Hospital Costs > In California > Lodi Memorial Hospital, 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 | 158 | 358 / 98 | $165.030,00 | 2816 / 262 | $14.364,90 | 2241 / 71 | $13.325,50 | 2201 / 74 |
Kidney & Urinary Tract Infections W/O Mcc | 112 | 121 / 11 | $73.441,00 | 2711 / 222 | $6.303,38 | 2122 / 57 | $5.247,67 | 2111 / 55 |
Simple Pneumonia & Pleurisy W Cc | 102 | 101 / 8 | $101.537,00 | 2821 / 222 | $8.007,20 | 2259 / 72 | $6.767,79 | 2251 / 57 |
Heart Failure & Shock W Cc | 99 | 179 / 14 | $98.286,50 | 2760 / 228 | $8.439,34 | 2322 / 98 | $7.393,85 | 2316 / 96 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 79 | 485 / 102 | $147.396,00 | 2656 / 221 | $15.833,10 | 2193 / 48 | $14.642,20 | 2149 / 84 |
Cellulitis W/O Mcc | 78 | 111 / 17 | $84.943,60 | 2641 / 228 | $7.309,33 | 2106 / 85 | $5.831,69 | 2098 / 65 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 74 | 133 / 43 | $118.937,00 | 2572 / 249 | $8.887,37 | 2178 / 102 | $7.916,99 | 2169 / 118 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 70 | 205 / 42 | $77.885,40 | 2727 / 225 | $6.068,31 | 2136 / 44 | $5.083,31 | 2122 / 58 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 66 | 100 / 19 | $82.423,50 | 2544 / 207 | $5.937,20 | 2054 / 62 | $5.020,83 | 2046 / 71 |
Renal Failure W Cc | 64 | 157 / 27 | $89.536,80 | 2439 / 203 | $7.822,92 | 2025 / 59 | $7.101,17 | 2015 / 78 |
Heart Failure & Shock W/O Cc/Mcc | 56 | 54 / 3 | $70.408,60 | 2009 / 131 | $5.580,86 | 1665 / 27 | $4.891,71 | 1652 / 47 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 52 | 41 / 2 | $75.657,80 | 1956 / 130 | $5.942,48 | 1588 / 39 | $4.700,63 | 1580 / 40 |
Heart Failure & Shock W Mcc | 52 | 232 / 74 | $122.549,00 | 2608 / 218 | $11.743,90 | 2149 / 69 | $11.003,30 | 2139 / 78 |
G.I. Hemorrhage W Cc | 49 | 169 / 45 | $100.694,00 | 2419 / 198 | $8.800,90 | 2137 / 95 | $7.940,80 | 2133 / 118 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 48 | 72 / 5 | $88.145,10 | 2104 / 138 | $5.845,60 | 1691 / 23 | $4.916,27 | 1680 / 38 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 41 | 120 / 25 | $84.413,20 | 2165 / 179 | $6.419,73 | 1713 / 41 | $5.508,12 | 1708 / 56 |
Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 32 | $110.612,00 | 2447 / 195 | $7.602,49 | 2037 / 53 | $6.841,49 | 2030 / 75 |
Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 49 | $126.419,00 | 2572 / 201 | $10.519,00 | 1957 / 120 | $7.840,00 | 1949 / 37 |
Simple Pneumonia & Pleurisy W Mcc | 39 | 166 / 52 | $129.049,00 | 2507 / 195 | $10.952,00 | 1997 / 41 | $10.129,80 | 1997 / 50 |
G.I. Obstruction W Cc | 38 | 54 / 14 | $75.189,70 | 1714 / 129 | $7.102,39 | 1427 / 34 | $6.341,97 | 1422 / 59 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 14 | $47.049,50 | 1959 / 129 | $5.391,81 | 1471 / 73 | $3.453,69 | 1465 / 30 |
Pulmonary Edema & Respiratory Failure | 36 | 167 / 40 | $104.656,00 | 2208 / 155 | $9.768,53 | 1871 / 32 | $9.223,19 | 1866 / 57 |
Signs & Symptoms W/O Mcc | 33 | 58 / 5 | $78.822,80 | 1341 / 93 | $5.598,67 | 1028 / 19 | $5.052,73 | 1025 / 35 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 19 | $134.585,00 | 1791 / 138 | $13.034,20 | 1426 / 38 | $12.261,40 | 1414 / 42 |
G.I. Obstruction W/O Cc/Mcc | 30 | 41 / 11 | $62.778,60 | 1306 / 102 | $5.103,17 | 1042 / 27 | $4.097,30 | 1039 / 37 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 26 | $256.332,00 | 1848 / 143 | $19.321,10 | 1579 / 54 | $18.607,60 | 1565 / 63 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 26 | 47 / 8 | $106.930,00 | 1104 / 76 | $8.969,81 | 866 / 17 | $8.237,81 | 864 / 20 |
Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 10 | $98.640,00 | 1417 / 95 | $9.070,54 | 1062 / 56 | $6.934,00 | 1060 / 23 |
Renal Failure W Mcc | 26 | 169 / 60 | $158.741,00 | 2168 / 191 | $11.935,80 | 1734 / 42 | $11.380,80 | 1732 / 62 |
Diabetes W Cc | 24 | 68 / 11 | $81.986,00 | 1620 / 124 | $6.694,08 | 1230 / 20 | $5.880,42 | 1225 / 29 |
G.I. Hemorrhage W/O Cc/Mcc | 21 | 47 / 9 | $58.623,80 | 992 / 65 | $7.621,67 | 604 / 51 | $4.063,90 | 600 / 10 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 46 | $126.279,00 | 1952 / 170 | $8.485,20 | 1561 / 35 | $7.877,20 | 1557 / 52 |
