Hospital Costs > In California > Orange Coast Memorial 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 | 103 | 413 / 125 | $85.592,10 | 2500 / 158 | $15.549,10 | 2264 / 126 | $13.452,20 | 2224 / 79 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 89 | 186 / 28 | $27.154,80 | 2015 / 54 | $6.582,57 | 2215 / 83 | $5.265,13 | 2200 / 76 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 86 | 478 / 95 | $57.658,80 | 1611 / 41 | $16.583,00 | 2121 / 77 | $14.133,10 | 2078 / 63 |
Kidney & Urinary Tract Infections W/O Mcc | 51 | 182 / 60 | $29.473,10 | 2194 / 62 | $6.635,08 | 2293 / 83 | $5.735,31 | 2282 / 94 |
Heart Failure & Shock W Mcc | 43 | 241 / 81 | $63.431,20 | 2248 / 105 | $11.376,10 | 2053 / 50 | $10.595,60 | 2044 / 57 |
Cellulitis W/O Mcc | 40 | 149 / 46 | $29.087,20 | 2087 / 62 | $7.080,00 | 2071 / 70 | $5.738,70 | 2063 / 56 |
Heart Failure & Shock W Cc | 38 | 240 / 64 | $40.805,90 | 2350 / 91 | $8.113,13 | 2174 / 77 | $6.934,00 | 2168 / 61 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 75 | $39.643,50 | 2028 / 90 | $8.477,03 | 2075 / 63 | $7.543,54 | 2067 / 80 |
Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 56 | $70.485,30 | 2240 / 110 | $12.117,50 | 1946 / 91 | $9.901,29 | 1946 / 38 |
Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 56 | $48.715,70 | 2534 / 131 | $8.330,53 | 2240 / 90 | $6.714,35 | 2232 / 55 |
Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 58 | $52.271,50 | 2229 / 95 | $9.356,50 | 2063 / 57 | $8.135,72 | 2055 / 53 |
G.I. Hemorrhage W Cc | 31 | 187 / 60 | $38.849,40 | 1920 / 66 | $8.279,68 | 1982 / 62 | $7.193,58 | 1978 / 67 |
Chest Pain | 31 | 120 / 42 | $26.677,30 | 1281 / 47 | $6.612,13 | 1013 / 105 | $3.576,19 | 1007 / 15 |
Syncope & Collapse | 31 | 138 / 36 | $35.974,30 | 1611 / 69 | $6.427,19 | 1553 / 61 | $5.322,71 | 1546 / 61 |
Renal Failure W Cc | 29 | 192 / 59 | $36.435,20 | 1941 / 58 | $7.815,52 | 1954 / 58 | $6.840,03 | 1944 / 60 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 52 | $29.708,80 | 2125 / 80 | $6.396,50 | 2046 / 95 | $4.995,25 | 2038 / 67 |
Major Small & Large Bowel Procedures W Cc | 27 | 81 / 28 | $97.167,40 | 1193 / 21 | $17.613,80 | 1116 / 4 | $16.717,80 | 1103 / 22 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 41 | $192.660,00 | 1238 / 43 | $39.100,20 | 1112 / 29 | $37.219,30 | 1105 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 42 | $39.218,40 | 1893 / 84 | $9.244,38 | 1595 / 156 | $5.184,21 | 1590 / 35 |
Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 50 | $48.052,10 | 2217 / 118 | $7.614,78 | 2004 / 55 | $6.721,57 | 1997 / 59 |
Renal Failure W Mcc | 22 | 173 / 64 | $72.469,60 | 1922 / 107 | $12.362,90 | 1654 / 61 | $10.910,20 | 1652 / 42 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 34 | $28.582,00 | 1437 / 37 | $7.468,73 | 1449 / 84 | $5.340,64 | 1440 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 33 | $60.581,00 | 1690 / 86 | $9.923,57 | 1605 / 49 | $9.233,24 | 1602 / 65 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 32 | $90.254,00 | 1638 / 93 | $14.679,00 | 1589 / 83 | $13.896,60 | 1576 / 93 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 29 | $25.843,20 | 1653 / 46 | $6.168,00 | 1530 / 107 | $3.592,95 | 1524 / 40 |
G.I. Obstruction W Cc | 19 | 73 / 33 | $57.798,40 | 1661 / 110 | $9.154,16 | 1656 / 108 | $8.264,89 | 1651 / 121 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 26 | $44.878,00 | 1066 / 39 | $9.551,67 | 982 / 33 | $8.098,22 | 977 / 17 |
Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 23 | $140.765,00 | 739 / 3 | $33.565,30 | 469 / 1 | $29.308,10 | 467 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 17 | $49.391,60 | 935 / 31 | $9.158,06 | 844 / 20 | $8.077,24 | 842 / 17 |
G.I. Hemorrhage W Mcc | 16 | 105 / 40 | $65.941,00 | 1280 / 57 | $13.688,60 | 1346 / 43 | $13.196,60 | 1336 / 61 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 51 | $29.078,60 | 1140 / 15 | $8.471,60 | 1443 / 34 | $7.455,60 | 1439 / 33 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 15 | 59 / 12 | $50.879,30 | 64 / 2 | $17.251,60 | 126 / 3 | $14.060,90 | 125 / 1 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 51 | $59.744,30 | 1346 / 9 | $15.676,70 | 1420 / 70 | $12.457,30 | 1402 / 19 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 16 | $59.449,30 | 944 / 48 | $12.774,50 | 1035 / 65 | $12.188,80 | 1031 / 70 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 47 | $58.869,40 | 1371 / 54 | $9.234,57 | 1151 / 45 | $6.865,29 | 1148 / 21 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 17 | $61.819,80 | 580 / 7 | $12.718,50 | 618 / 13 | $11.512,30 | 618 / 20 |
O.R. Procedures For Obesity W/O Cc/Mcc | 13 | 64 / 15 | $53.538,40 | 290 / 8 | $12.291,40 | 332 / 7 | $11.178,80 | 331 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 46 | $39.751,70 | 1299 / 47 | $9.040,46 | 1351 / 46 | $8.388,15 | 1348 / 63 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 29 | $33.631,90 | 987 / 32 | $8.394,46 | 1050 / 63 | $6.667,62 | 1046 / 34 |
Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 25 | $74.734,20 | 626 / 10 | $16.942,80 | 738 / 12 | $15.934,80 | 735 / 26 |
Pancreas, Liver & Shunt Procedures W Cc | 12 | 43 / 10 | $68.146,50 | 39 / 1 | $18.826,20 | 45 / 1 | $17.594,80 | 45 / 1 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 36 | $47.280,50 | 1098 / 21 | $10.322,90 | 1188 / 32 | $9.618,92 | 1183 / 36 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 61 | $114.236,00 | 1716 / 113 | $16.352,90 | 1443 / 83 | $13.899,60 | 1428 / 39 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 19 | $78.646,50 | 723 / 25 | $12.822,50 | 751 / 19 | $11.725,70 | 747 / 29 |
Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $64.337,20 | 592 / 35 | $13.405,80 | 439 / 28 | $11.225,50 | 438 / 8 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 35 | $33.852,90 | 1816 / 52 | $6.432,55 | 1628 / 54 | $4.714,00 | 1617 / 24 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 30 | $20.494,70 | 841 / 9 | $5.985,09 | 890 / 62 | $3.642,73 | 887 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 11 | 185 / 59 | $95.005,50 | 1109 / 36 | $15.789,00 | 813 / 27 | $11.712,40 | 808 / 4 | Total 48 procedures | 1.255 | 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.