Hospital Costs > In California > Pomona Valley Hospital Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 246 | 270 / 59 | $135.118,00 | 2789 / 247 | $19.734,50 | 2736 / 229 | $18.745,20 | 2691 / 232 |
Heart Failure & Shock W Mcc | 97 | 187 / 36 | $121.167,00 | 2605 / 215 | $17.949,40 | 2577 / 205 | $16.722,70 | 2566 / 210 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 73 | 491 / 106 | $113.784,00 | 2564 / 184 | $22.498,60 | 2564 / 203 | $19.028,40 | 2518 / 202 |
Heart Failure & Shock W Cc | 55 | 223 / 49 | $64.151,10 | 2696 / 193 | $13.133,70 | 2723 / 206 | $12.010,30 | 2717 / 211 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 49 | 75 / 17 | $440.676,00 | 1576 / 147 | $54.705,80 | 1519 / 122 | $52.705,40 | 1509 / 124 |
Renal Failure W Cc | 48 | 173 / 40 | $70.754,20 | 2408 / 185 | $12.890,30 | 2413 / 189 | $11.881,00 | 2403 / 194 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 47 | 45 / 10 | $446.557,00 | 1081 / 132 | $52.312,20 | 966 / 95 | $50.802,70 | 965 / 97 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 45 | 123 / 27 | $158.459,00 | 1621 / 151 | $21.117,80 | 1588 / 139 | $19.594,20 | 1581 / 147 |
Simple Pneumonia & Pleurisy W Mcc | 42 | 163 / 49 | $90.351,20 | 2415 / 154 | $16.054,00 | 2470 / 185 | $15.220,60 | 2464 / 188 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 42 | 140 / 35 | $68.110,00 | 1980 / 137 | $13.252,00 | 2044 / 169 | $12.258,50 | 2039 / 173 |
Renal Failure W Mcc | 41 | 154 / 46 | $95.978,20 | 2097 / 157 | $16.915,60 | 2092 / 163 | $16.054,60 | 2088 / 168 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 41 | 166 / 69 | $62.165,50 | 2434 / 198 | $13.645,10 | 2538 / 228 | $12.753,80 | 2528 / 233 |
G.I. Hemorrhage W Cc | 40 | 178 / 54 | $64.314,10 | 2341 / 166 | $13.183,90 | 2402 / 188 | $12.184,50 | 2398 / 192 |
Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 70 | $65.742,80 | 2701 / 216 | $11.421,00 | 2692 / 209 | $10.505,80 | 2681 / 213 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 39 | 92 / 16 | $176.021,00 | 1816 / 120 | $22.042,00 | 1722 / 97 | $21.095,20 | 1708 / 105 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 16 | $125.312,00 | 1777 / 132 | $18.833,50 | 1763 / 137 | $17.757,00 | 1750 / 140 |
Cellulitis W/O Mcc | 36 | 153 / 50 | $57.427,60 | 2606 / 207 | $11.960,80 | 2609 / 209 | $10.944,40 | 2601 / 214 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 76 | $51.397,60 | 2651 / 180 | $10.878,20 | 2688 / 212 | $9.349,29 | 2673 / 213 |
Chest Pain | 33 | 118 / 40 | $47.540,80 | 1670 / 134 | $10.106,20 | 1686 / 143 | $9.263,18 | 1677 / 145 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 57 | $80.752,90 | 2803 / 213 | $12.908,90 | 2788 / 208 | $11.776,80 | 2779 / 211 |
Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 34 | $70.803,60 | 1896 / 151 | $14.139,50 | 1933 / 160 | $13.369,70 | 1929 / 166 |
G.I. Hemorrhage W Mcc | 30 | 91 / 26 | $108.430,00 | 1595 / 133 | $18.566,40 | 1597 / 137 | $17.441,60 | 1587 / 141 |
Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 17 | $45.166,00 | 1953 / 101 | $10.593,30 | 2003 / 126 | $9.848,04 | 1990 / 130 |
Pulmonary Edema & Respiratory Failure | 28 | 175 / 47 | $95.297,20 | 2189 / 147 | $14.894,10 | 2200 / 162 | $14.062,60 | 2194 / 168 |
Respiratory Infections & Inflammations W Mcc | 27 | 109 / 45 | $140.998,00 | 1774 / 137 | $19.615,50 | 1769 / 134 | $18.995,80 | 1753 / 145 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 54 | $47.652,70 | 2475 / 167 | $10.818,30 | 2520 / 191 | $9.892,23 | 2511 / 197 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 41 | $123.387,00 | 2004 / 125 | $20.487,40 | 2004 / 144 | $19.409,00 | 1982 / 145 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 49 | $84.274,20 | 2435 / 186 | $12.628,10 | 2427 / 182 | $11.886,20 | 2420 / 187 |
Other Circulatory System Diagnoses W Mcc | 24 | 92 / 26 | $193.909,00 | 1392 / 132 | $23.431,50 | 1364 / 118 | $22.123,60 | 1356 / 123 |
Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 66 | $73.491,60 | 2472 / 157 | $14.488,50 | 2548 / 188 | $13.910,40 | 2540 / 193 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 31 | $71.991,50 | 1793 / 108 | $14.416,60 | 1873 / 135 | $13.559,60 | 1870 / 141 |
Syncope & Collapse | 22 | 147 / 45 | $53.627,10 | 1859 / 125 | $11.060,10 | 1914 / 155 | $10.244,50 | 1906 / 159 |
