Hospital Costs > In California > Highland Hospital Oakland, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 23 | $27.862,10 | 665 / 15 | $14.164,40 | 837 / 47 | $13.008,30 | 836 / 48 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 54 | $42.764,60 | 1957 / 102 | $15.945,20 | 2169 / 182 | $14.319,10 | 2164 / 182 |
Cellulitis W/O Mcc | 17 | 172 / 69 | $27.653,60 | 2025 / 54 | $15.756,90 | 2633 / 222 | $14.172,30 | 2625 / 221 |
Chest Pain | 13 | 138 / 59 | $26.817,50 | 1286 / 49 | $13.376,20 | 1702 / 153 | $11.892,90 | 1693 / 153 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 44 | $48.027,90 | 2216 / 117 | $18.688,30 | 2452 / 196 | $17.205,20 | 2445 / 196 |
Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 79 | $69.421,50 | 2442 / 146 | $24.113,80 | 2582 / 204 | $22.370,10 | 2574 / 204 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 17 | $36.985,00 | 1893 / 69 | $14.758,20 | 2111 / 140 | $13.122,70 | 2099 / 139 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 19 | $35.928,20 | 611 / 18 | $17.951,80 | 875 / 54 | $16.559,80 | 875 / 56 |
Diabetes W Cc | 19 | 73 / 16 | $30.491,10 | 1188 / 25 | $15.554,50 | 1620 / 127 | $14.051,60 | 1615 / 127 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 86 | $24.343,50 | 1829 / 34 | $14.804,50 | 2731 / 228 | $13.484,10 | 2716 / 228 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 15 | $43.347,80 | 752 / 40 | $15.326,00 | 813 / 66 | $13.351,90 | 811 / 66 |
G.I. Hemorrhage W Cc | 14 | 204 / 77 | $48.787,60 | 2137 / 107 | $18.963,20 | 2433 / 200 | $17.124,00 | 2429 / 201 |
Heart Failure & Shock W Cc | 39 | 239 / 63 | $43.887,20 | 2430 / 107 | $18.386,00 | 2761 / 227 | $16.740,90 | 2755 / 228 |
Heart Failure & Shock W Mcc | 14 | 270 / 108 | $69.298,70 | 2334 / 128 | $25.446,70 | 2631 / 227 | $24.056,50 | 2620 / 228 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 27 | $22.253,30 | 1411 / 18 | $14.108,20 | 2014 / 135 | $12.634,70 | 2001 / 135 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 59 | $50.912,90 | 1763 / 78 | $19.591,50 | 2081 / 184 | $17.793,90 | 2076 / 184 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 58 | $134.913,00 | 1601 / 140 | $37.737,20 | 1641 / 161 | $34.928,30 | 1634 / 162 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 36 | $34.701,80 | 1234 / 28 | $14.905,00 | 1615 / 130 | $13.497,20 | 1611 / 131 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 89 | $43.765,40 | 2566 / 161 | $20.461,60 | 2727 / 224 | $17.317,80 | 2716 / 224 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 11 | 553 / 150 | $85.020,70 | 2291 / 107 | $28.516,90 | 2683 / 223 | $26.925,20 | 2637 / 230 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 40 | $44.451,70 | 1391 / 64 | $19.618,00 | 1738 / 165 | $18.135,10 | 1734 / 167 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 62 | $27.390,90 | 2018 / 63 | $14.092,30 | 2539 / 205 | $12.421,60 | 2530 / 203 |
Other Injury, Poisoning & Toxic Effect Diag W/O Mcc | 18 | 2 / 2 | $44.706,30 | 5 / 2 | $14.046,30 | 6 / 3 | $12.517,70 | 6 / 3 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 14 | $26.275,70 | 687 / 8 | $13.459,50 | 920 / 53 | $12.556,60 | 919 / 55 |
Renal Failure W Cc | 17 | 204 / 71 | $37.665,20 | 1976 / 67 | $17.587,10 | 2437 / 205 | $15.843,60 | 2427 / 203 |
Seizures W Mcc | 11 | 55 / 19 | $91.480,00 | 715 / 42 | $27.159,30 | 772 / 56 | $24.770,90 | 772 / 58 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 46 | 470 / 164 | $113.432,00 | 2721 / 216 | $36.186,20 | 2833 / 269 | $33.705,60 | 2788 / 266 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 93 | $54.519,20 | 2333 / 169 | $19.090,30 | 2575 / 245 | $17.596,00 | 2565 / 246 |
Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 75 | $28.647,00 | 1878 / 24 | $17.131,60 | 2824 / 221 | $15.612,70 | 2815 / 222 |
Syncope & Collapse | 31 | 138 / 36 | $33.519,30 | 1544 / 57 | $14.623,00 | 1928 / 165 | $13.110,00 | 1920 / 165 | Total 30 procedures | 554 | 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.