Hospital Costs > In California > Loma Linda University 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 | 304 | 214 / 38 | $98.552,70 | 2625 / 194 | $24.368,10 | 2750 / 253 | $19.593,50 | 2705 / 240 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 179 | 385 / 54 | $78.781,10 | 2184 / 91 | $24.099,80 | 2634 / 211 | $21.011,00 | 2588 / 219 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 86 | 121 / 35 | $49.383,80 | 2243 / 139 | $15.450,30 | 2535 / 236 | $12.456,90 | 2525 / 232 |
| Heart Failure & Shock W Cc | 74 | 204 / 33 | $66.855,90 | 2714 / 200 | $14.967,60 | 2730 / 216 | $12.538,70 | 2724 / 215 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 63 | 212 / 49 | $44.372,80 | 2573 / 156 | $12.457,00 | 2700 / 220 | $9.878,43 | 2685 / 216 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 57 | 125 / 22 | $67.877,40 | 1974 / 135 | $15.653,20 | 2056 / 176 | $13.249,60 | 2051 / 176 |
| Heart Failure & Shock W Mcc | 56 | 228 / 72 | $120.231,00 | 2603 / 213 | $24.974,80 | 2602 / 225 | $18.747,20 | 2591 / 217 |
| Red Blood Cell Disorders W/O Mcc | 53 | 90 / 8 | $38.719,20 | 1746 / 86 | $12.661,00 | 1970 / 151 | $10.316,30 | 1961 / 150 |
| Renal Failure W Cc | 52 | 169 / 37 | $41.582,60 | 2090 / 85 | $14.414,80 | 2415 / 195 | $11.944,50 | 2405 / 195 |
| Other Circulatory System Diagnoses W Mcc | 51 | 65 / 8 | $114.952,00 | 1326 / 105 | $25.682,10 | 1358 / 125 | $21.328,30 | 1350 / 121 |
| Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 60 | $37.494,30 | 2444 / 130 | $12.556,60 | 2677 / 212 | $9.702,04 | 2666 / 209 |
| Spinal Fusion Except Cervical W/O Mcc | 50 | 144 / 20 | $168.133,00 | 1188 / 50 | $41.938,40 | 1316 / 88 | $38.198,30 | 1311 / 84 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 47 | 121 / 26 | $147.909,00 | 1614 / 145 | $27.237,00 | 1618 / 157 | $22.856,20 | 1611 / 156 |
| Kidney Transplant | 47 | 56 / 7 | $361.697,00 | 166 / 10 | $40.907,30 | 162 / 8 | $34.483,20 | 162 / 9 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 45 | 79 / 21 | $317.089,00 | 1525 / 121 | $63.513,80 | 1544 / 142 | $55.916,30 | 1534 / 131 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 32 | $93.192,90 | 1085 / 33 | $23.040,30 | 1467 / 107 | $20.889,30 | 1459 / 115 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 40 | 126 / 40 | $35.061,40 | 2262 / 109 | $11.968,80 | 2516 / 197 | $9.663,40 | 2507 / 195 |
| Cellulitis W/O Mcc | 40 | 149 / 46 | $27.363,90 | 2008 / 49 | $12.884,90 | 2599 / 214 | $10.454,30 | 2591 / 209 |
| G.I. Hemorrhage W Cc | 38 | 180 / 55 | $49.176,50 | 2148 / 111 | $14.697,70 | 2400 / 193 | $12.165,00 | 2396 / 191 |
| Kidney & Urinary Tract Infections W Mcc | 38 | 106 / 28 | $52.730,10 | 1713 / 100 | $15.639,00 | 1919 / 166 | $12.461,70 | 1915 / 160 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 29 | $42.831,10 | 1958 / 103 | $12.085,50 | 2148 / 177 | $10.157,60 | 2143 / 175 |
| Transient Ischemia | 35 | 90 / 22 | $49.524,70 | 1571 / 108 | $12.118,30 | 1658 / 142 | $10.082,60 | 1650 / 140 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 20 | $70.745,50 | 1785 / 105 | $17.072,80 | 1892 / 147 | $14.707,70 | 1889 / 146 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 34 | 58 / 21 | $420.328,00 | 1072 / 126 | $66.517,10 | 1046 / 127 | $59.127,60 | 1045 / 121 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 34 | 42 / 7 | $123.157,00 | 544 / 58 | $26.554,80 | 545 / 60 | $22.247,80 | 545 / 59 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 19 | $102.393,00 | 1708 / 111 | $24.287,70 | 1795 / 151 | $20.331,30 | 1782 / 148 |
