Hospital Costs > In California > Mission Community Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 563 | 17 / 5 | $12.173,10 | 121 / 2 | $9.404,71 | 527 / 13 | $8.652,74 | 527 / 17 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 259 | 257 / 55 | $40.923,80 | 1359 / 18 | $15.567,70 | 2467 / 127 | $14.843,80 | 2423 / 147 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 100 | 21 / 2 | $24.194,30 | 50 / 3 | $10.794,70 | 76 / 6 | $10.114,30 | 76 / 6 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 82 | 482 / 99 | $88.451,00 | 2340 / 121 | $17.684,30 | 2400 / 110 | $16.215,50 | 2355 / 147 |
Kidney & Urinary Tract Infections W Mcc | 79 | 65 / 5 | $18.159,80 | 441 / 1 | $10.239,20 | 1759 / 110 | $9.237,04 | 1755 / 112 |
Heart Failure & Shock W Mcc | 75 | 209 / 53 | $32.533,80 | 1250 / 9 | $12.883,20 | 2327 / 117 | $12.077,20 | 2317 / 122 |
Respiratory Infections & Inflammations W Mcc | 56 | 80 / 21 | $43.005,50 | 882 / 2 | $16.329,20 | 1633 / 82 | $15.708,40 | 1617 / 91 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 55 | 70 / 7 | $10.321,10 | 140 / 1 | $6.983,64 | 738 / 25 | $6.328,51 | 737 / 30 |
Renal Failure W Mcc | 50 | 145 / 37 | $26.585,30 | 552 / 4 | $13.314,50 | 1898 / 92 | $12.686,00 | 1894 / 114 |
Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 64 | $17.413,00 | 1277 / 7 | $7.649,36 | 2511 / 142 | $6.815,22 | 2500 / 156 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 66 | $18.384,20 | 1195 / 11 | $7.427,36 | 2502 / 137 | $6.547,36 | 2487 / 156 |
Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 48 | $24.265,30 | 1066 / 3 | $10.637,30 | 2344 / 126 | $9.777,83 | 2336 / 133 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 42 | 50 / 13 | $124.243,00 | 352 / 4 | $44.890,30 | 810 / 46 | $43.497,00 | 809 / 53 |
Cellulitis W/O Mcc | 37 | 152 / 49 | $18.596,90 | 1313 / 8 | $8.017,76 | 2425 / 131 | $7.290,84 | 2417 / 160 |
Syncope & Collapse | 36 | 133 / 31 | $19.151,40 | 776 / 6 | $7.175,33 | 1713 / 97 | $6.212,22 | 1705 / 100 |
Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 55 | $30.369,10 | 1057 / 5 | $12.604,80 | 2241 / 114 | $11.683,90 | 2235 / 118 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 33 | 16 / 2 | $5.522,58 | 29 / 1 | $5.255,33 | 85 / 5 | $4.924,67 | 84 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 27 | $22.244,50 | 542 / 4 | $10.212,70 | 1468 / 90 | $9.211,69 | 1465 / 89 |
Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 45 | $19.750,20 | 971 / 4 | $8.886,43 | 2234 / 118 | $7.981,29 | 2227 / 129 |
Other Digestive System Diagnoses W Cc | 27 | 70 / 15 | $23.272,10 | 578 / 5 | $9.114,15 | 1295 / 84 | $8.444,52 | 1291 / 98 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 83 | $22.579,70 | 1026 / 11 | $9.852,08 | 2366 / 153 | $9.113,62 | 2356 / 180 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 54 | $14.873,20 | 944 / 6 | $7.069,38 | 2309 / 127 | $6.143,85 | 2301 / 139 |
Cellulitis W Mcc | 24 | 34 / 10 | $28.827,80 | 348 / 4 | $12.462,00 | 843 / 49 | $11.655,30 | 841 / 56 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 23 | 17 / 2 | $232.615,00 | 61 / 1 | $53.917,00 | 59 / 1 | $52.759,40 | 59 / 1 |
G.I. Hemorrhage W Mcc | 23 | 98 / 33 | $33.740,40 | 457 / 2 | $14.990,30 | 1446 / 78 | $14.388,50 | 1436 / 89 |
Other Digestive System Diagnoses W Mcc | 23 | 39 / 11 | $22.663,00 | 67 / 1 | $14.289,20 | 606 / 35 | $13.556,00 | 605 / 40 |
Renal Failure W Cc | 22 | 199 / 66 | $18.059,60 | 777 / 3 | $9.124,18 | 2189 / 123 | $8.027,45 | 2179 / 130 |
Heart Failure & Shock W Cc | 22 | 256 / 78 | $20.302,30 | 1219 / 8 | $9.266,55 | 2519 / 138 | $8.444,73 | 2513 / 153 |
Red Blood Cell Disorders W Mcc | 21 | 50 / 10 | $21.370,90 | 188 / 2 | $11.238,30 | 953 / 44 | $10.517,60 | 949 / 50 |
