Hospital Costs > In California > Palomar Health Downtown Campus, 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 | 226 | 338 / 41 | $65.262,40 | 1869 / 63 | $15.490,30 | 2006 / 36 | $13.625,10 | 1964 / 46 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 195 | 321 / 81 | $74.964,50 | 2358 / 117 | $14.214,20 | 2234 / 64 | $13.279,70 | 2194 / 73 |
| Psychoses | 176 | 137 / 16 | $37.711,60 | 536 / 23 | $8.515,95 | 454 / 6 | $7.291,09 | 454 / 7 |
| Heart Failure & Shock W Mcc | 96 | 188 / 37 | $52.420,00 | 2051 / 70 | $10.928,40 | 1944 / 32 | $10.179,50 | 1937 / 38 |
| Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 42 | $35.209,10 | 2381 / 110 | $6.309,21 | 2242 / 59 | $5.557,83 | 2231 / 81 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 45 | $38.669,80 | 2443 / 128 | $6.475,30 | 2084 / 76 | $4.956,37 | 2070 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 62 | 145 / 54 | $45.976,10 | 2184 / 128 | $8.515,79 | 1851 / 65 | $6.915,06 | 1843 / 48 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 61 | 121 / 18 | $61.488,20 | 1889 / 110 | $9.913,95 | 1889 / 115 | $8.872,92 | 1885 / 129 |
| Cellulitis W/O Mcc | 60 | 129 / 29 | $36.570,90 | 2336 / 120 | $6.922,45 | 2145 / 55 | $5.931,68 | 2137 / 74 |
| Chronic Obstructive Pulmonary Disease W Mcc | 57 | 145 / 33 | $49.197,40 | 2161 / 72 | $9.208,25 | 1921 / 48 | $7.740,49 | 1913 / 32 |
| Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 37 | $57.612,90 | 2058 / 70 | $11.010,30 | 2011 / 45 | $10.179,90 | 2010 / 53 |
| Hip & Femur Procedures Except Major Joint W Cc | 55 | 88 / 15 | $74.653,00 | 1627 / 41 | $14.542,60 | 1595 / 33 | $13.325,20 | 1576 / 35 |
| Pulmonary Edema & Respiratory Failure | 54 | 149 / 25 | $71.692,30 | 2068 / 105 | $10.483,10 | 1933 / 77 | $9.581,65 | 1927 / 81 |
| Heart Failure & Shock W Cc | 52 | 226 / 52 | $39.958,90 | 2321 / 84 | $7.766,81 | 2208 / 50 | $7.023,27 | 2202 / 68 |
| G.I. Hemorrhage W Cc | 52 | 166 / 43 | $37.469,70 | 1877 / 57 | $8.017,67 | 1979 / 46 | $7.180,02 | 1975 / 65 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 50 | 118 / 23 | $99.382,10 | 1503 / 104 | $17.809,50 | 1525 / 115 | $16.834,50 | 1518 / 125 |
| Renal Failure W Cc | 50 | 171 / 39 | $40.908,50 | 2074 / 80 | $7.633,02 | 1918 / 50 | $6.706,94 | 1908 / 52 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 45 | 151 / 28 | $83.140,00 | 922 / 18 | $16.438,40 | 1148 / 39 | $13.490,60 | 1141 / 32 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 45 | $42.746,40 | 2404 / 93 | $7.498,76 | 2121 / 36 | $6.423,89 | 2113 / 36 |
| Medical Back Problems W/O Mcc | 43 | 78 / 16 | $51.215,60 | 1411 / 88 | $7.300,84 | 1205 / 58 | $6.044,53 | 1201 / 58 |
| Respiratory Infections & Inflammations W Mcc | 42 | 94 / 32 | $72.427,30 | 1435 / 50 | $14.526,60 | 1366 / 34 | $13.372,40 | 1351 / 29 |
| Kidney & Urinary Tract Infections W Mcc | 41 | 103 / 25 | $42.939,80 | 1561 / 61 | $8.563,24 | 1516 / 40 | $7.672,32 | 1512 / 43 |
| Renal Failure W Mcc | 39 | 156 / 48 | $58.532,90 | 1738 / 73 | $12.052,70 | 1731 / 49 | $11.365,10 | 1729 / 61 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 18 | $129.189,00 | 1713 / 80 | $20.312,80 | 1640 / 70 | $19.553,30 | 1626 / 80 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 32 | $38.065,00 | 1868 / 75 | $6.540,88 | 1680 / 50 | $5.415,97 | 1675 / 45 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 34 | 92 / 25 | $42.768,90 | 1359 / 56 | $8.591,41 | 1222 / 29 | $7.766,06 | 1219 / 34 |
