Hospital Costs > In California > Palmdale Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Heart Failure & Shock W Mcc | 96 | 188 / 37 | $67.747,90 | 2311 / 122 | $11.986,90 | 2210 / 75 | $11.355,80 | 2200 / 91 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 85 | 431 / 135 | $80.367,10 | 2438 / 143 | $14.691,60 | 2280 / 84 | $13.564,40 | 2239 / 86 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 79 | 485 / 102 | $113.886,00 | 2566 / 186 | $15.966,00 | 2181 / 51 | $14.551,20 | 2137 / 76 |
Heart Failure & Shock W Cc | 77 | 201 / 30 | $44.561,30 | 2446 / 112 | $7.878,88 | 2175 / 56 | $6.935,87 | 2169 / 62 |
Renal Failure W Mcc | 64 | 131 / 25 | $62.383,40 | 1788 / 81 | $11.768,30 | 1659 / 35 | $10.937,30 | 1657 / 45 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 52 | $42.718,30 | 2533 / 149 | $6.094,02 | 2112 / 45 | $5.027,44 | 2098 / 54 |
Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 36 | $48.932,00 | 2148 / 70 | $8.994,19 | 2042 / 41 | $8.076,26 | 2034 / 50 |
Cellulitis W/O Mcc | 52 | 137 / 35 | $38.011,50 | 2364 / 129 | $6.863,65 | 2026 / 53 | $5.631,23 | 2018 / 48 |
Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 63 | $36.141,00 | 2413 / 119 | $6.213,08 | 2172 / 49 | $5.387,21 | 2161 / 65 |
Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 45 | $72.295,20 | 2264 / 116 | $10.865,50 | 1993 / 39 | $10.107,20 | 1993 / 48 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 46 | 80 / 16 | $38.465,30 | 1271 / 41 | $8.657,02 | 1268 / 31 | $7.974,59 | 1265 / 43 |
Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 30 | $56.646,40 | 2332 / 146 | $7.546,42 | 1977 / 48 | $6.612,81 | 1970 / 53 |
Renal Failure W Cc | 42 | 179 / 46 | $41.229,70 | 2081 / 82 | $7.631,90 | 1850 / 48 | $6.532,43 | 1840 / 37 |
G.I. Hemorrhage W Cc | 41 | 177 / 53 | $64.579,00 | 2345 / 168 | $8.977,27 | 1814 / 109 | $6.681,54 | 1810 / 36 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 39 | $34.227,20 | 2242 / 103 | $5.834,44 | 2051 / 52 | $5.010,24 | 2043 / 69 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 38 | 158 / 35 | $97.798,70 | 1136 / 40 | $16.492,90 | 1073 / 40 | $13.026,30 | 1066 / 17 |
Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 54 | $49.380,20 | 2544 / 133 | $7.969,58 | 2346 / 68 | $7.030,00 | 2337 / 84 |
Respiratory Infections & Inflammations W Mcc | 32 | 104 / 40 | $78.179,80 | 1487 / 61 | $14.572,10 | 1327 / 35 | $13.089,20 | 1312 / 22 |
Syncope & Collapse | 31 | 138 / 36 | $33.916,30 | 1549 / 59 | $6.001,97 | 1490 / 40 | $5.107,00 | 1483 / 50 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 15 | $39.056,90 | 1935 / 79 | $6.002,00 | 1652 / 31 | $4.792,65 | 1641 / 32 |
G.I. Hemorrhage W Mcc | 30 | 91 / 26 | $79.679,30 | 1434 / 83 | $14.045,90 | 1379 / 56 | $13.602,10 | 1369 / 71 |
Chest Pain | 27 | 124 / 45 | $35.361,90 | 1508 / 88 | $5.065,15 | 1169 / 36 | $3.899,48 | 1162 / 31 |
Other Circulatory System Diagnoses W Mcc | 24 | 92 / 26 | $90.635,10 | 1217 / 67 | $14.442,50 | 973 / 26 | $13.393,80 | 966 / 20 |
Medical Back Problems W/O Mcc | 24 | 97 / 33 | $35.319,00 | 1156 / 41 | $6.871,67 | 1179 / 37 | $5.914,33 | 1175 / 48 |
Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 42 | $56.966,30 | 1775 / 118 | $8.917,25 | 1339 / 52 | $7.109,92 | 1335 / 22 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 29 | $73.671,40 | 1494 / 59 | $14.202,60 | 1577 / 65 | $13.785,20 | 1564 / 90 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 30 | $101.997,00 | 1536 / 44 | $16.872,40 | 1361 / 13 | $16.154,50 | 1348 / 20 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 34 | $49.307,30 | 1902 / 119 | $6.535,86 | 1516 / 34 | $5.538,05 | 1507 / 35 |
Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 24 | $34.014,90 | 1801 / 62 | $5.646,43 | 1637 / 32 | $4.814,43 | 1624 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 50 | $81.877,50 | 1381 / 77 | $12.555,70 | 1116 / 18 | $11.633,80 | 1110 / 23 |
Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 15 | $65.989,30 | 838 / 35 | $10.809,20 | 741 / 20 | $10.209,20 | 739 / 28 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 29 | $24.617,30 | 1614 / 39 | $4.750,40 | 1550 / 36 | $3.631,25 | 1544 / 43 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 89 | $54.542,70 | 2335 / 170 | $8.419,10 | 2065 / 58 | $7.510,30 | 2057 / 79 |
