Hospital Costs > In California > Methodist Hospital Of Sacramento, 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 | 329 | 244 / 21 | $77.545,10 | 2157 / 87 | $18.912,70 | 2454 / 156 | $16.874,00 | 2408 / 165 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 271 | 247 / 49 | $95.957,70 | 2603 / 190 | $18.146,30 | 2651 / 200 | $17.107,10 | 2606 / 206 |
Heart Failure & Shock W Mcc | 89 | 195 / 42 | $69.728,90 | 2340 / 129 | $14.707,30 | 2476 / 172 | $13.900,00 | 2465 / 178 |
Pulmonary Edema & Respiratory Failure | 75 | 128 / 18 | $56.401,60 | 1868 / 58 | $12.594,30 | 2132 / 136 | $11.823,40 | 2126 / 145 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 63 | 144 / 53 | $63.627,30 | 2447 / 199 | $11.128,50 | 2454 / 198 | $9.966,10 | 2444 / 203 |
G.I. Hemorrhage W Cc | 43 | 175 / 51 | $54.776,30 | 2248 / 134 | $11.365,00 | 2309 / 176 | $9.497,74 | 2305 / 167 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 37 | $57.601,60 | 1837 / 100 | $11.016,40 | 1974 / 148 | $10.037,70 | 1970 / 155 |
Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 52 | $51.810,60 | 2584 / 144 | $10.239,50 | 2672 / 172 | $9.001,18 | 2663 / 173 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 16 | $80.923,70 | 1560 / 77 | $14.438,30 | 1544 / 74 | $13.363,30 | 1531 / 76 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 45 | $48.933,60 | 2487 / 174 | $8.119,71 | 2424 / 164 | $7.092,03 | 2415 / 167 |
Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 78 | $41.701,30 | 2526 / 155 | $8.625,10 | 2595 / 179 | $7.594,52 | 2584 / 181 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 30 | 138 / 41 | $74.698,00 | 1319 / 61 | $15.735,60 | 1436 / 90 | $14.627,60 | 1429 / 97 |
Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 62 | $73.361,90 | 2278 / 123 | $13.932,50 | 2375 / 154 | $13.035,10 | 2369 / 162 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 38 | $203.980,00 | 1277 / 52 | $46.482,40 | 1365 / 84 | $44.218,50 | 1355 / 78 |
Diabetes W Cc | 28 | 64 / 8 | $50.475,60 | 1538 / 92 | $9.190,07 | 1522 / 99 | $8.235,11 | 1517 / 103 |
Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 46 | $44.981,60 | 2165 / 106 | $9.948,96 | 2345 / 158 | $9.094,93 | 2338 / 164 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 83 | $55.329,10 | 2682 / 196 | $8.497,07 | 2608 / 179 | $7.531,37 | 2593 / 186 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 26 | $130.381,00 | 1714 / 81 | $20.752,70 | 1673 / 80 | $20.045,90 | 1659 / 90 |
Transient Ischemia | 26 | 99 / 30 | $43.771,00 | 1500 / 92 | $8.034,65 | 1593 / 117 | $6.909,23 | 1585 / 120 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 34 | $59.868,40 | 1597 / 112 | $11.707,00 | 1623 / 128 | $10.863,60 | 1620 / 131 |
Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 42 | $55.222,30 | 1751 / 110 | $11.337,30 | 1841 / 142 | $10.197,00 | 1837 / 142 |
Heart Failure & Shock W Cc | 23 | 255 / 77 | $52.183,60 | 2580 / 154 | $10.738,10 | 2626 / 185 | $9.519,43 | 2620 / 187 |
Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 67 | $53.835,00 | 2259 / 102 | $11.698,00 | 2434 / 156 | $10.593,10 | 2426 / 163 |
G.I. Hemorrhage W Mcc | 21 | 100 / 35 | $89.421,10 | 1509 / 100 | $17.274,90 | 1560 / 123 | $16.260,70 | 1550 / 126 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 27 | $49.585,70 | 1491 / 84 | $8.498,90 | 1513 / 106 | $6.981,10 | 1509 / 105 |
Renal Failure W Cc | 21 | 200 / 67 | $49.584,00 | 2249 / 129 | $10.395,00 | 2337 / 167 | $9.365,29 | 2327 / 171 |
Cellulitis W/O Mcc | 20 | 169 / 66 | $44.588,70 | 2496 / 162 | $9.305,60 | 2530 / 177 | $8.476,45 | 2522 / 189 |
Seizures W/O Mcc | 19 | 89 / 23 | $55.178,10 | 1267 / 77 | $8.519,84 | 1223 / 78 | $7.472,74 | 1221 / 79 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 48 | $44.369,90 | 1983 / 112 | $9.797,83 | 2041 / 161 | $7.440,78 | 2036 / 149 |
