Hospital Costs > In California > O'Connor 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 | 244 | 272 / 60 | $94.867,80 | 2594 / 188 | $18.286,40 | 2655 / 203 | $17.159,60 | 2610 / 208 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 163 | 401 / 60 | $109.137,00 | 2553 / 181 | $21.538,20 | 2591 / 193 | $19.521,70 | 2545 / 208 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 87 | 120 / 34 | $65.122,00 | 2459 / 205 | $11.293,60 | 2440 / 200 | $9.790,56 | 2430 / 199 |
Heart Failure & Shock W Mcc | 65 | 219 / 63 | $85.441,90 | 2501 / 165 | $15.421,10 | 2470 / 181 | $13.779,10 | 2459 / 174 |
Cellulitis W/O Mcc | 65 | 124 / 25 | $51.597,50 | 2568 / 193 | $9.527,08 | 2470 / 180 | $7.655,20 | 2462 / 171 |
Simple Pneumonia & Pleurisy W Cc | 56 | 147 / 35 | $63.695,50 | 2731 / 180 | $10.434,20 | 2696 / 176 | $9.262,38 | 2687 / 183 |
G.I. Hemorrhage W Cc | 52 | 166 / 43 | $59.504,80 | 2300 / 149 | $10.559,80 | 2308 / 164 | $9.495,29 | 2304 / 166 |
Heart Failure & Shock W Cc | 52 | 226 / 52 | $63.851,30 | 2693 / 192 | $10.573,70 | 2632 / 181 | $9.611,31 | 2626 / 190 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 39 | $89.779,00 | 2539 / 183 | $13.036,30 | 2496 / 175 | $11.657,20 | 2488 / 180 |
Renal Failure W Cc | 47 | 174 / 41 | $65.485,40 | 2391 / 177 | $10.572,10 | 2306 / 169 | $9.045,17 | 2296 / 164 |
Respiratory Infections & Inflammations W Mcc | 45 | 91 / 30 | $104.575,00 | 1674 / 98 | $19.503,90 | 1753 / 133 | $18.516,00 | 1737 / 135 |
Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 47 | $89.214,80 | 2410 / 152 | $16.991,20 | 2444 / 189 | $14.447,90 | 2438 / 182 |
Renal Failure W Mcc | 42 | 153 / 45 | $94.200,50 | 2091 / 154 | $15.387,80 | 2029 / 146 | $14.271,10 | 2025 / 149 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 32 | $151.985,00 | 1436 / 97 | $20.195,90 | 1435 / 92 | $18.649,60 | 1427 / 104 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 39 | $40.325,10 | 2383 / 139 | $7.742,34 | 2334 / 153 | $6.295,07 | 2325 / 144 |
Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 70 | $57.273,20 | 2681 / 205 | $8.437,46 | 2577 / 171 | $7.337,97 | 2566 / 175 |
Hip & Femur Procedures Except Major Joint W Cc | 33 | 110 / 33 | $111.771,00 | 1960 / 111 | $19.212,00 | 1956 / 136 | $17.473,20 | 1936 / 132 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 78 | $49.163,30 | 2638 / 175 | $8.240,66 | 2566 / 170 | $7.082,22 | 2551 / 173 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 20 | $111.255,00 | 1739 / 120 | $17.664,30 | 1732 / 126 | $16.517,60 | 1719 / 130 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 34 | $282.834,00 | 1486 / 102 | $55.879,50 | 1532 / 126 | $54.472,10 | 1522 / 129 |
Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 35 | $61.981,40 | 1832 / 131 | $11.060,50 | 1826 / 138 | $9.982,45 | 1822 / 136 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 25 | $79.255,70 | 1840 / 122 | $13.008,30 | 1832 / 127 | $11.912,10 | 1829 / 130 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 46 | $75.034,20 | 2011 / 148 | $11.395,00 | 1977 / 153 | $10.150,00 | 1973 / 156 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 28 | 64 / 27 | $367.783,00 | 1051 / 117 | $65.498,40 | 1066 / 126 | $63.923,00 | 1065 / 127 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 31 | $74.001,50 | 1682 / 140 | $12.658,70 | 1658 / 141 | $11.711,70 | 1654 / 140 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 41 | $51.606,90 | 2077 / 140 | $8.639,88 | 2051 / 145 | $7.616,76 | 2046 / 152 |
Other Digestive System Diagnoses W Cc | 23 | 74 / 19 | $72.764,30 | 1408 / 122 | $10.854,10 | 1377 / 118 | $9.667,04 | 1373 / 123 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 50 | $62.654,80 | 2382 / 160 | $9.764,87 | 2315 / 150 | $8.700,83 | 2308 / 156 |
Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 13 | $127.644,00 | 888 / 58 | $26.228,00 | 945 / 72 | $25.081,00 | 941 / 75 |
Respiratory Infections & Inflammations W Cc | 22 | 66 / 26 | $84.861,80 | 1421 / 96 | $13.830,90 | 1428 / 100 | $12.805,60 | 1423 / 105 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 40 | $97.176,10 | 1618 / 120 | $11.335,70 | 1556 / 96 | $10.163,00 | 1553 / 109 |
G.I. Obstruction W/O Cc/Mcc | 21 | 50 / 20 | $44.655,20 | 1267 / 84 | $7.002,24 | 1263 / 85 | $5.825,57 | 1260 / 90 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 22 | $235.529,00 | 994 / 80 | $32.667,30 | 981 / 74 | $31.195,80 | 976 / 77 |
Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 21 | $158.111,00 | 904 / 34 | $32.569,70 | 969 / 51 | $31.404,00 | 968 / 55 |
