Hospital Costs > In California > Providence Tarzana 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 | 406 | 134 / 12 | $121.702,00 | 2750 / 228 | $15.005,70 | 2335 / 102 | $13.828,30 | 2293 / 102 |
| Heart Failure & Shock W Mcc | 136 | 148 / 14 | $105.089,00 | 2580 / 198 | $12.323,80 | 2280 / 89 | $11.697,00 | 2270 / 110 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 128 | 79 / 13 | $64.805,00 | 2457 / 204 | $8.859,80 | 2092 / 99 | $7.605,85 | 2084 / 85 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 121 | 154 / 13 | $48.488,80 | 2633 / 174 | $6.056,22 | 2103 / 43 | $5.007,95 | 2089 / 52 |
| Heart Failure & Shock W Cc | 100 | 178 / 13 | $58.056,30 | 2649 / 175 | $7.631,78 | 2097 / 43 | $6.722,28 | 2091 / 48 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 93 | 73 / 8 | $43.672,50 | 2424 / 149 | $5.656,75 | 1914 / 40 | $4.700,30 | 1908 / 46 |
| Cellulitis W/O Mcc | 79 | 110 / 16 | $49.493,20 | 2553 / 183 | $6.965,37 | 1977 / 62 | $5.518,58 | 1969 / 42 |
| G.I. Hemorrhage W Cc | 77 | 141 / 22 | $59.947,90 | 2307 / 151 | $8.101,91 | 1851 / 50 | $6.761,12 | 1847 / 42 |
| Renal Failure W Mcc | 73 | 122 / 18 | $92.292,60 | 2079 / 149 | $11.617,00 | 1640 / 29 | $10.831,90 | 1638 / 40 |
| Chronic Obstructive Pulmonary Disease W Mcc | 71 | 131 / 21 | $89.688,00 | 2538 / 182 | $10.146,60 | 2217 / 101 | $8.910,63 | 2209 / 89 |
| Simple Pneumonia & Pleurisy W Cc | 70 | 133 / 24 | $69.332,40 | 2764 / 194 | $7.710,89 | 2170 / 45 | $6.548,64 | 2162 / 42 |
| Renal Failure W Cc | 68 | 153 / 23 | $63.363,60 | 2379 / 171 | $7.590,60 | 1880 / 45 | $6.612,81 | 1870 / 44 |
| Kidney & Urinary Tract Infections W/O Mcc | 68 | 165 / 43 | $48.843,80 | 2633 / 181 | $6.269,51 | 2111 / 53 | $5.228,90 | 2100 / 54 |
| Respiratory Infections & Inflammations W Mcc | 63 | 73 / 17 | $135.929,00 | 1766 / 131 | $15.365,70 | 1539 / 62 | $14.539,50 | 1523 / 68 |
| Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 35 | $117.445,00 | 2499 / 191 | $12.437,80 | 2239 / 104 | $11.662,90 | 2233 / 117 |
| Chest Pain | 55 | 96 / 22 | $38.138,40 | 1556 / 96 | $4.996,96 | 1210 / 27 | $4.016,89 | 1203 / 38 |
| Kidney & Urinary Tract Infections W Mcc | 52 | 92 / 16 | $60.915,80 | 1823 / 128 | $8.615,92 | 1557 / 41 | $7.852,62 | 1553 / 51 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 52 | 109 / 15 | $53.246,80 | 2090 / 144 | $6.749,65 | 1603 / 64 | $5.202,87 | 1598 / 36 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 51 | 99 / 5 | $32.666,40 | 1827 / 83 | $4.854,96 | 1511 / 46 | $3.555,45 | 1505 / 36 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 51 | 73 / 16 | $273.746,00 | 1470 / 97 | $39.190,90 | 1171 / 30 | $38.402,70 | 1163 / 40 |
| Major Small & Large Bowel Procedures W Cc | 46 | 62 / 10 | $164.461,00 | 1482 / 95 | $19.011,70 | 1242 / 20 | $17.989,50 | 1228 / 41 |
| Hip & Femur Procedures Except Major Joint W Cc | 46 | 97 / 23 | $123.834,00 | 2007 / 128 | $14.768,90 | 1677 / 43 | $13.842,90 | 1658 / 55 |
| Red Blood Cell Disorders W/O Mcc | 45 | 98 / 11 | $45.318,20 | 1854 / 106 | $6.508,53 | 1501 / 32 | $5.485,47 | 1492 / 32 |
| Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 30 | $63.953,60 | 2391 / 162 | $7.205,77 | 1940 / 29 | $6.502,05 | 1933 / 46 |