Medical Back Problems W/O Mcc | 20 | 101 / 37 | $103.267,00 | 1498 / 132 | $6.743,20 | 1126 / 27 | $5.714,40 | 1122 / 34 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 39 | $86.556,90 | 1716 / 153 | $8.706,20 | 1200 / 33 | $7.652,60 | 1197 / 30 |
Syncope & Collapse | 20 | 149 / 47 | $92.276,50 | 1930 / 165 | $5.967,25 | 1475 / 36 | $5.064,85 | 1468 / 45 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 47 | $404.806,00 | 1568 / 143 | $41.834,50 | 1182 / 50 | $38.539,70 | 1174 / 42 |
Transient Ischemia | 19 | 106 / 37 | $68.879,90 | 1653 / 136 | $6.010,95 | 1174 / 45 | $4.445,68 | 1168 / 28 |
Chest Pain | 19 | 132 / 53 | $54.774,10 | 1697 / 146 | $5.061,79 | 1262 / 35 | $4.170,84 | 1255 / 49 |
Renal Failure W/O Cc/Mcc | 18 | 38 / 3 | $69.772,90 | 859 / 33 | $5.172,06 | 637 / 10 | $4.098,28 | 636 / 8 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 38 | $64.285,10 | 1982 / 147 | $6.515,89 | 1531 / 33 | $5.573,67 | 1522 / 38 |
Respiratory Infections & Inflammations W Cc | 17 | 71 / 31 | $119.175,00 | 1478 / 121 | $9.590,00 | 1012 / 16 | $8.739,18 | 1007 / 17 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $74.454,60 | 927 / 52 | $5.577,88 | 640 / 14 | $4.401,06 | 639 / 9 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 17 | 36 / 6 | $60.817,30 | 829 / 33 | $6.131,82 | 681 / 12 | $5.132,29 | 677 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 57 | $81.134,20 | 2036 / 159 | $10.056,20 | 1451 / 121 | $6.717,94 | 1448 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 32 | $79.847,00 | 1603 / 123 | $6.131,06 | 1305 / 27 | $5.233,06 | 1301 / 48 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 50 | $147.273,00 | 2042 / 146 | $14.667,90 | 1633 / 37 | $13.539,90 | 1614 / 43 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 39 | $257.575,00 | 1536 / 120 | $19.994,40 | 1309 / 35 | $18.936,30 | 1295 / 57 |
Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 16 | $69.082,60 | 919 / 68 | $5.746,67 | 715 / 22 | $4.703,47 | 714 / 25 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 19 | $121.443,00 | 911 / 68 | $12.538,40 | 751 / 21 | $11.409,90 | 748 / 26 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 58 | $192.283,00 | 1800 / 150 | $15.821,60 | 1594 / 70 | $15.220,40 | 1578 / 81 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 40 | $111.042,00 | 1904 / 147 | $9.492,21 | 1469 / 30 | $8.543,64 | 1466 / 32 |
G.I. Hemorrhage W Mcc | 13 | 108 / 43 | $116.741,00 | 1617 / 139 | $13.609,20 | 1143 / 40 | $11.882,80 | 1135 / 22 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 23 | $108.008,00 | 962 / 74 | $11.305,30 | 752 / 26 | $10.300,00 | 750 / 31 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 28 | $491.748,00 | 1292 / 95 | $42.192,90 | 1072 / 37 | $39.712,80 | 1070 / 36 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 18 | $99.750,10 | 1276 / 76 | $7.885,75 | 1076 / 20 | $6.984,42 | 1073 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 60 | $71.660,20 | 1279 / 52 | $13.202,50 | 1213 / 33 | $12.213,50 | 1207 / 42 |
Respiratory Infections & Inflammations W/O Cc/Mcc | 11 | 18 / 5 | $97.299,30 | 131 / 7 | $7.781,00 | 106 / 2 | $6.693,00 | 106 / 2 |
Other Disorders Of Nervous System W Cc | 11 | 45 / 16 | $77.163,20 | 611 / 48 | $6.707,73 | 416 / 7 | $5.936,82 | 416 / 10 |
Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc | 11 | 18 / 1 | $82.899,90 | 131 / 2 | $6.589,91 | 109 / 1 | $5.819,00 | 108 / 1 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 24 | $188.828,00 | 956 / 74 | $21.011,20 | 813 / 35 | $19.806,80 | 809 / 37 |
Cellulitis W Mcc | 11 | 47 / 23 | $154.364,00 | 966 / 90 | $11.952,90 | 790 / 37 | $10.847,50 | 788 / 38 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 22 | $99.169,50 | 1257 / 95 | $7.524,73 | 738 / 18 | $5.977,00 | 735 / 8 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 50 | $101.999,00 | 1623 / 123 | $8.478,55 | 1334 / 17 | $7.710,55 | 1331 / 44 | Total 63 procedures | 2.161 | 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.