Hospital Costs > In California > Mills-Peninsula Medical Center, 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 | 14 | 77 / 22 | $34.007,50 | 880 / 13 | $8.470,43 | 1180 / 33 | $7.524,14 | 1178 / 43 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 28 | $53.650,00 | 1213 / 20 | $14.318,80 | 1552 / 69 | $13.512,10 | 1539 / 79 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 11 | 16 / 7 | $41.906,70 | 83 / 3 | $12.592,60 | 70 / 5 | $10.284,50 | 70 / 2 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 89 | 44 / 4 | $30.550,10 | 700 / 18 | $5.973,85 | 512 / 14 | $4.499,22 | 511 / 8 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 30 | $62.805,90 | 685 / 36 | $10.188,50 | 593 / 39 | $7.238,13 | 592 / 28 |
| Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 15 | $41.844,10 | 917 / 32 | $7.140,61 | 835 / 19 | $6.137,94 | 831 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 41 | 120 / 25 | $34.317,30 | 1787 / 58 | $6.475,98 | 1681 / 46 | $5.417,63 | 1676 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 32 | $47.506,30 | 1489 / 43 | $10.224,00 | 1620 / 65 | $9.345,45 | 1617 / 72 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 33 | $30.957,00 | 1778 / 72 | $7.615,25 | 1236 / 130 | $3.073,50 | 1231 / 14 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 13 | 105 / 26 | $204.910,00 | 418 / 9 | $52.348,60 | 418 / 29 | $38.657,20 | 418 / 8 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 16 | 100 / 21 | $276.629,00 | 367 / 9 | $70.017,50 | 429 / 16 | $68.955,50 | 429 / 20 |
| Cellulitis W Mcc | 12 | 46 / 22 | $64.625,80 | 839 / 53 | $12.305,40 | 827 / 45 | $11.398,70 | 825 / 51 |
| Cellulitis W/O Mcc | 46 | 143 / 40 | $38.299,30 | 2372 / 131 | $6.699,91 | 2068 / 37 | $5.731,33 | 2060 / 55 |
| Chest Pain | 16 | 135 / 56 | $29.845,80 | 1381 / 64 | $4.932,19 | 1252 / 22 | $4.144,19 | 1245 / 44 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 43 | $46.956,50 | 2200 / 114 | $7.572,53 | 2020 / 50 | $6.769,33 | 2013 / 68 |
| Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 52 | $51.357,10 | 2212 / 91 | $9.941,74 | 2240 / 90 | $9.019,61 | 2232 / 97 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 35 | $32.239,20 | 1769 / 40 | $5.863,91 | 1649 / 24 | $4.773,00 | 1638 / 31 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 41 | $60.168,10 | 1388 / 57 | $10.105,50 | 1313 / 69 | $7.546,85 | 1310 / 38 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 18 | $59.417,80 | 822 / 42 | $9.587,00 | 748 / 32 | $8.485,67 | 748 / 33 |
| Diabetes W Cc | 16 | 76 / 19 | $22.487,10 | 852 / 6 | $6.365,88 | 1118 / 12 | $5.455,88 | 1114 / 15 |
| Dysequilibrium | 11 | 54 / 16 | $32.665,50 | 442 / 11 | $5.095,91 | 367 / 7 | $3.996,27 | 367 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 19 | $39.669,40 | 935 / 23 | $9.782,00 | 1157 / 39 | $9.012,72 | 1152 / 48 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 61 | 214 / 50 | $30.782,70 | 2203 / 78 | $6.345,66 | 2099 / 71 | $4.994,79 | 2085 / 51 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 16 | $121.485,00 | 348 / 2 | $34.995,90 | 527 / 7 | $34.223,30 | 527 / 9 |
| Extracranial Procedures W Cc | 13 | 33 / 6 | $73.768,80 | 324 / 7 | $13.563,70 | 346 / 8 | $12.552,00 | 346 / 9 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 24 | $58.584,80 | 832 / 28 | $10.113,90 | 774 / 45 | $7.155,75 | 771 / 21 |
| Fractures Of Hip & Pelvis W/O Mcc | 33 | 28 / 4 | $29.641,10 | 743 / 23 | $5.781,30 | 711 / 24 | $4.684,58 | 710 / 22 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 17 | 45 / 14 | $42.328,80 | 747 / 38 | $6.084,18 | 576 / 16 | $4.949,12 | 574 / 19 |
| G.I. Hemorrhage W Cc | 58 | 160 / 37 | $43.536,30 | 2038 / 86 | $8.909,97 | 2001 / 104 | $7.268,22 | 1997 / 72 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 31 | $64.778,80 | 1262 / 51 | $15.958,90 | 1499 / 100 | $15.185,80 | 1489 / 106 |