G.I. Hemorrhage W Cc | 18 | 200 / 73 | $21.741,70 | 916 / 6 | $9.360,89 | 2221 / 123 | $8.555,56 | 2217 / 141 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 38 | $18.073,80 | 724 / 4 | $7.867,11 | 1818 / 97 | $7.100,89 | 1809 / 112 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 27 | $26.273,50 | 492 / 6 | $10.806,90 | 1248 / 74 | $9.745,24 | 1243 / 75 |
Other Circulatory System Diagnoses W Mcc | 17 | 99 / 33 | $48.083,10 | 699 / 9 | $16.713,50 | 1208 / 68 | $16.017,90 | 1200 / 76 |
Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 73 | $23.265,40 | 1477 / 9 | $8.662,82 | 2511 / 113 | $7.777,29 | 2502 / 131 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 37 | $55.337,30 | 777 / 6 | $18.793,40 | 1563 / 44 | $18.341,40 | 1549 / 59 |
Other Skin, Subcut Tiss & Breast Proc W Mcc | 16 | 6 / 1 | $47.677,80 | 10 / 2 | $21.215,10 | 39 / 3 | $20.761,10 | 39 / 3 |
Skin Graft For Skin Ulcer Or Cellulitis W Mcc | 16 | 6 / 2 | $55.845,40 | 5 / 1 | $27.135,40 | 16 / 1 | $26.757,40 | 16 / 1 |
Chest Pain | 14 | 137 / 58 | $12.739,50 | 287 / 2 | $6.369,64 | 1569 / 94 | $5.835,93 | 1560 / 112 |
Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 12 | $17.792,40 | 88 / 3 | $9.047,00 | 421 / 17 | $8.356,71 | 421 / 20 |
Seizures W/O Mcc | 14 | 94 / 28 | $15.282,00 | 275 / 2 | $7.552,43 | 1188 / 55 | $6.946,71 | 1186 / 72 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 19 | $101.261,00 | 263 / 3 | $35.321,90 | 588 / 7 | $34.390,40 | 587 / 8 |
Degenerative Nervous System Disorders W Mcc | 14 | 24 / 5 | $27.734,10 | 50 / 1 | $14.211,10 | 165 / 6 | $13.354,00 | 165 / 6 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 38 | $34.690,80 | 608 / 4 | $13.852,00 | 1512 / 57 | $12.988,00 | 1499 / 57 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 52 | $17.767,10 | 839 / 4 | $7.780,43 | 1979 / 118 | $6.914,14 | 1974 / 131 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 53 | $116.841,00 | 703 / 5 | $40.566,60 | 1225 / 41 | $39.450,30 | 1215 / 51 |
Other Disorders Of Nervous System W Mcc | 13 | 27 / 10 | $31.145,50 | 86 / 1 | $13.757,10 | 266 / 15 | $13.018,60 | 266 / 19 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 35 | $35.013,40 | 847 / 6 | $12.321,80 | 1374 / 82 | $11.578,50 | 1369 / 90 |
Diabetes W Mcc | 13 | 44 / 14 | $23.875,40 | 150 / 1 | $12.258,70 | 620 / 27 | $11.050,10 | 619 / 26 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 36 | $41.742,50 | 653 / 3 | $13.935,70 | 945 / 45 | $12.801,00 | 941 / 42 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 13 | $41.141,40 | 199 / 5 | $14.123,60 | 350 / 22 | $13.287,60 | 350 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 42 | $24.004,30 | 590 / 3 | $10.940,40 | 1721 / 88 | $10.137,80 | 1718 / 98 |
Seizures W Mcc | 12 | 54 / 18 | $24.186,80 | 93 / 1 | $13.219,80 | 592 / 24 | $12.118,50 | 592 / 27 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 21 | $22.218,60 | 505 / 4 | $9.124,83 | 1128 / 59 | $8.420,83 | 1125 / 67 |
Skin Ulcers W Mcc | 11 | 9 / 2 | $23.223,30 | 6 / 1 | $11.872,10 | 21 / 1 | $10.772,50 | 21 / 1 |
Other Disorders Of Nervous System W Cc | 11 | 45 / 16 | $18.672,00 | 159 / 1 | $8.547,18 | 556 / 33 | $7.735,55 | 555 / 37 |
Medical Back Problems W/O Mcc | 11 | 110 / 46 | $24.218,70 | 788 / 14 | $8.230,09 | 1367 / 83 | $7.333,36 | 1362 / 96 |
Bone Diseases & Arthropathies W/O Mcc | 11 | 33 / 7 | $15.356,90 | 108 / 1 | $7.269,09 | 234 / 3 | $6.280,00 | 234 / 3 |
Cervical Spinal Fusion W Cc | 11 | 42 / 16 | $138.515,00 | 350 / 15 | $24.503,80 | 330 / 14 | $23.308,20 | 329 / 18 |
Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 55 | $148.499,00 | 1105 / 32 | $33.432,20 | 1241 / 49 | $32.443,00 | 1236 / 61 | Total 59 procedures | 2.342 | 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.