Hospital Costs > In California > Memorial Medical Center, procedure costs

Memorial Medical Center, procedure costs

1700 Coffee Rd, Modesto, CA 95355,

Procedure Costs @ Memorial Medical Center
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 Mcc46996 / 8$94.059,902583 / 184$15.790,702357 / 135$13.952,202315 / 107
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc188376 / 52$90.201,602362 / 129$17.843,802238 / 116$14.897,702194 / 92
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc12186 / 15$50.550,002274 / 148$8.903,262144 / 104$7.786,702136 / 107
Heart Failure & Shock W Mcc112172 / 26$70.160,402347 / 131$12.686,402299 / 109$11.812,302289 / 117
Renal Failure W Cc95126 / 9$45.567,602172 / 108$7.986,862034 / 69$7.123,542024 / 82
G.I. Hemorrhage W Cc93125 / 13$49.334,902150 / 112$8.617,302024 / 80$7.357,132020 / 79
Heart Failure & Shock W Cc91187 / 20$45.808,202475 / 122$7.992,552288 / 67$7.279,492282 / 87
Simple Pneumonia & Pleurisy W Cc89114 / 13$47.799,802516 / 126$7.919,742342 / 62$7.012,102333 / 82
Pulmonary Edema & Respiratory Failure78125 / 16$55.108,601847 / 55$10.051,601831 / 49$9.053,311826 / 47
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc76120 / 12$180.520,001468 / 113$18.465,701361 / 68$16.421,301353 / 81
Kidney & Urinary Tract Infections W/O Mcc76157 / 37$46.188,102599 / 172$6.510,162302 / 75$5.782,172291 / 98
Chronic Obstructive Pulmonary Disease W Cc74105 / 9$52.013,302279 / 129$7.662,502007 / 59$6.735,362000 / 61
Infectious & Parasitic Diseases W O.R. Procedure W Mcc7450 / 5$311.709,001520 / 118$52.302,301503 / 114$51.220,101493 / 119
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs71111 / 14$49.859,801739 / 75$9.876,901574 / 112$7.120,071571 / 38
Hip & Femur Procedures Except Major Joint W Cc7073 / 9$98.986,201884 / 91$15.935,501711 / 76$14.120,601692 / 62
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc69206 / 43$45.972,402606 / 161$6.830,032241 / 103$5.351,292226 / 86
Renal Failure W Mcc65130 / 24$69.739,401885 / 100$12.630,701780 / 72$11.635,301777 / 73
Chronic Obstructive Pulmonary Disease W Mcc62140 / 28$54.033,102266 / 103$9.697,472202 / 78$8.842,762194 / 84
Cellulitis W/O Mcc61128 / 28$48.872,502547 / 180$7.829,822165 / 124$5.984,792157 / 81
O.R. Procedures For Obesity W/O Cc/Mcc5721 / 1$81.166,50377 / 15$13.243,80329 / 11$11.134,80328 / 10
Simple Pneumonia & Pleurisy W Mcc57148 / 36$70.372,102238 / 109$11.369,701998 / 56$10.141,601998 / 51
Intracranial Hemorrhage Or Cerebral Infarction W Mcc54114 / 20$79.010,801360 / 74$14.270,301232 / 60$12.333,201226 / 46
Transient Ischemia5372 / 8$38.519,701406 / 65$6.309,151325 / 62$4.938,811318 / 51
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc5274 / 13$44.136,201383 / 62$8.846,271335 / 37$8.312,121332 / 55
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc49117 / 32$38.445,702344 / 129$6.017,352095 / 67$5.154,652087 / 83
Circulatory Disorders Except Ami, W Card Cath W/O Mcc48140 / 15$87.507,901592 / 106$8.764,811353 / 25$7.810,151350 / 47
Respiratory System Diagnosis W Ventilator Support <96 Hours4784 / 10$121.228,001685 / 75$19.101,001556 / 50$18.252,601542 / 58
Cardiac Arrhythmia & Conduction Disorders W Cc45116 / 21$40.603,401915 / 91$7.241,711696 / 98$5.454,731691 / 50
