Hospital Costs > In California > Providence Saint John's Health Center, 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 | 910 | 26 / 2 | $60.162,80 | 1700 / 48 | $14.907,10 | 1632 / 20 | $12.393,70 | 1595 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 183 | 333 / 89 | $75.856,50 | 2374 / 123 | $13.782,40 | 2095 / 44 | $12.737,80 | 2058 / 47 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 93 | 73 / 8 | $25.204,80 | 1897 / 44 | $4.772,95 | 872 / 4 | $3.557,37 | 869 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 92 | 141 / 23 | $26.739,40 | 2066 / 45 | $5.114,91 | 1349 / 7 | $4.202,22 | 1340 / 12 |
| Cellulitis W/O Mcc | 89 | 100 / 10 | $32.997,90 | 2235 / 90 | $5.544,60 | 1454 / 4 | $4.675,56 | 1447 / 11 |
| Spinal Fusion Except Cervical W/O Mcc | 80 | 114 / 12 | $92.565,40 | 661 / 7 | $26.616,50 | 822 / 2 | $24.318,60 | 818 / 4 |
| Respiratory Infections & Inflammations W Mcc | 79 | 57 / 6 | $78.311,70 | 1490 / 62 | $14.291,80 | 1410 / 29 | $13.664,00 | 1395 / 37 |
| Heart Failure & Shock W Mcc | 76 | 208 / 52 | $56.466,00 | 2137 / 81 | $10.165,80 | 1732 / 11 | $9.546,45 | 1727 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 73 | 202 / 40 | $33.048,60 | 2279 / 88 | $5.852,18 | 939 / 33 | $3.725,88 | 933 / 1 |
| G.I. Hemorrhage W Cc | 70 | 148 / 28 | $34.012,20 | 1749 / 39 | $6.620,79 | 1242 / 2 | $5.636,56 | 1240 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 68 | 139 / 49 | $40.277,70 | 2044 / 93 | $6.926,79 | 1329 / 8 | $6.019,97 | 1324 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 66 | 137 / 27 | $40.787,10 | 2348 / 77 | $6.657,83 | 1376 / 9 | $5.390,55 | 1371 / 4 |
| Renal Failure W Cc | 55 | 166 / 34 | $31.767,70 | 1783 / 39 | $6.488,69 | 1055 / 7 | $5.240,02 | 1047 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 51 | 92 / 18 | $74.445,50 | 1622 / 39 | $13.478,80 | 1303 / 12 | $11.976,80 | 1286 / 11 |
| Major Small & Large Bowel Procedures W Cc | 51 | 57 / 7 | $86.839,50 | 1078 / 10 | $17.868,50 | 1087 / 5 | $16.450,90 | 1074 / 20 |
| Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 42 | $63.712,50 | 2159 / 88 | $10.101,90 | 1713 / 14 | $9.184,16 | 1713 / 18 |
| Pulmonary Edema & Respiratory Failure | 45 | 158 / 33 | $62.920,00 | 1969 / 82 | $9.928,62 | 1674 / 44 | $8.368,53 | 1669 / 23 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 45 | 21 / 2 | $71.936,00 | 415 / 8 | $15.152,90 | 366 / 13 | $12.024,60 | 363 / 6 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 45 | 44 / 8 | $39.171,00 | 453 / 5 | $7.678,67 | 355 / 5 | $5.806,00 | 354 / 5 |
| Heart Failure & Shock W Cc | 44 | 234 / 58 | $32.452,80 | 2076 / 47 | $6.488,89 | 1267 / 7 | $5.517,61 | 1263 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 42 | 102 / 24 | $45.886,30 | 1620 / 74 | $7.213,62 | 763 / 5 | $6.045,62 | 762 / 4 |
| Respiratory Infections & Inflammations W Cc | 42 | 46 / 10 | $51.453,70 | 1170 / 36 | $9.321,17 | 753 / 9 | $7.852,79 | 748 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 40 | 121 / 26 | $30.351,50 | 1644 / 36 | $5.263,25 | 994 / 2 | $4.290,17 | 991 / 5 |
| Fractures Of Hip & Pelvis W/O Mcc | 38 | 23 / 3 | $26.306,10 | 681 / 14 | $4.582,47 | 314 / 2 | $3.504,58 | 315 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 33 | 163 / 39 | $94.860,80 | 1106 / 35 | $13.935,30 | 1043 / 1 | $12.802,70 | 1036 / 13 |
| Medical Back Problems W/O Mcc | 33 | 88 / 25 | $30.007,20 | 1010 / 28 | $5.450,00 | 640 / 3 | $4.463,82 | 638 / 3 |
| Renal Failure W Mcc | 32 | 163 / 55 | $56.308,80 | 1697 / 67 | $11.693,50 | 1464 / 33 | $10.174,70 | 1463 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 23 | $47.382,30 | 1483 / 40 | $8.332,35 | 1087 / 4 | $7.318,68 | 1084 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 28 | $46.391,20 | 1432 / 71 | $7.956,10 | 1074 / 12 | $7.282,55 | 1071 / 17 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 29 | 69 / 7 | $151.139,00 | 353 / 6 | $33.597,20 | 365 / 8 | $32.639,40 | 365 / 12 |