| Transient Ischemia | 34 | 91 / 23 | $36.580,10 | 1364 / 54 | $5.948,09 | 1339 / 41 | $4.987,21 | 1332 / 53 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 33 | 133 / 47 | $36.950,80 | 2306 / 118 | $6.433,09 | 1957 / 99 | $4.784,45 | 1949 / 54 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 33 | $220.014,00 | 1330 / 59 | $43.135,20 | 1313 / 60 | $42.313,50 | 1303 / 70 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 32 | 69 / 19 | $70.104,90 | 955 / 38 | $11.761,30 | 774 / 21 | $10.653,20 | 772 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 23 | $49.886,90 | 1522 / 50 | $9.719,39 | 1504 / 37 | $8.698,74 | 1501 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 31 | 71 / 17 | $43.971,00 | 1420 / 63 | $6.305,32 | 1325 / 34 | $5.329,65 | 1321 / 55 |
| G.I. Obstruction W Cc | 30 | 62 / 22 | $47.228,60 | 1566 / 82 | $7.172,50 | 1421 / 39 | $6.322,90 | 1416 / 56 |
| Spinal Fusion Except Cervical W/O Mcc | 29 | 165 / 38 | $154.865,00 | 1133 / 36 | $30.437,80 | 1152 / 26 | $29.353,30 | 1147 / 44 |
| Major Cardiovasc Procedures W/O Mcc | 27 | 74 / 15 | $123.382,00 | 754 / 22 | $25.320,80 | 748 / 11 | $23.463,30 | 747 / 14 |
| G.I. Obstruction W/O Cc/Mcc | 27 | 44 / 14 | $31.437,60 | 1137 / 49 | $5.402,22 | 1048 / 40 | $4.126,30 | 1045 / 39 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 26 | 46 / 10 | $93.898,00 | 945 / 67 | $17.636,50 | 972 / 78 | $16.838,70 | 969 / 81 |
| Other Vascular Procedures W Cc | 26 | 76 / 18 | $103.553,00 | 868 / 22 | $19.578,00 | 886 / 18 | $18.500,50 | 881 / 23 |
| Syncope & Collapse | 25 | 144 / 42 | $41.041,80 | 1714 / 90 | $7.140,92 | 1449 / 92 | $5.019,36 | 1442 / 39 |
| Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 48 | $49.587,00 | 2237 / 122 | $7.535,36 | 1957 / 45 | $6.559,28 | 1950 / 49 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 24 | 32 / 10 | $67.750,00 | 772 / 26 | $12.292,50 | 734 / 14 | $11.098,00 | 731 / 22 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 24 | 38 / 8 | $45.442,00 | 765 / 43 | $6.354,25 | 639 / 19 | $5.298,92 | 637 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 25 | $34.715,20 | 1859 / 92 | $6.037,25 | 1617 / 102 | $3.797,38 | 1611 / 58 |
| Permanent Cardiac Pacemaker Implant W Cc | 23 | 54 / 12 | $91.069,00 | 710 / 25 | $19.583,70 | 762 / 15 | $18.791,00 | 759 / 25 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 23 | 80 / 17 | $54.932,50 | 794 / 40 | $7.617,74 | 516 / 8 | $6.390,30 | 516 / 6 |
| Diabetes W Cc | 23 | 69 / 12 | $42.594,30 | 1453 / 66 | $6.854,30 | 1251 / 26 | $5.956,48 | 1246 / 37 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 34 | $37.264,80 | 1718 / 73 | $6.659,09 | 1556 / 43 | $5.669,27 | 1547 / 43 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 34 | $78.018,10 | 1417 / 81 | $13.000,50 | 1115 / 23 | $11.788,30 | 1107 / 20 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 21 | 33 / 7 | $59.568,80 | 392 / 16 | $6.215,05 | 283 / 6 | $5.234,10 | 283 / 8 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 24 | $29.101,70 | 1688 / 43 | $5.805,38 | 1581 / 37 | $4.667,67 | 1568 / 35 |
| Chest Pain | 20 | 131 / 52 | $34.631,40 | 1493 / 85 | $5.291,75 | 1273 / 48 | $4.200,65 | 1266 / 52 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 10 | $49.715,50 | 1158 / 38 | $7.760,70 | 1053 / 16 | $6.850,70 | 1050 / 27 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 20 | 46 / 11 | $73.592,40 | 508 / 26 | $10.459,80 | 462 / 26 | $9.353,20 | 461 / 25 |
