Hospital Costs > In California > Lompoc Valley Medical Center, 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 | 58 | 506 / 111 | $50.053,80 | 1292 / 26 | $17.781,80 | 2390 / 115 | $16.110,50 | 2345 / 138 |
| Kidney & Urinary Tract Infections W/O Mcc | 41 | 192 / 68 | $12.249,50 | 540 / 1 | $6.353,37 | 2155 / 62 | $5.342,37 | 2144 / 59 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 78 | $14.009,00 | 620 / 4 | $6.206,12 | 2189 / 55 | $5.204,75 | 2175 / 66 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 60 | $14.823,80 | 540 / 1 | $7.918,53 | 2242 / 61 | $6.722,90 | 2234 / 56 |
| G.I. Hemorrhage W Cc | 27 | 191 / 64 | $13.309,90 | 181 / 1 | $8.150,19 | 1881 / 56 | $6.873,52 | 1877 / 46 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 22 | 494 / 185 | $37.988,20 | 1210 / 12 | $17.616,50 | 2609 / 188 | $16.379,50 | 2564 / 191 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 23 | $12.261,30 | 503 / 1 | $5.708,18 | 1608 / 33 | $4.746,45 | 1595 / 41 |
| Cellulitis W/O Mcc | 21 | 168 / 65 | $12.487,20 | 528 / 1 | $6.961,10 | 2092 / 60 | $5.787,67 | 2084 / 61 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 72 | $20.308,80 | 748 / 1 | $9.684,72 | 2164 / 76 | $8.618,11 | 2156 / 75 |
| Pulmonary Edema & Respiratory Failure | 18 | 185 / 57 | $19.802,30 | 395 / 1 | $9.275,67 | 1755 / 21 | $8.702,83 | 1750 / 32 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 28 | $17.232,80 | 1035 / 4 | $6.435,83 | 1767 / 55 | $5.223,39 | 1756 / 53 |
| Heart Failure & Shock W Cc | 18 | 260 / 82 | $15.027,30 | 584 / 2 | $8.100,06 | 2289 / 76 | $7.283,17 | 2283 / 88 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 55 | $16.270,20 | 636 / 2 | $7.754,33 | 1908 / 64 | $6.404,89 | 1901 / 39 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 29 | $15.976,60 | 824 / 3 | $5.910,62 | 1640 / 38 | $4.858,62 | 1632 / 47 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 63 | $9.983,50 | 311 / 1 | $5.904,19 | 2092 / 58 | $5.130,94 | 2084 / 82 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 44 | $54.965,30 | 1109 / 31 | $18.752,70 | 1596 / 139 | $17.429,60 | 1586 / 140 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 29 | $8.225,17 | 63 / 1 | $5.265,58 | 934 / 34 | $3.764,33 | 931 / 22 |
| Heart Failure & Shock W Mcc | 12 | 272 / 110 | $16.985,00 | 242 / 1 | $11.321,40 | 2010 / 46 | $10.422,80 | 2002 / 44 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 9 | $9.542,64 | 36 / 1 | $5.507,18 | 368 / 5 | $4.515,18 | 367 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $47.411,40 | 549 / 2 | $19.248,60 | 1578 / 52 | $18.585,40 | 1564 / 62 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 63 | $19.240,20 | 427 / 1 | $8.662,82 | 1687 / 54 | $7.566,09 | 1683 / 66 | Total 21 procedures | 444 | 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.