Hospital Costs > In California > Mercy Medical Center Merced, 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 | 354 | 169 / 21 | $92.259,50 | 2570 / 179 | $17.395,10 | 2587 / 184 | $16.073,10 | 2542 / 185 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 259 | 306 / 32 | $78.503,00 | 2178 / 90 | $18.489,90 | 2409 / 144 | $16.290,00 | 2363 / 149 |
Simple Pneumonia & Pleurisy W Mcc | 133 | 72 / 5 | $72.802,40 | 2269 / 118 | $13.389,20 | 2305 / 138 | $12.277,10 | 2299 / 131 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 123 | 84 / 14 | $50.987,20 | 2282 / 153 | $9.940,85 | 2334 / 162 | $8.847,42 | 2324 / 168 |
Heart Failure & Shock W Mcc | 117 | 167 / 22 | $59.122,10 | 2182 / 91 | $14.227,60 | 2338 / 161 | $12.194,60 | 2328 / 128 |
Simple Pneumonia & Pleurisy W Cc | 104 | 99 / 7 | $47.458,50 | 2508 / 123 | $9.017,29 | 2526 / 125 | $7.884,14 | 2517 / 137 |
Pulmonary Edema & Respiratory Failure | 97 | 106 / 8 | $65.898,50 | 2004 / 90 | $11.067,40 | 1998 / 94 | $10.150,20 | 1992 / 106 |
Chronic Obstructive Pulmonary Disease W Mcc | 88 | 114 / 11 | $49.555,50 | 2172 / 78 | $10.451,30 | 2301 / 118 | $9.416,77 | 2293 / 121 |
Renal Failure W Cc | 88 | 133 / 13 | $47.611,00 | 2211 / 116 | $8.972,08 | 2168 / 119 | $7.837,16 | 2158 / 122 |
Respiratory Infections & Inflammations W Mcc | 63 | 73 / 17 | $98.475,50 | 1641 / 89 | $17.969,20 | 1686 / 113 | $16.778,60 | 1670 / 112 |
Kidney & Urinary Tract Infections W/O Mcc | 60 | 173 / 51 | $32.348,40 | 2291 / 86 | $7.485,52 | 2456 / 136 | $6.432,57 | 2445 / 141 |
Heart Failure & Shock W Cc | 56 | 222 / 48 | $50.371,40 | 2556 / 145 | $9.943,00 | 2471 / 166 | $8.102,71 | 2465 / 136 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 57 | $32.910,30 | 2275 / 87 | $7.355,53 | 2421 / 134 | $6.034,00 | 2406 / 134 |
Chronic Obstructive Pulmonary Disease W Cc | 50 | 129 / 23 | $40.860,10 | 2087 / 81 | $8.709,28 | 2196 / 113 | $7.627,02 | 2189 / 119 |
G.I. Hemorrhage W Cc | 49 | 169 / 45 | $41.844,90 | 2003 / 81 | $9.448,22 | 2118 / 129 | $7.839,65 | 2114 / 109 |
Cellulitis W/O Mcc | 48 | 141 / 38 | $36.338,60 | 2329 / 118 | $8.026,21 | 2352 / 132 | $6.788,31 | 2344 / 135 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 48 | 134 / 30 | $65.549,00 | 1944 / 123 | $9.880,69 | 1850 / 114 | $8.553,52 | 1846 / 115 |
Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 25 | $86.523,50 | 1782 / 66 | $16.521,90 | 1821 / 94 | $15.170,30 | 1802 / 96 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 37 | $35.662,70 | 2274 / 112 | $7.352,81 | 2199 / 138 | $5.542,86 | 2191 / 112 |
Spinal Fusion Except Cervical W/O Mcc | 41 | 153 / 27 | $139.353,00 | 1058 / 29 | $33.544,90 | 1239 / 50 | $32.284,60 | 1234 / 60 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 39 | 85 / 27 | $226.728,00 | 1350 / 62 | $47.903,20 | 1347 / 93 | $43.559,90 | 1337 / 75 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 30 | $36.013,20 | 1828 / 67 | $7.508,47 | 1913 / 109 | $6.352,08 | 1908 / 111 |
Renal Failure W Mcc | 34 | 161 / 53 | $84.741,00 | 2026 / 131 | $14.828,00 | 1984 / 130 | $13.592,30 | 1980 / 137 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 19 | $72.651,30 | 1487 / 57 | $13.654,80 | 1472 / 49 | $12.598,20 | 1460 / 48 |
