Hospital Costs > In California > Paradise Valley Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 32 | $58.444,70 | 1300 / 30 | $14.009,80 | 1528 / 60 | $13.166,70 | 1515 / 68 |
Atherosclerosis W/O Mcc | 21 | 37 / 6 | $17.131,40 | 244 / 6 | $6.095,05 | / 22 | $5.262,29 | / |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 37 | $18.989,30 | 957 / 6 | $7.459,93 | 1947 / 107 | $6.584,90 | 1942 / 120 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 35 | $24.496,60 | 625 / 4 | $10.600,70 | 1672 / 72 | $9.708,05 | 1669 / 83 |
Cellulitis W/O Mcc | 14 | 175 / 72 | $21.858,60 | 1651 / 20 | $7.779,79 | 2390 / 121 | $7.087,21 | 2382 / 148 |
Chest Pain | 19 | 132 / 53 | $14.622,50 | 463 / 6 | $6.064,68 | 1487 / 82 | $5.173,74 | 1478 / 93 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 38 | $23.124,90 | 1312 / 13 | $8.558,49 | 2200 / 109 | $7.669,11 | 2193 / 122 |
Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 55 | $30.081,90 | 1482 / 13 | $10.199,90 | 2287 / 107 | $9.302,06 | 2279 / 116 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 32 | $17.385,70 | 1052 / 6 | $6.790,29 | 1939 / 72 | $6.186,86 | 1928 / 93 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 50 | $48.374,80 | 1161 / 23 | $9.693,45 | 1453 / 63 | $8.704,36 | 1450 / 76 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 27 | 41 / 7 | $17.849,30 | 166 / 2 | $8.144,67 | 624 / 26 | $7.203,63 | 624 / 26 |
Diabetes W Cc | 12 | 80 / 23 | $32.626,80 | 1249 / 31 | $7.746,92 | 1402 / 67 | $6.837,58 | 1397 / 76 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 10 | $25.457,50 | 34 / 1 | $14.162,50 | 250 / 12 | $13.173,50 | 250 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $22.155,10 | 302 / 2 | $10.464,10 | 1221 / 62 | $9.533,62 | 1216 / 66 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 81 | $16.625,60 | 953 / 9 | $7.109,21 | 2443 / 120 | $6.191,14 | 2428 / 138 |
G.I. Hemorrhage W Cc | 18 | 200 / 73 | $19.358,90 | 694 / 3 | $9.064,22 | 2202 / 112 | $8.395,78 | 2198 / 135 |
G.I. Hemorrhage W Mcc | 18 | 103 / 38 | $29.635,10 | 315 / 1 | $14.051,30 | 1360 / 57 | $13.379,30 | 1350 / 65 |
Heart Failure & Shock W Cc | 24 | 254 / 76 | $21.002,40 | 1291 / 9 | $8.999,54 | 2484 / 127 | $8.192,88 | 2478 / 140 |
Heart Failure & Shock W Mcc | 71 | 213 / 57 | $37.004,00 | 1507 / 19 | $12.487,50 | 2275 / 96 | $11.684,20 | 2265 / 106 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 32 | $18.963,60 | 1216 / 8 | $6.611,31 | 1801 / 77 | $5.584,85 | 1788 / 79 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 37 | $157.936,00 | 1071 / 26 | $40.022,20 | 1193 / 37 | $38.938,60 | 1185 / 45 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 55 | $35.834,10 | 1385 / 25 | $9.568,00 | 1841 / 96 | $8.485,05 | 1837 / 111 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 58 | $48.660,20 | 933 / 13 | $13.693,60 | 1295 / 51 | $12.950,20 | 1289 / 62 |
Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 36 | $27.200,80 | 1054 / 13 | $9.629,50 | 1708 / 85 | $8.757,50 | 1704 / 95 |
Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 79 | $20.324,90 | 1610 / 15 | $7.258,50 | 2449 / 124 | $6.392,90 | 2438 / 138 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 19 | 545 / 142 | $71.211,10 | 2023 / 76 | $17.254,80 | 2398 / 99 | $16.176,90 | 2353 / 145 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 35 | $19.372,70 | 375 / 3 | $9.839,21 | 1457 / 79 | $9.107,21 | 1454 / 85 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 49 | $18.761,10 | 1429 / 14 | $6.809,42 | 2269 / 117 | $5.911,35 | 2261 / 128 |
Organic Disturbances & Mental Retardation | 16 | 43 / 8 | $38.592,70 | 437 / 15 | $9.089,00 | 456 / 11 | $8.335,00 | 456 / 14 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 37 | $52.122,70 | 790 / 13 | $15.501,20 | 1108 / 45 | $14.583,00 | 1100 / 52 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 30 | $23.643,80 | 592 / 7 | $8.789,67 | 1246 / 75 | $7.880,33 | 1242 / 84 |
Psychoses | 1232 | 2 / 2 | $41.412,00 | 553 / 26 | $9.246,51 | 513 / 12 | $8.287,43 | 513 / 14 |
Pulmonary Edema & Respiratory Failure | 14 | 189 / 61 | $72.542,80 | 2078 / 110 | $14.442,10 | 2181 / 159 | $13.580,30 | 2175 / 161 |
Renal Failure W Cc | 32 | 189 / 56 | $24.702,80 | 1397 / 11 | $8.745,28 | 2187 / 112 | $7.992,28 | 2177 / 129 |
Renal Failure W Mcc | 71 | 124 / 19 | $33.453,60 | 975 / 13 | $12.554,30 | 1801 / 71 | $11.828,50 | 1797 / 82 |
Respiratory Infections & Inflammations W Mcc | 28 | 108 / 44 | $66.477,60 | 1365 / 37 | $15.552,00 | 1587 / 65 | $15.133,20 | 1571 / 78 |
Seizures W/O Mcc | 17 | 91 / 25 | $19.585,10 | 528 / 6 | $7.162,82 | 1113 / 46 | $6.234,82 | 1111 / 55 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 28 | 64 / 27 | $173.566,00 | 649 / 21 | $42.866,60 | 713 / 31 | $41.362,60 | 712 / 34 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 255 | 261 / 57 | $50.730,30 | 1819 / 46 | $14.792,50 | 2367 / 92 | $14.024,50 | 2325 / 110 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 77 | $36.107,50 | 1901 / 73 | $10.045,30 | 2293 / 168 | $8.585,31 | 2284 / 158 |
Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 70 | $28.054,40 | 1841 / 20 | $8.877,00 | 2536 / 121 | $7.971,40 | 2527 / 141 |
Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 57 | $34.873,80 | 1344 / 12 | $11.666,30 | 2142 / 71 | $10.885,10 | 2137 / 87 |
Syncope & Collapse | 15 | 154 / 52 | $21.978,00 | 1039 / 19 | $6.978,13 | 1748 / 86 | $6.412,80 | 1740 / 114 |
Transient Ischemia | 24 | 101 / 32 | $19.147,80 | 589 / 2 | $6.776,58 | 1505 / 82 | $5.869,92 | 1497 / 100 | Total 44 procedures | 2.491 | 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.