Hospital Costs > In California > Pacifica Hospital Of The Valley, 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 | 19 | 170 / 67 | $14.376,20 | 776 / 2 | $9.674,84 | 2546 / 183 | $8.974,21 | 2538 / 194 |
| Chest Pain | 23 | 128 / 49 | $14.020,70 | 402 / 4 | $8.026,48 | 1632 / 127 | $7.030,30 | 1623 / 133 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 58 | $21.473,30 | 1158 / 6 | $10.582,10 | 2369 / 166 | $9.696,80 | 2362 / 172 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 24 | $15.568,10 | 852 / 3 | $8.879,23 | 2068 / 126 | $8.278,50 | 2056 / 128 |
| Dysequilibrium | 18 | 47 / 9 | $13.939,10 | 104 / 1 | $8.185,83 | 546 / 38 | $7.046,28 | 546 / 38 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 77 | $13.546,00 | 572 / 2 | $9.119,94 | 2643 / 189 | $8.171,58 | 2628 / 201 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 33 | $15.586,60 | 910 / 3 | $8.583,33 | 1963 / 118 | $7.778,00 | 1950 / 121 |
| Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 79 | $17.331,40 | 1265 / 6 | $9.291,63 | 2633 / 191 | $8.364,70 | 2622 / 197 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 56 | $14.429,30 | 887 / 4 | $8.797,04 | 2466 / 171 | $7.956,70 | 2457 / 180 |
| Organic Disturbances & Mental Retardation | 15 | 44 / 9 | $18.181,30 | 143 / 1 | $11.009,20 | 513 / 21 | $9.803,87 | 513 / 23 |
| Psychoses | 205 | 115 / 13 | $16.565,10 | 231 / 6 | $11.234,20 | 577 / 22 | $10.409,40 | 577 / 26 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 21 | $88.239,00 | 165 / 1 | $37.518,30 | 651 / 12 | $35.899,70 | 650 / 12 |
| Seizures W/O Mcc | 15 | 93 / 27 | $12.416,90 | 152 / 1 | $9.136,60 | 1260 / 82 | $8.571,27 | 1258 / 90 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 44 | $153.554,00 | 547 / 14 | $49.523,50 | 935 / 78 | $48.730,60 | 934 / 88 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 20 | $13.876,30 | 268 / 2 | $8.724,78 | 1284 / 79 | $7.716,78 | 1281 / 84 |
| Syncope & Collapse | 12 | 157 / 55 | $17.943,20 | 671 / 5 | $8.962,00 | 1858 / 140 | $8.058,00 | 1850 / 144 | Total 16 procedures | 483 | 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.