Respiratory Infections & Inflammations W Cc | 31 | 57 / 18 | $69.402,00 | 1333 / 72 | $12.360,50 | 1349 / 83 | $11.133,60 | 1344 / 81 |
Diabetes W Cc | 31 | 61 / 7 | $51.824,70 | 1544 / 94 | $8.227,00 | 1456 / 78 | $7.380,65 | 1451 / 89 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 23 | $119.689,00 | 1676 / 73 | $20.152,40 | 1596 / 67 | $18.846,70 | 1582 / 66 |
G.I. Hemorrhage W Mcc | 27 | 94 / 29 | $62.816,80 | 1239 / 46 | $14.923,70 | 1396 / 76 | $13.805,90 | 1386 / 76 |
Peripheral Vascular Disorders W Cc | 25 | 59 / 8 | $43.633,10 | 1070 / 46 | $9.000,12 | 1077 / 57 | $7.904,00 | 1074 / 55 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 30 | $40.166,20 | 1333 / 24 | $10.856,10 | 1705 / 86 | $9.952,62 | 1702 / 93 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 24 | 32 / 6 | $80.680,10 | 734 / 28 | $14.990,50 | 792 / 54 | $12.529,20 | 788 / 43 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 33 | $39.763,00 | 1757 / 88 | $7.778,26 | 1783 / 93 | $6.840,87 | 1774 / 96 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 25 | $50.258,40 | 1496 / 85 | $7.425,17 | 1438 / 78 | $6.103,00 | 1434 / 85 |
Transient Ischemia | 23 | 102 / 33 | $48.752,00 | 1558 / 105 | $6.975,57 | 1473 / 91 | $5.626,00 | 1465 / 89 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 24 | $34.736,50 | 1729 / 59 | $6.987,57 | 1817 / 86 | $5.845,43 | 1809 / 97 |
Other Circulatory System Diagnoses W Mcc | 21 | 95 / 29 | $114.796,00 | 1323 / 103 | $18.191,20 | 1243 / 88 | $16.900,80 | 1235 / 86 |
Cellulitis W Mcc | 20 | 38 / 14 | $66.320,20 | 852 / 54 | $12.849,80 | 839 / 54 | $11.552,50 | 837 / 53 |
G.I. Obstruction W Cc | 20 | 72 / 32 | $40.586,90 | 1465 / 57 | $8.468,80 | 1582 / 91 | $7.283,85 | 1577 / 99 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 20 | 72 / 35 | $246.548,00 | 884 / 59 | $49.602,70 | 925 / 79 | $48.197,10 | 924 / 85 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 14 | $73.344,80 | 810 / 32 | $14.073,30 | 829 / 45 | $12.885,30 | 826 / 50 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 26 | $33.772,40 | 1814 / 51 | $7.235,65 | 1851 / 89 | $5.606,15 | 1840 / 72 |
Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 48 | $50.830,30 | 1695 / 94 | $10.200,40 | 1729 / 108 | $8.949,61 | 1725 / 103 |
Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 18 | $38.184,10 | 991 / 17 | $8.418,00 | 1149 / 30 | $7.345,11 | 1147 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 53 | $100.658,00 | 1510 / 108 | $16.067,10 | 1440 / 95 | $14.660,70 | 1433 / 100 |
Diabetes W Mcc | 17 | 40 / 11 | $62.436,10 | 653 / 25 | $12.166,80 | 640 / 26 | $11.378,10 | 639 / 30 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 31 | $78.163,40 | 1002 / 52 | $13.550,60 | 927 / 38 | $12.489,60 | 923 / 37 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 16 | $48.140,80 | 992 / 44 | $8.322,00 | 947 / 46 | $7.024,59 | 943 / 50 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 16 | 54 / 18 | $38.402,10 | 462 / 22 | $8.749,00 | 453 / 26 | $7.747,62 | 453 / 27 