Cellulitis W Mcc | 20 | 38 / 14 | $64.162,60 | 837 / 52 | $11.999,20 | 816 / 39 | $11.216,80 | 814 / 46 |
Peripheral Vascular Disorders W Cc | 19 | 65 / 14 | $47.364,40 | 1122 / 56 | $7.793,16 | 985 / 23 | $7.090,84 | 982 / 35 |
Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 19 | $124.893,00 | 828 / 36 | $16.682,80 | 723 / 10 | $15.601,60 | 720 / 19 |
Pulmonary Embolism W/O Mcc | 18 | 56 / 12 | $60.933,90 | 1225 / 56 | $8.101,78 | 1096 / 26 | $7.164,94 | 1093 / 40 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 43 | $56.393,60 | 1336 / 45 | $8.554,72 | 1314 / 19 | $7.548,50 | 1311 / 39 |
Diabetes W Cc | 17 | 75 / 18 | $44.038,10 | 1470 / 73 | $6.720,65 | 1246 / 22 | $5.933,82 | 1241 / 35 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 12 | $70.549,90 | 1000 / 68 | $6.854,24 | 885 / 40 | $5.645,76 | 881 / 45 |
Other Vascular Procedures W Mcc | 17 | 80 / 25 | $123.012,00 | 750 / 24 | $24.028,60 | 669 / 8 | $23.177,80 | 666 / 11 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 25 | $30.391,80 | 1118 / 45 | $5.174,38 | 1073 / 29 | $4.192,38 | 1070 / 43 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 32 | $58.210,70 | 1239 / 50 | $10.316,80 | 1145 / 31 | $9.334,75 | 1140 / 30 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 21 | $56.951,50 | 1266 / 61 | $8.171,27 | 1139 / 26 | $7.281,67 | 1137 / 32 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 19 | $69.480,10 | 1056 / 63 | $9.171,40 | 934 / 21 | $8.768,27 | 932 / 36 |
Hypertension W/O Mcc | 15 | 50 / 11 | $42.379,10 | 749 / 23 | $5.265,80 | 587 / 5 | $4.297,27 | 585 / 6 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 19 | $248.332,00 | 856 / 39 | $44.332,60 | 777 / 50 | $39.446,30 | 776 / 32 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 52 | $142.160,00 | 949 / 17 | $30.992,00 | 585 / 2 | $30.210,30 | 580 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 52 | $30.587,60 | 1650 / 37 | $6.448,50 | 1710 / 42 | $5.502,21 | 1705 / 55 |
Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 14 | $136.668,00 | 848 / 41 | $21.597,00 | 701 / 18 | $20.563,90 | 698 / 17 |
Other Vascular Procedures W Cc | 13 | 89 / 31 | $118.127,00 | 962 / 31 | $18.896,40 | 856 / 12 | $18.059,50 | 851 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 35 | $41.913,70 | 1391 / 54 | $6.091,69 | 1107 / 25 | $4.584,15 | 1103 / 20 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 26 | $52.378,50 | 769 / 38 | $7.557,69 | 598 / 7 | $6.910,31 | 598 / 12 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 35 | $138.740,00 | 1101 / 79 | $17.921,60 | 1070 / 70 | $16.780,70 | 1066 / 73 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 21 | $93.635,80 | 881 / 57 | $12.149,20 | 739 / 11 | $11.221,20 | 736 / 23 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 29 | $49.819,20 | 1266 / 77 | $8.063,85 | 915 / 45 | $6.188,69 | 911 / 15 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 62 | $63.520,60 | 1980 / 83 | $11.111,70 | 1621 / 95 | $8.174,62 | 1616 / 19 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 53 | $110.560,00 | 1953 / 108 | $14.580,70 | 1643 / 34 | $13.655,20 | 1624 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 62 | $41.952,70 | 1565 / 40 | $10.343,50 | 1159 / 128 | $6.083,50 | 1156 / 7 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 43 | $143.192,00 | 1429 / 72 | $18.826,30 | 1232 / 15 | $17.917,00 | 1218 / 39 |
Peripheral Vascular Disorders W Mcc | 12 | 37 / 10 | $69.173,20 | 521 / 18 | $11.479,30 | 469 / 20 | $10.575,40 | 469 / 20 |
Diabetes W Mcc | 12 | 45 / 15 | $62.210,20 | 651 / 24 | $10.794,50 | 426 / 15 | $8.892,83 | 426 / 6 |
Transient Ischemia | 11 | 114 / 45 | $36.853,50 | 1373 / 56 | $5.808,45 | 1264 / 30 | $4.708,82 | 1258 / 39 |
Other Circulatory System O.R. Procedures | 11 | 44 / 16 | $119.975,00 | 372 / 20 | $19.764,50 | 269 / 6 | $18.787,00 | 269 / 5 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 20 | $34.758,60 | 537 / 16 | $7.087,91 | 548 / 11 | $6.430,45 | 548 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 43 | $53.645,50 | 1604 / 68 | $9.407,00 | 1435 / 26 | $8.420,82 | 1432 / 26 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 23 | $39.466,10 | 468 / 25 | $7.456,18 | 309 / 10 | $6.074,55 | 309 / 6 | Total 67 procedures | 1.824 | 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.