Hospital Costs > In California > Hi-Desert Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 56 | $32.668,60 | 2090 / 40 | $8.152,38 | 2370 / 79 | $7.124,62 | 2361 / 90 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 81 | $32.123,10 | 1739 / 50 | $8.802,50 | 2164 / 93 | $7.853,93 | 2155 / 114 |
| Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 63 | $33.344,20 | 1659 / 17 | $9.522,26 | 2157 / 66 | $8.585,96 | 2149 / 72 |
| Heart Failure & Shock W Cc | 25 | 253 / 75 | $27.799,20 | 1845 / 25 | $8.254,84 | 2339 / 87 | $7.481,72 | 2333 / 99 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 24 | 492 / 183 | $42.609,70 | 1449 / 22 | $14.436,50 | 2286 / 75 | $13.583,20 | 2245 / 88 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 56 | $33.321,10 | 1216 / 12 | $9.870,84 | 1828 / 38 | $9.047,26 | 1823 / 46 |
| Heart Failure & Shock W Mcc | 18 | 266 / 104 | $39.544,00 | 1632 / 25 | $11.857,60 | 2170 / 74 | $11.118,10 | 2160 / 82 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 48 | $28.847,80 | 1584 / 30 | $6.825,00 | 1793 / 72 | $5.817,00 | 1788 / 78 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 93 | $20.857,20 | 1492 / 17 | $6.479,94 | 2238 / 77 | $5.344,88 | 2223 / 84 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 74 | $35.004,70 | 1350 / 13 | $11.487,40 | 2077 / 62 | $10.493,50 | 2074 / 66 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 16 | 548 / 145 | $41.016,00 | 809 / 7 | $16.791,40 | 2344 / 85 | $15.653,40 | 2299 / 118 |
| Renal Failure W Cc | 16 | 205 / 72 | $26.421,70 | 1516 / 17 | $8.048,31 | 2038 / 73 | $7.142,31 | 2028 / 84 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 93 | $28.477,90 | 2152 / 54 | $6.701,50 | 2287 / 89 | $5.719,50 | 2276 / 92 |
| Renal Failure W Mcc | 15 | 180 / 71 | $44.604,80 | 1435 / 33 | $12.218,20 | 1623 / 58 | $10.764,30 | 1621 / 35 |
| Cellulitis W/O Mcc | 14 | 175 / 72 | $23.176,30 | 1754 / 29 | $7.205,07 | 2193 / 81 | $6.082,79 | 2185 / 87 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 31 | $22.721,10 | 1434 / 20 | $6.015,86 | 1698 / 48 | $5.071,86 | 1685 / 54 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 44 | $25.474,70 | 1283 / 28 | $6.906,58 | 1638 / 61 | $5.999,92 | 1629 / 65 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 34 | $23.389,80 | 1473 / 16 | $6.230,75 | 1766 / 42 | $5.220,08 | 1755 / 52 | Total 18 procedures | 342 | 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.