Hospital Costs > In California > Natividad Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 35 | $62.869,60 | 1986 / 147 | $12.652,90 | 1990 / 148 | $11.413,20 | 1984 / 148 |
| Cellulitis W/O Mcc | 12 | 177 / 74 | $61.733,30 | 2616 / 213 | $15.098,80 | 2631 / 218 | $14.025,80 | 2623 / 219 |
| Chest Pain | 18 | 133 / 54 | $41.789,50 | 1618 / 114 | $12.961,70 | 1700 / 150 | $11.796,80 | 1691 / 151 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 19 | $98.224,00 | 876 / 54 | $18.855,20 | 865 / 55 | $14.030,50 | 865 / 53 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 91 | $53.255,60 | 2667 / 190 | $14.339,90 | 2728 / 223 | $13.058,80 | 2713 / 226 |
| Heart Failure & Shock W Cc | 16 | 262 / 84 | $58.106,40 | 2650 / 176 | $16.496,00 | 2753 / 221 | $15.252,50 | 2747 / 223 |
| Heart Failure & Shock W Mcc | 11 | 273 / 111 | $118.904,00 | 2601 / 211 | $22.126,10 | 2620 / 224 | $20.764,60 | 2609 / 224 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 92 | $47.814,00 | 2623 / 178 | $14.291,80 | 2710 / 216 | $13.010,10 | 2699 / 219 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 146 | $119.082,00 | 2591 / 195 | $27.187,20 | 2668 / 221 | $24.474,70 | 2622 / 225 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 65 | $39.723,60 | 2364 / 136 | $14.024,40 | 2534 / 204 | $11.660,60 | 2525 / 202 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 13 | $81.839,20 | 555 / 28 | $17.313,00 | 554 / 29 | $15.942,80 | 554 / 30 |
| Psychoses | 189 | 126 / 15 | $68.203,10 | 604 / 35 | $19.509,10 | 613 / 38 | $16.552,30 | 613 / 39 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 76 | $67.469,70 | 2757 / 191 | $16.397,10 | 2821 / 219 | $15.155,10 | 2812 / 220 | Total 13 procedures | 361 | 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.