Hospital Costs > In California > Lakewood Regional Medical Center, 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 | 129 | 387 / 111 | $115.902,00 | 2732 / 222 | $14.241,50 | 2233 / 67 | $13.270,70 | 2193 / 72 |
Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 53 | $48.764,70 | 2632 / 180 | $6.695,12 | 2316 / 88 | $5.820,05 | 2305 / 101 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 52 | 512 / 116 | $86.686,10 | 2315 / 115 | $16.697,80 | 2162 / 80 | $14.383,50 | 2119 / 72 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 50 | 225 / 60 | $42.431,00 | 2526 / 148 | $6.526,52 | 2196 / 80 | $5.222,52 | 2181 / 69 |
Chest Pain | 49 | 102 / 24 | $38.545,50 | 1568 / 100 | $5.512,31 | 1418 / 57 | $4.780,39 | 1410 / 81 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 43 | 83 / 18 | $52.874,90 | 1530 / 95 | $9.066,58 | 1343 / 47 | $8.343,40 | 1340 / 60 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 38 | $47.163,80 | 2471 / 165 | $6.281,33 | 2001 / 84 | $4.894,02 | 1993 / 61 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 37 | $62.449,00 | 1905 / 117 | $8.632,79 | 1691 / 50 | $7.575,36 | 1687 / 68 |
Heart Failure & Shock W Mcc | 38 | 246 / 85 | $84.818,10 | 2496 / 164 | $11.580,30 | 2113 / 63 | $10.813,80 | 2103 / 66 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 73 | $74.415,80 | 2515 / 223 | $8.727,11 | 2109 / 84 | $7.656,46 | 2101 / 93 |
Cellulitis W/O Mcc | 36 | 153 / 50 | $48.247,80 | 2540 / 177 | $7.489,72 | 2112 / 102 | $5.841,61 | 2104 / 67 |
Heart Failure & Shock W Cc | 34 | 244 / 67 | $53.074,60 | 2590 / 156 | $8.022,53 | 2258 / 73 | $7.162,03 | 2252 / 81 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 38 | $94.591,90 | 1474 / 97 | $13.242,70 | 1221 / 34 | $12.272,60 | 1215 / 44 |
Pulmonary Edema & Respiratory Failure | 31 | 172 / 44 | $85.360,00 | 2162 / 137 | $9.900,42 | 1780 / 40 | $8.842,65 | 1775 / 36 |
Red Blood Cell Disorders W/O Mcc | 29 | 114 / 27 | $50.256,50 | 1909 / 121 | $6.936,83 | 1670 / 63 | $6.185,48 | 1661 / 74 |
Syncope & Collapse | 26 | 143 / 41 | $41.495,60 | 1723 / 92 | $6.387,73 | 1585 / 58 | $5.479,58 | 1578 / 69 |
Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 64 | $57.006,30 | 2666 / 160 | $7.851,62 | 2355 / 57 | $7.061,15 | 2346 / 88 |
Renal Failure W Cc | 26 | 195 / 62 | $68.307,50 | 2403 / 184 | $9.332,77 | 1865 / 130 | $6.589,00 | 1855 / 41 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 26 | 162 / 35 | $75.950,40 | 1540 / 90 | $8.973,15 | 1366 / 33 | $7.921,88 | 1363 / 53 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 27 | $127.954,00 | 1709 / 79 | $16.618,80 | 1319 / 9 | $15.849,20 | 1306 / 12 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 21 | $49.664,00 | 2050 / 110 | $6.323,48 | 1836 / 47 | $5.524,80 | 1825 / 67 |
Transient Ischemia | 25 | 100 / 31 | $41.442,30 | 1470 / 83 | $6.193,96 | 1399 / 53 | $5.244,32 | 1392 / 72 |
Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 22 | $50.747,00 | 1981 / 117 | $6.050,30 | 1728 / 49 | $5.215,74 | 1715 / 64 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 50 | $55.718,20 | 2318 / 141 | $8.416,78 | 2022 / 100 | $6.777,87 | 2015 / 69 |
Other Vascular Procedures W Mcc | 22 | 75 / 20 | $135.029,00 | 809 / 30 | $23.957,90 | 668 / 7 | $23.177,30 | 665 / 10 |
G.I. Hemorrhage W Mcc | 22 | 99 / 34 | $120.967,00 | 1629 / 141 | $17.513,90 | 1561 / 127 | $16.272,20 | 1551 / 127 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 22 | $62.496,40 | 1302 / 81 | $9.691,00 | 1198 / 37 | $9.306,73 | 1193 / 61 |
