Hospital Costs > In California > Placentia Linda 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 | 105 | 459 / 84 | $65.080,10 | 1864 / 62 | $14.813,90 | 1901 / 15 | $13.235,60 | 1859 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 73 | $42.200,70 | 2523 / 147 | $5.324,41 | 1604 / 10 | $4.225,62 | 1591 / 17 |
| Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 73 | $39.298,80 | 2480 / 142 | $6.238,69 | 1405 / 50 | $4.251,67 | 1396 / 13 |
| Heart Failure & Shock W Cc | 29 | 249 / 71 | $50.707,80 | 2561 / 147 | $6.634,14 | 1530 / 10 | $5.811,52 | 1525 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 28 | 488 / 180 | $92.016,90 | 2566 / 177 | $13.064,90 | 1987 / 21 | $12.331,20 | 1950 / 31 |
| Cellulitis W/O Mcc | 22 | 167 / 64 | $35.315,00 | 2302 / 109 | $5.514,36 | 1359 / 3 | $4.584,91 | 1353 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 68 | $50.076,70 | 2562 / 136 | $6.852,73 | 1770 / 13 | $5.809,82 | 1762 / 16 |
| Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 25 | $32.632,30 | 1769 / 55 | $4.714,85 | 1121 / 7 | $3.871,65 | 1112 / 8 |
| Renal Failure W Cc | 18 | 203 / 70 | $52.063,10 | 2283 / 145 | $6.385,11 | 1475 / 4 | $5.711,39 | 1466 / 17 |
| Heart Failure & Shock W Mcc | 15 | 269 / 107 | $118.986,00 | 2602 / 212 | $12.918,90 | 2357 / 118 | $12.436,80 | 2347 / 135 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 95 | $49.704,40 | 2253 / 141 | $7.426,07 | 1571 / 22 | $6.386,07 | 1564 / 25 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 77 | $85.400,10 | 2526 / 176 | $8.141,08 | 1705 / 12 | $7.218,00 | 1697 / 13 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $114.424,00 | 1636 / 67 | $15.575,70 | 1143 / 2 | $14.807,70 | 1130 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 34 | $35.327,70 | 1741 / 61 | $4.876,36 | 984 / 7 | $3.663,27 | 979 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 55 | $31.226,00 | 1674 / 42 | $5.448,45 | 1515 / 11 | $5.009,18 | 1510 / 24 | Total 15 procedures | 392 | 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.