Hospital Costs > In California > Los Angeles Community 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 | 219 | 297 / 72 | $46.781,60 | 1661 / 37 | $16.453,60 | 2547 / 157 | $15.603,70 | 2503 / 175 |
Cellulitis W/O Mcc | 84 | 105 / 13 | $20.066,50 | 1491 / 11 | $8.965,48 | 2513 / 170 | $8.160,52 | 2505 / 183 |
Renal Failure W Mcc | 76 | 119 / 15 | $23.024,40 | 365 / 1 | $13.947,20 | 1949 / 114 | $13.180,80 | 1945 / 125 |
Kidney & Urinary Tract Infections W/O Mcc | 63 | 170 / 48 | $16.715,10 | 1182 / 5 | $8.444,52 | 2598 / 173 | $7.651,89 | 2587 / 182 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 53 | $16.312,70 | 916 / 7 | $8.275,31 | 2606 / 171 | $7.505,10 | 2591 / 185 |
Kidney & Urinary Tract Infections W Mcc | 56 | 88 / 12 | $20.722,50 | 618 / 2 | $10.946,60 | 1831 / 135 | $10.027,20 | 1827 / 139 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 47 | 45 / 10 | $171.050,00 | 638 / 19 | $45.382,90 | 763 / 50 | $42.427,70 | 762 / 43 |
Chronic Obstructive Pulmonary Disease W Mcc | 46 | 156 / 44 | $27.293,50 | 1289 / 9 | $11.478,90 | 2444 / 151 | $10.745,70 | 2436 / 165 |
Chronic Obstructive Pulmonary Disease W Cc | 44 | 135 / 29 | $18.747,50 | 870 / 3 | $9.756,59 | 2335 / 149 | $8.962,41 | 2328 / 161 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 68 | $24.932,80 | 1248 / 18 | $10.683,00 | 2441 / 185 | $9.792,54 | 2431 / 200 |
Nonspecific Cerebrovascular Disorders W Mcc | 36 | 15 / 2 | $25.526,80 | 70 / 1 | $14.879,80 | 365 / 26 | $14.109,10 | 365 / 28 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 31 | $114.400,00 | 676 / 4 | $40.859,20 | 1218 / 44 | $39.329,90 | 1208 / 50 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 56 | $38.528,90 | 1507 / 19 | $13.147,10 | 2301 / 125 | $12.246,50 | 2295 / 129 |
Cellulitis W Mcc | 35 | 23 / 4 | $26.192,10 | 285 / 2 | $13.309,30 | 887 / 60 | $12.689,50 | 885 / 67 |
Respiratory Infections & Inflammations W Mcc | 34 | 102 / 39 | $46.273,50 | 978 / 5 | $16.270,20 | 1627 / 80 | $15.669,80 | 1611 / 90 |
Heart Failure & Shock W Mcc | 34 | 250 / 88 | $33.848,80 | 1335 / 12 | $13.985,60 | 2456 / 153 | $13.482,60 | 2445 / 169 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 48 | $14.042,10 | 839 / 3 | $7.920,69 | 2434 / 157 | $7.202,69 | 2425 / 171 |
Hypertension W/O Mcc | 30 | 35 / 4 | $16.219,30 | 265 / 1 | $7.350,07 | 747 / 21 | $6.533,53 | 745 / 24 |
Diabetes W Cc | 28 | 64 / 8 | $16.329,70 | 433 / 3 | $8.925,07 | 1523 / 95 | $8.236,50 | 1518 / 104 |
Renal Failure W Cc | 27 | 194 / 61 | $17.648,20 | 744 / 2 | $9.747,41 | 2282 / 151 | $8.769,63 | 2272 / 156 |
Other Digestive System Diagnoses W Mcc | 25 | 37 / 10 | $33.258,30 | 215 / 2 | $15.239,70 | 665 / 50 | $14.646,10 | 664 / 58 |
Nonspecific Cerebrovascular Disorders W Cc | 24 | 32 / 6 | $17.207,20 | 74 / 1 | $9.998,38 | 441 / 24 | $9.143,71 | 441 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 23 | 73 / 21 | $20.998,30 | 246 / 1 | $11.697,50 | 1346 / 92 | $11.124,30 | 1341 / 108 |
G.I. Hemorrhage W Mcc | 22 | 99 / 34 | $37.019,00 | 588 / 3 | $15.443,80 | 1467 / 85 | $14.681,60 | 1457 / 93 |
