Hospital Costs > In California > Keck Hospital Of Usc, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 17 | 49 / 18 | $141.695,00 | 564 / 40 | $23.860,70 | 543 / 46 | $16.779,00 | 539 / 38 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 32 | $99.588,80 | 761 / 66 | $12.756,00 | 628 / 68 | $7.639,92 | 627 / 34 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 21 | 25 / 3 | $324.093,00 | 121 / 4 | $57.119,10 | 109 / 5 | $52.563,40 | 109 / 3 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 29 | 40 / 5 | $528.470,00 | 273 / 13 | $99.287,80 | 272 / 14 | $91.941,90 | 272 / 11 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 31 | 87 / 13 | $311.533,00 | 511 / 24 | $54.381,00 | 500 / 30 | $46.289,60 | 500 / 23 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 82 | 39 / 4 | $444.817,00 | 454 / 29 | $83.981,50 | 451 / 34 | $73.997,40 | 451 / 29 |
Cellulitis W/O Mcc | 15 | 174 / 71 | $32.793,80 | 2226 / 87 | $9.473,20 | 2275 / 179 | $6.428,73 | 2267 / 116 |
Cervical Spinal Fusion W Cc | 19 | 34 / 8 | $172.393,00 | 372 / 23 | $28.418,20 | 356 / 22 | $24.936,30 | 355 / 22 |
Cervical Spinal Fusion W/O Cc/Mcc | 24 | 80 / 15 | $151.968,00 | 864 / 53 | $25.278,80 | 770 / 54 | $16.500,90 | 767 / 34 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 18 | $185.042,00 | 909 / 59 | $33.322,10 | 901 / 61 | $24.067,90 | 893 / 57 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 33 | $84.865,60 | 1583 / 102 | $13.276,20 | 1518 / 118 | $9.485,11 | 1515 / 99 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 19 | 23 / 5 | $128.170,00 | 291 / 22 | $22.926,80 | 282 / 20 | $19.256,00 | 282 / 20 |
Complications Of Treatment W Cc | 15 | 37 / 9 | $51.455,90 | 332 / 10 | $11.069,70 | 302 / 11 | $8.494,80 | 302 / 12 |
Coronary Bypass W/O Cardiac Cath W Mcc | 13 | 46 / 6 | $285.394,00 | 219 / 5 | $75.469,40 | 172 / 11 | $40.882,30 | 171 / 1 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 11 | 77 / 19 | $245.004,00 | 569 / 20 | $36.617,30 | 561 / 20 | $32.343,60 | 560 / 19 |
Cranio W Major Dev Impl/Acute Complex Cns Pdx W/O Mcc | 15 | 9 / 1 | $149.670,00 | 27 / 1 | $33.299,50 | 23 / 1 | $30.233,60 | 23 / 1 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 20 | 35 / 7 | $169.334,00 | 215 / 11 | $30.378,00 | 203 / 11 | $26.839,90 | 203 / 10 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 19 | 79 / 14 | $195.255,00 | 427 / 18 | $44.842,20 | 400 / 30 | $34.155,90 | 400 / 20 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 36 | 38 / 5 | $137.279,00 | 254 / 9 | $27.278,40 | 205 / 15 | $17.331,00 | 204 / 6 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 29 | 41 / 8 | $57.784,90 | 530 / 41 | $11.503,70 | 460 / 45 | $7.914,28 | 460 / 28 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 33 | 43 / 8 | $155.730,00 | 555 / 63 | $27.806,00 | 550 / 61 | $23.239,80 | 550 / 61 |
