Hospital Costs > In California > Mercy Hospital Bakersfield, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 145 | 419 / 69 | $85.534,90 | 2301 / 108 | $16.262,60 | 2172 / 66 | $14.479,40 | 2128 / 74 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 106 | 410 / 124 | $79.249,10 | 2419 / 135 | $14.847,20 | 2251 / 96 | $13.386,30 | 2211 / 77 |
Renal Failure W Mcc | 52 | 143 / 35 | $57.984,50 | 1725 / 70 | $11.854,80 | 1516 / 39 | $10.362,70 | 1515 / 24 |
Hip & Femur Procedures Except Major Joint W Cc | 46 | 97 / 23 | $74.473,80 | 1625 / 40 | $14.748,80 | 1540 / 40 | $12.998,10 | 1522 / 30 |
Cellulitis W/O Mcc | 45 | 144 / 41 | $29.300,50 | 2097 / 65 | $7.139,51 | 2099 / 75 | $5.801,07 | 2091 / 63 |
Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 46 | $41.596,30 | 2372 / 83 | $8.123,77 | 2298 / 77 | $6.882,59 | 2290 / 73 |
Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 47 | $69.569,40 | 2231 / 105 | $12.317,90 | 2150 / 97 | $10.946,50 | 2145 / 89 |
Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 66 | $34.549,20 | 2361 / 101 | $6.405,23 | 2184 / 67 | $5.421,42 | 2173 / 66 |
Respiratory Infections & Inflammations W Mcc | 38 | 98 / 35 | $71.390,30 | 1416 / 46 | $14.277,60 | 1376 / 28 | $13.426,20 | 1361 / 30 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 19 | $98.337,10 | 1502 / 39 | $20.065,00 | 1444 / 65 | $16.905,10 | 1430 / 32 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 76 | $32.485,50 | 2260 / 86 | $6.334,82 | 2259 / 69 | $5.410,59 | 2244 / 92 |
Renal Failure W Cc | 33 | 188 / 55 | $41.927,50 | 2095 / 87 | $7.666,52 | 1985 / 51 | $6.934,39 | 1975 / 66 |
Heart Failure & Shock W Mcc | 31 | 253 / 91 | $62.130,10 | 2227 / 98 | $11.362,40 | 2041 / 48 | $10.544,90 | 2032 / 54 |
Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 59 | $40.476,30 | 1937 / 40 | $9.847,71 | 1995 / 83 | $7.953,42 | 1987 / 44 |
G.I. Hemorrhage W Cc | 29 | 189 / 62 | $46.097,60 | 2094 / 99 | $8.136,76 | 1941 / 54 | $7.062,34 | 1937 / 54 |
Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 38 | $40.981,00 | 1529 / 55 | $8.813,14 | 1539 / 45 | $7.776,57 | 1535 / 48 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 47 | $48.584,40 | 1708 / 68 | $8.506,41 | 1578 / 45 | $7.135,78 | 1575 / 42 |
G.I. Obstruction W Cc | 26 | 66 / 26 | $45.365,60 | 1543 / 72 | $7.453,77 | 1484 / 51 | $6.663,62 | 1479 / 74 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 9 | $234.374,00 | 835 / 36 | $39.669,80 | 757 / 26 | $38.850,50 | 756 / 30 |
Pulmonary Edema & Respiratory Failure | 24 | 179 / 51 | $58.962,00 | 1912 / 66 | $10.148,00 | 1907 / 55 | $9.442,71 | 1901 / 68 |
G.I. Hemorrhage W Mcc | 23 | 98 / 33 | $68.709,60 | 1325 / 65 | $13.229,70 | 1253 / 29 | $12.600,80 | 1245 / 42 |
Heart Failure & Shock W Cc | 22 | 256 / 78 | $46.435,60 | 2495 / 130 | $8.204,91 | 2319 / 83 | $7.381,64 | 2313 / 95 |
Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 20 | $270.652,00 | 1196 / 55 | $45.562,60 | 1173 / 53 | $44.462,60 | 1170 / 57 |
Diabetes W Mcc | 19 | 38 / 9 | $59.128,40 | 629 / 22 | $12.135,40 | 419 / 25 | $8.799,42 | 419 / 5 |
Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 54 | $35.380,60 | 1927 / 51 | $7.688,47 | 1995 / 61 | $6.667,84 | 1988 / 58 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 52 | $71.834,80 | 1281 / 53 | $13.112,80 | 1197 / 30 | $12.097,20 | 1191 / 37 |
Extracranial Procedures W/O Cc/Mcc | 19 | 79 / 21 | $75.216,60 | 883 / 40 | $8.454,26 | 801 / 18 | $7.433,63 | 798 / 25 |