Medical Back Problems W/O Mcc | 21 | 100 / 36 | $16.027,00 | 276 / 2 | $8.967,76 | 1434 / 104 | $8.578,43 | 1429 / 116 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 143 | $64.466,60 | 1847 / 57 | $18.942,60 | 2515 / 158 | $17.932,80 | 2469 / 185 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 72 | $23.319,50 | 1485 / 10 | $9.992,06 | 2700 / 161 | $9.336,94 | 2691 / 185 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 15 | $137.691,00 | 492 / 7 | $40.356,50 | 731 / 30 | $37.907,60 | 730 / 23 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 18 | 58 / 18 | $32.515,10 | 127 / 1 | $16.274,30 | 453 / 41 | $15.367,60 | 453 / 44 |
Other Disorders Of Nervous System W Cc | 17 | 39 / 10 | $22.870,60 | 232 / 2 | $9.437,53 | 588 / 42 | $8.451,18 | 587 / 45 |
Seizures W/O Mcc | 17 | 91 / 25 | $15.970,80 | 301 / 4 | $8.401,88 | 1243 / 75 | $7.919,06 | 1241 / 86 |
Disorders Of Pancreas Except Malignancy W Mcc | 16 | 30 / 5 | $28.126,90 | 54 / 2 | $15.729,80 | 303 / 18 | $15.201,80 | 303 / 19 |
G.I. Hemorrhage W Cc | 16 | 202 / 75 | $30.011,60 | 1551 / 22 | $10.276,10 | 2318 / 155 | $9.561,06 | 2314 / 170 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 36 | $39.508,00 | 790 / 10 | $15.299,00 | 1660 / 102 | $14.767,00 | 1647 / 113 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 43 | $18.787,90 | 348 / 2 | $11.049,90 | 1586 / 116 | $10.373,90 | 1583 / 123 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 32 | $13.576,40 | 615 / 2 | $8.066,86 | 2033 / 114 | $7.268,00 | 2021 / 119 |
Other Vascular Procedures W Mcc | 14 | 83 / 28 | $38.877,70 | 42 / 1 | $26.575,40 | 807 / 31 | $25.904,50 | 804 / 38 |
Heart Failure & Shock W Cc | 14 | 264 / 86 | $18.881,40 | 1035 / 4 | $10.203,70 | 2638 / 175 | $9.660,86 | 2632 / 192 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 28 | $24.399,10 | 639 / 8 | $9.992,29 | 1350 / 105 | $9.175,14 | 1346 / 113 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 37 | $56.336,60 | 867 / 18 | $16.519,80 | 1130 / 66 | $14.826,80 | 1122 / 59 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 18 | $15.398,90 | 208 / 1 | $8.377,46 | 780 / 49 | $7.818,69 | 778 / 58 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 18 | $14.564,20 | 96 / 1 | $9.331,62 | 690 / 34 | $8.615,92 | 690 / 41 |
Seizures W Mcc | 13 | 53 / 17 | $24.530,80 | 100 / 2 | $14.146,80 | 663 / 31 | $13.704,90 | 663 / 37 |
Signs & Symptoms W/O Mcc | 12 | 79 / 26 | $12.928,60 | 218 / 1 | $7.891,67 | 1272 / 75 | $7.395,67 | 1269 / 80 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 12 | 52 / 12 | $313.017,00 | 340 / 7 | $85.625,30 | 445 / 22 | $84.092,70 | 444 / 23 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 22 | $20.288,50 | 193 / 1 | $9.633,83 | 511 / 35 | $9.127,17 | 511 / 40 |
Atherosclerosis W/O Mcc | 11 | 47 / 15 | $14.783,50 | 165 / 3 | $7.235,09 | / 27 | $6.771,09 | / |
Chest Pain | 11 | 140 / 61 | $11.658,60 | 232 / 1 | $7.205,45 | 1620 / 116 | $6.625,82 | 1611 / 126 | Total 48 procedures | 1.513 | 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.