Disorders Of The Biliary Tract W Cc | 15 | 39 / 9 | $64.255,10 | 441 / 26 | $11.896,50 | 427 / 30 | $9.129,73 | 427 / 25 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 39 | 42 / 3 | $1.304.590,00 | 444 / 29 | $241.958,00 | 443 / 28 | $218.646,00 | 442 / 28 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 77 | $63.068,20 | 2708 / 214 | $10.322,90 | 2553 / 204 | $6.973,70 | 2538 / 171 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 12 | $195.107,00 | 424 / 27 | $31.959,30 | 414 / 27 | $27.084,80 | 412 / 26 |
G.I. Hemorrhage W Cc | 13 | 205 / 78 | $71.623,80 | 2386 / 184 | $12.254,70 | 2256 / 183 | $8.870,69 | 2252 / 149 |
Heart Failure & Shock W Cc | 20 | 258 / 80 | $67.645,70 | 2719 / 205 | $13.668,80 | 2516 / 211 | $8.428,25 | 2510 / 151 |
Heart Failure & Shock W Mcc | 12 | 272 / 110 | $124.959,00 | 2614 / 222 | $20.995,10 | 2549 / 219 | $15.385,90 | 2538 / 198 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 53 | $731.179,00 | 1597 / 161 | $133.423,00 | 1603 / 160 | $112.910,00 | 1593 / 159 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 35 | 133 / 36 | $126.217,00 | 1586 / 132 | $22.209,80 | 1514 / 144 | $16.519,70 | 1507 / 122 |
Intracranial Vascular Procedures W Pdx Hemorrhage W Mcc | 11 | 9 / 2 | $361.178,00 | 11 / 1 | $83.859,50 | 8 / 1 | $76.172,00 | 8 / 1 |
Kidney & Ureter Procedures For Neoplasm W Cc | 62 | 3 / 1 | $134.384,00 | 174 / 5 | $21.038,30 | 158 / 1 | $17.695,20 | 158 / 1 |
Kidney & Ureter Procedures For Neoplasm W Mcc | 26 | 1 / 1 | $233.061,00 | 39 / 1 | $39.775,00 | 35 / 1 | $35.441,00 | 35 / 1 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 57 | 1 / 1 | $100.698,00 | 143 / 4 | $15.854,20 | 118 / 3 | $11.645,10 | 118 / 3 |
Kidney & Ureter Procedures For Non-Neoplasm W Cc | 27 | 19 / 3 | $88.629,60 | 179 / 7 | $17.954,50 | 170 / 4 | $15.125,40 | 170 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 85 | $38.271,30 | 2461 / 136 | $9.126,54 | 2482 / 189 | $6.592,88 | 2471 / 148 |
Kidney Transplant | 54 | 50 / 6 | $266.180,00 | 143 / 4 | $33.475,90 | 126 / 4 | $26.934,10 | 126 / 5 |
Liver Transplant W Mcc Or Intestinal Transplant | 23 | 7 / 2 | $1.089.910,00 | 39 / 4 | $178.949,00 | 37 / 4 | $154.699,00 | 37 / 3 |
Major Bladder Procedures W Cc | 67 | 1 / 1 | $204.050,00 | 66 / 3 | $28.736,50 | 43 / 1 | $23.053,30 | 43 / 1 |
Major Bladder Procedures W Mcc | 27 | 1 / 1 | $395.256,00 | 14 / 1 | $62.656,60 | 11 / 1 | $55.520,70 | 11 / 1 |
Major Bladder Procedures W/O Cc/Mcc | 24 | 2 / 1 | $164.156,00 | 16 / 2 | $20.929,90 | 10 / 1 | $17.585,20 | 10 / 1 |
Major Cardiovasc Procedures W Mcc | 29 | 39 / 3 | $369.126,00 | 631 / 42 | $65.779,00 | 628 / 46 | $58.319,80 | 627 / 43 |
Major Cardiovasc Procedures W/O Mcc | 31 | 70 / 12 | $216.167,00 | 979 / 53 | $33.118,30 | 940 / 53 | $29.606,20 | 939 / 47 |
Major Chest Procedures W Cc | 21 | 53 / 10 | $107.061,00 | 419 / 12 | $23.560,90 | 423 / 21 | $19.666,00 | 421 / 15 |
Major Chest Procedures W/O Cc/Mcc | 19 | 40 / 6 | $98.669,90 | 239 / 11 | $17.518,40 | 236 / 13 | $15.108,90 | 236 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 20 | $55.596,90 | 992 / 41 | $13.161,30 | 1019 / 73 | $9.870,14 | 1017 / 59 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 38 | 58 / 10 | $97.238,50 | 745 / 29 | $22.292,60 | 737 / 41 | $16.863,80 | 733 / 34 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 345 | 230 / 19 | $95.827,50 | 2423 / 147 | $19.383,60 | 2302 / 163 | $15.365,90 | 2258 / 109 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 19 | 50 / 9 | $105.078,00 | 419 / 7 | $26.659,70 | 425 / 15 | $20.094,30 | 425 / 13 |
