medical Back Problems W/O Mcc | 40 | 81 / 19 | $42.199,30 | 1294 / 64 | $6.912,60 | 992 / 40 | $5.223,45 | 989 / 20 |
Chest Pain | 40 | 111 / 33 | $47.190,50 | 1668 / 132 | $5.203,02 | 1093 / 42 | $3.720,07 | 1086 / 21 |
Renal Failure W Mcc | 37 | 158 / 50 | $73.817,50 | 1948 / 112 | $13.389,00 | 1891 / 95 | $12.637,40 | 1887 / 109 |
Cellulitis W/O Mcc | 35 | 154 / 51 | $36.896,10 | 2342 / 124 | $7.444,09 | 1763 / 99 | $5.072,37 | 1755 / 21 |
G.I. Hemorrhage W Cc | 32 | 186 / 59 | $48.173,80 | 2123 / 103 | $7.652,50 | 1680 / 29 | $6.323,78 | 1676 / 25 |
G.I. Hemorrhage W Mcc | 31 | 90 / 25 | $68.154,50 | 1316 / 63 | $12.814,50 | 1180 / 21 | $12.074,40 | 1172 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 44 | $62.160,50 | 1900 / 115 | $8.758,90 | 1349 / 58 | $6.462,20 | 1346 / 14 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 30 | 166 / 42 | $98.280,30 | 1140 / 41 | $15.060,70 | 855 / 15 | $11.886,30 | 849 / 6 |
Respiratory Infections & Inflammations W Mcc | 29 | 107 / 43 | $93.374,10 | 1620 / 84 | $16.243,80 | 1579 / 77 | $15.065,60 | 1563 / 75 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 23 | $91.523,20 | 1649 / 94 | $15.243,90 | 1535 / 100 | $13.231,00 | 1522 / 72 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 40 | $36.812,20 | 1842 / 71 | $7.405,50 | 1551 / 106 | $5.102,19 | 1546 / 29 |
Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 10 | $48.411,50 | 1161 / 40 | $8.318,35 | 1034 / 28 | $6.818,65 | 1032 / 19 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 42 | $92.525,90 | 1829 / 75 | $14.121,80 | 1572 / 23 | $13.163,20 | 1553 / 32 |
G.I. Obstruction W Cc | 23 | 69 / 29 | $36.967,80 | 1395 / 47 | $6.708,87 | 1330 / 20 | $5.978,43 | 1325 / 32 |
Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 10 | $44.421,80 | 956 / 37 | $7.631,87 | 707 / 33 | $5.499,17 | 703 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 49 | $112.421,00 | 1558 / 122 | $15.880,80 | 1428 / 93 | $14.492,00 | 1421 / 95 |
Syncope & Collapse | 22 | 147 / 45 | $45.634,00 | 1784 / 104 | $5.841,14 | 1261 / 27 | $4.507,09 | 1254 / 18 |
Other Circulatory System Diagnoses W Mcc | 21 | 95 / 29 | $122.882,00 | 1345 / 115 | $21.268,40 | 1347 / 112 | $20.750,30 | 1339 / 117 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 46 | $258.643,00 | 1437 / 83 | $46.545,60 | 1375 / 85 | $44.413,30 | 1365 / 82 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 31 | $29.009,70 | 1737 / 62 | $5.400,78 | 1209 / 75 | $3.034,39 | 1204 / 13 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 38 | $38.594,50 | 1745 / 85 | $6.204,61 | 1554 / 20 | $5.665,94 | 1545 / 42 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 18 | 58 / 18 | $81.329,60 | 447 / 37 | $13.952,20 | 339 / 14 | $12.775,80 | 339 / 11 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 26 | $45.034,60 | 1068 / 40 | $8.888,11 | 1013 / 14 | $8.214,33 | 1008 / 23 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 25 | $147.009,00 | 808 / 33 | $24.955,10 | 815 / 22 | $24.032,70 | 810 / 31 |
Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 11 | $135.741,00 | 845 / 40 | $21.830,50 | 724 / 22 | $20.906,20 | 721 / 21 |
Signs & Symptoms W/O Mcc | 17 | 74 / 21 | $46.513,30 | 1292 / 69 | $5.478,53 | 858 / 14 | $4.415,00 | 855 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 37 | $55.480,10 | 1624 / 69 | $9.413,24 | 1279 / 28 | $7.832,47 | 1276 / 15 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 10 | $84.147,40 | 592 / 27 | $13.360,60 | 416 / 9 | $12.388,60 | 415 / 8 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 30 | $39.766,70 | 1803 / 76 | $5.546,27 | 1518 / 21 | $4.494,53 | 1510 / 27 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 30 | $33.762,10 | 1799 / 61 | $5.347,00 | 1507 / 17 | $4.459,53 | 1495 / 25 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 27 | $39.505,50 | 1122 / 47 | $7.949,00 | 857 / 38 | $5.961,40 | 853 / 12 |
