Hospital Costs > In California > Novato Community Hospital, 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 | 95 | 421 / 130 | $84.679,50 | 2488 / 156 | $15.839,30 | 2446 / 137 | $14.631,00 | 2402 / 139 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 87 | 477 / 94 | $93.015,50 | 2394 / 136 | $19.581,50 | 2290 / 167 | $15.295,30 | 2246 / 103 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 77 | $49.559,00 | 2251 / 140 | $8.683,84 | 2150 / 82 | $7.816,88 | 2142 / 109 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 62 | $40.591,30 | 2344 / 75 | $7.776,75 | 2228 / 52 | $6.695,61 | 2220 / 53 |
| Heart Failure & Shock W Mcc | 27 | 257 / 95 | $51.239,00 | 2019 / 66 | $11.149,90 | 1954 / 37 | $10.212,40 | 1947 / 39 |
| Heart Failure & Shock W Cc | 26 | 252 / 74 | $44.980,50 | 2459 / 116 | $7.830,12 | 2148 / 51 | $6.850,42 | 2142 / 58 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 49 | $86.495,60 | 1781 / 65 | $15.481,80 | 1734 / 61 | $14.279,00 | 1715 / 69 |
| Cellulitis W/O Mcc | 16 | 173 / 70 | $40.280,80 | 2416 / 142 | $6.748,62 | 2140 / 44 | $5.920,62 | 2132 / 73 |
| G.I. Hemorrhage W Cc | 15 | 203 / 76 | $51.154,30 | 2186 / 121 | $8.816,87 | 2159 / 97 | $8.091,53 | 2155 / 125 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 51 | $42.309,30 | 1948 / 98 | $6.459,87 | 1658 / 43 | $5.339,87 | 1653 / 40 |
| Renal Failure W Cc | 14 | 207 / 74 | $40.095,40 | 2049 / 77 | $7.550,21 | 1938 / 44 | $6.773,07 | 1928 / 58 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 95 | $36.798,40 | 2430 / 126 | $6.284,00 | 2185 / 55 | $5.422,29 | 2174 / 67 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 96 | $47.954,40 | 2627 / 172 | $10.381,60 | 2028 / 205 | $4.855,36 | 2014 / 42 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 78 | $77.688,70 | 2498 / 167 | $10.538,80 | 2320 / 122 | $9.533,42 | 2312 / 126 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 37 | $54.908,80 | 1210 / 46 | $9.241,36 | 921 / 6 | $8.359,91 | 916 / 9 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 61 | $55.596,50 | 1188 / 18 | $12.851,50 | 1105 / 11 | $12.086,50 | 1091 / 10 | Total 16 procedures | 434 | 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.