Hospital Costs > In California > Queen Of The Valley 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 | 154 | 362 / 101 | $92.806,40 | 2574 / 180 | $15.870,20 | 2479 / 138 | $15.069,50 | 2435 / 151 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 129 | 435 / 74 | $119.682,00 | 2595 / 197 | $18.606,10 | 2468 / 148 | $17.091,30 | 2422 / 170 |
Heart Failure & Shock W Mcc | 68 | 216 / 60 | $68.974,80 | 2328 / 127 | $12.715,10 | 2329 / 111 | $12.095,80 | 2319 / 124 |
Heart Failure & Shock W Cc | 62 | 216 / 43 | $56.409,20 | 2634 / 169 | $8.738,40 | 2434 / 117 | $7.919,82 | 2428 / 128 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 59 | 148 / 56 | $57.796,70 | 2379 / 184 | $9.426,46 | 2278 / 133 | $8.485,98 | 2269 / 150 |
Cellulitis W/O Mcc | 59 | 130 / 30 | $42.766,70 | 2468 / 155 | $7.592,25 | 2289 / 109 | $6.485,27 | 2281 / 121 |
Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 53 | $44.857,50 | 2583 / 164 | $6.988,33 | 2366 / 109 | $6.009,02 | 2355 / 118 |
Renal Failure W Cc | 56 | 165 / 33 | $59.989,10 | 2360 / 168 | $8.413,96 | 2074 / 94 | $7.357,39 | 2064 / 94 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 62 | $51.366,70 | 2650 / 179 | $6.694,56 | 2342 / 89 | $5.680,98 | 2327 / 110 |
G.I. Hemorrhage W Cc | 46 | 172 / 48 | $53.867,60 | 2232 / 130 | $9.348,91 | 2110 / 122 | $7.800,17 | 2106 / 107 |
Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 45 | $56.941,00 | 2664 / 158 | $8.688,98 | 2506 / 115 | $7.750,31 | 2497 / 129 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 36 | $67.345,00 | 1968 / 130 | $9.507,34 | 1844 / 95 | $8.503,63 | 1840 / 113 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 41 | 120 / 25 | $52.484,00 | 2086 / 143 | $7.143,15 | 1894 / 90 | $6.229,20 | 1889 / 105 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 38 | $49.282,60 | 2232 / 121 | $8.144,86 | 2150 / 84 | $7.350,34 | 2143 / 108 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 34 | 67 / 17 | $73.449,10 | 972 / 42 | $13.575,00 | 871 / 40 | $11.598,80 | 867 / 30 |
Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 56 | $62.585,10 | 2385 / 130 | $10.020,70 | 2263 / 96 | $9.161,85 | 2255 / 105 |
Respiratory Infections & Inflammations W Cc | 33 | 55 / 16 | $59.673,80 | 1251 / 52 | $11.785,80 | 1335 / 67 | $10.981,90 | 1330 / 77 |
Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 37 | $110.662,00 | 1955 / 109 | $16.539,50 | 1847 / 95 | $15.496,80 | 1827 / 103 |
Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 18 | $40.007,80 | 1891 / 85 | $6.133,67 | 1764 / 55 | $5.417,81 | 1751 / 73 |
Renal Failure W Mcc | 26 | 169 / 60 | $81.514,00 | 2005 / 124 | $13.176,60 | 1860 / 86 | $12.342,10 | 1856 / 99 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 46 | $118.508,00 | 1570 / 127 | $16.136,30 | 1463 / 97 | $15.177,60 | 1456 / 107 |
Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 41 | $211.753,00 | 1298 / 73 | $35.642,20 | 1279 / 61 | $34.576,00 | 1274 / 74 |
Other Vascular Procedures W Mcc | 24 | 73 / 18 | $211.809,00 | 977 / 74 | $30.114,30 | 913 / 59 | $29.512,90 | 910 / 61 |
Respiratory Infections & Inflammations W Mcc | 23 | 113 / 49 | $60.979,90 | 1286 / 27 | $15.327,00 | 1534 / 59 | $14.478,00 | 1518 / 66 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 37 | $65.350,70 | 1640 / 124 | $9.798,36 | 1474 / 78 | $9.250,00 | 1471 / 91 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 27 | $37.076,00 | 1889 / 101 | $5.230,95 | 1628 / 66 | $3.835,77 | 1622 / 61 |
Medical Back Problems W/O Mcc | 21 | 100 / 36 | $64.554,70 | 1470 / 116 | $7.507,90 | 1293 / 63 | $6.582,95 | 1288 / 77 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 59 | $40.674,90 | 2391 / 143 | $6.323,90 | 2158 / 88 | $5.415,10 | 2150 / 95 |
Pulmonary Embolism W/O Mcc | 20 | 54 / 10 | $67.380,00 | 1248 / 63 | $9.335,15 | 1125 / 51 | $7.387,55 | 1122 / 46 |