| Syncope & Collapse | 29 | 140 / 38 | $31.657,70 | 1493 / 48 | $4.948,38 | 786 / 6 | $3.835,41 | 782 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 28 | 76 / 11 | $69.018,30 | 567 / 4 | $19.039,90 | 246 / 29 | $11.368,50 | 246 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 28 | 58 / 11 | $82.929,20 | 318 / 2 | $22.795,20 | 393 / 3 | $20.699,60 | 392 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 28 | 140 / 43 | $69.306,30 | 1258 / 46 | $13.062,70 | 1194 / 27 | $12.070,60 | 1188 / 35 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 24 | $93.481,00 | 1667 / 98 | $16.714,00 | 1707 / 117 | $15.938,00 | 1694 / 124 |
| Cervical Spinal Fusion W Cc | 27 | 26 / 3 | $76.901,00 | 207 / 4 | $21.252,50 | 158 / 5 | $16.345,40 | 157 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 27 | 58 / 13 | $175.652,00 | 949 / 17 | $36.731,80 | 914 / 13 | $35.793,10 | 912 / 15 |
| Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 63 | $61.993,30 | 2376 / 127 | $8.126,81 | 1773 / 8 | $7.369,48 | 1765 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 48 | $45.419,10 | 1637 / 52 | $7.017,08 | 1164 / 5 | $6.086,62 | 1161 / 9 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 26 | 38 / 2 | $419.556,00 | 455 / 18 | $90.770,30 | 461 / 28 | $87.320,40 | 460 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 25 | 40 / 8 | $111.092,00 | 709 / 16 | $23.860,80 | 737 / 17 | $22.845,70 | 734 / 21 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 20 | $31.161,20 | 1649 / 44 | $4.686,84 | 827 / 2 | $3.528,44 | 823 / 4 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 31 | $60.705,30 | 1209 / 39 | $11.354,80 | 818 / 2 | $10.581,70 | 815 / 4 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 25 | 37 / 7 | $25.263,30 | 514 / 9 | $4.909,96 | 283 / 1 | $3.847,56 | 283 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 17 | $24.452,10 | 992 / 20 | $4.050,08 | 572 / 1 | $3.047,42 | 571 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 24 | 67 / 12 | $50.118,80 | 1184 / 43 | $7.606,96 | 976 / 14 | $6.604,29 | 974 / 14 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 23 | 46 / 13 | $76.195,90 | 306 / 3 | $18.433,20 | 372 / 4 | $17.437,00 | 371 / 8 |
| Other Circulatory System Diagnoses W Mcc | 23 | 93 / 27 | $69.545,70 | 1046 / 34 | $13.299,40 | 892 / 8 | $12.643,40 | 886 / 14 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 33 | $214.793,00 | 796 / 47 | $44.219,20 | 788 / 39 | $42.868,30 | 787 / 47 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 39 | $56.059,40 | 1331 / 44 | $8.396,68 | 725 / 12 | $5.777,36 | 723 / 3 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 21 | 95 / 17 | $330.844,00 | 404 / 15 | $70.880,90 | 434 / 18 | $69.765,50 | 434 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 28 | $24.458,40 | 1607 / 37 | $3.753,19 | 752 / 3 | $2.630,33 | 748 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 46 | $138.320,00 | 905 / 15 | $36.359,70 | 1010 / 17 | $35.619,70 | 1004 / 23 |
| Transient Ischemia | 20 | 105 / 36 | $35.199,60 | 1331 / 47 | $4.646,90 | 896 / 1 | $3.862,90 | 892 / 8 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 20 | 44 / 11 | $54.090,80 | 510 / 5 | $11.288,50 | 414 / 1 | $9.305,70 | 414 / 2 |
| Major Chest Procedures W Cc | 20 | 54 / 11 | $86.362,40 | 352 / 5 | $17.506,60 | 236 / 3 | $14.967,20 | 235 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 33 | $103.420,00 | 1547 / 47 | $18.489,00 | 1500 / 39 | $17.580,20 | 1486 / 43 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 28 | $35.019,90 | 1245 / 30 | $5.015,55 | 710 / 2 | $3.866,75 | 706 / 6 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 19 | $24.661,20 | 879 / 16 | $4.560,42 | 461 / 2 | $3.607,16 | 460 / 3 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 18 | 29 / 7 | $128.128,00 | 40 / 1 | $43.322,10 | 42 / 3 | $33.940,80 | 42 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 27 | $28.654,60 | 1675 / 42 | $4.379,89 | 974 / 2 | $3.706,11 | 966 / 7 |
