Hospital Costs > In California > Palm Drive Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 44 | 520 / 121 | $64.716,90 | 1852 / 59 | $17.918,60 | 2442 / 117 | $16.717,80 | 2396 / 163 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 17 | 499 / 186 | $41.947,50 | 1408 / 20 | $15.135,90 | 2406 / 107 | $14.283,10 | 2363 / 122 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 75 | $37.896,60 | 1482 / 17 | $11.643,20 | 2130 / 70 | $10.823,20 | 2125 / 83 |
Spinal Fusion Except Cervical W/O Mcc | 14 | 180 / 52 | $116.377,00 | 906 / 18 | $35.314,40 | 1274 / 58 | $34.455,00 | 1269 / 72 | Total 4 procedures | 91 | 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.