| Extracranial Procedures W/O Cc/Mcc | 43 | 55 / 7 | $72.092,30 | 873 / 37 | $8.279,28 | 727 / 14 | $6.825,65 | 724 / 14 |
| Bronchitis & Asthma W Cc/Mcc | 42 | 34 / 2 | $77.622,50 | 1078 / 78 | $7.023,64 | 826 / 15 | $6.077,26 | 822 / 21 |
| Syncope & Collapse | 42 | 127 / 25 | $47.979,50 | 1824 / 115 | $6.156,69 | 1404 / 48 | $4.865,95 | 1397 / 33 |
| Transient Ischemia | 41 | 84 / 17 | $54.820,40 | 1604 / 115 | $5.689,07 | 1245 / 27 | $4.639,51 | 1239 / 35 |
| Respiratory Infections & Inflammations W Cc | 39 | 49 / 11 | $82.292,60 | 1408 / 91 | $10.135,10 | 1134 / 26 | $9.298,44 | 1129 / 29 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 39 | 157 / 34 | $109.407,00 | 1249 / 56 | $15.831,50 | 1093 / 30 | $13.140,90 | 1086 / 21 |
| G.I. Obstruction W Cc | 38 | 54 / 14 | $48.424,50 | 1580 / 86 | $7.369,71 | 1326 / 48 | $5.973,00 | 1321 / 30 |
| Medical Back Problems W/O Mcc | 37 | 84 / 22 | $46.373,60 | 1362 / 80 | $6.746,03 | 1167 / 28 | $5.872,46 | 1163 / 45 |
| Heart Failure & Shock W/O Cc/Mcc | 35 | 75 / 12 | $37.628,70 | 1866 / 73 | $5.518,80 | 1585 / 22 | $4.674,51 | 1572 / 37 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 34 | 530 / 129 | $115.427,00 | 2576 / 190 | $16.989,70 | 2113 / 90 | $14.103,50 | 2071 / 61 |
| G.I. Hemorrhage W Mcc | 34 | 87 / 22 | $102.964,00 | 1571 / 125 | $13.380,40 | 1246 / 33 | $12.558,70 | 1238 / 40 |
| G.I. Obstruction W/O Cc/Mcc | 34 | 37 / 8 | $36.768,70 | 1205 / 65 | $5.154,00 | 1047 / 28 | $4.123,59 | 1044 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 38 | $130.622,00 | 1594 / 136 | $14.158,20 | 1328 / 59 | $13.275,30 | 1322 / 70 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 42 | $67.861,20 | 1973 / 134 | $8.225,82 | 1613 / 32 | $7.253,33 | 1609 / 47 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 33 | 59 / 22 | $414.828,00 | 1070 / 124 | $49.422,70 | 917 / 77 | $48.001,80 | 916 / 83 |
| Other Vascular Procedures W Cc | 31 | 71 / 13 | $132.415,00 | 1022 / 43 | $18.748,00 | 840 / 9 | $17.824,40 | 835 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 23 | $74.929,80 | 1814 / 114 | $9.369,29 | 1439 / 25 | $8.448,06 | 1436 / 28 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 32 | $69.537,40 | 1662 / 132 | $9.175,89 | 1163 / 57 | $7.538,70 | 1160 / 26 |
| Other Digestive System Diagnoses W Cc | 26 | 71 / 16 | $64.853,60 | 1382 / 108 | $7.759,96 | 950 / 29 | $6.295,19 | 946 / 17 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 20 | $55.655,70 | 1930 / 115 | $5.873,00 | 1585 / 34 | $4.696,28 | 1577 / 39 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 27 | $115.865,00 | 1755 / 122 | $12.933,60 | 1374 / 34 | $11.884,70 | 1363 / 36 |
| Major Cardiovasc Procedures W/O Mcc | 25 | 76 / 17 | $150.597,00 | 877 / 29 | $24.742,00 | 766 / 8 | $23.902,00 | 765 / 15 |
