Hospital Costs > In California > Providence Holy Cross 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 | 281 | 237 / 47 | $150.220,00 | 2808 / 258 | $17.329,00 | 2488 / 182 | $15.128,50 | 2444 / 155 |
Heart Failure & Shock W Mcc | 150 | 134 / 10 | $113.673,00 | 2591 / 206 | $12.941,10 | 2342 / 119 | $12.253,00 | 2332 / 129 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 121 | 443 / 75 | $105.437,00 | 2536 / 176 | $17.250,30 | 2287 / 98 | $15.279,70 | 2243 / 101 |
Renal Failure W Mcc | 90 | 105 / 13 | $106.174,00 | 2135 / 172 | $12.534,60 | 1800 / 69 | $11.823,70 | 1796 / 81 |
Renal Failure W Cc | 85 | 136 / 15 | $76.265,20 | 2418 / 193 | $8.634,48 | 2172 / 107 | $7.872,73 | 2162 / 123 |
Simple Pneumonia & Pleurisy W Mcc | 68 | 137 / 26 | $100.653,00 | 2459 / 172 | $13.436,80 | 2073 / 140 | $10.482,80 | 2071 / 64 |
Heart Failure & Shock W Cc | 67 | 211 / 39 | $71.775,20 | 2734 / 215 | $8.492,76 | 2391 / 105 | $7.744,42 | 2385 / 113 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 46 | $52.499,80 | 2659 / 183 | $6.862,52 | 2347 / 107 | $5.691,94 | 2332 / 112 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 55 | $72.258,80 | 2500 / 217 | $9.192,62 | 2194 / 124 | $8.000,48 | 2185 / 122 |
Kidney & Urinary Tract Infections W/O Mcc | 55 | 178 / 56 | $50.692,20 | 2647 / 187 | $6.872,09 | 2325 / 103 | $5.843,78 | 2314 / 105 |
Cellulitis W/O Mcc | 52 | 137 / 35 | $60.263,90 | 2612 / 209 | $7.521,52 | 2240 / 104 | $6.269,04 | 2232 / 106 |
Respiratory Infections & Inflammations W Mcc | 52 | 84 / 24 | $137.196,00 | 1770 / 134 | $15.598,00 | 1571 / 67 | $14.936,50 | 1555 / 74 |
Kidney & Urinary Tract Infections W Mcc | 51 | 93 / 17 | $65.146,90 | 1859 / 138 | $9.147,45 | 1667 / 62 | $8.451,45 | 1663 / 80 |
G.I. Hemorrhage W Cc | 47 | 171 / 47 | $58.983,40 | 2296 / 148 | $8.562,45 | 2089 / 79 | $7.685,87 | 2085 / 97 |
Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 44 | $71.574,90 | 2772 / 199 | $8.876,76 | 2460 / 120 | $7.494,98 | 2451 / 115 |
Chest Pain | 45 | 106 / 28 | $54.167,10 | 1694 / 145 | $5.853,04 | 1414 / 75 | $4.754,49 | 1406 / 79 |
G.I. Hemorrhage W Mcc | 44 | 77 / 12 | $94.560,60 | 1533 / 108 | $13.807,00 | 1337 / 50 | $13.112,00 | 1327 / 56 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 44 | 48 / 11 | $381.754,00 | 1059 / 120 | $46.704,70 | 864 / 65 | $45.661,70 | 863 / 68 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 32 | $134.435,00 | 1391 / 87 | $18.043,20 | 1190 / 60 | $13.964,00 | 1183 / 38 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 40 | 86 / 21 | $64.856,10 | 1633 / 119 | $9.605,92 | 1428 / 71 | $8.890,67 | 1425 / 79 |
Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 53 | $72.143,20 | 2460 / 152 | $9.762,95 | 2149 / 81 | $8.532,19 | 2141 / 69 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 35 | 133 / 36 | $136.571,00 | 1605 / 141 | $15.455,70 | 1379 / 81 | $13.927,80 | 1373 / 84 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 31 | $409.807,00 | 1569 / 144 | $45.119,80 | 1369 / 75 | $44.330,30 | 1359 / 79 |
Other Circulatory System Diagnoses W Mcc | 31 | 85 / 20 | $113.695,00 | 1320 / 102 | $16.933,00 | 1222 / 74 | $16.298,90 | 1214 / 79 |
Pulmonary Edema & Respiratory Failure | 31 | 172 / 44 | $109.858,00 | 2218 / 160 | $11.295,80 | 2051 / 107 | $10.660,30 | 2045 / 122 |
G.I. Obstruction W Cc | 29 | 63 / 23 | $65.208,80 | 1694 / 122 | $7.672,31 | 1489 / 63 | $6.705,14 | 1484 / 75 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 26 | $98.633,10 | 1894 / 139 | $10.688,40 | 1639 / 76 | $9.464,89 | 1636 / 78 |
Red Blood Cell Disorders W/O Mcc | 28 | 115 / 28 | $51.512,60 | 1920 / 127 | $7.241,43 | 1702 / 74 | $6.327,43 | 1693 / 83 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 38 | $63.297,90 | 2133 / 161 | $7.107,86 | 1871 / 86 | $6.152,61 | 1866 / 98 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 27 | 49 / 11 | $82.421,40 | 448 / 38 | $13.855,10 | 373 / 11 | $13.612,60 | 373 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 53 | $45.708,60 | 2453 / 158 | $6.757,19 | 2195 / 113 | $5.525,04 | 2187 / 110 |
Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 46 | $73.953,40 | 2417 / 175 | $8.325,78 | 2019 / 94 | $6.767,63 | 2012 / 67 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 41 | $116.871,00 | 1985 / 120 | $15.452,60 | 1758 / 60 | $14.476,20 | 1739 / 76 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 24 | $57.127,00 | 1546 / 97 | $6.853,17 | 1421 / 59 | $5.939,00 | 1417 / 79 |
Peripheral Vascular Disorders W Cc | 24 | 60 / 9 | $67.371,50 | 1231 / 85 | $8.260,92 | 1042 / 40 | $7.547,08 | 1039 / 47 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 23 | 33 / 11 | $89.626,00 | 870 / 52 | $13.168,10 | 791 / 33 | $12.005,70 | 788 / 37 |
Diabetes W Cc | 23 | 69 / 12 | $57.566,90 | 1578 / 110 | $7.349,52 | 1333 / 51 | $6.396,39 | 1328 / 55 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 23 | 165 / 38 | $86.500,60 | 1589 / 105 | $9.292,48 | 1422 / 48 | $8.344,57 | 1419 / 68 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 51 | $84.640,30 | 2046 / 164 | $9.374,83 | 1705 / 85 | $7.632,78 | 1701 / 72 |
Syncope & Collapse | 21 | 148 / 46 | $55.231,50 | 1874 / 133 | $6.701,52 | 1667 / 75 | $5.891,95 | 1659 / 90 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 29 | $46.841,80 | 1956 / 127 | $5.484,35 | 1785 / 79 | $4.510,60 | 1779 / 91 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 22 | $222.901,00 | 983 / 76 | $26.850,20 | 876 / 41 | $25.815,80 | 871 / 48 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 13 | $373.957,00 | 958 / 74 | $40.928,80 | 794 / 31 | $40.233,20 | 793 / 37 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 24 | $97.229,90 | 1445 / 124 | $11.201,70 | 1261 / 84 | $9.866,20 | 1256 / 80 |
Respiratory Infections & Inflammations W Cc | 20 | 68 / 28 | $103.959,00 | 1466 / 114 | $11.467,50 | 1298 / 58 | $10.488,80 | 1293 / 63 |
Medical Back Problems W/O Mcc | 20 | 101 / 37 | $56.846,10 | 1453 / 107 | $7.330,15 | 1200 / 62 | $6.007,25 | 1196 / 56 |
Transient Ischemia | 19 | 106 / 37 | $56.266,20 | 1612 / 118 | $6.503,47 | 1472 / 74 | $5.608,32 | 1464 / 88 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 34 | $168.002,00 | 1805 / 114 | $18.490,60 | 1505 / 41 | $17.655,80 | 1491 / 45 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 37 | $147.921,00 | 1437 / 76 | $19.511,60 | 1073 / 24 | $16.346,80 | 1060 / 18 |
Cellulitis W Mcc | 18 | 40 / 16 | $112.919,00 | 957 / 86 | $14.509,80 | 924 / 75 | $13.826,70 | 922 / 79 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 27 | $50.510,40 | 1909 / 105 | $6.540,56 | 1789 / 73 | $5.595,56 | 1781 / 88 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 13 | $109.504,00 | 1107 / 86 | $14.410,40 | 980 / 75 | $11.001,90 | 976 / 56 |
Other Vascular Procedures W Mcc | 18 | 79 / 24 | $158.571,00 | 894 / 50 | $26.111,40 | 786 / 24 | $25.362,20 | 783 / 31 |
Disorders Of The Biliary Tract W Cc | 18 | 36 / 7 | $71.075,90 | 455 / 30 | $9.016,39 | 372 / 14 | $7.999,94 | 372 / 16 |
Signs & Symptoms W/O Mcc | 17 | 74 / 21 | $48.596,90 | 1301 / 73 | $7.424,12 | 1062 / 67 | $5.168,47 | 1059 / 43 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 17 | 53 / 17 | $60.352,30 | 541 / 44 | $8.112,35 | 443 / 20 | $7.587,88 | 443 / 23 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 16 | 48 / 8 | $913.094,00 | 559 / 48 | $104.288,00 | 516 / 41 | $101.103,00 | 515 / 42 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 12 | $189.274,00 | 939 / 60 | $23.497,10 | 810 / 32 | $22.727,60 | 807 / 38 |