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 39 | $130.350,00 | 1391 / 63 | $21.939,90 | 1388 / 62 | $20.528,90 | 1374 / 76 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 13 | $34.550,80 | 867 / 34 | $6.858,25 | 896 / 41 | $5.813,62 | 892 / 46 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 16 | 20 / 7 | $107.181,00 | 309 / 11 | $20.334,40 | 299 / 16 | $18.872,70 | 298 / 14 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 43 | $60.222,10 | 1600 / 113 | $10.298,60 | 1431 / 93 | $8.920,94 | 1428 / 80 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 13 | $117.431,00 | 783 / 23 | $23.500,30 | 783 / 33 | $22.002,50 | 780 / 28 |
G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 26 | $28.858,70 | 1097 / 38 | $8.256,20 | 1118 / 95 | $4.390,87 | 1115 / 54 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 16 | $49.844,30 | 829 / 31 | $11.261,10 | 948 / 45 | $10.399,40 | 944 / 49 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 34 | $25.645,00 | 1645 / 45 | $5.761,93 | 1792 / 86 | $4.551,80 | 1786 / 94 |
Nontraumatic Stupor & Coma W/O Mcc | 15 | 4 / 1 | $48.928,60 | 18 / 4 | $7.332,20 | 12 / 2 | $6.360,20 | 12 / 2 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 14 | 39 / 9 | $41.390,40 | 744 / 19 | $7.262,86 | 786 / 27 | $6.281,79 | 782 / 31 |
Complications Of Treatment W Mcc | 13 | 38 / 10 | $46.325,60 | 154 / 3 | $14.903,00 | 220 / 7 | $14.125,40 | 220 / 10 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 32 | $34.221,20 | 1803 / 63 | $6.765,85 | 1761 / 83 | $5.405,62 | 1748 / 72 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $58.058,50 | 1254 / 70 | $10.925,00 | 1249 / 75 | $9.761,85 | 1244 / 76 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 13 | 56 / 19 | $110.666,00 | 445 / 18 | $22.895,60 | 458 / 18 | $21.512,50 | 457 / 23 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 27 | $172.273,00 | 928 / 14 | $40.264,50 | 1053 / 26 | $38.908,50 | 1051 / 31 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 19 | $43.112,70 | 635 / 31 | $8.416,83 | 631 / 28 | $7.286,00 | 631 / 27 |
Pulmonary Embolism W Mcc | 12 | 31 / 8 | $74.373,40 | 529 / 13 | $13.293,20 | 526 / 21 | $12.306,00 | 525 / 21 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 18 | $54.994,20 | 1194 / 51 | $9.274,67 | 1192 / 48 | $8.244,67 | 1189 / 64 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 27 | $35.310,90 | 600 / 10 | $8.652,75 | 702 / 26 | $7.893,00 | 702 / 33 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 10 | $67.718,90 | 514 / 17 | $13.740,20 | 435 / 34 | $9.946,17 | 435 / 14 |
Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 23 | $98.263,20 | 762 / 29 | $20.423,80 | 796 / 25 | $19.454,80 | 792 / 32 |
Seizures W/O Mcc | 11 | 97 / 31 | $52.329,50 | 1248 / 71 | $7.479,45 | 1116 / 53 | $6.268,91 | 1114 / 56 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 8 | $34.106,40 | 352 / 6 | $6.792,18 | 348 / 10 | $5.591,73 | 348 / 8 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 23 | $41.270,70 | 842 / 15 | $10.721,70 | 1011 / 50 | $9.705,27 | 1009 / 57 | Total 72 procedures | 2.906 | 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.