| Dysequilibrium | 25 | 40 / 5 | $49.934,30 | 546 / 30 | $5.145,24 | 361 / 9 | $3.964,28 | 361 / 7 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 23 | 24 / 2 | $52.756,90 | 370 / 12 | $5.777,26 | 230 / 2 | $4.807,87 | 230 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 23 | $60.408,60 | 2084 / 126 | $5.956,61 | 1695 / 29 | $4.930,17 | 1684 / 39 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 17 | $361.617,00 | 1260 / 78 | $43.583,00 | 1116 / 46 | $41.845,20 | 1114 / 46 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 22 | 18 / 5 | $229.615,00 | 460 / 45 | $29.253,70 | 458 / 44 | $25.972,90 | 457 / 45 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 27 | $75.329,40 | 989 / 45 | $11.397,60 | 743 / 16 | $10.482,40 | 741 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 27 | $66.294,70 | 1586 / 115 | $7.322,48 | 1167 / 75 | $4.740,81 | 1163 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 24 | $67.560,90 | 1340 / 89 | $9.246,95 | 1029 / 26 | $8.250,45 | 1024 / 28 |
| Peripheral Vascular Disorders W Cc | 20 | 64 / 13 | $43.250,10 | 1064 / 45 | $7.320,35 | 895 / 14 | $6.636,25 | 892 / 22 |
| Fractures Of Hip & Pelvis W/O Mcc | 20 | 41 / 11 | $41.765,60 | 873 / 48 | $5.795,15 | 712 / 26 | $4.684,95 | 711 / 23 |
| G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 10 | $48.332,20 | 971 / 55 | $6.712,05 | 775 / 36 | $4.721,79 | 771 / 22 |
| Hip & Femur Procedures Except Major Joint W Mcc | 19 | 43 / 9 | $185.160,00 | 935 / 58 | $22.868,50 | 777 / 26 | $21.856,00 | 774 / 27 |
| Other Vascular Procedures W Mcc | 19 | 78 / 23 | $192.510,00 | 960 / 67 | $25.199,50 | 737 / 19 | $24.325,60 | 734 / 21 |
| Diabetes W Cc | 19 | 73 / 16 | $57.070,40 | 1574 / 107 | $7.735,79 | 1053 / 65 | $5.279,37 | 1049 / 10 |
| Peripheral Vascular Disorders W Mcc | 18 | 31 / 4 | $85.502,10 | 565 / 29 | $10.650,60 | 425 / 10 | $9.676,50 | 425 / 12 |
| Cellulitis W Mcc | 18 | 40 / 16 | $93.222,40 | 937 / 76 | $11.073,40 | 717 / 24 | $10.159,40 | 715 / 26 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 43 | $57.497,30 | 1351 / 48 | $8.691,44 | 1179 / 23 | $6.933,44 | 1176 / 25 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 17 | 28 / 3 | $40.694,80 | 382 / 10 | $5.659,88 | 268 / 2 | $4.303,41 | 268 / 3 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 17 | 39 / 9 | $132.197,00 | 659 / 43 | $14.652,70 | 521 / 22 | $13.832,50 | 520 / 20 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 17 | 74 / 18 | $52.015,90 | 320 / 13 | $8.616,94 | 242 / 3 | $8.173,06 | 242 / 6 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 18 | $82.029,40 | 637 / 17 | $19.846,70 | 766 / 20 | $18.904,20 | 763 / 26 |
| Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 11 | $96.015,70 | 512 / 11 | $12.900,50 | 428 / 2 | $11.830,90 | 427 / 4 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 15 | $90.774,50 | 711 / 31 | $12.657,10 | 545 / 12 | $10.400,70 | 545 / 10 |
| Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc | 15 | 17 / 4 | $63.743,70 | 120 / 6 | $9.539,67 | 84 / 2 | $7.559,07 | 84 / 2 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 15 | 31 / 8 | $77.764,30 | 254 / 28 | $8.542,07 | 126 / 14 | $5.698,93 | 126 / 7 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 30 | $91.243,30 | 752 / 61 | $8.676,00 | 529 / 19 | $6.708,73 | 528 / 16 |
| Transurethral Procedures W Cc | 14 | 27 / 4 | $82.807,80 | 368 / 7 | $9.910,86 | 269 / 4 | $8.131,79 | 269 / 3 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 13 | $115.085,00 | 607 / 27 | $15.029,60 | 503 / 10 | $13.962,60 | 499 / 15 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 14 | 81 / 16 | $112.267,00 | 505 / 19 | $14.837,60 | 445 / 6 | $14.048,10 | 441 / 14 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 29 | $199.469,00 | 955 / 62 | $23.509,80 | 732 / 8 | $22.457,00 | 727 / 12 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 20 | $338.689,00 | 948 / 70 | $41.303,30 | 782 / 34 | $39.637,80 | 781 / 33 |