Other Circulatory System Diagnoses W Mcc | 21 | 95 / 29 | $100.041,00 | 1273 / 83 | $13.348,40 | 809 / 9 | $12.143,40 | 804 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 45 | $350.979,00 | 1548 / 133 | $45.764,10 | 1377 / 79 | $44.453,20 | 1367 / 83 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 20 | 104 / 19 | $24.595,10 | 607 / 11 | $6.296,95 | 463 / 18 | $4.308,20 | 462 / 7 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 47 | $54.213,80 | 1731 / 104 | $8.355,11 | 1499 / 31 | $7.610,05 | 1495 / 42 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 29 | $46.593,50 | 1448 / 68 | $6.790,32 | 1289 / 55 | $5.182,68 | 1285 / 44 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 36 | $319.823,00 | 1016 / 102 | $44.862,60 | 670 / 45 | $40.309,90 | 669 / 28 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 53 | $123.885,00 | 1339 / 73 | $15.677,70 | 1246 / 26 | $14.635,60 | 1239 / 47 |
Seizures W/O Mcc | 17 | 91 / 25 | $43.141,60 | 1167 / 51 | $6.555,53 | 1040 / 29 | $5.815,00 | 1038 / 39 |
Renal Failure W Mcc | 17 | 178 / 69 | $104.062,00 | 2125 / 169 | $11.861,90 | 1708 / 40 | $11.222,00 | 1706 / 58 |
Diabetes W Cc | 17 | 75 / 18 | $48.254,40 | 1523 / 87 | $7.120,94 | 1317 / 43 | $6.295,18 | 1312 / 50 |
G.I. Hemorrhage W Cc | 17 | 201 / 74 | $68.242,60 | 2371 / 178 | $8.385,12 | 2075 / 72 | $7.629,53 | 2071 / 90 |
Signs & Symptoms W/O Mcc | 17 | 74 / 21 | $40.267,70 | 1233 / 56 | $5.800,65 | 957 / 23 | $4.770,24 | 954 / 20 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 32 | $33.178,10 | 1833 / 85 | $5.175,06 | 1738 / 62 | $4.226,88 | 1732 / 84 |
G.I. Obstruction W Cc | 17 | 75 / 35 | $56.190,40 | 1649 / 105 | $7.756,41 | 1387 / 67 | $6.179,76 | 1382 / 45 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 50 | $81.240,50 | 2162 / 178 | $6.860,56 | 1910 / 76 | $6.331,00 | 1905 / 110 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 37 | $127.987,00 | 1781 / 133 | $21.358,50 | 1563 / 143 | $13.637,10 | 1550 / 83 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 15 | 49 / 9 | $385.505,00 | 419 / 15 | $60.552,60 | 201 / 1 | $59.034,30 | 201 / 1 |
Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 76 | $102.145,00 | 2469 / 179 | $13.929,00 | 2020 / 153 | $10.206,80 | 2019 / 55 |
Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 75 | $71.243,00 | 2455 / 150 | $8.568,13 | 1949 / 24 | $7.813,33 | 1941 / 36 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 27 | $78.748,50 | 1417 / 128 | $8.147,33 | 1098 / 52 | $6.884,13 | 1094 / 41 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 16 | $40.390,10 | 927 / 45 | $6.191,69 | 832 / 28 | $5.133,38 | 828 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 41 | $80.175,60 | 1846 / 124 | $9.840,31 | 1503 / 42 | $8.695,77 | 1500 / 36 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 33 | $81.116,10 | 1959 / 132 | $6.266,08 | 1706 / 59 | $5.187,00 | 1698 / 63 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 21 | $68.439,50 | 1069 / 71 | $7.452,08 | 863 / 29 | $6.255,33 | 859 / 27 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 30 | $41.445,10 | 1248 / 74 | $5.580,36 | 1129 / 48 | $4.444,18 | 1126 / 60 |
Diabetes W/O Cc/Mcc | 11 | 27 / 5 | $32.429,30 | 272 / 5 | $5.309,18 | 221 / 1 | $4.513,82 | 221 / 3 |
Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 13 | $493.893,00 | 430 / 27 | $56.660,30 | 369 / 10 | $55.480,00 | 369 / 11 | Total 54 procedures | 1.422 | 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.