G.I. Obstruction W Cc | 17 | 75 / 35 | $48.442,90 | 1581 / 87 | $10.550,80 | 1645 / 126 | $8.099,88 | 1640 / 117 |
Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 18 | $88.972,60 | 933 / 63 | $14.319,20 | 902 / 58 | $13.216,60 | 899 / 65 |
Syncope & Collapse | 16 | 153 / 51 | $57.757,80 | 1894 / 142 | $8.275,75 | 1828 / 133 | $7.354,00 | 1820 / 136 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 39 | $344.912,00 | 1038 / 110 | $55.362,60 | 1008 / 106 | $54.225,90 | 1007 / 111 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 51 | $96.197,30 | 1860 / 85 | $18.809,70 | 1958 / 131 | $17.498,50 | 1938 / 133 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 41 | $43.651,90 | 1824 / 103 | $8.960,87 | 1889 / 129 | $7.900,67 | 1880 / 128 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 30 | $32.891,30 | 1687 / 50 | $7.924,93 | 1902 / 114 | $6.813,93 | 1894 / 120 |
Other Disorders Of Nervous System W Cc | 15 | 41 / 12 | $80.284,30 | 614 / 49 | $9.669,13 | 591 / 44 | $8.511,40 | 590 / 46 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 39 | $63.639,20 | 1727 / 93 | $12.554,70 | 1818 / 121 | $11.577,90 | 1815 / 126 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 32 | $41.718,40 | 1977 / 91 | $8.074,93 | 2027 / 115 | $7.111,29 | 2015 / 115 |
O.R. Procedures For Obesity W/O Cc/Mcc | 14 | 63 / 14 | $66.698,20 | 345 / 11 | $15.638,60 | 397 / 17 | $14.378,70 | 396 / 18 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 35 | $44.018,90 | 1943 / 123 | $6.885,36 | 1872 / 123 | $5.121,93 | 1866 / 116 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $69.368,80 | 1358 / 95 | $14.630,00 | 1333 / 122 | $10.906,30 | 1328 / 102 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 21 | $56.913,00 | 528 / 40 | $10.084,30 | 526 / 40 | $9.510,15 | 526 / 44 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 60 | $110.504,00 | 1701 / 106 | $19.113,10 | 1744 / 127 | $18.080,80 | 1728 / 131 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 21 | $45.976,20 | 1102 / 49 | $9.960,17 | 1175 / 73 | $9.166,42 | 1172 / 80 |
Signs & Symptoms W/O Mcc | 12 | 79 / 26 | $48.025,40 | 1298 / 72 | $7.886,33 | 1262 / 74 | $7.195,58 | 1259 / 77 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 24 | $126.114,00 | 546 / 59 | $19.514,40 | 516 / 53 | $18.570,40 | 516 / 56 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 38 | $161.400,00 | 1384 / 127 | $23.755,20 | 1370 / 120 | $22.701,20 | 1362 / 128 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 34 | $42.153,10 | 1926 / 95 | $7.725,09 | 1915 / 109 | $6.647,82 | 1902 / 107 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 28 | $66.322,20 | 845 / 45 | $8.178,91 | 788 / 34 | $7.288,82 | 787 / 35 |
Organic Disturbances & Mental Retardation | 11 | 48 / 13 | $54.646,00 | 519 / 21 | $10.407,10 | 503 / 19 | $9.511,45 | 503 / 20 |
Seizures W Mcc | 11 | 55 / 19 | $78.777,30 | 670 / 37 | $14.942,50 | 664 / 36 | $13.745,10 | 664 / 38 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 15 | $73.831,90 | 531 / 34 | $12.630,40 | 568 / 43 | $11.328,60 | 567 / 45 |
Chest Pain | 11 | 140 / 61 | $47.390,80 | 1669 / 133 | $7.205,45 | 1595 / 116 | $6.166,27 | 1586 / 120 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 25 | $50.610,90 | 1189 / 45 | $10.975,20 | 1367 / 86 | $9.890,27 | 1365 / 91 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 20 | $48.458,10 | 805 / 28 | $12.828,30 | 1029 / 66 | $11.993,00 | 1025 / 69 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 37 | $68.685,30 | 949 / 37 | $14.366,90 | 1000 / 53 | $13.801,50 | 996 / 60 | Total 57 procedures | 1.855 | 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.