| Seizures W/O Mcc | 20 | 88 / 22 | $40.894,80 | 1139 / 47 | $6.262,95 | 946 / 17 | $5.289,05 | 944 / 20 |
| G.I. Obstruction W Mcc | 19 | 23 / 5 | $65.358,60 | 434 / 22 | $12.118,70 | 349 / 13 | $10.901,60 | 349 / 11 |
| Red Blood Cell Disorders W Mcc | 19 | 52 / 12 | $50.153,10 | 837 / 32 | $9.582,58 | 753 / 11 | $8.624,32 | 749 / 9 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 19 | 73 / 36 | $262.746,00 | 927 / 70 | $48.969,80 | 919 / 74 | $48.059,50 | 918 / 84 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 26 | $60.146,70 | 664 / 30 | $8.388,11 | 574 / 15 | $7.090,84 | 573 / 23 |
| Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 12 | $47.869,30 | 753 / 30 | $7.956,33 | 617 / 13 | $6.807,56 | 617 / 14 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 15 | $277.394,00 | 898 / 52 | $45.924,30 | 886 / 54 | $45.048,20 | 885 / 60 |
| Peripheral Vascular Disorders W Cc | 18 | 66 / 15 | $39.061,30 | 998 / 32 | $7.615,61 | 871 / 20 | $6.514,61 | 868 / 18 |
| Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 21 | $85.029,10 | 698 / 19 | $15.814,90 | 608 / 6 | $13.753,90 | 605 / 9 |
| Seizures W Mcc | 17 | 49 / 13 | $60.099,80 | 573 / 21 | $11.418,90 | 492 / 9 | $10.458,60 | 492 / 11 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 10 | $82.620,90 | 590 / 26 | $14.774,60 | 532 / 23 | $14.087,40 | 531 / 24 |
| Peripheral Vascular Disorders W Mcc | 16 | 33 / 6 | $48.945,00 | 423 / 8 | $9.949,38 | 345 / 4 | $8.818,12 | 345 / 4 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 16 | 57 / 15 | $62.157,10 | 297 / 10 | $9.905,62 | 281 / 7 | $8.349,00 | 281 / 12 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 16 | 82 / 17 | $147.349,00 | 341 / 4 | $32.987,80 | 352 / 6 | $32.029,20 | 352 / 9 |
| Major Chest Trauma W Cc | 16 | 20 / 1 | $121.829,00 | 143 / 7 | $19.358,00 | 145 / 7 | $16.020,80 | 145 / 9 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $57.060,70 | 364 / 7 | $16.066,10 | 582 / 12 | $15.015,20 | 581 / 17 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 30 | $33.683,70 | 1704 / 53 | $5.894,27 | 1577 / 37 | $4.678,00 | 1569 / 37 |
| Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 16 | $34.428,30 | 797 / 31 | $8.518,40 | 707 / 65 | $4.677,87 | 706 / 19 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 35 | $60.360,10 | 933 / 20 | $14.176,10 | 996 / 18 | $13.524,90 | 989 / 28 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 27 | $115.287,00 | 632 / 11 | $25.458,50 | 831 / 26 | $24.485,70 | 826 / 36 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 40 | $102.256,00 | 1229 / 26 | $19.301,10 | 1269 / 22 | $18.415,30 | 1255 / 45 |
| Other Disorders Of Nervous System W Mcc | 14 | 26 / 9 | $73.766,20 | 275 / 17 | $12.579,10 | 248 / 10 | $11.963,60 | 248 / 15 |
| Respiratory Neoplasms W Mcc | 14 | 38 / 12 | $92.117,10 | 578 / 25 | $15.957,00 | 588 / 27 | $15.082,60 | 585 / 28 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 13 | $45.906,40 | 530 / 25 | $7.403,07 | 491 / 16 | $6.684,71 | 491 / 22 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 14 | $97.708,60 | 679 / 8 | $20.454,90 | 619 / 6 | $19.502,50 | 616 / 9 |
