Hospital Costs > In California > Northridge Hospital Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 308 | 210 / 35 | $113.654,00 | 2722 / 217 | $16.377,20 | 2524 / 156 | $15.441,90 | 2480 / 168 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 174 | 390 / 56 | $124.852,00 | 2606 / 200 | $18.285,00 | 2410 / 133 | $16.293,30 | 2364 / 150 |
Heart Failure & Shock W Mcc | 94 | 190 / 39 | $124.770,00 | 2612 / 220 | $15.309,60 | 2507 / 180 | $14.521,60 | 2496 / 187 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 87 | 120 / 34 | $57.376,70 | 2371 / 180 | $9.661,36 | 2281 / 142 | $8.501,90 | 2272 / 153 |
Kidney & Urinary Tract Infections W/O Mcc | 75 | 158 / 38 | $44.816,70 | 2582 / 163 | $7.238,32 | 2455 / 123 | $6.431,75 | 2444 / 140 |
Heart Failure & Shock W Cc | 67 | 211 / 39 | $65.351,90 | 2704 / 197 | $8.919,28 | 2468 / 125 | $8.089,37 | 2462 / 135 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 45 | $45.578,80 | 2597 / 160 | $7.250,10 | 2442 / 128 | $6.177,33 | 2427 / 137 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 61 | 105 / 22 | $46.327,50 | 2466 / 164 | $6.768,49 | 2268 / 115 | $5.909,90 | 2260 / 127 |
Cellulitis W/O Mcc | 59 | 130 / 30 | $39.998,50 | 2409 / 140 | $7.966,07 | 2368 / 129 | $6.937,83 | 2360 / 138 |
G.I. Hemorrhage W Cc | 54 | 164 / 41 | $68.091,80 | 2370 / 177 | $9.250,65 | 2158 / 118 | $8.088,70 | 2154 / 124 |
Pulmonary Edema & Respiratory Failure | 51 | 152 / 28 | $100.296,00 | 2199 / 151 | $12.371,60 | 2111 / 135 | $11.560,10 | 2105 / 140 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 51 | 131 / 27 | $96.041,40 | 2065 / 176 | $9.843,78 | 1864 / 111 | $8.655,22 | 1860 / 121 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 50 | 76 / 14 | $65.543,70 | 1643 / 127 | $10.776,40 | 1527 / 104 | $9.620,92 | 1524 / 103 |
Renal Failure W Cc | 50 | 171 / 39 | $56.695,00 | 2329 / 156 | $8.691,66 | 2101 / 111 | $7.472,14 | 2091 / 103 |
Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 43 | $72.327,40 | 2461 / 153 | $10.339,70 | 2302 / 114 | $9.436,62 | 2294 / 122 |
Respiratory Infections & Inflammations W Mcc | 44 | 92 / 31 | $124.553,00 | 1744 / 124 | $16.712,80 | 1636 / 90 | $15.766,50 | 1620 / 93 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 41 | 84 / 12 | $137.233,00 | 1795 / 140 | $15.990,80 | 1663 / 109 | $14.825,10 | 1650 / 115 |
Red Blood Cell Disorders W/O Mcc | 41 | 102 / 15 | $53.784,60 | 1940 / 132 | $7.728,78 | 1804 / 91 | $6.962,17 | 1795 / 105 |
Simple Pneumonia & Pleurisy W Mcc | 41 | 164 / 50 | $83.294,20 | 2370 / 141 | $12.460,30 | 2219 / 105 | $11.464,30 | 2213 / 110 |
Transient Ischemia | 39 | 86 / 19 | $64.993,20 | 1641 / 130 | $6.717,92 | 1474 / 80 | $5.631,79 | 1466 / 90 |
Medical Back Problems W/O Mcc | 36 | 85 / 23 | $55.352,10 | 1450 / 104 | $7.793,61 | 1318 / 70 | $6.854,11 | 1313 / 83 |
Chest Pain | 34 | 117 / 39 | $49.887,10 | 1682 / 138 | $6.168,32 | 1491 / 85 | $5.192,18 | 1482 / 94 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 32 | 136 / 39 | $114.445,00 | 1565 / 124 | $14.371,80 | 1333 / 65 | $13.327,50 | 1327 / 74 |
Renal Failure W Mcc | 32 | 163 / 55 | $90.215,20 | 2072 / 144 | $13.226,70 | 1852 / 89 | $12.276,80 | 1848 / 94 |
Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 34 | $105.363,00 | 1927 / 102 | $16.472,80 | 1825 / 91 | $15.204,90 | 1806 / 98 |
Syncope & Collapse | 32 | 137 / 35 | $54.546,40 | 1868 / 128 | $7.120,50 | 1689 / 91 | $6.039,22 | 1681 / 93 |
Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 59 | $53.295,10 | 2613 / 151 | $8.884,84 | 2518 / 122 | $7.799,32 | 2509 / 133 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 43 | $56.408,80 | 2327 / 143 | $8.627,93 | 2192 / 110 | $7.599,83 | 2185 / 118 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 25 | $88.986,80 | 1879 / 134 | $11.811,70 | 1779 / 107 | $10.936,40 | 1776 / 115 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 37 | $272.941,00 | 1464 / 94 | $43.902,10 | 1305 / 66 | $42.045,50 | 1295 / 66 |
Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 37 | $69.768,20 | 1891 / 149 | $9.690,14 | 1724 / 89 | $8.892,59 | 1720 / 100 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 44 | $131.526,00 | 1379 / 84 | $19.061,20 | 1303 / 83 | $15.404,60 | 1296 / 67 |
Seizures W/O Mcc | 28 | 80 / 14 | $61.744,40 | 1288 / 85 | $7.685,54 | 1104 / 59 | $6.192,11 | 1102 / 53 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 23 | $39.756,20 | 1923 / 115 | $5.805,08 | 1835 / 89 | $4.784,77 | 1829 / 104 |
Bronchitis & Asthma W Cc/Mcc | 24 | 52 / 9 | $53.539,30 | 1028 / 54 | $8.256,21 | 953 / 45 | $7.150,33 | 949 / 53 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 43 | $67.900,60 | 2144 / 168 | $7.714,65 | 1961 / 114 | $6.729,39 | 1956 / 124 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 28 | $119.659,00 | 1336 / 111 | $15.562,30 | 1134 / 47 | $14.894,50 | 1126 / 60 |
Red Blood Cell Disorders W Mcc | 21 | 50 / 10 | $72.280,30 | 1042 / 72 | $11.168,00 | 943 / 42 | $10.351,60 | 939 / 45 |
G.I. Obstruction W Cc | 20 | 72 / 32 | $53.322,90 | 1622 / 98 | $8.275,95 | 1569 / 86 | $7.148,50 | 1564 / 97 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 41 | $89.442,40 | 1604 / 112 | $9.887,05 | 1461 / 67 | $8.785,85 | 1458 / 79 |
Other Vascular Procedures W Mcc | 20 | 77 / 22 | $134.065,00 | 804 / 29 | $26.712,20 | 793 / 33 | $25.560,70 | 790 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 24 | $111.767,00 | 1461 / 130 | $14.447,70 | 1434 / 120 | $13.607,00 | 1429 / 129 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 29 | $81.279,60 | 1400 / 88 | $12.013,80 | 1334 / 76 | $10.973,40 | 1329 / 76 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 12 | $50.219,80 | 782 / 49 | $9.321,21 | 689 / 56 | $5.854,58 | 687 / 37 |
Fractures Of Hip & Pelvis W/O Mcc | 18 | 43 / 13 | $36.761,70 | 828 / 36 | $6.840,28 | 841 / 50 | $5.756,83 | 840 / 54 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 28 | $34.143,40 | 1824 / 55 | $7.031,33 | 1928 / 80 | $6.088,11 | 1917 / 89 |
Renal Failure W/O Cc/Mcc | 18 | 38 / 3 | $48.097,90 | 842 / 26 | $6.203,67 | 788 / 22 | $5.387,56 | 786 / 23 |
G.I. Hemorrhage W Mcc | 18 | 103 / 38 | $96.310,00 | 1541 / 113 | $14.866,20 | 1431 / 74 | $14.192,90 | 1421 / 84 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 30 | $67.502,00 | 1588 / 117 | $7.388,50 | 1455 / 77 | $6.246,11 | 1451 / 89 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 17 | 81 / 16 | $330.476,00 | 498 / 39 | $42.107,40 | 471 / 26 | $41.025,90 | 471 / 30 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 25 | $57.128,10 | 1345 / 97 | $8.987,06 | 1278 / 80 | $8.252,47 | 1274 / 96 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 16 | $117.127,00 | 828 / 32 | $17.668,90 | 763 / 29 | $16.688,00 | 756 / 33 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 28 | $48.644,60 | 1973 / 113 | $6.738,00 | 1814 / 79 | $5.662,59 | 1801 / 84 |
Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 7 | $214.353,00 | 582 / 40 | $29.901,70 | 517 / 23 | $28.667,20 | 517 / 25 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 9 | $41.552,40 | 860 / 30 | $6.388,31 | 776 / 28 | $5.423,88 | 775 / 33 |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 20 | $74.112,50 | 1384 / 85 | $9.628,31 | 1300 / 67 | $8.705,06 | 1298 / 73 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 18 | $161.501,00 | 858 / 37 | $25.374,20 | 787 / 25 | $24.018,90 | 784 / 32 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 15 | 76 / 20 | $43.578,70 | 284 / 8 | $10.046,70 | 328 / 11 | $9.790,27 | 328 / 19 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $67.853,60 | 1251 / 64 | $8.932,29 | 1169 / 42 | $7.947,43 | 1166 / 58 |
Signs & Symptoms W/O Mcc | 14 | 77 / 24 | $49.286,40 | 1304 / 74 | $6.735,29 | 1156 / 50 | $5.862,00 | 1153 / 59 |
Diabetes W Cc | 14 | 78 / 21 | $49.787,10 | 1536 / 91 | $7.919,36 | 1412 / 71 | $6.967,21 | 1407 / 79 |
Peripheral Vascular Disorders W Cc | 14 | 70 / 19 | $59.818,80 | 1211 / 80 | $8.782,79 | 1101 / 52 | $8.143,86 | 1098 / 60 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 41 | $153.944,00 | 1450 / 81 | $20.199,50 | 1310 / 39 | $18.962,40 | 1296 / 58 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 21 | $124.054,00 | 976 / 79 | $18.711,40 | 975 / 80 | $17.821,40 | 972 / 82 |
Peripheral Vascular Disorders W Mcc | 13 | 36 / 9 | $76.420,80 | 540 / 22 | $11.747,50 | 479 / 22 | $10.845,50 | 479 / 23 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 27 | $224.189,00 | 1108 / 38 | $36.147,20 | 870 / 8 | $34.822,50 | 868 / 8 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 29 | $210.752,00 | 974 / 71 | $27.237,40 | 891 / 44 | $26.260,90 | 886 / 53 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 43 | $284.451,00 | 973 / 79 | $46.212,20 | 849 / 60 | $44.960,50 | 848 / 60 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 27 | $44.436,30 | 807 / 34 | $7.375,33 | 670 / 29 | $5.416,33 | 669 / 24 |
Other Circulatory System Diagnoses W Cc | 12 | 54 / 14 | $62.519,50 | 641 / 20 | $8.670,33 | 564 / 16 | $7.786,17 | 563 / 18 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $48.556,00 | 929 / 29 | $10.202,20 | 988 / 42 | $9.391,83 | 986 / 50 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 22 | $85.216,60 | 857 / 49 | $13.797,00 | 822 / 42 | $12.694,50 | 819 / 49 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 16 | $174.702,00 | 921 / 53 | $25.909,30 | 853 / 51 | $24.471,50 | 850 / 51 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 34 | $41.474,50 | 1824 / 82 | $6.963,00 | 1807 / 85 | $5.787,18 | 1799 / 93 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $48.299,00 | 854 / 34 | $8.501,45 | 855 / 31 | $7.645,73 | 852 / 38 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 15 | $93.409,80 | 610 / 32 | $16.959,50 | 597 / 35 | $15.822,30 | 596 / 35 |
Cranial & Peripheral Nerve Disorders W Mcc | 11 | 25 / 12 | $41.306,90 | 97 / 6 | $11.497,70 | 122 / 10 | $11.423,20 | 122 / 10 |
Other Disorders Of Nervous System W Cc | 11 | 45 / 16 | $56.079,30 | 585 / 38 | $8.431,00 | 543 / 31 | $7.444,82 | 542 / 34 |
Dysequilibrium | 11 | 54 / 16 | $51.633,80 | 549 / 31 | $7.398,91 | 441 / 35 | $4.602,55 | 441 / 19 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $151.360,00 | 1776 / 101 | $20.667,50 | 1646 / 78 | $19.671,10 | 1632 / 82 |
Cellulitis W Mcc | 11 | 47 / 23 | $57.332,40 | 792 / 46 | $12.355,00 | 826 / 47 | $11.366,40 | 824 / 50 | Total 81 procedures | 2.657 | 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.