Hospital Costs > In California > Montclair Hospital Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Atherosclerosis W/O Mcc | 18 | 40 / 8 | $20.227,70 | 316 / 8 | $7.462,83 | / 31 | $6.860,17 | / |
| Chest Pain | 11 | 140 / 61 | $26.141,10 | 1255 / 44 | $7.432,09 | 1623 / 121 | $6.771,73 | 1614 / 128 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 93 | $23.027,10 | 1717 / 25 | $8.488,00 | 2620 / 178 | $7.706,82 | 2605 / 193 |
| Heart Failure & Shock W Mcc | 14 | 270 / 108 | $41.541,10 | 1725 / 33 | $14.114,40 | 2449 / 158 | $13.428,60 | 2438 / 167 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 56 | $26.468,90 | 819 / 4 | $12.081,90 | 2100 / 131 | $11.381,30 | 2094 / 135 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 37 | $151.968,00 | 536 / 11 | $44.340,00 | 754 / 41 | $42.237,30 | 753 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 117 | 399 / 118 | $42.884,90 | 1473 / 24 | $16.627,10 | 2545 / 163 | $15.592,40 | 2501 / 173 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 89 | $26.325,30 | 1365 / 26 | $10.608,60 | 2436 / 182 | $9.763,80 | 2426 / 197 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 80 | $36.357,50 | 1426 / 14 | $12.862,70 | 2312 / 119 | $12.310,00 | 2306 / 133 | Total 9 procedures | 245 | 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.