| G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 11 | $27.201,80 | 751 / 18 | $4.645,28 | 405 / 2 | $3.573,28 | 401 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 56 | $38.502,90 | 2035 / 69 | $6.251,59 | 1091 / 4 | $5.048,76 | 1087 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 16 | $228.082,00 | 818 / 33 | $42.436,40 | 834 / 38 | $41.869,80 | 833 / 48 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 16 | $35.002,60 | 920 / 21 | $6.266,41 | 632 / 2 | $5.626,41 | 629 / 6 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 17 | 29 / 10 | $169.852,00 | 43 / 1 | $53.091,90 | 39 / 1 | $46.139,40 | 39 / 1 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 40 | $23.092,60 | 1128 / 15 | $5.340,94 | 921 / 2 | $4.434,94 | 915 / 7 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 14 | $35.118,10 | 971 / 15 | $6.874,44 | 513 / 6 | $5.213,19 | 511 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 25 | $95.145,30 | 537 / 6 | $22.674,20 | 625 / 3 | $21.694,20 | 625 / 4 |
| Cellulitis W Mcc | 16 | 42 / 18 | $56.061,00 | 778 / 39 | $11.160,10 | 451 / 25 | $8.487,62 | 449 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 16 | 84 / 26 | $175.835,00 | 903 / 49 | $30.655,60 | 964 / 68 | $29.599,60 | 959 / 73 |
| G.I. Obstruction W Cc | 16 | 76 / 36 | $29.032,70 | 1162 / 16 | $5.920,88 | 892 / 5 | $4.944,88 | 890 / 6 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 26 | $39.822,10 | 1132 / 49 | $6.940,31 | 469 / 6 | $5.150,06 | 466 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 19 | $41.727,50 | 851 / 17 | $7.832,67 | 680 / 2 | $7.267,33 | 678 / 6 |
| O.R. Procedures For Obesity W Cc | 15 | 19 / 3 | $92.963,20 | 107 / 2 | $13.347,80 | 75 / 1 | $12.219,40 | 75 / 2 |
| Stomach, Esophageal & Duodenal Proc W Cc | 14 | 36 / 10 | $78.979,10 | 135 / 4 | $17.784,20 | 109 / 2 | $16.833,40 | 109 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 20 | $53.386,60 | 631 / 6 | $11.407,00 | 460 / 6 | $9.073,21 | 458 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $49.603,50 | 1153 / 52 | $8.808,69 | 976 / 11 | $8.067,77 | 971 / 16 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 13 | $87.565,50 | 566 / 22 | $12.420,80 | 470 / 4 | $12.049,20 | 468 / 9 |
| Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 11 | $101.120,00 | 332 / 4 | $24.016,30 | 348 / 3 | $23.457,50 | 348 / 5 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 6 | $144.073,00 | 472 / 5 | $28.893,80 | 424 / 7 | $25.558,50 | 423 / 5 |
| Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 28 | $38.241,50 | 601 / 5 | $6.991,58 | 509 / 3 | $5.780,92 | 508 / 2 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 12 | 34 / 11 | $36.903,00 | 168 / 7 | $6.887,00 | 76 / 2 | $5.063,00 | 76 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 34 | $32.112,40 | 1768 / 39 | $5.956,08 | 530 / 28 | $3.351,50 | 529 / 1 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 12 | 69 / 17 | $746.883,00 | 396 / 14 | $171.896,00 | 410 / 17 | $170.838,00 | 409 / 21 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 14 | $68.795,20 | 548 / 15 | $12.513,20 | 264 / 4 | $11.049,90 | 263 / 3 |
| Chest Pain | 12 | 139 / 60 | $28.019,30 | 1320 / 54 | $4.014,17 | 584 / 1 | $3.008,83 | 580 / 6 |
| Endocrine Disorders W Cc | 12 | 26 / 9 | $26.309,90 | 142 / 1 | $7.273,83 | 72 / 3 | $5.439,25 | 72 / 1 |
| G.I. Obstruction W Mcc | 11 | 31 / 11 | $55.468,50 | 379 / 14 | $10.494,20 | 270 / 2 | $9.916,73 | 270 / 6 |
| Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 13 | $296.938,00 | 363 / 12 | $59.089,30 | 376 / 11 | $57.879,20 | 376 / 13 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 17 | $150.690,00 | 879 / 46 | $25.803,50 | 861 / 49 | $24.703,90 | 858 / 53 |
| Dysequilibrium | 11 | 54 / 16 | $29.991,70 | 414 / 7 | $4.142,55 | 199 / 1 | $3.150,55 | 199 / 3 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 11 | 29 / 10 | $43.714,50 | 217 / 4 | $7.267,36 | 98 / 1 | $6.383,00 | 98 / 2 | Total 93 procedures | 3.791 | 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.