Diabetes W Cc | 19 | 73 / 16 | $38.813,70 | 1378 / 50 | $6.917,37 | 1336 / 31 | $6.407,05 | 1331 / 58 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 48 | $245.686,00 | 1409 / 73 | $45.080,10 | 1370 / 73 | $44.337,10 | 1360 / 80 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 24 | $51.706,50 | 1285 / 85 | $7.890,06 | 1170 / 36 | $7.221,61 | 1166 / 63 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 62 | $34.548,90 | 2250 / 104 | $6.047,00 | 2089 / 73 | $5.124,65 | 2081 / 80 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 42 | $47.058,00 | 1443 / 75 | $9.165,53 | 1349 / 55 | $8.382,41 | 1346 / 62 |
Other Disorders Of Nervous System W Cc | 17 | 39 / 10 | $46.713,90 | 534 / 27 | $7.343,12 | 467 / 14 | $6.492,29 | 467 / 16 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 19 | $46.357,00 | 652 / 12 | $10.347,10 | 669 / 12 | $9.595,06 | 667 / 16 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 32 | $36.488,40 | 1274 / 34 | $6.487,38 | 1197 / 39 | $4.851,69 | 1193 / 31 |
Other Disorders Of Nervous System W Mcc | 15 | 25 / 8 | $59.257,30 | 241 / 8 | $12.021,70 | 227 / 8 | $11.458,50 | 227 / 12 |
Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 11 | $42.797,10 | 383 / 17 | $7.848,53 | 376 / 7 | $7.123,20 | 376 / 12 |
Chest Pain | 15 | 136 / 57 | $24.802,80 | 1200 / 35 | $5.356,80 | 1288 / 52 | $4.236,80 | 1281 / 53 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 19 | $53.590,90 | 638 / 9 | $13.412,80 | 663 / 36 | $10.356,80 | 660 / 11 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 40 | $280.169,00 | 963 / 77 | $46.693,30 | 878 / 64 | $45.967,90 | 877 / 72 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 38 | $49.219,90 | 1121 / 18 | $11.961,00 | 1197 / 14 | $11.019,30 | 1191 / 15 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 34 | $68.128,80 | 1323 / 70 | $11.056,80 | 1286 / 54 | $10.354,50 | 1281 / 61 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 22 | $98.380,40 | 500 / 46 | $15.313,10 | 414 / 31 | $14.449,10 | 414 / 35 |
Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 52 | $181.744,00 | 1227 / 57 | $29.255,40 | 1115 / 19 | $28.475,90 | 1110 / 38 |
Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 15 | $134.070,00 | 838 / 39 | $23.929,60 | 819 / 39 | $23.001,50 | 816 / 41 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 20 | $115.885,00 | 734 / 19 | $22.940,30 | 680 / 10 | $21.830,20 | 677 / 12 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 13 | $67.559,80 | 333 / 21 | $13.560,10 | 336 / 16 | $12.878,80 | 336 / 19 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 36 | $46.372,40 | 745 / 11 | $10.729,80 | 722 / 8 | $10.327,20 | 720 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 97 | $38.202,50 | 1973 / 82 | $8.608,67 | 2061 / 75 | $7.504,67 | 2053 / 78 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 34 | $37.342,80 | 1901 / 72 | $6.750,00 | 1631 / 70 | $4.724,83 | 1620 / 25 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $47.973,80 | 924 / 28 | $9.240,17 | 848 / 23 | $8.105,50 | 846 / 19 |
Seizures W/O Mcc | 11 | 97 / 31 | $27.678,10 | 876 / 18 | $6.873,09 | 848 / 40 | $4.878,82 | 845 / 11 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 39 | $69.340,90 | 1041 / 33 | $14.116,00 | 975 / 17 | $13.404,70 | 968 / 21 |
G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 18 | $27.479,70 | 761 / 19 | $8.080,18 | 427 / 58 | $3.610,45 | 423 / 7 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 30 | $27.887,50 | 1082 / 34 | $5.401,82 | 1123 / 39 | $4.412,73 | 1120 / 56 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 33 | $59.058,20 | 1271 / 75 | $9.783,18 | 1176 / 40 | $9.122,73 | 1171 / 52 | Total 56 procedures | 1.437 | 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.