| Cellulitis W Mcc | 14 | 44 / 20 | $39.746,90 | 592 / 19 | $9.606,29 | 428 / 5 | $8.406,43 | 426 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 22 | $44.246,40 | 1103 / 26 | $7.930,07 | 1002 / 20 | $6.708,43 | 1000 / 16 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 47 | $51.193,80 | 1236 / 32 | $8.639,79 | 1320 / 21 | $7.608,50 | 1317 / 41 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 8 | $74.685,60 | 464 / 14 | $12.664,30 | 381 / 14 | $9.663,57 | 381 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $50.947,50 | 1178 / 54 | $10.650,50 | 1009 / 71 | $8.195,38 | 1004 / 21 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 33 | $43.137,80 | 1994 / 94 | $5.967,00 | 1642 / 30 | $4.753,46 | 1631 / 29 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 20 | $117.643,00 | 740 / 20 | $23.416,80 | 706 / 15 | $22.205,60 | 703 / 14 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 13 | 111 / 26 | $22.605,10 | 551 / 9 | $5.838,31 | 619 / 9 | $5.092,92 | 618 / 19 |
| Depressive Neuroses | 13 | 37 / 3 | $18.198,90 | 115 / 2 | $5.671,00 | 106 / 2 | $4.829,00 | 106 / 2 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 11 | $502.421,00 | 512 / 30 | $99.844,90 | 504 / 37 | $97.938,80 | 503 / 37 |
| Other Circulatory System O.R. Procedures | 13 | 42 / 14 | $91.309,90 | 297 / 9 | $18.649,10 | 235 / 2 | $17.897,80 | 235 / 3 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 13 | 31 / 11 | $67.329,80 | 315 / 28 | $7.676,31 | 197 / 22 | $4.959,85 | 197 / 8 |
| Organic Disturbances & Mental Retardation | 12 | 47 / 12 | $46.068,70 | 478 / 18 | $7.815,42 | 348 / 4 | $6.799,58 | 348 / 4 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 13 | $34.311,90 | 803 / 21 | $5.520,58 | 693 / 10 | $4.707,75 | 692 / 17 |
| Other Vascular Procedures W Mcc | 12 | 85 / 30 | $133.556,00 | 800 / 28 | $28.865,20 | 874 / 53 | $27.919,30 | 871 / 56 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 22 | $32.323,20 | 402 / 12 | $7.361,00 | 341 / 8 | $6.259,17 | 341 / 8 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $52.979,80 | 973 / 36 | $9.002,33 | 441 / 18 | $6.511,25 | 440 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 29 | $184.677,00 | 995 / 22 | $36.672,00 | 913 / 12 | $35.780,20 | 911 / 14 |
| Digestive Malignancy W Cc | 11 | 36 / 12 | $83.550,70 | 382 / 21 | $13.303,70 | 368 / 17 | $12.204,00 | 366 / 20 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $69.241,10 | 628 / 46 | $11.979,60 | 468 / 6 | $11.423,30 | 467 / 12 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 29 | $62.762,30 | 845 / 30 | $9.294,55 | 862 / 35 | $8.306,27 | 859 / 43 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 15 | $59.608,60 | 481 / 19 | $9.598,00 | 509 / 8 | $8.716,00 | 508 / 23 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 11 | 20 / 7 | $94.585,00 | 129 / 8 | $13.974,40 | 113 / 4 | $12.978,50 | 113 / 5 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 18 | $36.586,30 | 894 / 39 | $5.940,18 | 791 / 20 | $4.843,45 | 787 / 24 |
| Pulmonary Embolism W Mcc | 11 | 32 / 9 | $77.004,70 | 536 / 17 | $15.442,50 | 438 / 25 | $10.127,90 | 438 / 10 |
| Permanent Cardiac Pacemaker Implant W Mcc | 11 | 41 / 13 | $102.927,00 | 344 / 5 | $25.851,00 | 418 / 8 | $24.857,70 | 418 / 9 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 37 | $71.406,50 | 1347 / 75 | $10.156,60 | 1151 / 27 | $9.380,27 | 1146 / 31 | Total 105 procedures | 3.236 | 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.