Kidney & Urinary Tract Infections W Mcc44100 / 23$54.402,501736 / 105$9.525,361707 / 81$8.757,361703 / 94
G.I. Hemorrhage W Mcc4279 / 14$64.735,601259 / 49$13.715,401317 / 47$12.996,101307 / 50
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents4159 / 6$226.355,00987 / 77$27.692,40905 / 48$26.750,40900 / 58
Other Vascular Procedures W Cc4161 / 7$192.504,001116 / 68$23.914,801064 / 52$22.943,101059 / 56
Chest Pain39112 / 34$39.092,101578 / 102$5.475,921338 / 56$4.401,851331 / 63
Major Cardiovasc Procedures W/O Mcc3962 / 10$191.726,00961 / 46$29.534,80879 / 42$26.922,60878 / 35
Syncope & Collapse39130 / 28$46.556,801802 / 109$6.277,851572 / 53$5.413,031565 / 66
Other Kidney & Urinary Tract Diagnoses W Mcc3665 / 15$75.649,90991 / 46$12.152,10854 / 25$11.354,30851 / 29
G.I. Obstruction W Cc3656 / 16$52.641,901620 / 96$8.063,721563 / 81$7.121,471558 / 92
Septicemia Or Severe Sepsis W Mv 96+ Hours3557 / 20$290.913,00984 / 85$45.970,90854 / 54$45.080,00853 / 64
Red Blood Cell Disorders W/O Mcc34109 / 22$47.176,601876 / 114$6.900,501616 / 59$5.903,851607 / 58
Other Vascular Procedures W Mcc3364 / 11$152.272,00872 / 43$27.044,20706 / 39$23.785,20703 / 16
Major Small & Large Bowel Procedures W Cc3375 / 22$131.098,001392 / 64$19.961,501312 / 34$18.972,401298 / 59
Other Digestive System Diagnoses W Cc3265 / 11$50.292,201272 / 82$8.043,751137 / 43$7.064,751133 / 54
Medical Back Problems W/O Mcc3289 / 26$46.788,801367 / 81$7.122,121219 / 49$6.101,121215 / 62
Other Circulatory System Diagnoses W Mcc3185 / 20$75.349,801106 / 44$14.582,501044 / 30$13.890,401037 / 38
Nonspecific Cerebrovascular Disorders W Cc3125 / 2$41.631,80374 / 14$7.945,94364 / 8$6.922,10364 / 7
Nonspecific Cerebrovascular Disorders W Mcc3120 / 4$69.936,30343 / 23$13.378,80260 / 15$10.932,20260 / 9
Traumatic Stupor & Coma, Coma <1 Hr W Cc3135 / 6$52.658,60435 / 9$8.970,42370 / 11$7.677,52369 / 11
Disorders Of Pancreas Except Malignancy W Cc3031 / 3$48.845,90859 / 36$8.684,00759 / 34$6.551,20756 / 17
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc30120 / 19$28.549,201724 / 58$5.035,631653 / 53$3.908,171647 / 69
Major Small & Large Bowel Procedures W Mcc2956 / 11$242.708,001146 / 48$40.381,301069 / 27$39.505,201067 / 35
Respiratory Infections & Inflammations W Mcc29107 / 43$93.179,101617 / 83$15.104,301525 / 53$14.435,601509 / 62
Coronary Bypass W Cardiac Cath W/O Mcc2947 / 3$317.868,00592 / 23$39.461,50573 / 20$38.379,00573 / 23
Cardiac Arrhythmia & Conduction Disorders W Mcc2994 / 25$59.983,901683 / 84$9.969,901585 / 54$9.139,001582 / 61
Diabetes W Cc2864 / 8$47.950,201520 / 86$7.123,641249 / 44$5.950,541244 / 36
Acute Myocardial Infarction, Discharged Alive W Mcc2798 / 25$90.188,901637 / 92$14.369,101557 / 70$13.573,201544 / 80
Esophagitis, Gastroent & Misc Digest Disorders W Mcc2571 / 19$56.212,101234 / 64$9.922,241186 / 47$9.196,521181 / 55
Poisoning & Toxic Effects Of Drugs W Mcc2547 / 11$95.062,20947 / 69$12.951,10873 / 49$12.321,30870 / 56
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc2538 / 5$228.219,00674 / 30$37.465,40585 / 18$36.598,90585 / 21
Major Gastrointestinal Disorders & Peritoneal Infections W Cc2548 / 9$71.045,601066 / 66$10.442,00927 / 48$8.732,96925 / 32
Hip & Femur Procedures Except Major Joint W Mcc2438 / 5$189.778,00940 / 61$28.797,20914 / 60$28.041,20911 / 64
