Hospital Costs > In California > Marshall 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 | 239 | 277 / 62 | $104.401,00 | 2671 / 203 | $15.626,10 | 2419 / 131 | $14.384,80 | 2376 / 127 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 141 | 423 / 70 | $163.659,00 | 2671 / 227 | $17.691,70 | 2324 / 112 | $15.525,50 | 2279 / 113 |
Respiratory Infections & Inflammations W Mcc | 97 | 41 / 5 | $99.390,20 | 1650 / 92 | $15.352,60 | 1549 / 61 | $14.651,40 | 1533 / 69 |
Heart Failure & Shock W Mcc | 67 | 217 / 61 | $67.969,00 | 2313 / 123 | $12.340,60 | 2098 / 91 | $10.763,80 | 2089 / 64 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 56 | $61.712,00 | 2427 / 196 | $8.803,05 | 2136 / 94 | $7.749,29 | 2128 / 103 |
Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 40 | $67.995,00 | 2213 / 102 | $11.276,00 | 2031 / 54 | $10.255,70 | 2030 / 57 |
G.I. Hemorrhage W Cc | 44 | 174 / 50 | $66.795,60 | 2360 / 173 | $8.741,05 | 1970 / 91 | $7.146,86 | 1966 / 62 |
Pulmonary Edema & Respiratory Failure | 44 | 159 / 34 | $83.016,80 | 2146 / 129 | $10.148,60 | 1914 / 56 | $9.463,48 | 1908 / 71 |
Kidney & Urinary Tract Infections W Mcc | 38 | 106 / 28 | $61.983,50 | 1833 / 132 | $9.120,00 | 1668 / 58 | $8.452,21 | 1664 / 81 |
Cellulitis W/O Mcc | 38 | 151 / 48 | $47.859,80 | 2537 / 176 | $6.922,61 | 2150 / 56 | $5.939,03 | 2142 / 77 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 73 | $61.003,90 | 2702 / 209 | $7.253,70 | 2200 / 129 | $5.233,08 | 2185 / 70 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 37 | 124 / 29 | $42.022,30 | 1941 / 97 | $6.715,89 | 1742 / 62 | $5.578,70 | 1737 / 65 |
Respiratory Infections & Inflammations W Cc | 37 | 51 / 12 | $64.230,40 | 1288 / 58 | $10.909,10 | 1274 / 45 | $10.225,80 | 1269 / 54 |
Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 73 | $56.429,70 | 2674 / 199 | $7.529,67 | 2162 / 137 | $5.350,64 | 2151 / 63 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 37 | $74.970,40 | 1321 / 62 | $13.165,70 | 1193 / 32 | $12.061,70 | 1187 / 34 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 57 | $61.473,50 | 2370 / 124 | $10.823,70 | 1936 / 134 | $7.776,12 | 1928 / 34 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 35 | $135.219,00 | 2026 / 135 | $16.016,90 | 1791 / 79 | $14.887,60 | 1772 / 85 |
Renal Failure W Mcc | 30 | 165 / 57 | $72.220,10 | 1919 / 105 | $11.798,10 | 1687 / 37 | $11.097,80 | 1685 / 55 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 36 | $327.875,00 | 1533 / 125 | $58.290,90 | 1467 / 130 | $48.903,40 | 1457 / 107 |
Heart Failure & Shock W Cc | 30 | 248 / 70 | $59.557,10 | 2664 / 184 | $8.068,33 | 2261 / 75 | $7.179,80 | 2255 / 82 |
Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 63 | $59.300,10 | 2688 / 167 | $10.154,20 | 2263 / 169 | $6.773,33 | 2255 / 58 |
G.I. Hemorrhage W Mcc | 25 | 96 / 31 | $101.676,00 | 1566 / 123 | $14.464,70 | 1388 / 67 | $13.740,20 | 1378 / 74 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 30 | $51.563,70 | 1558 / 55 | $9.844,67 | 1572 / 43 | $9.091,33 | 1569 / 55 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 22 | 51 / 12 | $63.027,50 | 1030 / 57 | $10.967,50 | 879 / 55 | $8.362,73 | 877 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 52 | $48.054,60 | 1698 / 66 | $8.620,95 | 1636 / 49 | $7.364,23 | 1632 / 54 |
G.I. Obstruction W Cc | 22 | 70 / 30 | $57.130,00 | 1655 / 106 | $7.344,95 | 1443 / 47 | $6.414,05 | 1438 / 63 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 40 | $90.098,80 | 1605 / 113 | $11.312,20 | 1124 / 94 | $6.772,05 | 1121 / 18 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 19 | 21 / 3 | $69.721,90 | 283 / 15 | $9.062,26 | 206 / 7 | $8.046,68 | 206 / 8 |
Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 9 | $176.121,00 | 923 / 54 | $23.402,00 | 794 / 29 | $22.263,50 | 791 / 31 |
Renal Failure W Cc | 18 | 203 / 70 | $45.212,20 | 2162 / 103 | $7.885,67 | 2023 / 61 | $7.087,44 | 2013 / 77 |
Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 18 | $65.237,40 | 832 / 34 | $11.401,30 | 771 / 29 | $10.478,90 | 769 / 34 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 56 | $59.644,30 | 2358 / 155 | $10.282,50 | 1887 / 162 | $6.346,88 | 1880 / 35 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 17 | 36 / 6 | $48.247,20 | 784 / 23 | $6.453,94 | 711 / 15 | $5.334,53 | 707 / 15 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 38 | $189.224,00 | 1510 / 106 | $23.298,60 | 1403 / 71 | $20.814,60 | 1389 / 84 |
Peripheral Vascular Disorders W Cc | 17 | 67 / 16 | $41.998,60 | 1037 / 39 | $7.359,06 | 901 / 16 | $6.651,29 | 898 / 23 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 18 | $242.710,00 | 913 / 52 | $31.708,30 | 884 / 51 | $30.743,90 | 880 / 52 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 27 | $41.716,20 | 1250 / 75 | $5.176,36 | 1083 / 30 | $4.223,21 | 1080 / 46 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 19 | $142.996,00 | 880 / 49 | $15.851,90 | 675 / 9 | $14.814,20 | 668 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $78.220,90 | 1408 / 114 | $17.616,80 | 992 / 132 | $8.123,77 | 987 / 19 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 33 | $47.019,50 | 2030 / 103 | $6.010,62 | 1657 / 32 | $4.809,38 | 1646 / 33 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 40 | $141.231,00 | 1749 / 91 | $18.446,30 | 1517 / 37 | $17.796,50 | 1503 / 48 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 29 | $79.022,50 | 1418 / 129 | $7.961,15 | 1169 / 39 | $7.220,23 | 1165 / 62 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 39 | $78.784,40 | 1545 / 75 | $12.061,20 | 1296 / 18 | $11.502,40 | 1286 / 26 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 38 | $81.112,20 | 1153 / 48 | $14.189,90 | 1034 / 19 | $13.787,20 | 1027 / 36 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 44 | $37.067,70 | 1713 / 72 | $6.713,08 | 1509 / 50 | $5.516,75 | 1500 / 33 |
Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 23 | $144.884,00 | 921 / 63 | $21.161,20 | 824 / 36 | $20.155,90 | 820 / 40 |
Cellulitis W Mcc | 12 | 46 / 22 | $77.590,10 | 902 / 64 | $11.608,20 | 785 / 31 | $10.800,20 | 783 / 37 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 37 | $41.604,20 | 1935 / 120 | $4.761,33 | 1639 / 37 | $3.857,33 | 1633 / 65 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $68.928,80 | 935 / 55 | $7.587,45 | 771 / 13 | $6.604,18 | 768 / 20 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 48 | $54.762,60 | 1544 / 101 | $9.089,55 | 1337 / 48 | $8.318,64 | 1334 / 56 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 29 | $271.998,00 | 1200 / 57 | $47.670,30 | 1213 / 61 | $46.681,10 | 1210 / 64 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Mcc | 11 | 14 / 2 | $87.023,40 | 33 / 1 | $14.183,40 | 21 / 1 | $12.795,00 | 21 / 1 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 19 | $63.442,80 | 1233 / 58 | $7.829,00 | 1068 / 17 | $6.947,55 | 1065 / 32 |
Pulmonary Embolism W Mcc | 11 | 32 / 9 | $105.363,00 | 568 / 25 | $11.690,40 | 490 / 8 | $11.035,80 | 489 / 15 | Total 54 procedures | 1.692 | 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.