Hospital Costs > In California > Marian Regional 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 | 492 | 86 / 7 | $75.006,20 | 2359 / 118 | $15.591,70 | 2423 / 129 | $14.417,40 | 2379 / 129 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 293 | 275 / 25 | $91.523,50 | 2379 / 134 | $16.185,20 | 2224 / 60 | $14.797,10 | 2180 / 87 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 214 | 17 / 3 | $50.759,40 | 2277 / 150 | $9.183,88 | 2215 / 121 | $8.073,39 | 2206 / 128 |
| Heart Failure & Shock W Mcc | 95 | 189 / 38 | $70.180,10 | 2348 / 132 | $12.279,90 | 2174 / 86 | $11.134,10 | 2164 / 84 |
| G.I. Hemorrhage W Cc | 92 | 126 / 14 | $45.055,30 | 2068 / 93 | $8.671,70 | 2094 / 84 | $7.701,27 | 2090 / 100 |
| Pulmonary Edema & Respiratory Failure | 79 | 124 / 15 | $53.640,10 | 1826 / 51 | $10.215,50 | 1929 / 62 | $9.555,65 | 1923 / 78 |
| Heart Failure & Shock W Cc | 76 | 202 / 31 | $45.436,30 | 2469 / 118 | $8.400,95 | 2345 / 97 | $7.526,00 | 2339 / 100 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 76 | 199 / 37 | $37.342,10 | 2410 / 116 | $6.823,21 | 2385 / 100 | $5.854,37 | 2370 / 123 |
| Hip & Femur Procedures Except Major Joint W Cc | 74 | 69 / 7 | $92.565,80 | 1830 / 76 | $15.491,90 | 1697 / 62 | $14.000,10 | 1678 / 60 |
| Kidney & Urinary Tract Infections W/O Mcc | 73 | 160 / 40 | $33.285,40 | 2327 / 96 | $6.941,96 | 2360 / 106 | $5.998,62 | 2349 / 115 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 70 | 112 / 15 | $54.936,20 | 1813 / 91 | $9.381,13 | 1721 / 86 | $7.716,44 | 1717 / 77 |
| Renal Failure W Cc | 60 | 161 / 30 | $45.043,20 | 2154 / 102 | $9.951,37 | 2046 / 157 | $7.201,85 | 2036 / 86 |
| Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 32 | $44.262,20 | 2441 / 103 | $8.429,63 | 2437 / 102 | $7.426,24 | 2428 / 109 |
| Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 35 | $51.698,20 | 1955 / 52 | $11.488,80 | 2098 / 63 | $10.612,20 | 2094 / 71 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 31 | $34.953,00 | 2259 / 108 | $6.475,00 | 2214 / 102 | $5.605,24 | 2206 / 114 |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 42 | $49.457,20 | 2170 / 77 | $9.447,77 | 2175 / 65 | $8.669,77 | 2167 / 80 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 47 | 77 / 19 | $228.112,00 | 1359 / 65 | $40.052,50 | 1208 / 38 | $39.208,20 | 1200 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 46 | 115 / 20 | $37.920,40 | 1864 / 74 | $7.099,17 | 1858 / 84 | $6.101,61 | 1853 / 92 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 45 | 123 / 27 | $66.382,70 | 1221 / 39 | $13.477,30 | 1208 / 41 | $12.177,50 | 1202 / 39 |
| G.I. Obstruction W Cc | 44 | 48 / 8 | $38.163,70 | 1419 / 52 | $7.846,66 | 1518 / 70 | $6.830,66 | 1513 / 82 |
| Syncope & Collapse | 43 | 126 / 24 | $37.084,90 | 1634 / 76 | $6.704,93 | 1623 / 77 | $5.639,26 | 1616 / 76 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 40 | 62 / 9 | $43.366,10 | 1410 / 61 | $7.140,70 | 1371 / 67 | $5.615,00 | 1367 / 67 |
| Cellulitis W/O Mcc | 39 | 150 / 47 | $33.774,30 | 2262 / 98 | $7.493,97 | 2305 / 103 | $6.534,79 | 2297 / 127 |
| Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 35 | $41.630,70 | 2107 / 87 | $8.043,00 | 2111 / 80 | $7.155,42 | 2104 / 91 |
| Major Small & Large Bowel Procedures W Cc | 37 | 71 / 18 | $120.502,00 | 1342 / 51 | $23.608,40 | 1220 / 78 | $17.753,90 | 1206 / 37 |
| G.I. Hemorrhage W Mcc | 34 | 87 / 22 | $62.191,40 | 1235 / 45 | $13.897,60 | 1320 / 54 | $13.010,10 | 1310 / 52 |
| Renal Failure W Mcc | 33 | 162 / 54 | $55.045,50 | 1674 / 63 | $12.364,50 | 1774 / 62 | $11.599,40 | 1771 / 72 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 41 | $119.224,00 | 1315 / 69 | $16.166,50 | 1269 / 34 | $14.996,90 | 1262 / 57 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 36 | $37.527,70 | 1431 / 40 | $9.203,87 | 1629 / 64 | $8.276,93 | 1625 / 71 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 25 | $49.220,60 | 1514 / 47 | $10.125,40 | 1617 / 63 | $9.294,55 | 1614 / 71 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 31 | $50.895,40 | 1501 / 85 | $9.126,32 | 1324 / 53 | $8.261,18 | 1321 / 51 