Hospital Costs > In California > Memorial Hospital Of Gardena, 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 | 154 | 362 / 101 | $69.548,00 | 2274 / 104 | $15.905,40 | 2489 / 142 | $15.130,20 | 2445 / 156 |
Renal Failure W Mcc | 60 | 135 / 29 | $48.733,90 | 1552 / 40 | $13.780,70 | 1929 / 104 | $13.055,70 | 1925 / 120 |
Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 46 | $54.380,40 | 2274 / 106 | $11.112,20 | 2389 / 143 | $10.094,00 | 2381 / 150 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 43 | 49 / 12 | $191.865,00 | 714 / 30 | $40.180,00 | 565 / 19 | $37.964,50 | 564 / 12 |
Heart Failure & Shock W Mcc | 42 | 242 / 82 | $72.703,10 | 2385 / 141 | $13.395,70 | 2385 / 137 | $12.666,90 | 2374 / 147 |
Chest Pain | 39 | 112 / 34 | $26.607,30 | 1278 / 46 | $6.915,56 | 1581 / 111 | $5.984,28 | 1572 / 115 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 37 | 83 / 10 | $37.778,10 | 1907 / 74 | $7.758,92 | 2004 / 103 | $6.778,16 | 1993 / 108 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 37 | $41.394,40 | 2104 / 86 | $9.272,17 | 2297 / 133 | $8.534,39 | 2290 / 151 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 47 | $26.537,60 | 1964 / 52 | $7.615,85 | 2408 / 149 | $6.843,00 | 2399 / 164 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 81 | $38.574,70 | 1986 / 86 | $10.391,60 | 2410 / 177 | $9.524,18 | 2400 / 193 |
Other Circulatory System Diagnoses W Mcc | 27 | 89 / 23 | $98.398,40 | 1262 / 79 | $16.891,10 | 1190 / 73 | $15.720,40 | 1182 / 71 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 83 | $35.009,00 | 2348 / 104 | $7.957,74 | 2577 / 161 | $7.155,37 | 2562 / 176 |
Heart Failure & Shock W Cc | 27 | 251 / 73 | $40.473,20 | 2338 / 88 | $9.604,44 | 2564 / 150 | $8.798,52 | 2558 / 169 |
Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 41 | $39.356,40 | 1490 / 49 | $10.598,50 | 1817 / 122 | $9.871,44 | 1813 / 132 |
Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 84 | $31.959,90 | 2279 / 82 | $8.082,76 | 2561 / 161 | $7.165,00 | 2550 / 172 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 28 | $55.521,20 | 1249 / 24 | $14.373,00 | 1561 / 71 | $13.623,70 | 1548 / 81 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 48 | $67.557,30 | 1383 / 41 | $15.848,70 | 1589 / 71 | $15.143,40 | 1573 / 80 |
Renal Failure W Cc | 24 | 197 / 64 | $36.510,50 | 1945 / 60 | $9.497,42 | 2297 / 138 | $8.945,42 | 2287 / 161 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 71 | $46.862,60 | 1808 / 39 | $13.076,20 | 2310 / 122 | $12.292,20 | 2304 / 132 |
G.I. Hemorrhage W Mcc | 20 | 101 / 36 | $74.082,10 | 1381 / 72 | $15.373,70 | 1436 / 84 | $14.270,50 | 1426 / 86 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 71 | $53.423,60 | 2615 / 152 | $9.733,47 | 2664 / 155 | $8.906,53 | 2655 / 171 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 40 | $35.568,10 | 1179 / 31 | $10.725,20 | 1559 / 102 | $9.947,89 | 1556 / 113 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 57 | $60.486,10 | 1941 / 77 | $11.410,70 | 2054 / 111 | $10.674,70 | 2048 / 124 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 16 | $41.113,40 | 333 / 7 | $14.805,70 | 608 / 41 | $13.599,50 | 607 / 41 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 49 | $146.293,00 | 991 / 20 | $39.294,40 | 1105 / 33 | $37.058,10 | 1098 / 30 |
Atherosclerosis W/O Mcc | 17 | 41 / 9 | $30.798,90 | 455 / 19 | $6.944,88 | / 26 | $6.163,71 | / |
Seizures W/O Mcc | 16 | 92 / 26 | $29.762,60 | 938 / 25 | $8.091,56 | 1203 / 69 | $7.147,56 | 1201 / 77 |
Diabetes W Mcc | 15 | 42 / 12 | $37.477,90 | 421 / 7 | $11.843,10 | 624 / 21 | $11.119,90 | 623 / 28 |
Cellulitis W/O Mcc | 15 | 174 / 71 | $33.970,70 | 2270 / 100 | $8.644,40 | 2478 / 159 | $7.754,80 | 2470 / 173 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 17 | $37.517,60 | 574 / 20 | $9.002,79 | 673 / 33 | $7.967,36 | 673 / 36 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 19 | $184.866,00 | 691 / 19 | $39.262,20 | 740 / 22 | $38.243,90 | 739 / 25 |
Diabetes W Cc | 13 | 79 / 22 | $31.349,40 | 1219 / 29 | $8.599,00 | 1501 / 89 | $7.806,38 | 1496 / 100 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 36 | $28.472,90 | 1720 / 57 | $6.561,23 | 1898 / 118 | $5.446,15 | 1892 / 124 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 35 | $56.120,70 | 1219 / 47 | $12.594,80 | 1376 / 88 | $11.674,20 | 1371 / 91 |
G.I. Hemorrhage W Cc | 13 | 205 / 78 | $42.864,80 | 2025 / 83 | $9.928,31 | 2261 / 141 | $8.901,85 | 2257 / 152 |
Angina Pectoris | 11 | 14 / 6 | $25.250,40 | 40 / 3 | $6.660,36 | 66 / 8 | $5.784,73 | 66 / 8 |
Syncope & Collapse | 11 | 158 / 56 | $30.747,10 | 1463 / 43 | $7.835,09 | 1806 / 119 | $7.061,27 | 1798 / 130 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $79.692,80 | 1304 / 23 | $19.493,30 | 1580 / 58 | $18.620,50 | 1566 / 64 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 63 | $47.587,40 | 1691 / 64 | $10.482,10 | 1936 / 132 | $9.385,36 | 1932 / 145 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 31 | $35.783,50 | 1041 / 36 | $9.644,73 | 1336 / 96 | $8.879,64 | 1332 / 111 |
Cellulitis W Mcc | 11 | 47 / 23 | $42.812,00 | 648 / 22 | $13.130,50 | 888 / 57 | $12.694,20 | 886 / 68 | Total 41 procedures | 1.059 | 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.