| Pulmonary Edema & Respiratory Failure | 33 | 170 / 42 | $96.475,10 | 2194 / 150 | $18.639,00 | 2220 / 175 | $15.516,80 | 2214 / 174 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 33 | 63 / 14 | $81.556,60 | 669 / 16 | $24.202,20 | 801 / 46 | $21.067,00 | 797 / 46 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 32 | 71 / 10 | $47.598,80 | 727 / 26 | $14.608,80 | 850 / 55 | $12.175,80 | 850 / 57 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 28 | $65.116,60 | 1639 / 123 | $16.492,40 | 1686 / 157 | $12.649,60 | 1682 / 150 |
| Renal Failure W Mcc | 31 | 164 / 56 | $99.646,40 | 2111 / 164 | $22.249,90 | 2134 / 188 | $18.232,20 | 2130 / 181 |
| Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 60 | $59.978,90 | 2096 / 77 | $19.305,00 | 2483 / 194 | $15.651,40 | 2477 / 193 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 30 | 86 / 13 | $349.781,00 | 415 / 19 | $78.918,30 | 455 / 29 | $74.904,60 | 455 / 32 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 28 | 103 / 25 | $155.484,00 | 1787 / 107 | $32.183,40 | 1842 / 141 | $28.607,70 | 1828 / 140 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 22 | $220.922,00 | 1111 / 86 | $41.352,20 | 1110 / 86 | $33.166,00 | 1106 / 86 |
| G.I. Hemorrhage W Mcc | 28 | 93 / 28 | $101.398,00 | 1565 / 122 | $24.795,20 | 1653 / 156 | $21.492,40 | 1643 / 155 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 33 | $73.821,00 | 1525 / 84 | $15.550,00 | 1620 / 127 | $12.943,50 | 1617 / 126 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 20 | $39.973,00 | 1362 / 48 | $11.510,20 | 1591 / 124 | $9.369,64 | 1587 / 122 |
| Seizures W/O Mcc | 27 | 81 / 15 | $53.940,40 | 1259 / 74 | $14.316,70 | 1276 / 101 | $9.194,56 | 1274 / 95 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 18 | $72.787,40 | 1382 / 104 | $18.725,80 | 1457 / 136 | $15.312,40 | 1452 / 135 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 26 | 44 / 10 | $45.393,70 | 497 / 33 | $15.384,70 | 552 / 52 | $11.463,20 | 552 / 49 |
| Diabetes W Cc | 26 | 66 / 9 | $49.176,80 | 1531 / 90 | $13.002,40 | 1586 / 118 | $10.161,70 | 1581 / 117 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 65 | $41.473,00 | 2370 / 82 | $14.290,90 | 2793 / 214 | $11.994,20 | 2784 / 213 |
| Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 41 | $86.614,50 | 1783 / 67 | $22.619,50 | 2015 / 150 | $19.907,60 | 1993 / 148 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 25 | 75 / 17 | $166.872,00 | 882 / 43 | $36.049,90 | 998 / 84 | $32.916,20 | 993 / 85 |
| Cervical Spinal Fusion W/O Cc/Mcc | 24 | 80 / 15 | $109.784,00 | 804 / 32 | $24.479,20 | 866 / 52 | $22.575,00 | 863 / 56 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 13 | $53.364,70 | 1226 / 50 | $14.789,10 | 1419 / 99 | $12.677,30 | 1417 / 100 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 21 | 70 / 16 | $57.918,60 | 345 / 18 | $15.602,00 | 385 / 28 | $13.429,70 | 385 / 29 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 20 | 78 / 13 | $320.703,00 | 496 / 37 | $62.374,10 | 503 / 43 | $53.569,00 | 503 / 42 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 35 | $122.256,00 | 1351 / 54 | $28.016,30 | 1489 / 106 | $24.166,40 | 1475 / 110 |
| Peripheral Vascular Disorders W Cc | 20 | 64 / 13 | $55.242,60 | 1184 / 69 | $15.436,80 | 1252 / 98 | $12.189,60 | 1249 / 98 |
| Other Vascular Procedures W Cc | 20 | 82 / 24 | $195.381,00 | 1120 / 71 | $32.635,80 | 1125 / 76 | $27.891,30 | 1120 / 74 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 20 | 73 / 13 | $194.646,00 | 914 / 62 | $34.454,00 | 916 / 63 | $28.984,20 | 908 / 63 |
