Hospital Costs > In California > Pomerado 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 | 15 | 110 / 37 | $62.030,50 | 1353 / 40 | $12.032,30 | 1186 / 16 | $10.975,30 | 1180 / 14 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 53 | $39.908,00 | 1905 / 87 | $5.900,62 | 1495 / 17 | $4.977,54 | 1490 / 21 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 42 | $51.872,20 | 1569 / 61 | $9.410,08 | 1505 / 27 | $8.700,75 | 1502 / 38 |
Cellulitis W/O Mcc | 28 | 161 / 58 | $41.696,40 | 2447 / 152 | $6.648,43 | 1878 / 34 | $5.307,18 | 1870 / 29 |
Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 75 | $55.127,90 | 2282 / 109 | $8.199,67 | 1746 / 15 | $7.312,20 | 1738 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 33 | $42.990,70 | 1025 / 34 | $8.643,00 | 926 / 5 | $7.875,00 | 921 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 84 | $39.723,20 | 2467 / 134 | $5.525,50 | 1890 / 17 | $4.596,27 | 1876 / 30 |
G.I. Hemorrhage W Cc | 42 | 176 / 52 | $33.056,60 | 1717 / 34 | $7.603,64 | 1410 / 27 | $5.833,19 | 1407 / 13 |
G.I. Obstruction W Cc | 11 | 81 / 41 | $30.468,20 | 1215 / 23 | $6.848,73 | 929 / 23 | $4.989,64 | 926 / 7 |
Heart Failure & Shock W Cc | 21 | 257 / 79 | $47.184,60 | 2505 / 134 | $7.234,24 | 1475 / 25 | $5.740,71 | 1470 / 12 |
Heart Failure & Shock W Mcc | 57 | 227 / 71 | $60.924,30 | 2212 / 96 | $10.296,40 | 1627 / 14 | $9.335,86 | 1622 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 48 | $71.967,10 | 1578 / 28 | $17.236,10 | 1022 / 108 | $11.087,80 | 1009 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 54 | $180.463,00 | 1176 / 35 | $34.228,30 | 857 / 11 | $33.321,70 | 851 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 53 | $47.131,50 | 1678 / 60 | $7.332,76 | 1231 / 10 | $6.188,38 | 1228 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 55 | $67.433,40 | 1241 / 43 | $11.848,40 | 953 / 5 | $10.868,40 | 949 / 9 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 35 | $41.443,20 | 1380 / 52 | $5.605,69 | 968 / 12 | $4.278,46 | 964 / 12 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 39 | $43.353,00 | 1574 / 65 | $7.447,59 | 1015 / 7 | $6.421,22 | 1012 / 8 |
Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 79 | $35.850,40 | 2400 / 115 | $5.417,10 | 1680 / 9 | $4.530,70 | 1669 / 18 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 26 | $62.973,10 | 514 / 8 | $15.698,50 | 642 / 9 | $14.578,50 | 638 / 15 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 152 | 412 / 66 | $56.607,70 | 1565 / 36 | $14.834,40 | 1725 / 16 | $12.622,50 | 1685 / 19 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 19 | $67.989,70 | 624 / 12 | $11.697,80 | 556 / 5 | $10.484,70 | 556 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 39 | $42.877,40 | 1363 / 57 | $7.848,55 | 976 / 7 | $6.973,35 | 973 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 54 | $44.993,00 | 2444 / 154 | $6.000,65 | 2088 / 66 | $5.119,42 | 2080 / 79 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 24 | $82.229,70 | 907 / 54 | $13.869,10 | 900 / 56 | $13.098,10 | 897 / 64 |
Pulmonary Edema & Respiratory Failure | 37 | 166 / 39 | $50.563,90 | 1773 / 45 | $9.718,38 | 1540 / 29 | $7.933,00 | 1535 / 14 |
Renal Failure W Cc | 22 | 199 / 66 | $35.818,00 | 1923 / 54 | $6.540,59 | 1432 / 11 | $5.659,14 | 1423 / 15 |
Renal Failure W Mcc | 32 | 163 / 55 | $58.362,00 | 1733 / 71 | $10.563,10 | 1300 / 12 | $9.659,12 | 1300 / 10 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 32 | $71.057,40 | 1341 / 74 | $9.250,25 | 888 / 7 | $8.270,25 | 883 / 7 |
Respiratory Infections & Inflammations W Mcc | 31 | 105 / 41 | $88.189,80 | 1573 / 74 | $13.846,90 | 1337 / 18 | $13.146,00 | 1322 / 25 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 31 | $107.610,00 | 1590 / 56 | $17.410,70 | 1389 / 22 | $16.413,50 | 1375 / 25 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 17 | $260.301,00 | 874 / 45 | $41.886,10 | 798 / 37 | $40.484,10 | 797 / 38 |
Seizures W Mcc | 11 | 55 / 19 | $64.294,50 | 607 / 24 | $11.979,90 | 205 / 14 | $8.412,55 | 205 / 2 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 44 | $285.503,00 | 975 / 81 | $50.312,10 | 950 / 83 | $49.654,90 | 949 / 92 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 136 | 380 / 110 | $83.237,90 | 2470 / 150 | $13.934,50 | 2165 / 51 | $13.053,10 | 2127 / 63 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 69 | $44.750,00 | 2166 / 123 | $7.975,51 | 1447 / 35 | $6.174,93 | 1441 / 18 |
Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 69 | $51.277,40 | 2579 / 143 | $7.192,81 | 2002 / 24 | $6.171,10 | 1994 / 27 |
Simple Pneumonia & Pleurisy W Mcc | 48 | 157 / 43 | $65.773,80 | 2188 / 97 | $10.694,70 | 1925 / 28 | $9.788,69 | 1925 / 34 | Total 37 procedures | 1.067 | 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.