Hospital Costs > In California > Madera Community Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Kidney & Urinary Tract Infections W/O Mcc | 55 | 178 / 56 | $19.844,70 | 1563 / 13 | $7.757,27 | 2527 / 147 | $6.903,16 | 2516 / 159 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 40 | 126 / 40 | $18.180,40 | 1346 / 11 | $7.260,83 | 2358 / 134 | $6.450,42 | 2349 / 151 |
Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 51 | $26.212,60 | 1719 / 15 | $9.519,97 | 2630 / 147 | $8.591,10 | 2621 / 162 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 38 | 478 / 171 | $34.684,30 | 1036 / 8 | $15.544,30 | 2449 / 124 | $14.650,80 | 2405 / 141 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 73 | $24.232,90 | 1179 / 17 | $9.647,81 | 2332 / 141 | $8.831,38 | 2322 / 166 |
Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 36 | $33.098,30 | 1856 / 41 | $9.364,68 | 2284 / 136 | $8.416,78 | 2277 / 146 |
Cellulitis W/O Mcc | 34 | 155 / 52 | $20.049,10 | 1488 / 10 | $8.286,97 | 2426 / 145 | $7.297,79 | 2418 / 161 |
Heart Failure & Shock W Cc | 33 | 245 / 68 | $19.998,10 | 1186 / 6 | $9.489,42 | 2550 / 145 | $8.683,61 | 2544 / 163 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 79 | $15.692,90 | 845 / 5 | $7.558,39 | 2511 / 143 | $6.582,90 | 2496 / 159 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 17 | $24.889,40 | 1534 / 18 | $7.400,76 | 1946 / 91 | $6.274,10 | 1935 / 97 |
Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 64 | $35.720,80 | 1783 / 29 | $10.971,40 | 2401 / 137 | $10.230,50 | 2393 / 155 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 26 | 538 / 136 | $43.489,30 | 953 / 10 | $17.771,20 | 2437 / 114 | $16.656,20 | 2391 / 160 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 25 | $19.308,80 | 1145 / 7 | $7.263,75 | 1881 / 96 | $6.464,95 | 1873 / 112 |
Syncope & Collapse | 17 | 152 / 50 | $11.850,80 | 189 / 1 | $7.437,12 | 1753 / 107 | $6.441,35 | 1745 / 117 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 28 | $17.520,60 | 1111 / 6 | $7.067,76 | 1867 / 92 | $6.149,18 | 1854 / 97 |
G.I. Hemorrhage W Cc | 17 | 201 / 74 | $22.881,40 | 1019 / 8 | $9.470,47 | 2210 / 130 | $8.474,71 | 2206 / 138 |
Angina Pectoris | 16 | 9 / 3 | $17.296,10 | 21 / 1 | $6.287,75 | 62 / 7 | $5.383,75 | 62 / 6 |
Heart Failure & Shock W Mcc | 15 | 269 / 107 | $33.002,60 | 1283 / 10 | $13.092,50 | 2358 / 128 | $12.446,10 | 2348 / 136 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 41 | $19.936,50 | 892 / 8 | $7.987,27 | 1807 / 102 | $7.016,60 | 1798 / 107 |
Signs & Symptoms W/O Mcc | 15 | 76 / 23 | $15.446,70 | 365 / 3 | $6.971,67 | 1177 / 58 | $6.005,93 | 1174 / 63 |
Chest Pain | 14 | 137 / 58 | $15.813,10 | 574 / 7 | $6.542,36 | 1525 / 102 | $5.424,64 | 1516 / 102 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 52 | $17.146,90 | 766 / 3 | $7.897,36 | 2000 / 121 | $7.033,36 | 1995 / 138 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 39 | $48.480,60 | 577 / 3 | $18.902,70 | 1553 / 47 | $18.214,70 | 1539 / 56 |
Pulmonary Edema & Respiratory Failure | 14 | 189 / 61 | $41.949,90 | 1568 / 29 | $11.363,20 | 2061 / 110 | $10.762,10 | 2055 / 127 |
Transient Ischemia | 14 | 111 / 42 | $19.346,80 | 612 / 3 | $7.232,36 | 1548 / 102 | $6.283,79 | 1540 / 113 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 23 | $22.078,20 | 380 / 4 | $9.861,46 | 1308 / 70 | $8.839,92 | 1306 / 75 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 36 | $51.082,20 | 1166 / 35 | $14.455,20 | 1451 / 107 | $13.649,80 | 1446 / 113 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 38 | $17.827,20 | 1257 / 8 | $6.184,64 | 1896 / 108 | $5.428,27 | 1890 / 123 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 22 | $30.596,10 | 726 / 12 | $8.487,91 | 973 / 51 | $7.498,82 | 969 / 59 | Total 29 procedures | 674 | 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.