Hospital Costs > In California > Mercy Hospital Of Folsom, 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 | 243 | 273 / 61 | $80.054,70 | 2434 / 141 | $14.732,20 | 2269 / 88 | $13.485,10 | 2229 / 82 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 140 | 424 / 71 | $99.902,80 | 2476 / 161 | $16.328,80 | 2239 / 71 | $14.904,20 | 2195 / 93 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 95 | 112 / 27 | $48.071,20 | 2224 / 135 | $8.327,96 | 1841 / 54 | $6.895,06 | 1833 / 47 |
Pulmonary Edema & Respiratory Failure | 70 | 133 / 20 | $67.169,10 | 2024 / 93 | $11.066,60 | 1940 / 93 | $9.629,46 | 1934 / 84 |
Heart Failure & Shock W Mcc | 47 | 237 / 78 | $64.229,30 | 2258 / 109 | $10.810,70 | 1887 / 27 | $9.992,34 | 1882 / 31 |
G.I. Hemorrhage W Cc | 40 | 178 / 54 | $49.829,10 | 2160 / 114 | $7.765,75 | 1889 / 36 | $6.888,15 | 1885 / 47 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 71 | $38.845,00 | 2449 / 130 | $5.704,33 | 1993 / 25 | $4.772,23 | 1979 / 33 |
Cellulitis W/O Mcc | 31 | 158 / 55 | $41.312,40 | 2439 / 149 | $7.773,10 | 1865 / 120 | $5.274,68 | 1857 / 27 |
Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 79 | $42.085,30 | 2531 / 157 | $5.811,57 | 2001 / 23 | $5.003,03 | 1990 / 33 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 30 | 131 / 36 | $44.544,00 | 1984 / 113 | $6.018,97 | 1494 / 22 | $4.973,63 | 1489 / 20 |
Heart Failure & Shock W Cc | 28 | 250 / 72 | $45.461,30 | 2470 / 119 | $7.482,71 | 2068 / 35 | $6.659,86 | 2063 / 42 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 49 | $67.618,50 | 1970 / 132 | $7.777,00 | 1437 / 16 | $6.664,68 | 1434 / 22 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 24 | $37.877,00 | 1898 / 104 | $4.262,20 | 1320 / 11 | $3.197,24 | 1315 / 17 |
Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 69 | $55.011,20 | 2017 / 59 | $10.794,80 | 1953 / 33 | $9.919,14 | 1953 / 41 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 57 | $37.330,10 | 2314 / 121 | $5.394,32 | 1827 / 24 | $4.514,32 | 1821 / 30 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 52 | $67.500,10 | 1382 / 40 | $14.343,70 | 1399 / 30 | $13.558,10 | 1384 / 34 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 72 | $37.397,00 | 2260 / 58 | $7.350,56 | 2114 / 32 | $6.413,67 | 2106 / 34 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 48 | $119.450,00 | 729 / 6 | $34.178,80 | 849 / 10 | $33.241,90 | 843 / 13 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 48 | $94.781,30 | 1845 / 80 | $14.831,70 | 1651 / 45 | $13.692,20 | 1632 / 46 |
G.I. Hemorrhage W Mcc | 17 | 104 / 39 | $72.280,30 | 1364 / 69 | $13.735,00 | 1350 / 48 | $13.255,90 | 1340 / 63 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 28 | $40.885,00 | 1906 / 89 | $5.120,47 | 1383 / 12 | $4.196,24 | 1372 / 17 |
Transient Ischemia | 17 | 108 / 39 | $40.495,00 | 1448 / 74 | $5.367,88 | 1094 / 16 | $4.230,94 | 1088 / 19 |
Renal Failure W Cc | 16 | 205 / 72 | $51.104,00 | 2266 / 138 | $7.263,00 | 1843 / 32 | $6.505,00 | 1833 / 36 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 38 | $60.211,20 | 1686 / 85 | $9.041,88 | 1318 / 16 | $7.983,88 | 1315 / 18 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 39 | $111.827,00 | 1620 / 65 | $16.866,50 | 1350 / 12 | $16.093,90 | 1337 / 16 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 16 | $101.110,00 | 810 / 47 | $14.230,30 | 810 / 41 | $13.105,70 | 806 / 50 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 35 | $59.218,60 | 871 / 22 | $11.270,80 | 797 / 13 | $10.810,50 | 794 / 21 |
Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 77 | $46.531,50 | 2110 / 62 | $8.465,92 | 1879 / 20 | $7.626,54 | 1871 / 27 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 10 | $133.604,00 | 334 / 17 | $22.102,20 | 331 / 19 | $20.992,80 | 330 / 19 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 19 | $39.161,20 | 850 / 41 | $5.474,50 | 640 / 14 | $4.370,50 | 640 / 14 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 30 | $45.064,40 | 1202 / 62 | $7.442,08 | 964 / 17 | $6.340,75 | 960 / 18 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 29 | $40.901,60 | 1240 / 71 | $4.669,50 | 868 / 14 | $3.562,83 | 865 / 16 |
Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 19 | $68.172,30 | 317 / 14 | $10.090,00 | 263 / 8 | $8.150,45 | 263 / 7 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 45 | $36.687,10 | 1707 / 71 | $6.163,64 | 1386 / 17 | $5.171,64 | 1377 / 17 |
G.I. Obstruction W Cc | 11 | 81 / 41 | $35.028,10 | 1343 / 40 | $6.831,00 | 1297 / 22 | $5.844,82 | 1292 / 26 |
Chest Pain | 11 | 140 / 61 | $41.941,30 | 1619 / 115 | $4.627,82 | 1103 / 12 | $3.749,27 | 1096 / 24 | Total 36 procedures | 1.190 | 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.