| Complications Of Treatment W Mcc | 19 | 32 / 6 | $82.256,40 | 265 / 10 | $22.040,70 | 274 / 17 | $18.083,10 | 274 / 16 |
| Chest Pain | 19 | 132 / 53 | $47.995,30 | 1672 / 135 | $11.388,60 | 1687 / 147 | $9.270,89 | 1678 / 146 |
| G.I. Obstruction W Cc | 19 | 73 / 33 | $48.811,90 | 1584 / 88 | $13.743,10 | 1723 / 138 | $11.019,10 | 1718 / 137 |
| Medical Back Problems W/O Mcc | 19 | 102 / 38 | $44.100,70 | 1329 / 70 | $12.381,20 | 1465 / 125 | $9.951,79 | 1460 / 123 |
| Tracheostomy For Face,Mouth & Neck Diagnoses W Mcc | 18 | 5 / 1 | $330.188,00 | 29 / 1 | $57.224,80 | 24 / 1 | $48.822,70 | 24 / 1 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 18 | 63 / 11 | $912.949,00 | 421 / 19 | $175.142,00 | 393 / 20 | $162.584,00 | 392 / 19 |
| Syncope & Collapse | 18 | 151 / 49 | $56.299,90 | 1886 / 139 | $12.356,70 | 1907 / 161 | $9.776,56 | 1899 / 157 |
| Red Blood Cell Disorders W Mcc | 18 | 53 / 13 | $69.519,60 | 1026 / 67 | $18.139,40 | 1081 / 89 | $14.870,60 | 1077 / 83 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 17 | 39 / 9 | $84.677,30 | 594 / 28 | $23.116,60 | 650 / 41 | $19.907,60 | 649 / 44 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 23 | $388.471,00 | 1270 / 82 | $73.866,90 | 1293 / 94 | $65.076,90 | 1290 / 93 |
| Other Vascular Procedures W Mcc | 17 | 80 / 25 | $217.917,00 | 982 / 77 | $43.178,40 | 992 / 83 | $38.489,10 | 989 / 83 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 17 | 42 / 3 | $290.442,00 | 221 / 6 | $60.718,60 | 227 / 8 | $56.242,90 | 226 / 9 |
| Cellulitis W Mcc | 16 | 42 / 18 | $61.962,20 | 824 / 50 | $17.778,20 | 921 / 86 | $13.728,20 | 919 / 78 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 25 | $31.202,80 | 1133 / 47 | $10.924,90 | 1303 / 104 | $7.676,25 | 1300 / 101 |
| Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 10 | $64.404,50 | 447 / 27 | $14.768,90 | 458 / 33 | $10.971,40 | 458 / 32 |
| Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc | 16 | 12 / 1 | $104.699,00 | 105 / 5 | $20.724,40 | 106 / 7 | $17.342,80 | 106 / 6 |
| Other Digestive System Diagnoses W Mcc | 16 | 46 / 18 | $99.689,00 | 718 / 63 | $26.428,60 | 734 / 81 | $18.075,30 | 733 / 75 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 75 | $62.717,50 | 2387 / 131 | $16.165,30 | 2541 / 194 | $13.338,30 | 2533 / 190 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 15 | 39 / 8 | $34.233,50 | 324 / 5 | $14.338,90 | 445 / 18 | $12.402,30 | 445 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 30 | $51.013,00 | 1982 / 118 | $11.539,70 | 1999 / 130 | $9.490,47 | 1986 / 129 |
| Disorders Of The Biliary Tract W Cc | 15 | 39 / 9 | $61.756,30 | 434 / 23 | $15.499,50 | 468 / 38 | $11.583,90 | 468 / 35 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 14 | 31 / 6 | $119.304,00 | 198 / 8 | $21.872,10 | 195 / 8 | $19.309,70 | 195 / 8 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 58 | $140.618,00 | 1773 / 136 | $30.453,40 | 1803 / 155 | $24.475,70 | 1787 / 154 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 14 | 59 / 16 | $140.415,00 | 368 / 31 | $16.479,20 | 363 / 30 | $12.311,90 | 363 / 28 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 14 | 74 / 16 | $194.241,00 | 533 / 15 | $39.047,70 | 571 / 23 | $33.672,90 | 570 / 24 |
| Other Circulatory System O.R. Procedures | 14 | 41 / 13 | $261.316,00 | 454 / 33 | $51.923,80 | 453 / 34 | $43.578,30 | 453 / 34 |
| Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 19 | $131.848,00 | 572 / 13 | $34.053,80 | 651 / 30 | $32.059,90 | 649 / 34 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 14 | $132.749,00 | 832 / 37 | $32.556,60 | 898 / 72 | $26.554,80 | 895 / 58 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 13 | 38 / 15 | $149.182,00 | 339 / 21 | $43.746,40 | 335 / 30 | $21.386,20 | 335 / 24 |
| Other Antepartum Diagnoses W Medical Complications | 13 | 12 / 1 | $51.971,30 | 33 / 1 | $13.213,80 | 27 / 1 | $10.032,50 | 27 / 1 |
| Other O.R. Procedures For Injuries W Cc | 13 | 22 / 4 | $96.459,30 | 157 / 3 | $23.898,90 | 164 / 5 | $20.798,00 | 164 / 5 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 13 | 56 / 11 | $428.394,00 | 252 / 8 | $100.341,00 | 277 / 15 | $94.168,80 | 277 / 12 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 13 | 105 / 26 | $205.420,00 | 419 / 10 | $49.690,80 | 476 / 24 | $43.243,60 | 476 / 17 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 13 | 31 / 7 | $118.760,00 | 168 / 4 | $23.999,80 | 175 / 2 | $20.969,80 | 175 / 3 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 13 | $62.067,40 | 639 / 18 | $14.095,20 | 663 / 28 | $11.792,10 | 662 / 29 |
| Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 11 | $330.985,00 | 381 / 13 | $74.539,60 | 423 / 28 | $69.284,00 | 423 / 24 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 19 | $128.791,00 | 469 / 24 | $27.653,40 | 500 / 37 | $25.410,10 | 499 / 38 |
| Other Infectious & Parasitic Diseases Diagnoses W Mcc | 12 | 9 / 3 | $86.866,00 | 31 / 2 | $30.164,50 | 38 / 3 | $26.798,10 | 38 / 3 |
| Stomach, Esophageal & Duodenal Proc W Cc | 12 | 38 / 12 | $132.804,00 | 205 / 8 | $29.352,20 | 209 / 9 | $26.287,90 | 209 / 10 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 23 | $80.085,90 | 899 / 51 | $18.091,80 | 955 / 79 | $15.499,50 | 952 / 78 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 26 | $38.327,70 | 1188 / 47 | $11.689,50 | 1323 / 91 | $9.656,42 | 1320 / 90 |
| Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 13 | $65.603,20 | 329 / 19 | $20.357,30 | 394 / 34 | $16.660,70 | 394 / 33 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 13 | $101.865,00 | 413 / 5 | $27.795,50 | 464 / 17 | $25.560,80 | 464 / 19 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 23 | $102.225,00 | 893 / 62 | $19.975,10 | 900 / 70 | $17.182,30 | 897 / 70 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 7 | $228.993,00 | 577 / 21 | $46.270,20 | 582 / 23 | $40.876,90 | 581 / 23 |
| Seizures W Mcc | 11 | 55 / 19 | $153.647,00 | 766 / 54 | $27.207,60 | 767 / 57 | $22.374,30 | 767 / 55 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 20 | $38.509,50 | 845 / 40 | $12.089,50 | 919 / 71 | $9.649,18 | 918 / 71 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 16 | $105.066,00 | 590 / 25 | $22.848,60 | 628 / 39 | $20.418,40 | 624 / 41 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 13 | $543.080,00 | 525 / 37 | $109.408,00 | 514 / 44 | $100.641,00 | 513 / 41 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 20 | $40.289,70 | 606 / 23 | $13.478,60 | 728 / 49 | $11.217,80 | 728 / 48 |
| Nervous System Neoplasms W Mcc | 11 | 37 / 12 | $97.458,20 | 295 / 13 | $19.068,60 | 302 / 19 | $15.364,10 | 302 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 38 | $53.828,60 | 1970 / 137 | $10.525,90 | 1979 / 146 | $7.977,73 | 1973 / 145 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 19 | $283.623,00 | 717 / 40 | $58.746,70 | 737 / 52 | $51.986,20 | 737 / 53 | Total 106 procedures | 3.081 | 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.