Major Male Pelvic Procedures W Cc/Mcc | 28 | 6 / 1 | $110.831,00 | 54 / 3 | $21.438,10 | 51 / 5 | $14.099,10 | 51 / 4 |
Major Male Pelvic Procedures W/O Cc/Mcc | 92 | 7 / 1 | $84.659,00 | 345 / 23 | $13.514,40 | 320 / 26 | $9.575,72 | 320 / 19 |
Major Small & Large Bowel Procedures W Cc | 34 | 74 / 21 | $157.857,00 | 1467 / 89 | $27.790,40 | 1458 / 104 | $22.710,00 | 1444 / 98 |
Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 23 | $343.298,00 | 1253 / 76 | $65.471,20 | 1276 / 89 | $58.173,00 | 1273 / 84 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 15 | $77.429,90 | 664 / 17 | $15.998,60 | 681 / 31 | $12.762,50 | 681 / 34 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 7 | $55.064,50 | 167 / 3 | $12.642,90 | 147 / 6 | $8.848,36 | 147 / 3 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 22 | 31 / 8 | $132.327,00 | 338 / 21 | $25.332,00 | 333 / 22 | $18.803,60 | 334 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 48 | $90.781,70 | 1722 / 157 | $17.137,50 | 1705 / 160 | $13.343,70 | 1701 / 154 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 60 | $46.138,70 | 2461 / 163 | $9.304,89 | 2314 / 178 | $6.183,47 | 2306 / 141 |
O.R. Procedures For Obesity W/O Cc/Mcc | 18 | 59 / 10 | $83.670,20 | 383 / 16 | $14.824,30 | 364 / 15 | $12.569,70 | 363 / 16 |
Other Circulatory System Diagnoses W Mcc | 20 | 96 / 30 | $131.300,00 | 1355 / 117 | $28.213,40 | 1360 / 132 | $21.639,10 | 1352 / 122 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 27 | $42.579,80 | 1169 / 56 | $11.264,60 | 1291 / 123 | $8.372,67 | 1287 / 97 |
Other Kidney & Urinary Tract Diagnoses W Cc | 20 | 83 / 19 | $72.322,00 | 848 / 53 | $12.440,60 | 735 / 50 | $8.379,05 | 735 / 38 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 32 | $90.044,20 | 1043 / 63 | $18.759,50 | 1057 / 73 | $15.703,70 | 1053 / 71 |
Other Kidney & Urinary Tract Diagnoses W/O Cc/Mcc | 11 | 13 / 2 | $48.496,50 | 44 / 1 | $9.152,91 | 31 / 1 | $5.309,91 | 31 / 1 |
Other Respiratory System Diagnoses W Mcc | 14 | 22 / 4 | $110.719,00 | 83 / 5 | $19.710,20 | 78 / 5 | $15.743,80 | 78 / 5 |
Other Vascular Procedures W Cc | 21 | 81 / 23 | $155.539,00 | 1073 / 57 | $27.619,80 | 1028 / 68 | $21.497,00 | 1023 / 47 |
Other Vascular Procedures W Mcc | 17 | 80 / 25 | $290.241,00 | 1002 / 87 | $48.678,00 | 1000 / 86 | $42.103,10 | 997 / 86 |
Pancreas, Liver & Shunt Procedures W Cc | 32 | 23 / 5 | $166.941,00 | 124 / 5 | $27.879,80 | 108 / 2 | $23.607,20 | 108 / 2 |
Pancreas, Liver & Shunt Procedures W Mcc | 31 | 13 / 2 | $320.553,00 | 103 / 5 | $63.293,80 | 99 / 1 | $56.524,90 | 99 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 28 | $298.959,00 | 1011 / 90 | $52.163,70 | 1021 / 96 | $44.321,40 | 1016 / 96 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 55 | $114.981,00 | 1293 / 65 | $22.446,40 | 1352 / 106 | $16.240,20 | 1345 / 78 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 18 | $49.873,50 | 1146 / 60 | $11.358,70 | 1090 / 84 | $8.018,93 | 1087 / 57 |
Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 9 | $35.214,50 | 333 / 7 | $10.197,40 | 366 / 12 | $7.979,00 | 366 / 12 |
Renal Failure W Cc | 35 | 186 / 53 | $49.162,40 | 2244 / 128 | $11.518,10 | 2173 / 179 | $7.888,54 | 2163 / 124 |
Renal Failure W Mcc | 16 | 179 / 70 | $92.028,50 | 2077 / 148 | $18.122,10 | 2038 / 172 | $14.485,80 | 2034 / 153 |
Respiratory Infections & Inflammations W Cc | 20 | 68 / 28 | $176.196,00 | 1485 / 126 | $24.338,10 | 1475 / 125 | $15.894,20 | 1470 / 121 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 55 | $216.842,00 | 1807 / 156 | $27.391,10 | 1788 / 153 | $20.223,00 | 1772 / 150 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 40 | $162.695,00 | 1799 / 110 | $27.343,70 | 1790 / 128 | $23.545,60 | 1776 / 122 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 22 | $513.623,00 | 982 / 88 | $89.441,60 | 988 / 90 | $75.675,30 | 987 / 90 |
Revision Of Hip Or Knee Replacement W Cc | 44 | 43 / 8 | $153.729,00 | 616 / 22 | $28.389,10 | 542 / 21 | $24.538,50 | 540 / 8 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 18 | $121.134,00 | 465 / 23 | $24.816,20 | 469 / 28 | $22.127,20 | 468 / 28 |
Seizures W/O Mcc | 33 | 75 / 12 | $41.817,50 | 1152 / 49 | $9.334,91 | 1089 / 84 | $6.104,18 | 1087 / 50 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 43 | 473 / 166 | $132.617,00 | 2782 / 243 | $23.090,60 | 2703 / 249 | $18.071,10 | 2658 / 225 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 92 | $41.881,10 | 2098 / 109 | $11.667,00 | 2376 / 207 | $9.157,00 | 2366 / 184 |
Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 79 | $40.011,00 | 2326 / 69 | $11.179,20 | 2430 / 190 | $7.394,73 | 2421 / 106 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 12 | 28 / 6 | $496.323,00 | 85 / 5 | $82.271,40 | 82 / 5 | $75.532,20 | 82 / 4 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Mcc | 14 | 4 / 2 | $554.490,00 | 16 / 2 | $102.149,00 | 13 / 1 | $93.536,80 | 13 / 1 |
Spinal Fusion Except Cervical W/O Mcc | 66 | 128 / 15 | $198.694,00 | 1270 / 67 | $39.540,30 | 1222 / 78 | $31.519,80 | 1217 / 54 |
Stomach, Esophageal & Duodenal Proc W Cc | 47 | 10 / 1 | $187.952,00 | 218 / 11 | $31.845,60 | 198 / 10 | $23.656,20 | 198 / 8 |
Stomach, Esophageal & Duodenal Proc W Mcc | 23 | 18 / 2 | $448.113,00 | 230 / 6 | $82.784,80 | 228 / 6 | $66.460,60 | 228 / 5 |
Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 37 | 11 / 1 | $108.994,00 | 230 / 14 | $15.891,80 | 215 / 11 | $12.836,70 | 214 / 12 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 11 | $860.110,00 | 556 / 47 | $152.991,00 | 559 / 54 | $134.555,00 | 558 / 53 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 25 | 18 / 4 | $222.262,00 | 150 / 4 | $33.626,30 | 130 / 2 | $26.458,80 | 130 / 2 | Total 93 procedures | 2.647 | 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.