Hospital Costs > In California > Mad River Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 25 | 164 / 61 | $24.153,10 | 1826 / 34 | $6.792,80 | 2027 / 48 | $5.631,84 | 2019 / 49 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 56 | $29.142,20 | 1677 / 30 | $7.372,06 | 1972 / 37 | $6.594,65 | 1965 / 52 |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 75 | $30.005,30 | 1480 / 12 | $8.705,00 | 2006 / 27 | $7.979,67 | 1998 / 47 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 94 | $20.198,10 | 1416 / 14 | $6.103,50 | 2151 / 47 | $5.117,50 | 2137 / 60 |
| Heart Failure & Shock W Cc | 11 | 267 / 89 | $23.419,90 | 1533 / 18 | $7.832,36 | 2180 / 52 | $6.950,91 | 2174 / 64 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 59 | $29.747,60 | 1136 / 10 | $8.335,93 | 1626 / 36 | $7.290,60 | 1622 / 53 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 95 | $18.155,60 | 1366 / 9 | $6.260,86 | 2109 / 51 | $5.223,14 | 2098 / 53 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 63 | $19.507,40 | 1506 / 18 | $5.831,00 | 1949 / 51 | $4.773,00 | 1941 / 51 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 37 | 479 / 172 | $54.515,30 | 1933 / 57 | $14.077,30 | 2194 / 57 | $13.141,10 | 2155 / 66 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 96 | $23.836,40 | 1144 / 13 | $8.315,62 | 2029 / 53 | $7.390,08 | 2021 / 70 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 70 | $31.533,60 | 2037 / 36 | $7.650,25 | 2225 / 41 | $6.683,85 | 2217 / 52 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 79 | $88.499,60 | 2405 / 151 | $19.345,00 | 2509 / 195 | $18.345,00 | 2503 / 198 |
| Syncope & Collapse | 11 | 158 / 56 | $27.276,90 | 1320 / 30 | $5.992,55 | 1415 / 39 | $4.892,91 | 1408 / 35 | Total 13 procedures | 222 | 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.