Hospital Costs > In California > Memorial Hospital Los Banos, 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 | 49 | 467 / 163 | $50.060,90 | 1787 / 41 | $39.350,20 | 2836 / 270 | $38.509,00 | 2791 / 268 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 82 | $38.437,80 | 1983 / 85 | $22.787,00 | 2585 / 247 | $22.023,80 | 2575 / 248 |
| Heart Failure & Shock W Cc | 22 | 256 / 78 | $42.447,40 | 2396 / 99 | $21.160,70 | 2769 / 229 | $20.120,70 | 2763 / 229 |
| Heart Failure & Shock W Mcc | 18 | 266 / 104 | $56.338,50 | 2133 / 79 | $32.105,50 | 2643 / 233 | $31.366,00 | 2632 / 233 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 58 | $41.057,70 | 1537 / 25 | $25.974,40 | 2242 / 180 | $25.332,50 | 2236 / 180 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 74 | $42.433,40 | 2394 / 91 | $20.597,20 | 2835 / 224 | $19.769,20 | 2826 / 224 |
| Cellulitis W/O Mcc | 13 | 176 / 73 | $38.801,80 | 2386 / 135 | $17.932,20 | 2646 / 224 | $16.822,00 | 2638 / 225 | Total 7 procedures | 162 | 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.