Hospital Costs > In California > Mercy General Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 21 | $65.478,20 | 1338 / 73 | $10.564,10 | 1266 / 81 | $8.307,87 | 1264 / 67 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 46 | 79 / 9 | $91.719,10 | 1650 / 95 | $15.435,50 | 1661 / 105 | $14.786,30 | 1648 / 114 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 12 | $54.515,40 | 811 / 28 | $7.431,36 | 781 / 29 | $6.202,82 | 777 / 30 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 22 | $98.875,20 | 530 / 27 | $16.596,90 | 514 / 25 | $15.459,60 | 510 / 29 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 43 | 46 / 10 | $64.666,80 | 691 / 38 | $10.538,00 | 695 / 50 | $8.752,02 | 694 / 50 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 35 | $39.641,90 | 1900 / 85 | $7.710,71 | 1975 / 112 | $6.865,71 | 1970 / 129 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 33 | $58.218,00 | 1662 / 77 | $11.145,20 | 1734 / 92 | $10.294,90 | 1731 / 103 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 35 | $29.185,40 | 1740 / 63 | $5.852,64 | 1772 / 94 | $4.418,79 | 1766 / 90 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 11 | 35 / 6 | $455.041,00 | 129 / 7 | $55.399,10 | 115 / 4 | $54.089,80 | 115 / 5 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 59 | 16 / 1 | $688.602,00 | 289 / 15 | $96.909,60 | 281 / 11 | $95.858,60 | 281 / 13 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 70 | 51 / 4 | $426.334,00 | 533 / 36 | $48.535,90 | 511 / 21 | $47.499,60 | 511 / 27 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 92 | 31 / 3 | $543.054,00 | 469 / 35 | $75.193,70 | 453 / 25 | $74.180,10 | 453 / 30 |
| Cellulitis W Mcc | 15 | 43 / 19 | $56.317,20 | 781 / 42 | $12.396,30 | 836 / 48 | $11.540,30 | 834 / 52 |
| Cellulitis W/O Mcc | 45 | 144 / 41 | $41.250,70 | 2436 / 148 | $8.063,27 | 2370 / 134 | $6.945,13 | 2362 / 140 |
| Cervical Spinal Fusion W Cc | 12 | 41 / 15 | $161.250,00 | 364 / 20 | $25.683,20 | 343 / 17 | $24.436,00 | 342 / 20 |
| Cervical Spinal Fusion W/O Cc/Mcc | 27 | 77 / 12 | $137.242,00 | 849 / 45 | $20.555,30 | 784 / 41 | $17.025,00 | 781 / 39 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 51 | $48.583,10 | 2224 / 120 | $8.766,91 | 2212 / 114 | $7.793,82 | 2205 / 124 |
| Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 55 | $63.614,50 | 2397 / 135 | $10.615,70 | 2353 / 124 | $9.847,14 | 2345 / 136 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 34 | 59 / 5 | $123.604,00 | 846 / 38 | $19.026,10 | 817 / 37 | $18.396,70 | 809 / 41 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 38 | 150 / 24 | $80.224,50 | 1562 / 94 | $10.107,10 | 1507 / 70 | $9.340,63 | 1504 / 97 |
| Coronary Bypass W Cardiac Cath W Mcc | 26 | 30 / 3 | $491.753,00 | 428 / 26 | $64.364,30 | 403 / 17 | $63.339,70 | 403 / 19 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 23 | 53 / 8 | $396.611,00 | 607 / 29 | $43.480,30 | 598 / 24 | $42.548,80 | 598 / 29 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 14 | 45 / 5 | $408.883,00 | 234 / 10 | $53.513,40 | 218 / 6 | $52.526,90 | 217 / 7 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 20 | 68 / 10 | $338.484,00 | 590 / 26 | $36.005,30 | 565 / 19 | $32.726,80 | 564 / 21 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 17 | 81 / 16 | $225.056,00 | 455 / 24 | $33.891,40 | 374 / 10 | $33.134,70 | 374 / 14 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 12 | 62 / 14 | $142.756,00 | 257 / 11 | $19.560,80 | 220 / 5 | $18.431,30 | 219 / 9 |
| Diabetes W Cc | 11 | 81 / 24 | $45.020,40 | 1488 / 78 | $8.033,18 | 1452 / 74 | $7.338,00 | 1447 / 88 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 14 | 67 / 15 | $1.303.100,00 | 442 / 28 | $193.618,00 | 433 / 25 | $192.003,00 | 432 / 25 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 28 | $58.763,10 | 1266 / 73 | $10.996,90 | 1288 / 76 | $10.197,20 | 1283 / 88 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 74 | $45.011,50 | 2587 / 158 | $7.337,11 | 2489 / 133 | $6.463,06 | 2474 / 152 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 15 | $224.861,00 | 666 / 29 | $37.100,30 | 571 / 16 | $35.896,40 | 571 / 16 |