Acute Myocardial Infarction, Discharged Alive W Cc2467 / 12$56.440,401261 / 60$8.767,501129 / 48$7.219,041127 / 30
Extracranial Procedures W/O Cc/Mcc2276 / 18$67.970,40864 / 34$8.625,73814 / 23$7.582,82811 / 29
Respiratory Infections & Inflammations W Cc2266 / 26$67.941,001319 / 67$10.860,601254 / 44$10.095,201249 / 47
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc2181 / 27$47.980,701471 / 76$6.476,571334 / 38$5.384,001330 / 59
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc2119 / 6$117.381,00394 / 23$19.049,20380 / 13$18.019,10379 / 16
Diabetes W Mcc2037 / 8$59.404,50632 / 23$11.900,60630 / 22$11.235,00629 / 29
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc20100 / 26$35.665,201866 / 63$6.201,201774 / 41$5.238,001763 / 54
Seizures W/O Mcc1989 / 23$47.509,801208 / 59$6.580,001005 / 30$5.579,161003 / 31
Pulmonary Embolism W/O Mcc1955 / 11$48.883,201153 / 37$10.746,901056 / 63$6.869,421053 / 28
Cellulitis W Mcc1939 / 15$55.054,70770 / 36$10.853,70756 / 20$10.471,40754 / 29
Traumatic Stupor & Coma, Coma <1 Hr W Mcc1932 / 9$73.539,50249 / 5$13.924,50194 / 3$13.035,20194 / 6
Cirrhosis & Alcoholic Hepatitis W Mcc1824 / 6$70.261,10234 / 13$13.872,70188 / 9$12.795,30188 / 6
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1838 / 12$100.858,00807 / 45$13.052,80768 / 23$11.982,60764 / 33
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1847 / 15$185.534,00887 / 45$28.633,30857 / 43$27.561,30853 / 44
Medical Back Problems W Mcc1821 / 3$61.507,60257 / 11$12.232,00236 / 10$11.231,10236 / 10
Coronary Bypass W Cardiac Cath W Mcc1838 / 6$506.169,00432 / 28$73.430,40430 / 26$72.427,70430 / 28
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1852 / 16$71.765,90556 / 48$9.160,22487 / 30$8.418,89487 / 34
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc1759 / 19$61.228,50371 / 17$14.493,20396 / 19$13.974,60396 / 25
Permanent Cardiac Pacemaker Implant W Mcc1735 / 7$182.828,00555 / 28$30.443,10521 / 25$29.377,60521 / 27
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1739 / 17$79.637,90836 / 44$14.240,20731 / 47$11.049,60728 / 20
Circulatory Disorders Except Ami, W Card Cath W Mcc1776 / 16$102.782,00778 / 23$16.338,20704 / 14$15.413,90697 / 20
Heart Failure & Shock W/O Cc/Mcc1793 / 28$33.326,201789 / 60$5.914,181654 / 45$4.860,061641 / 46
Other Kidney & Urinary Tract Diagnoses W Cc1687 / 23$53.124,40775 / 39$7.760,19629 / 9$7.162,19629 / 17
Other Digestive System Diagnoses W Mcc1646 / 18$100.846,00720 / 64$16.004,80688 / 58$15.476,90687 / 64
Other Kidney & Urinary Tract Procedures W Mcc1523 / 2$172.319,00213 / 5$32.475,40161 / 6$23.521,10160 / 2
Seizures W Mcc1551 / 15$51.277,50500 / 16$10.804,50450 / 3$9.993,80450 / 6
Pulmonary Embolism W Mcc1528 / 5$75.010,40530 / 14$11.918,60485 / 14$10.873,30484 / 14
Poisoning & Toxic Effects Of Drugs W/O Mcc1546 / 10$43.147,90874 / 35$6.899,33632 / 37$4.360,53631 / 8
G.I. Hemorrhage W/O Cc/Mcc1553 / 14$39.786,70915 / 42$6.069,53815 / 26$5.024,20811 / 29
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1547 / 16$41.142,70735 / 34$6.570,87555 / 25$4.859,20553 / 13
Disorders Of Pancreas Except Malignancy W Mcc1531 / 6$83.960,50321 / 18$14.042,50211 / 11$12.036,30211 / 6