Major Small & Large Bowel Procedures W Cc | 20 | 88 / 35 | $181.642,00 | 1499 / 101 | $25.503,20 | 1484 / 94 | $24.060,70 | 1470 / 109 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 51 | $105.232,00 | 1533 / 113 | $17.727,40 | 1515 / 113 | $16.564,50 | 1508 / 123 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 37 | $49.559,60 | 1903 / 120 | $8.793,42 | 1890 / 124 | $7.902,26 | 1881 / 129 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 57 | $93.816,30 | 2187 / 145 | $12.714,90 | 2134 / 138 | $11.839,40 | 2128 / 146 |
Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 22 | $371.908,00 | 1264 / 79 | $60.646,20 | 1273 / 83 | $57.681,50 | 1270 / 81 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 31 | $45.140,60 | 1950 / 124 | $6.453,28 | 1881 / 115 | $5.212,72 | 1875 / 119 |
Diabetes W Cc | 17 | 75 / 18 | $56.086,10 | 1567 / 102 | $9.031,12 | 1510 / 97 | $8.029,47 | 1505 / 101 |
Medical Back Problems W/O Mcc | 17 | 104 / 40 | $53.946,10 | 1441 / 99 | $10.084,20 | 1387 / 114 | $7.566,94 | 1382 / 104 |
G.I. Hemorrhage W Mcc | 17 | 104 / 39 | $96.288,30 | 1540 / 112 | $16.723,10 | 1524 / 115 | $15.614,80 | 1514 / 115 |
G.I. Obstruction W Cc | 17 | 75 / 35 | $45.357,10 | 1541 / 70 | $9.565,12 | 1677 / 118 | $8.505,71 | 1672 / 125 |
Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 15 | $43.468,90 | 880 / 51 | $7.671,00 | 874 / 59 | $6.420,25 | 873 / 62 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 17 | $178.520,00 | 906 / 58 | $25.747,40 | 896 / 56 | $23.434,30 | 888 / 56 |
Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 8 | $246.595,00 | 597 / 45 | $39.355,10 | 599 / 42 | $38.191,00 | 599 / 44 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 29 | $51.426,90 | 1914 / 108 | $7.729,81 | 1891 / 109 | $6.538,06 | 1883 / 116 |
Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 50 | $258.022,00 | 1340 / 88 | $40.481,80 | 1328 / 79 | $39.158,10 | 1323 / 89 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 35 | $146.595,00 | 1377 / 125 | $22.229,90 | 1344 / 114 | $20.459,00 | 1336 / 116 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 15 | 56 / 18 | $329.694,00 | 941 / 67 | $53.247,20 | 945 / 73 | $51.941,60 | 944 / 76 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 15 | $109.426,00 | 734 / 40 | $16.490,30 | 724 / 35 | $15.184,10 | 724 / 41 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 16 | $104.093,00 | 815 / 50 | $16.827,10 | 848 / 61 | $15.241,10 | 844 / 63 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 19 | $65.025,90 | 1063 / 67 | $9.490,14 | 1014 / 67 | $8.169,86 | 1010 / 71 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 39 | $171.414,00 | 1810 / 117 | $29.657,10 | 1843 / 134 | $28.669,60 | 1829 / 141 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 17 | $57.155,50 | 795 / 56 | $8.238,64 | 743 / 48 | $6.777,79 | 741 / 51 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 13 | $92.614,50 | 561 / 42 | $12.743,50 | 562 / 44 | $10.702,80 | 561 / 43 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 21 | $52.008,80 | 962 / 33 | $11.379,30 | 1062 / 64 | $10.738,80 | 1060 / 70 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 35 | $64.949,60 | 1579 / 113 | $8.175,00 | 1504 / 100 | $6.844,38 | 1500 / 104 |
Other Vascular Procedures W Mcc | 13 | 84 / 29 | $279.365,00 | 1000 / 86 | $38.067,20 | 982 / 74 | $36.943,80 | 979 / 76 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 21 | $92.303,80 | 877 / 55 | $16.477,80 | 884 / 64 | $15.297,20 | 881 / 67 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 19 | $60.651,00 | 952 / 50 | $12.906,70 | 1027 / 67 | $11.978,80 | 1023 / 68 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 18 | $252.787,00 | 580 / 20 | $49.051,30 | 556 / 32 | $44.805,20 | 555 / 29 |
Cellulitis W Mcc | 12 | 46 / 22 | $80.495,90 | 911 / 66 | $14.509,60 | 913 / 74 | $13.489,10 | 911 / 76 |
Tendonitis, Myositis & Bursitis W/O Mcc | 12 | 30 / 3 | $55.607,70 | 322 / 6 | $9.096,67 | 314 / 8 | $7.934,67 | 313 / 7 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 16 | $201.026,00 | 948 / 64 | $29.938,70 | 924 / 65 | $28.884,70 | 921 / 67 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 32 | $80.171,80 | 1417 / 116 | $13.236,20 | 1277 / 112 | $10.035,90 | 1272 / 83 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 35 | $47.294,80 | 2032 / 104 | $7.996,09 | 2029 / 111 | $7.190,64 | 2017 / 117 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 26 | $158.981,00 | 869 / 55 | $22.146,30 | 856 / 49 | $20.843,50 | 853 / 53 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 22 | $156.205,00 | 850 / 35 | $30.875,90 | 875 / 50 | $29.423,40 | 871 / 49 |
Major Chest Procedures W Cc | 11 | 63 / 19 | $185.930,00 | 489 / 26 | $25.492,00 | 472 / 23 | $22.182,00 | 470 / 25 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $82.089,10 | 683 / 57 | $16.762,70 | 697 / 62 | $15.904,70 | 696 / 66 | Total 72 procedures | 2.158 | 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.