| Extracranial Procedures W/O Cc/Mcc | 20 | 78 / 20 | $75.333,50 | 885 / 41 | $9.802,90 | 885 / 41 | $8.696,45 | 882 / 49 |
| G.I. Hemorrhage W Cc | 58 | 160 / 37 | $48.977,60 | 2143 / 110 | $10.578,10 | 2177 / 165 | $8.227,78 | 2173 / 129 |
| G.I. Hemorrhage W Mcc | 30 | 91 / 26 | $86.843,00 | 1489 / 95 | $14.908,80 | 1427 / 75 | $14.160,50 | 1417 / 83 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 18 | $31.146,60 | 826 / 26 | $9.618,91 | 884 / 65 | $5.642,18 | 880 / 44 |
| G.I. Obstruction W Cc | 20 | 72 / 32 | $47.651,10 | 1571 / 84 | $8.526,10 | 1605 / 93 | $7.580,60 | 1600 / 105 |
| Heart Failure & Shock W Cc | 63 | 215 / 42 | $49.550,70 | 2535 / 141 | $9.241,52 | 2522 / 137 | $8.473,38 | 2516 / 155 |
| Heart Failure & Shock W Mcc | 114 | 170 / 24 | $73.117,80 | 2389 / 143 | $13.341,70 | 2379 / 135 | $12.620,60 | 2368 / 145 |
| Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 18 | $37.290,00 | 1856 / 71 | $6.786,89 | 1861 / 84 | $6.084,52 | 1848 / 94 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 49 | $102.254,00 | 1906 / 98 | $16.745,20 | 1876 / 98 | $15.851,90 | 1856 / 111 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 16 | $127.090,00 | 816 / 31 | $23.609,00 | 801 / 35 | $22.441,90 | 798 / 35 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 21 | $85.655,80 | 861 / 51 | $14.553,00 | 850 / 52 | $13.492,40 | 847 / 56 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 9 | $158.313,00 | 349 / 22 | $24.482,30 | 346 / 23 | $23.347,50 | 345 / 22 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 31 | $208.107,00 | 1293 / 54 | $42.714,90 | 1303 / 58 | $41.875,20 | 1293 / 65 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 38 | $52.719,30 | 1786 / 86 | $9.646,50 | 1855 / 104 | $8.595,71 | 1851 / 117 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 31 | 137 / 40 | $96.708,20 | 1489 / 100 | $15.996,50 | 1460 / 94 | $15.122,00 | 1453 / 106 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 35 | $43.201,10 | 1407 / 60 | $6.898,85 | 1392 / 61 | $5.765,15 | 1388 / 72 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 44 | $44.703,40 | 1604 / 70 | $10.076,40 | 1732 / 104 | $8.998,45 | 1728 / 106 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 86 | $41.051,40 | 2517 / 153 | $9.476,91 | 2383 / 194 | $6.088,74 | 2372 / 123 |
| Major Cardiovasc Procedures W Mcc | 19 | 49 / 11 | $279.277,00 | 603 / 29 | $45.901,10 | 558 / 27 | $45.057,60 | 557 / 30 |
| Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 24 | $155.419,00 | 893 / 32 | $29.183,70 | 908 / 41 | $28.162,60 | 907 / 42 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 20 | $202.470,00 | 902 / 47 | $28.430,80 | 855 / 42 | $27.307,50 | 851 / 43 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 113 | 451 / 80 | $94.099,80 | 2401 / 139 | $18.390,10 | 2476 / 138 | $17.170,90 | 2430 / 174 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 37 | $113.093,00 | 1309 / 42 | $21.445,70 | 1378 / 55 | $20.443,40 | 1364 / 71 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 29 | $217.611,00 | 1094 / 36 | $38.955,60 | 1012 / 21 | $37.927,00 | 1010 / 25 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 19 | $81.373,60 | 679 / 20 | $16.117,60 | 638 / 33 | $11.870,80 | 638 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 41 | $46.295,30 | 1429 / 70 | $10.296,60 | 1519 / 92 | $9.585,44 | 1516 / 100 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 47 | $41.268,70 | 2398 / 146 | $6.867,76 | 2259 / 121 | $5.877,91 | 2251 / 125 |
| Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 14 | $66.417,50 | 449 / 28 | $9.302,00 | 430 / 19 | $8.536,92 | 430 / 24 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 37 | $104.370,00 | 1293 / 90 | $16.731,60 | 1212 / 70 | $16.085,40 | 1204 / 77 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 31 | $43.813,80 | 1189 / 60 | $9.161,64 | 1277 / 85 | $8.248,36 | 1273 / 95 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 16 | $38.680,00 | 481 / 16 | $8.289,64 | 522 / 30 | $7.165,00 | 521 / 29 |