Coronary Bypass W/O Cardiac Cath W/O Mcc1474 / 16$269.281,00579 / 23$32.748,70556 / 13$31.880,10555 / 18
Respiratory System Diagnosis W Ventilator Support 96+ Hours1457 / 19$208.595,00774 / 27$36.706,20652 / 9$35.931,40651 / 13
Signs & Symptoms W/O Mcc1477 / 24$36.172,001156 / 41$5.955,001041 / 31$5.093,291038 / 39
Permanent Cardiac Pacemaker Implant W Cc1463 / 21$118.171,00857 / 51$20.457,70787 / 27$19.330,90783 / 31
Red Blood Cell Disorders W Mcc1457 / 17$61.891,40963 / 51$10.104,60828 / 22$9.242,86824 / 23
Other Vascular Procedures W/O Cc/Mcc1343 / 13$99.329,20517 / 12$13.938,50473 / 8$13.099,20472 / 11
Renal Failure W/O Cc/Mcc1343 / 8$33.595,10771 / 11$5.538,08728 / 16$4.750,38726 / 17
Peripheral Vascular Disorders W Cc1371 / 20$31.379,50845 / 14$7.870,77975 / 26$7.033,85972 / 30
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1376 / 32$77.899,20727 / 53$8.946,31648 / 23$7.924,77647 / 39
Infectious & Parasitic Diseases W O.R. Procedure W Cc1323 / 9$151.352,00345 / 21$21.564,20324 / 18$20.105,00323 / 18
Bronchitis & Asthma W Cc/Mcc1363 / 20$36.658,50844 / 20$7.335,00879 / 25$6.383,62875 / 30
Major Cardiovasc Procedures W Mcc1355 / 17$355.274,00628 / 40$49.601,40595 / 33$48.491,20594 / 34
Other Skin, Subcut Tiss & Breast Proc W Cc1311 / 4$118.070,00100 / 3$14.276,9091 / 1$13.164,2091 / 2
Craniotomy & Endovascular Intracranial Procedures W Mcc1286 / 21$229.040,00462 / 26$37.965,40444 / 23$37.058,80444 / 25
Respiratory Neoplasms W Cc1235 / 12$60.880,90447 / 19$9.547,75380 / 5$8.742,42379 / 8
Simple Pneumonia & Pleurisy W/O Cc/Mcc1281 / 33$32.676,601684 / 48$6.108,421737 / 50$5.305,751729 / 72
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1252 / 12$560.050,00529 / 38$91.110,70466 / 29$88.308,70465 / 29
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1232 / 12$139.459,00394 / 16$21.297,80317 / 8$20.284,30315 / 12
G.I. Obstruction W/O Cc/Mcc1259 / 29$38.864,301224 / 70$5.422,671106 / 41$4.318,671103 / 51
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1244 / 14$55.253,40463 / 5$14.401,50533 / 19$14.100,20532 / 25
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc1241 / 11$52.997,10802 / 26$6.627,50629 / 18$4.866,50625 / 7
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc1257 / 7$126.544,00534 / 15$14.299,50472 / 5$13.088,80470 / 5
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents1233 / 6$179.496,00260 / 2$24.193,60232 / 3$23.284,20231 / 3
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc1136 / 15$66.395,40510 / 26$10.908,60456 / 30$7.934,36455 / 11
Other Circulatory System Diagnoses W Cc1155 / 15$49.779,90601 / 14$7.955,91524 / 10$7.077,36523 / 11
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc1146 / 15$144.592,00710 / 46$18.687,50673 / 35$17.922,50671 / 43
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1127 / 9$38.477,60418 / 15$5.718,36377 / 7$4.615,82376 / 11
Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc1123 / 3$475.397,00192 / 3$70.446,30192 / 3$66.186,00192 / 3
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim1155 / 23$103.549,00534 / 28$14.731,60451 / 11$13.629,10448 / 15
Kidney & Urinary Tract Signs & Symptoms W/O Mcc1118 / 2$33.716,40136 / 2$5.825,73116 / 1$5.278,82116 / 1
Total 121 procedures4.458discharges

DATA

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.