Transient Ischemia | 22 | 103 / 34 | $54.636,20 | 1602 / 114 | $10.840,90 | 1655 / 140 | $9.871,55 | 1647 / 139 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 45 | $49.033,50 | 2052 / 129 | $11.547,00 | 2150 / 173 | $10.414,00 | 2145 / 176 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 40 | $97.987,90 | 1620 / 122 | $13.505,90 | 1603 / 119 | $11.745,30 | 1600 / 122 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 39 | $51.908,20 | 1514 / 89 | $13.830,80 | 1698 / 148 | $12.993,20 | 1694 / 153 |
Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 20 | $391.548,00 | 1272 / 84 | $55.247,80 | 1244 / 71 | $50.342,60 | 1241 / 73 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 19 | 177 / 52 | $279.335,00 | 1491 / 124 | $23.098,00 | 1473 / 108 | $22.000,50 | 1465 / 117 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 29 | $87.142,80 | 1606 / 125 | $11.473,40 | 1599 / 123 | $10.272,60 | 1595 / 125 |
Red Blood Cell Disorders W/O Mcc | 18 | 125 / 38 | $57.839,30 | 1965 / 142 | $11.663,70 | 1977 / 148 | $10.658,60 | 1968 / 153 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 30 | $90.289,60 | 1437 / 101 | $15.964,10 | 1473 / 114 | $14.989,30 | 1468 / 120 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 17 | 47 / 7 | $923.580,00 | 562 / 50 | $104.073,00 | 518 / 40 | $102.279,00 | 517 / 43 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 33 | $40.395,30 | 1926 / 116 | $9.739,25 | 1983 / 145 | $8.644,06 | 1977 / 146 |
Cellulitis W Mcc | 16 | 42 / 18 | $84.034,30 | 918 / 68 | $16.465,30 | 948 / 83 | $15.764,60 | 946 / 88 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 31 | $54.214,20 | 2071 / 119 | $10.978,70 | 2088 / 133 | $9.175,13 | 2076 / 133 |
Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 11 | $98.699,50 | 392 / 31 | $17.408,40 | 395 / 33 | $16.884,00 | 395 / 34 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 17 | $77.945,90 | 1061 / 78 | $15.100,00 | 1078 / 79 | $14.677,40 | 1074 / 82 |
G.I. Obstruction W Cc | 13 | 79 / 39 | $54.366,40 | 1634 / 102 | $12.326,10 | 1728 / 133 | $11.515,30 | 1723 / 139 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 18 | $274.358,00 | 712 / 38 | $41.146,40 | 548 / 30 | $34.716,80 | 548 / 10 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 23 | $79.143,90 | 893 / 49 | $16.231,70 | 946 / 71 | $15.126,80 | 943 / 77 |
Diabetes W Cc | 12 | 80 / 23 | $47.345,30 | 1514 / 84 | $11.853,90 | 1597 / 115 | $10.894,20 | 1592 / 121 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 14 | $180.117,00 | 672 / 51 | $25.030,30 | 667 / 45 | $24.547,30 | 666 / 50 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 21 | $480.372,00 | 978 / 85 | $47.515,70 | 899 / 60 | $46.284,90 | 898 / 64 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 29 | $47.158,20 | 1281 / 88 | $10.166,40 | 1312 / 101 | $9.111,42 | 1309 / 104 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 22 | $136.435,00 | 752 / 76 | $18.506,50 | 731 / 68 | $17.880,80 | 730 / 73 |
Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 54 | $128.295,00 | 994 / 25 | $36.223,20 | 1289 / 68 | $35.166,60 | 1284 / 79 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 33 | $48.825,10 | 1898 / 102 | $10.884,80 | 1961 / 133 | $10.027,40 | 1953 / 134 |
Medical Back Problems W/O Mcc | 12 | 109 / 45 | $43.236,40 | 1314 / 67 | $11.985,80 | 1485 / 123 | $11.114,70 | 1480 / 130 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 21 | $77.438,60 | 1242 / 88 | $12.973,50 | 1248 / 94 | $12.073,30 | 1245 / 96 |
Seizures W/O Mcc | 11 | 97 / 31 | $55.343,90 | 1269 / 78 | $11.321,70 | 1298 / 93 | $10.499,50 | 1296 / 100 |
Peripheral Vascular Disorders W Mcc | 11 | 38 / 11 | $105.226,00 | 580 / 34 | $16.087,20 | 576 / 37 | $15.095,60 | 576 / 38 |
Diabetes W Mcc | 11 | 46 / 16 | $123.913,00 | 741 / 43 | $16.349,30 | 732 / 44 | $15.682,50 | 731 / 44 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 31 | $71.325,80 | 1404 / 119 | $12.950,40 | 1422 / 132 | $11.990,60 | 1418 / 135 |
Seizures W Mcc | 11 | 55 / 19 | $79.757,90 | 676 / 38 | $16.015,80 | 716 / 40 | $15.312,50 | 716 / 45 |
Cranial & Peripheral Nerve Disorders W Mcc | 11 | 25 / 12 | $272.990,00 | 148 / 15 | $27.284,80 | 148 / 15 | $24.698,00 | 148 / 15 | Total 65 procedures | 1.911 | 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.