| Other Disorders Of Nervous System W Mcc | 22 | 18 / 3 | $80.359,60 | 287 / 20 | $14.132,50 | 273 / 17 | $13.356,10 | 273 / 20 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 26 | $73.310,10 | 970 / 41 | $13.551,20 | 952 / 39 | $12.858,10 | 948 / 47 |
| Other Vascular Procedures W Cc | 25 | 77 / 19 | $128.377,00 | 1005 / 39 | $22.398,30 | 1023 / 41 | $21.416,80 | 1018 / 46 |
| Other Vascular Procedures W Mcc | 12 | 85 / 30 | $162.370,00 | 911 / 56 | $26.861,10 | 810 / 36 | $25.973,10 | 807 / 40 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 66 | 35 / 3 | $178.190,00 | 909 / 51 | $28.141,50 | 921 / 55 | $27.290,50 | 916 / 61 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 103 | 93 / 6 | $118.124,00 | 1309 / 68 | $18.907,30 | 1354 / 78 | $16.305,00 | 1347 / 79 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 23 | 22 / 1 | $200.085,00 | 267 / 5 | $29.158,70 | 261 / 6 | $28.257,30 | 260 / 6 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 7 | $125.001,00 | 533 / 14 | $16.116,30 | 521 / 12 | $14.882,00 | 519 / 13 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 21 | 74 / 11 | $112.513,00 | 506 / 20 | $17.318,00 | 526 / 24 | $16.427,40 | 522 / 29 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 22 | $36.522,50 | 947 / 26 | $8.860,00 | 1063 / 54 | $7.730,73 | 1060 / 51 |
| Permanent Cardiac Pacemaker Implant W Cc | 30 | 47 / 5 | $93.205,80 | 725 / 26 | $21.695,60 | 858 / 39 | $20.984,00 | 854 / 51 |
| Permanent Cardiac Pacemaker Implant W Mcc | 22 | 30 / 4 | $191.166,00 | 565 / 31 | $32.591,50 | 552 / 35 | $31.589,20 | 552 / 36 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 33 | 24 / 2 | $85.637,10 | 606 / 20 | $18.727,90 | 668 / 37 | $17.758,30 | 667 / 42 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 11 | 27 / 5 | $75.711,30 | 130 / 2 | $16.969,20 | 96 / 3 | $13.226,50 | 96 / 3 |
| Pulmonary Edema & Respiratory Failure | 76 | 127 / 17 | $58.596,60 | 1904 / 63 | $11.214,10 | 2024 / 100 | $10.370,60 | 2018 / 116 |
| Pulmonary Embolism W Mcc | 11 | 32 / 9 | $99.330,00 | 563 / 22 | $13.198,20 | 521 / 19 | $12.241,70 | 520 / 20 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 18 | $58.619,20 | 939 / 46 | $11.455,10 | 965 / 51 | $10.765,90 | 961 / 54 |
| Red Blood Cell Disorders W/O Mcc | 17 | 126 / 39 | $43.669,60 | 1826 / 104 | $7.816,06 | 1786 / 95 | $6.854,88 | 1777 / 97 |
| Renal Failure W Cc | 37 | 184 / 51 | $47.221,00 | 2208 / 115 | $8.952,05 | 2212 / 117 | $8.162,46 | 2202 / 137 |
| Renal Failure W Mcc | 37 | 158 / 50 | $91.539,50 | 2076 / 147 | $14.573,90 | 1987 / 127 | $13.645,10 | 1983 / 139 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 58 | $89.442,00 | 1584 / 77 | $16.065,00 | 1604 / 74 | $15.387,80 | 1588 / 83 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 24 | $151.307,00 | 1775 / 100 | $20.091,60 | 1616 / 66 | $19.100,30 | 1602 / 72 |
| Seizures W/O Mcc | 38 | 70 / 9 | $53.347,30 | 1255 / 73 | $7.753,71 | 1164 / 63 | $6.690,13 | 1162 / 67 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 298 | 220 / 39 | $79.744,90 | 2429 / 139 | $15.955,60 | 2486 / 144 | $15.107,20 | 2442 / 154 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 82 | 125 / 38 | $51.806,90 | 2295 / 159 | $9.745,20 | 2306 / 147 | $8.677,28 | 2297 / 160 |
| Simple Pneumonia & Pleurisy W Cc | 27 | 176 / 63 | $53.468,20 | 2617 / 153 | $8.791,74 | 2519 / 118 | $7.802,59 | 2510 / 134 |
| Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 55 | $59.241,90 | 2089 / 76 | $12.412,10 | 2214 / 103 | $11.427,80 | 2208 / 109 |
| Spinal Fusion Except Cervical W/O Mcc | 46 | 148 / 23 | $218.242,00 | 1308 / 75 | $33.785,70 | 1247 / 52 | $32.641,50 | 1242 / 63 |
| Syncope & Collapse | 16 | 153 / 51 | $51.319,30 | 1844 / 121 | $7.217,88 | 1733 / 100 | $6.335,12 | 1725 / 108 |
| Transient Ischemia | 18 | 107 / 38 | $40.617,30 | 1452 / 77 | $6.961,72 | 1516 / 90 | $5.999,00 | 1508 / 105 | Total 92 procedures | 2.926 | 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.