Other Digestive System Diagnoses W Mcc | 14 | 48 / 20 | $75.967,10 | 666 / 54 | $15.319,90 | 663 / 51 | $14.627,40 | 662 / 57 |
Other Vascular Procedures W Mcc | 14 | 83 / 28 | $135.589,00 | 810 / 31 | $25.931,10 | 762 / 22 | $25.052,20 | 759 / 25 |
Medical Back Problems W Mcc | 13 | 26 / 7 | $63.629,80 | 266 / 12 | $11.725,20 | 208 / 9 | $10.701,20 | 208 / 9 |
Seizures W/O Mcc | 13 | 95 / 29 | $36.375,50 | 1082 / 39 | $6.612,46 | 517 / 31 | $4.084,85 | 514 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 17 | $54.858,30 | 451 / 13 | $9.757,54 | 164 / 19 | $5.986,85 | 164 / 2 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 10 | $40.042,10 | 735 / 18 | $6.689,23 | 536 / 20 | $4.426,54 | 532 / 3 |
Nonspecific Cerebrovascular Disorders W Mcc | 13 | 38 / 12 | $64.662,00 | 324 / 17 | $11.583,70 | 233 / 5 | $10.608,90 | 233 / 6 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 20 | $38.566,30 | 987 / 30 | $7.272,77 | 876 / 13 | $6.531,85 | 873 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 35 | $39.799,70 | 1358 / 47 | $5.852,77 | 1164 / 18 | $4.732,77 | 1160 / 25 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 22 | $48.340,80 | 689 / 17 | $9.964,69 | 591 / 7 | $9.034,23 | 589 / 9 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 48 | $48.457,50 | 1164 / 24 | $8.778,62 | 1102 / 27 | $6.703,15 | 1099 / 16 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 28 | $287.746,00 | 1222 / 63 | $48.468,80 | 1223 / 64 | $47.562,10 | 1220 / 68 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 41 | $107.355,00 | 1585 / 54 | $20.156,90 | 690 / 68 | $12.936,40 | 682 / 1 |
Cellulitis W Mcc | 12 | 46 / 22 | $45.258,90 | 685 / 26 | $11.455,20 | 547 / 29 | $8.998,83 | 545 / 8 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 19 | $48.910,80 | 670 / 34 | $6.752,25 | 518 / 5 | $6.146,92 | 518 / 13 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 15 | $76.367,00 | 465 / 6 | $14.379,20 | 482 / 5 | $13.568,50 | 478 / 11 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 10 | $87.742,20 | 567 / 30 | $11.319,80 | 472 / 18 | $10.610,50 | 472 / 21 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 30 | $23.349,30 | 959 / 16 | $4.893,73 | 944 / 21 | $3.794,09 | 941 / 25 |
Atherosclerosis W/O Mcc | 11 | 47 / 15 | $28.099,60 | 422 / 16 | $5.887,00 | / 19 | $3.993,82 | / |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 10 | $96.890,70 | 331 / 22 | $14.708,40 | 266 / 14 | $13.728,00 | 266 / 15 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 35 | $30.896,80 | 1732 / 32 | $5.616,73 | 1635 / 17 | $4.738,18 | 1624 / 26 |
Diabetes W Mcc | 11 | 46 / 16 | $97.162,30 | 725 / 37 | $12.673,00 | 643 / 32 | $11.474,50 | 642 / 32 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 23 | $40.880,80 | 478 / 29 | $7.025,64 | 344 / 6 | $6.284,55 | 344 / 9 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 9 | $36.451,30 | 410 / 13 | $6.145,55 | 294 / 13 | $3.823,00 | 293 / 5 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $39.442,70 | 787 / 21 | $7.014,00 | 683 / 7 | $6.022,00 | 680 / 11 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 44 | $126.438,00 | 1372 / 58 | $29.774,70 | 993 / 112 | $15.795,60 | 982 / 9 | Total 74 procedures | 2.155 | 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.