| G.I. Obstruction W Cc | 22 | 70 / 30 | $30.246,90 | 1209 / 21 | $7.202,91 | 1328 / 43 | $5.973,73 | 1323 / 31 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 22 | $25.872,10 | 1026 / 25 | $4.914,63 | 959 / 22 | $3.836,74 | 956 / 26 |
| Heart Failure & Shock W Cc | 69 | 209 / 37 | $38.625,90 | 2283 / 79 | $8.050,91 | 2251 / 74 | $7.141,93 | 2245 / 78 |
| Heart Failure & Shock W Mcc | 92 | 192 / 40 | $55.546,30 | 2118 / 76 | $12.975,20 | 2183 / 122 | $11.156,90 | 2173 / 85 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 30 | $25.019,70 | 1558 / 27 | $5.448,87 | 1535 / 20 | $4.559,27 | 1522 / 30 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 24 | $87.977,60 | 1797 / 70 | $15.964,70 | 1795 / 77 | $14.923,20 | 1776 / 88 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 15 | $147.270,00 | 874 / 45 | $32.013,10 | 938 / 69 | $30.991,50 | 935 / 71 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 11 | $75.628,30 | 234 / 3 | $20.244,40 | 307 / 15 | $19.150,50 | 306 / 16 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 39 | $245.725,00 | 1410 / 74 | $56.787,10 | 1545 / 129 | $55.960,50 | 1535 / 132 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 56 | 126 / 23 | $51.768,50 | 1778 / 84 | $8.808,50 | 1716 / 59 | $7.685,64 | 1712 / 74 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 34 | $66.939,80 | 1233 / 41 | $13.885,30 | 1282 / 53 | $12.807,60 | 1276 / 59 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 28 | $41.520,60 | 1382 / 53 | $6.228,45 | 1296 / 32 | $5.202,85 | 1292 / 46 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 36 | $44.363,00 | 1594 / 67 | $8.805,13 | 1562 / 44 | $7.880,33 | 1558 / 53 |
| Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 63 | $33.400,30 | 2331 / 97 | $6.204,77 | 2137 / 48 | $5.281,53 | 2126 / 57 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 16 | $65.897,10 | 626 / 12 | $13.588,70 | 793 / 33 | $12.555,60 | 789 / 44 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 15 | $52.241,10 | 433 / 10 | $10.066,20 | 516 / 17 | $8.864,73 | 515 / 27 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 12 | $85.208,90 | 530 / 15 | $15.727,60 | 521 / 17 | $14.515,90 | 517 / 19 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 15 | 32 / 7 | $70.073,90 | 447 / 10 | $12.069,40 | 438 / 10 | $10.947,30 | 438 / 19 |
| Major Cardiovasc Procedures W/O Mcc | 12 | 89 / 29 | $180.425,00 | 950 / 44 | $40.260,10 | 980 / 59 | $33.890,80 | 979 / 58 |
| Major Chest Procedures W Cc | 13 | 61 / 17 | $110.502,00 | 431 / 14 | $29.601,60 | 388 / 26 | $18.470,40 | 386 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 23 | $42.575,80 | 865 / 21 | $9.633,55 | 977 / 35 | $9.307,73 | 975 / 47 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 211 | 353 / 44 | $82.058,00 | 2244 / 99 | $18.178,70 | 2384 / 124 | $16.061,70 | 2339 / 133 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 14 | $84.258,70 | 352 / 4 | $21.757,30 | 433 / 10 | $20.550,00 | 433 / 14 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 26 | $120.668,00 | 1343 / 52 | $21.665,70 | 1349 / 59 | $19.712,10 | 1335 / 66 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 25 | $275.143,00 | 1208 / 59 | $58.573,90 | 1269 / 78 | $55.668,10 | 1266 / 80 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 18 | $85.987,50 | 696 / 29 | $14.739,70 | 704 / 28 | $13.633,00 | 704 / 35 |
| Medical Back Problems W/O Mcc | 36 | 85 / 23 | $34.970,20 | 1148 / 39 | $6.885,39 | 1135 / 38 | $5.744,94 | 1131 / 36 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 30 | $44.395,90 | 1389 / 63 | $9.002,76 | 1342 / 44 | $8.338,48 | 1339 / 59 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 44 | $29.427,30 | 2113 / 78 | $5.621,33 | 1862 / 35 | $4.583,11 | 1856 / 34 |
| Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 11 | $52.453,50 | 273 / 11 | $13.629,90 | 334 / 17 | $12.857,40 | 334 / 18 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 12 | $83.949,80 | 558 / 29 | $16.898,50 | 553 / 28 | $15.201,10 | 553 / 29 |
