Hospital Costs > In California > John F Kennedy Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 162 | 402 / 61 | $125.112,00 | 2607 / 201 | $18.248,10 | 2369 / 128 | $15.917,00 | 2324 / 129 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 42 | 474 / 167 | $130.668,00 | 2775 / 240 | $16.280,50 | 2539 / 155 | $15.562,00 | 2495 / 171 |
Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 48 | $62.837,00 | 2724 / 176 | $10.555,10 | 2568 / 180 | $8.192,69 | 2559 / 148 |
Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 77 | $50.187,40 | 2646 / 186 | $8.180,75 | 2563 / 163 | $7.200,75 | 2552 / 173 |
Other Circulatory System O.R. Procedures | 25 | 30 / 3 | $164.095,00 | 428 / 28 | $21.615,40 | 334 / 12 | $20.892,20 | 334 / 12 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 30 | $162.926,00 | 1800 / 111 | $20.014,70 | 1600 / 64 | $18.871,80 | 1586 / 67 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 70 | $97.068,60 | 2448 / 168 | $13.157,70 | 2317 / 126 | $12.357,70 | 2311 / 136 |
Renal Failure W Cc | 20 | 201 / 68 | $73.957,00 | 2413 / 188 | $9.698,80 | 2308 / 147 | $9.094,00 | 2298 / 165 |
Heart Failure & Shock W Cc | 18 | 260 / 82 | $66.605,90 | 2711 / 198 | $9.839,22 | 2605 / 163 | $9.165,44 | 2599 / 181 |
Heart Failure & Shock W Mcc | 18 | 266 / 104 | $92.563,60 | 2541 / 179 | $13.616,40 | 2396 / 142 | $12.809,30 | 2385 / 153 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 18 | 51 / 15 | $174.689,00 | 498 / 36 | $22.958,30 | 468 / 19 | $22.083,70 | 467 / 27 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 91 | $91.715,60 | 2555 / 238 | $10.364,40 | 2414 / 174 | $9.560,89 | 2404 / 194 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 93 | $58.680,60 | 2696 / 203 | $7.955,59 | 2580 / 160 | $7.180,06 | 2565 / 177 |
Cellulitis W/O Mcc | 17 | 172 / 69 | $61.276,80 | 2614 / 211 | $8.359,47 | 2413 / 150 | $7.227,41 | 2405 / 156 |
Chest Pain | 16 | 135 / 56 | $38.412,40 | 1566 / 99 | $6.918,62 | 1584 / 112 | $6.008,62 | 1575 / 118 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 40 | $56.158,10 | 1957 / 137 | $8.309,75 | 1859 / 112 | $7.407,75 | 1850 / 124 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 29 | $54.181,60 | 1926 / 113 | $7.664,44 | 1897 / 106 | $6.678,44 | 1889 / 118 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 63 | $48.108,30 | 2477 / 169 | $7.661,00 | 2387 / 151 | $6.687,00 | 2378 / 158 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 50 | $320.907,00 | 1530 / 122 | $45.085,00 | 1175 / 74 | $38.457,00 | 1167 / 41 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 19 | $115.074,00 | 908 / 66 | $14.870,70 | 819 / 57 | $12.633,80 | 816 / 46 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 31 | $51.074,50 | 2056 / 114 | $7.753,53 | 2008 / 102 | $6.874,60 | 1996 / 111 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 13 | $84.820,90 | 549 / 39 | $11.549,60 | 561 / 38 | $10.621,60 | 560 / 42 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 39 | $140.372,00 | 1799 / 143 | $14.466,40 | 1562 / 75 | $13.629,50 | 1549 / 82 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 36 | $56.165,60 | 1977 / 142 | $6.562,23 | 1908 / 119 | $5.631,77 | 1902 / 125 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 42 | $416.605,00 | 1071 / 125 | $46.098,70 | 856 / 57 | $45.165,60 | 855 / 65 |
Diabetes W Cc | 12 | 80 / 23 | $63.121,80 | 1598 / 114 | $8.597,08 | 1476 / 88 | $7.541,08 | 1471 / 96 |
Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 61 | $57.114,30 | 2338 / 148 | $9.398,83 | 2314 / 139 | $8.697,50 | 2307 / 155 |
Syncope & Collapse | 12 | 157 / 55 | $60.472,00 | 1903 / 148 | $7.838,33 | 1781 / 121 | $6.731,67 | 1773 / 124 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 21 | $314.929,00 | 929 / 62 | $36.839,80 | 634 / 10 | $35.522,50 | 633 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 55 | $67.358,70 | 2140 / 165 | $8.311,91 | 2021 / 138 | $7.218,09 | 2016 / 143 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 11 | 185 / 59 | $175.215,00 | 1466 / 111 | $18.077,80 | 1283 / 63 | $15.127,60 | 1276 / 63 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 39 | $162.478,00 | 1385 / 128 | $18.022,00 | 1258 / 85 | $17.248,20 | 1250 / 91 | Total 32 procedures | 716 | 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.