| Other Circulatory System O.R. Procedures | 13 | 42 / 14 | $155.301,00 | 425 / 26 | $19.621,20 | 272 / 5 | $18.938,70 | 272 / 6 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 13 | 31 / 11 | $41.528,20 | 275 / 15 | $5.985,31 | 202 / 6 | $5.039,31 | 202 / 10 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 17 | $119.696,00 | 837 / 54 | $12.577,40 | 722 / 16 | $11.427,50 | 719 / 22 |
| Disorders Of The Biliary Tract W Cc | 13 | 41 / 11 | $65.848,50 | 445 / 27 | $8.414,77 | 294 / 7 | $6.879,77 | 294 / 6 |
| Transurethral Prostatectomy W/O Cc/Mcc | 13 | 16 / 3 | $46.826,80 | 78 / 5 | $6.009,00 | 60 / 1 | $4.975,15 | 60 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 21 | $82.918,60 | 852 / 46 | $12.391,30 | 762 / 16 | $11.525,60 | 759 / 31 |
| Other Circulatory System Diagnoses W Mcc | 13 | 103 / 37 | $100.159,00 | 1276 / 85 | $14.100,60 | 976 / 16 | $13.409,50 | 969 / 22 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 13 | 41 / 10 | $62.586,70 | 440 / 15 | $7.645,15 | 331 / 6 | $7.330,38 | 331 / 9 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 19 | $75.287,40 | 1054 / 76 | $9.670,33 | 755 / 14 | $8.631,83 | 751 / 10 |
| Respiratory Signs & Symptoms | 12 | 34 / 3 | $34.673,80 | 263 / 7 | $6.774,67 | 175 / 6 | $4.262,33 | 175 / 1 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 19 | $51.990,00 | 680 / 35 | $7.004,83 | 534 / 10 | $6.278,83 | 534 / 15 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 6 | $184.933,00 | 535 / 9 | $25.740,60 | 410 / 3 | $25.181,10 | 409 / 4 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 18 | $273.829,00 | 599 / 27 | $37.450,50 | 412 / 5 | $36.384,20 | 411 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 14 | $69.602,80 | 517 / 28 | $9.477,67 | 474 / 4 | $8.254,00 | 473 / 16 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 54 | $209.080,00 | 1291 / 69 | $30.431,00 | 904 / 25 | $25.103,70 | 899 / 8 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 19 | $41.448,30 | 738 / 36 | $6.062,33 | 511 / 13 | $4.611,67 | 509 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 24 | $53.657,90 | 1230 / 51 | $8.035,83 | 1102 / 24 | $7.114,33 | 1100 / 27 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 26 | $44.068,20 | 1273 / 62 | $6.789,58 | 824 / 52 | $4.352,08 | 821 / 9 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 9 | $49.537,50 | 846 / 27 | $5.160,83 | 672 / 9 | $4.330,33 | 671 / 10 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 15 | $161.311,00 | 640 / 41 | $16.655,80 | 601 / 30 | $15.929,80 | 598 / 32 |
| Pulmonary Embolism W Mcc | 11 | 32 / 9 | $159.751,00 | 579 / 29 | $17.888,30 | 575 / 28 | $17.031,90 | 574 / 29 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 24 | $79.450,30 | 895 / 50 | $10.689,30 | 711 / 17 | $9.886,55 | 709 / 21 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 23 | $74.984,00 | 1077 / 68 | $9.510,91 | 953 / 30 | $9.033,64 | 951 / 41 | Total 100 procedures | 3.638 | 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.