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 26 | $101.719,00 | 1534 / 43 | $17.986,90 | 1463 / 28 | $17.141,90 | 1449 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 22 | $31.976,20 | 1809 / 78 | $5.470,37 | 1798 / 78 | $4.575,56 | 1792 / 97 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 26 | 46 / 10 | $47.440,90 | 669 / 13 | $11.541,30 | 774 / 35 | $10.495,80 | 772 / 35 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 29 | $287.925,00 | 980 / 83 | $46.090,50 | 861 / 56 | $45.392,70 | 860 / 67 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 11 | $52.244,80 | 1210 / 48 | $9.508,48 | 1146 / 64 | $7.334,28 | 1144 / 33 |
| Diabetes W Cc | 24 | 68 / 11 | $34.321,70 | 1296 / 36 | $7.437,62 | 1343 / 53 | $6.481,62 | 1338 / 59 |
| Transient Ischemia | 24 | 101 / 32 | $38.701,50 | 1410 / 66 | $6.485,08 | 1440 / 73 | $5.430,42 | 1432 / 83 |
| Signs & Symptoms W/O Mcc | 23 | 68 / 15 | $39.695,30 | 1216 / 52 | $6.309,61 | 1131 / 43 | $5.680,74 | 1128 / 54 |
| Respiratory Infections & Inflammations W Mcc | 23 | 113 / 49 | $57.538,70 | 1224 / 19 | $14.636,70 | 1417 / 37 | $13.693,40 | 1402 / 38 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 22 | $43.124,50 | 1029 / 35 | $10.053,40 | 1201 / 54 | $9.345,00 | 1196 / 63 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 23 | $34.385,40 | 1804 / 64 | $6.136,86 | 1735 / 56 | $5.259,77 | 1722 / 67 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 20 | $40.713,60 | 1147 / 51 | $10.584,10 | 1127 / 116 | $7.001,45 | 1123 / 52 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 22 | 14 / 3 | $140.632,00 | 338 / 19 | $22.106,70 | 332 / 20 | $21.131,50 | 331 / 20 |
| Other Circulatory System Diagnoses W Mcc | 22 | 94 / 28 | $91.943,60 | 1223 / 68 | $14.028,60 | 982 / 15 | $13.481,70 | 975 / 25 |
| Medical Back Problems W/O Mcc | 21 | 100 / 36 | $35.111,10 | 1152 / 40 | $7.304,24 | 1253 / 60 | $6.324,43 | 1249 / 69 |
| Extracranial Procedures W/O Cc/Mcc | 21 | 77 / 19 | $52.340,70 | 780 / 19 | $9.018,24 | 841 / 30 | $7.930,24 | 838 / 37 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 26 | $31.158,70 | 1743 / 36 | $6.556,55 | 1825 / 62 | $5.463,75 | 1814 / 65 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 20 | 41 / 6 | $42.892,00 | 871 / 34 | $6.028,55 | 732 / 26 | $4.999,75 | 731 / 27 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 22 | $26.334,70 | 1037 / 31 | $6.321,53 | 1189 / 72 | $4.779,58 | 1186 / 72 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 19 | 51 / 15 | $38.267,80 | 461 / 21 | $8.167,74 | 446 / 21 | $7.657,42 | 446 / 25 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 27 | $34.725,50 | 1728 / 58 | $6.542,50 | 1756 / 74 | $5.397,61 | 1748 / 77 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 38 | $35.574,90 | 1679 / 63 | $7.174,11 | 1669 / 70 | $6.183,00 | 1660 / 73 |
| Disorders Of Pancreas Except Malignancy W Cc | 18 | 43 / 7 | $42.524,80 | 815 / 28 | $8.087,56 | 837 / 26 | $7.346,22 | 834 / 35 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 11 | $122.216,00 | 799 / 28 | $22.276,10 | 751 / 23 | $21.280,30 | 748 / 23 |
| Spinal Fusion Except Cervical W/O Mcc | 17 | 177 / 49 | $190.882,00 | 1249 / 63 | $30.693,50 | 1167 / 28 | $29.699,60 | 1162 / 47 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 17 | 60 / 11 | $67.068,80 | 348 / 12 | $12.838,00 | 351 / 10 | $11.704,80 | 350 / 14 |
| Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 24 | $150.678,00 | 878 / 30 | $25.698,20 | 795 / 13 | $24.555,60 | 794 / 20 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 23 | $199.165,00 | 1042 / 30 | $36.209,00 | 903 / 9 | $35.501,20 | 901 / 12 |
| Renal Failure W/O Cc/Mcc | 16 | 40 / 5 | $33.975,90 | 776 / 13 | $5.975,69 | 762 / 21 | $4.991,69 | 760 / 22 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 14 | $88.524,60 | 767 / 39 | $13.386,40 | 779 / 29 | $12.326,40 | 775 / 39 |