| Other Circulatory System Diagnoses W Mcc | 24 | 92 / 26 | $60.680,10 | 937 / 21 | $15.872,80 | 1012 / 55 | $13.628,30 | 1005 / 33 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 22 | $36.365,90 | 1056 / 37 | $7.940,40 | 1112 / 37 | $6.926,80 | 1108 / 47 |
| Other Disorders Of Nervous System W Cc | 11 | 45 / 16 | $40.119,50 | 496 / 19 | $6.836,91 | 439 / 8 | $6.176,55 | 439 / 11 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 29 | $64.921,90 | 927 / 33 | $14.112,20 | 981 / 50 | $13.478,90 | 977 / 57 |
| Other Vascular Procedures W Cc | 24 | 78 / 20 | $194.285,00 | 1117 / 69 | $36.546,80 | 1135 / 80 | $35.790,90 | 1130 / 80 |
| Other Vascular Procedures W Mcc | 20 | 77 / 22 | $257.802,00 | 994 / 82 | $51.538,60 | 1004 / 87 | $50.754,80 | 1001 / 88 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 12 | 28 / 9 | $60.824,90 | 265 / 13 | $9.975,83 | 238 / 9 | $8.970,42 | 238 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 26 | $132.788,00 | 740 / 19 | $27.800,00 | 903 / 51 | $26.749,90 | 898 / 57 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 54 | 142 / 22 | $91.721,40 | 1072 / 30 | $19.173,30 | 1320 / 85 | $15.632,10 | 1313 / 71 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 22 | $46.024,80 | 1104 / 50 | $8.120,64 | 1015 / 34 | $7.355,55 | 1012 / 42 |
| Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 23 | $71.544,40 | 516 / 7 | $21.942,90 | 850 / 46 | $20.836,20 | 846 / 47 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 23 | $54.337,70 | 764 / 26 | $11.445,80 | 766 / 32 | $10.437,80 | 764 / 33 |
| Pulmonary Edema & Respiratory Failure | 87 | 116 / 14 | $65.731,40 | 2003 / 89 | $12.846,00 | 2057 / 139 | $10.711,10 | 2051 / 125 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $41.503,30 | 1072 / 26 | $11.448,60 | 851 / 69 | $5.966,36 | 848 / 13 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 20 | $55.425,40 | 911 / 41 | $13.726,00 | 1047 / 73 | $12.742,70 | 1043 / 74 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 41 | $29.442,90 | 1476 / 42 | $6.561,93 | 1652 / 37 | $6.075,53 | 1643 / 69 |
| Renal Failure W Cc | 40 | 181 / 48 | $39.684,00 | 2036 / 74 | $8.288,67 | 2129 / 88 | $7.564,65 | 2119 / 111 |
| Renal Failure W Mcc | 24 | 171 / 62 | $56.722,50 | 1705 / 68 | $12.553,50 | 1805 / 70 | $11.848,20 | 1801 / 83 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 34 | $52.640,40 | 1181 / 39 | $10.252,40 | 1127 / 29 | $9.212,36 | 1122 / 27 |
| Respiratory Infections & Inflammations W Mcc | 35 | 101 / 38 | $69.401,60 | 1403 / 44 | $16.663,90 | 1584 / 89 | $15.103,00 | 1568 / 76 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 326 | 192 / 28 | $76.158,90 | 2381 / 126 | $17.125,30 | 2546 / 180 | $15.593,80 | 2502 / 174 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 97 | 110 / 25 | $41.171,80 | 2069 / 101 | $8.558,08 | 2103 / 71 | $7.636,02 | 2095 / 90 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 20 | $28.524,10 | 997 / 24 | $5.532,83 | 913 / 16 | $4.597,72 | 910 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 38 | $40.367,50 | 2335 / 72 | $8.096,10 | 2196 / 76 | $6.617,17 | 2188 / 46 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 61 | $64.673,30 | 2170 / 90 | $13.328,50 | 2330 / 135 | $12.441,10 | 2324 / 141 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 28 | $31.039,60 | 1645 / 43 | $5.762,35 | 1584 / 29 | $4.695,06 | 1576 / 38 |
| Syncope & Collapse | 27 | 142 / 40 | $33.018,60 | 1529 / 53 | $5.948,41 | 1470 / 33 | $5.058,33 | 1463 / 43 |
| Transient Ischemia | 31 | 94 / 25 | $39.860,20 | 1433 / 70 | $5.721,84 | 1252 / 29 | $4.668,94 | 1246 / 36 |
| Transurethral Prostatectomy W/O Cc/Mcc | 14 | 15 / 2 | $36.518,90 | 67 / 2 | $6.094,07 | 61 / 2 | $5.063,21 | 61 / 2 | Total 90 procedures | 2.838 | 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.