Lymphoma & Non-Acute Leukemia W Cc | 15 | 21 / 2 | $105.745,00 | 132 / 6 | $13.060,10 | 93 / 1 | $12.645,30 | 93 / 3 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 30 | $46.683,60 | 1962 / 110 | $6.271,67 | 1745 / 66 | $5.296,87 | 1732 / 68 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 27 | $86.709,40 | 1428 / 135 | $8.498,20 | 1256 / 66 | $8.001,27 | 1252 / 89 |
Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 25 | $390.813,00 | 1271 / 83 | $45.610,30 | 1172 / 54 | $44.451,40 | 1169 / 56 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 10 | $118.218,00 | 397 / 24 | $19.194,40 | 385 / 15 | $18.139,20 | 384 / 17 |
Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 10 | $70.527,10 | 938 / 56 | $8.082,40 | 825 / 25 | $7.263,73 | 822 / 31 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 19 | $231.984,00 | 910 / 49 | $30.382,70 | 876 / 49 | $29.500,10 | 872 / 50 |
Peripheral Vascular Disorders W Mcc | 14 | 35 / 8 | $99.205,80 | 578 / 33 | $11.246,10 | 474 / 17 | $10.631,30 | 474 / 22 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 16 | $107.968,00 | 820 / 52 | $13.329,60 | 776 / 27 | $12.194,40 | 772 / 37 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 19 | $67.889,90 | 1068 / 70 | $7.830,07 | 872 / 38 | $6.322,64 | 868 / 29 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 27 | $43.627,30 | 1261 / 80 | $5.863,71 | 1205 / 58 | $4.991,43 | 1202 / 75 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 33 | $48.807,70 | 2044 / 109 | $6.631,00 | 1852 / 66 | $5.606,69 | 1841 / 73 |
Seizures W/O Mcc | 13 | 95 / 29 | $43.990,40 | 1176 / 54 | $6.945,15 | 1078 / 42 | $6.013,00 | 1076 / 49 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 13 | 29 / 11 | $84.039,80 | 262 / 16 | $13.754,20 | 208 / 7 | $13.373,50 | 208 / 9 |
G.I. Obstruction W Mcc | 13 | 29 / 9 | $138.063,00 | 534 / 40 | $14.553,60 | 473 / 27 | $13.615,20 | 473 / 28 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 13 | 49 / 18 | $58.558,00 | 800 / 59 | $6.780,92 | 681 / 27 | $5.776,08 | 679 / 35 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 16 | $52.702,10 | 985 / 61 | $6.851,85 | 820 / 38 | $5.060,54 | 816 / 32 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 20 | $119.583,00 | 836 / 34 | $16.540,90 | 714 / 18 | $15.599,50 | 707 / 22 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 18 | $67.804,20 | 850 / 48 | $8.564,67 | 690 / 21 | $7.649,33 | 690 / 23 |
Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 19 | $71.915,30 | 920 / 69 | $6.612,58 | 825 / 47 | $5.500,58 | 824 / 50 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 27 | $50.983,80 | 760 / 35 | $8.431,00 | 657 / 23 | $7.417,33 | 657 / 21 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 15 | $119.713,00 | 613 / 29 | $23.560,10 | 299 / 40 | $11.314,40 | 298 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 12 | 65 / 23 | $107.357,00 | 807 / 37 | $19.362,70 | 748 / 12 | $18.550,00 | 745 / 21 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 15 | $127.429,00 | 656 / 41 | $14.941,70 | 527 / 24 | $14.044,80 | 526 / 22 |
Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 6 | $42.410,00 | 368 / 5 | $6.112,36 | 315 / 6 | $5.004,18 | 315 / 7 |
Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 14 | $100.169,00 | 393 / 32 | $12.083,50 | 300 / 10 | $11.750,10 | 300 / 13 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 17 | $141.515,00 | 335 / 20 | $18.428,40 | 298 / 14 | $17.547,50 | 298 / 15 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 23 | $62.992,50 | 1029 / 56 | $9.522,09 | 965 / 31 | $9.129,73 | 963 / 44 |
Lymphoma & Non-Acute Leukemia W Mcc | 11 | 25 / 6 | $208.337,00 | 118 / 5 | $26.305,90 | 76 / 3 | $26.063,10 | 76 / 3 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 17 | $86.682,80 | 403 / 24 | $6.789,91 | 321 / 12 | $5.793,55 | 321 / 15 |
Diabetes W Mcc | 11 | 46 / 16 | $105.132,00 | 732 / 38 | $15.414,50 | 512 / 42 | $9.582,55 | 512 / 13 | Total 89 procedures | 2.785 | 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.