Hospital Costs > In California > Oak Valley District Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cellulitis W/O Mcc | 11 | 178 / 75 | $34.038,20 | 2273 / 101 | $7.142,27 | 2209 / 77 | $6.153,18 | 2201 / 94 |
Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 74 | $49.320,40 | 2165 / 73 | $9.996,19 | 2225 / 93 | $8.942,12 | 2217 / 93 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 96 | $37.810,20 | 2423 / 123 | $8.305,71 | 1848 / 173 | $4.553,71 | 1835 / 28 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 144 | $73.271,10 | 2081 / 80 | $16.455,60 | 2293 / 73 | $15.322,40 | 2249 / 104 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 189 | $50.613,10 | 1810 / 44 | $13.623,40 | 2070 / 35 | $12.634,30 | 2033 / 44 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 72 | $49.670,70 | 2549 / 134 | $9.807,78 | 2234 / 157 | $6.708,89 | 2226 / 54 | Total 6 procedures | 87 | 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.