| Diabetes W Mcc | 15 | 42 / 12 | $57.418,50 | 619 / 20 | $10.851,30 | 536 / 16 | $9.786,20 | 535 / 17 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 17 | $164.363,00 | 493 / 33 | $21.428,10 | 437 / 12 | $20.301,70 | 436 / 18 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 15 | 38 / 8 | $55.622,30 | 412 / 8 | $10.815,30 | 344 / 8 | $8.817,00 | 344 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 33 | $57.873,40 | 863 / 19 | $11.826,00 | 814 / 22 | $11.019,60 | 811 / 23 |
| Pulmonary Embolism W Mcc | 14 | 29 / 6 | $66.791,60 | 512 / 11 | $11.415,50 | 466 / 6 | $10.546,90 | 465 / 12 |
| Peritoneal Adhesiolysis W Cc | 14 | 25 / 8 | $146.029,00 | 279 / 15 | $20.850,90 | 244 / 13 | $18.575,30 | 244 / 12 |
| Fractures Of Hip & Pelvis W/O Mcc | 14 | 47 / 17 | $27.941,10 | 714 / 18 | $6.610,50 | 815 / 46 | $5.401,36 | 814 / 47 |
| Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 12 | $35.367,90 | 336 / 9 | $8.290,07 | 396 / 12 | $7.602,07 | 396 / 16 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 13 | $106.931,00 | 674 / 38 | $17.019,50 | 629 / 21 | $16.185,10 | 628 / 28 |
| Seizures W/O Mcc | 13 | 95 / 29 | $36.480,50 | 1084 / 40 | $6.752,85 | 1061 / 36 | $5.918,38 | 1059 / 43 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 18 | $62.047,80 | 966 / 52 | $10.476,90 | 852 / 29 | $9.502,15 | 848 / 28 |
| G.I. Obstruction W Mcc | 13 | 29 / 9 | $51.845,80 | 357 / 10 | $12.507,20 | 409 / 16 | $11.854,90 | 409 / 20 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 28 | $106.648,00 | 771 / 35 | $17.519,00 | 722 / 21 | $16.408,80 | 718 / 28 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 21 | $85.399,20 | 860 / 50 | $13.114,60 | 790 / 32 | $12.004,50 | 787 / 36 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 20 | $56.858,30 | 1199 / 74 | $8.079,08 | 979 / 32 | $7.057,54 | 976 / 32 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 9 | $72.219,90 | 530 / 21 | $10.768,10 | 413 / 12 | $9.559,46 | 413 / 7 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 32 | $75.241,70 | 724 / 52 | $9.338,15 | 670 / 29 | $8.215,69 | 669 / 44 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 13 | $98.198,10 | 347 / 12 | $19.533,80 | 392 / 17 | $18.331,10 | 391 / 18 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 21 | $142.472,00 | 822 / 28 | $23.200,50 | 699 / 12 | $22.091,20 | 696 / 13 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 21 | $40.477,80 | 895 / 29 | $7.745,00 | 920 / 35 | $6.742,33 | 916 / 44 |
| Chest Pain | 12 | 139 / 60 | $34.615,70 | 1492 / 84 | $6.059,67 | 1317 / 81 | $4.324,17 | 1310 / 60 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $79.408,20 | 1083 / 69 | $9.813,33 | 961 / 38 | $9.109,33 | 959 / 42 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 49 | $72.768,40 | 1520 / 82 | $9.313,42 | 1424 / 49 | $8.406,75 | 1421 / 69 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 16 | $237.918,00 | 541 / 14 | $36.306,10 | 542 / 10 | $35.196,80 | 542 / 18 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 23 | $110.343,00 | 820 / 40 | $19.783,20 | 754 / 18 | $18.679,20 | 751 / 22 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 16 | $89.744,70 | 552 / 18 | $15.687,20 | 526 / 15 | $14.593,40 | 522 / 21 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 41 | $77.290,20 | 1524 / 68 | $18.435,00 | 1309 / 133 | $11.535,60 | 1299 / 28 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 19 | $64.325,80 | 607 / 10 | $13.274,50 | 648 / 23 | $12.174,90 | 648 / 28 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 13 | $43.348,50 | 349 / 8 | $9.031,45 | 388 / 15 | $8.263,45 | 388 / 20 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 13 | $137.381,00 | 478 / 19 | $28.048,40 | 487 / 16 | $27.280,40 | 487 / 19 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 26 | $143.868,00 | 855 / 47 | $17.636,00 | 768 / 23 | $16.437,50 | 765 / 33 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 10 | $35.170,00 | 177 / 1 | $8.865,09 | 197 / 6 | $7.884,73 | 197 / 6 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 22 | $284.440,00 | 904 / 54 | $43.710,40 | 847 / 45 | $42.936,50 | 846 / 52 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 28 | $49.323,50 | 741 / 30 | $8.429,36 | 662 / 22 | $7.440,27 | 662 / 22 | Total 95 procedures | 3.527 | 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.