Hospital Costs > In California > Menifee Valley Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 78 | $26.551,00 | 2059 / 43 | $5.581,52 | 1808 / 12 | $4.705,65 | 1797 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 83 | $30.009,90 | 2167 / 71 | $5.396,33 | 1689 / 15 | $4.323,74 | 1676 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 23 | 493 / 184 | $77.775,40 | 2400 / 129 | $15.410,50 | 2430 / 118 | $14.468,60 | 2386 / 132 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 23 | $36.493,60 | 1878 / 66 | $5.293,96 | 1434 / 7 | $4.295,74 | 1423 / 14 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 71 | $48.938,10 | 2149 / 71 | $9.754,53 | 2222 / 80 | $8.927,58 | 2214 / 92 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 19 | 545 / 142 | $100.091,00 | 2481 / 163 | $15.009,70 | 2051 / 23 | $13.798,70 | 2009 / 52 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 55 | $40.702,80 | 2083 / 80 | $6.693,61 | 1710 / 13 | $5.895,39 | 1703 / 17 |
| Heart Failure & Shock W Mcc | 18 | 266 / 104 | $59.739,20 | 2194 / 93 | $11.272,90 | 2021 / 43 | $10.473,00 | 2013 / 49 |
| Transient Ischemia | 16 | 109 / 40 | $29.648,20 | 1166 / 28 | $5.095,50 | 1036 / 8 | $4.117,50 | 1031 / 14 |
| Heart Failure & Shock W Cc | 15 | 263 / 85 | $39.732,90 | 2315 / 83 | $7.009,20 | 1791 / 21 | $6.128,13 | 1786 / 24 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 75 | $41.658,40 | 2373 / 84 | $6.981,47 | 1962 / 14 | $6.094,00 | 1954 / 23 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 64 | $26.144,10 | 1948 / 49 | $5.124,80 | 1586 / 14 | $4.158,40 | 1581 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 36 | $23.562,90 | 1579 / 32 | $4.136,31 | 1265 / 10 | $3.114,77 | 1260 / 15 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 54 | $39.863,00 | 1499 / 50 | $7.870,75 | 1321 / 18 | $7.062,75 | 1317 / 20 |
| Atherosclerosis W/O Mcc | 11 | 47 / 15 | $21.528,90 | 350 / 10 | $4.484,64 | / 1 | $3.498,45 | / |
| Chest Pain | 11 | 140 / 61 | $22.542,60 | 1088 / 28 | $4.460,82 | 791 / 7 | $3.250,64 | 786 / 8 |
| G.I. Hemorrhage W Cc | 11 | 207 / 80 | $44.039,00 | 2051 / 88 | $7.151,73 | 1712 / 11 | $6.383,73 | 1708 / 28 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 80 | $75.791,60 | 2303 / 126 | $10.739,50 | 2061 / 30 | $10.413,70 | 2059 / 61 | Total 18 procedures | 308 | 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.