G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 22 | $36.083,10 | 1192 / 61 | $5.622,89 | 1134 / 51 | $4.475,95 | 1131 / 61 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 35 | $67.825,30 | 1763 / 100 | $10.660,90 | 1662 / 74 | $9.647,00 | 1659 / 81 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 48 | $290.066,00 | 1495 / 105 | $50.757,70 | 1481 / 106 | $49.839,10 | 1471 / 110 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 57 | $67.441,70 | 2028 / 96 | $10.741,30 | 1989 / 82 | $10.050,70 | 1983 / 102 |
G.I. Hemorrhage W Mcc | 18 | 103 / 38 | $82.405,60 | 1457 / 88 | $19.040,30 | 1375 / 142 | $13.565,50 | 1365 / 70 |
Simple Pneumonia & Pleurisy W Mcc | 16 | 189 / 75 | $82.262,60 | 2361 / 140 | $12.552,30 | 2271 / 113 | $11.872,30 | 2265 / 126 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 50 | $67.431,70 | 1871 / 140 | $10.181,30 | 1766 / 107 | $9.281,31 | 1762 / 116 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 36 | $86.556,20 | 1608 / 89 | $14.904,60 | 1592 / 90 | $13.922,60 | 1579 / 95 |
G.I. Obstruction W Cc | 16 | 76 / 36 | $69.547,90 | 1706 / 128 | $7.962,44 | 1565 / 75 | $7.130,44 | 1560 / 94 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 32 | $48.339,60 | 1472 / 77 | $6.884,62 | 1403 / 60 | $5.832,62 | 1399 / 75 |
Transient Ischemia | 16 | 109 / 40 | $47.004,60 | 1539 / 98 | $6.514,00 | 1342 / 75 | $4.995,00 | 1335 / 55 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 29 | $38.955,90 | 1787 / 72 | $6.407,19 | 1788 / 66 | $5.581,19 | 1780 / 87 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 21 | $64.375,70 | 1327 / 71 | $8.953,47 | 1241 / 53 | $8.072,40 | 1239 / 61 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 38 | $199.952,00 | 1835 / 131 | $22.985,40 | 1761 / 107 | $22.104,30 | 1747 / 114 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 14 | 182 / 56 | $129.530,00 | 1370 / 79 | $24.464,60 | 1220 / 114 | $14.326,20 | 1213 / 43 |
Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 26 | $84.034,00 | 904 / 46 | $9.289,86 | 869 / 34 | $8.343,57 | 866 / 46 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 19 | $380.427,00 | 961 / 76 | $53.174,00 | 950 / 72 | $52.396,80 | 949 / 78 |
Diabetes W Cc | 14 | 78 / 21 | $52.927,30 | 1551 / 99 | $7.451,64 | 1394 / 54 | $6.761,36 | 1389 / 73 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 29 | $49.842,20 | 1267 / 78 | $8.638,23 | 1219 / 69 | $7.611,77 | 1215 / 78 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $89.813,80 | 1436 / 121 | $10.504,90 | 1230 / 65 | $9.594,77 | 1225 / 69 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 26 | $43.085,90 | 688 / 19 | $8.733,85 | 712 / 28 | $7.992,92 | 712 / 34 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 17 | $63.809,90 | 482 / 18 | $9.546,85 | 436 / 16 | $8.810,85 | 435 / 21 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 48 | $88.113,50 | 1595 / 107 | $9.627,85 | 1444 / 59 | $8.611,23 | 1441 / 74 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 43 | $346.179,00 | 1039 / 111 | $51.326,50 | 954 / 87 | $50.265,10 | 953 / 95 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 12 | $134.153,00 | 384 / 14 | $23.427,40 | 366 / 14 | $22.619,50 | 364 / 20 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 17 | $34.204,50 | 862 / 33 | $6.360,33 | 839 / 31 | $5.256,33 | 835 / 37 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 33 | $112.058,00 | 765 / 70 | $9.669,67 | 683 / 33 | $8.464,33 | 682 / 47 |
Chest Pain | 11 | 140 / 61 | $51.538,80 | 1689 / 142 | $5.577,09 | 1384 / 63 | $4.588,00 | 1376 / 74 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 29 | $321.219,00 | 1245 / 70 | $55.355,50 | 1266 / 72 | $54.587,50 | 1263 / 78 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 23 | $70.262,50 | 1061 / 65 | $10.353,50 | 1024 / 46 | $9.917,18 | 1022 / 60 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 44 | $182.896,00 | 1501 / 102 | $22.689,20 | 1434 / 67 | $21.807,60 | 1420 / 91 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 20 | $40.926,40 | 869 / 46 | $6.309,27 | 817 / 38 | $5.430,73 | 816 / 48 |
Signs & Symptoms W/O Mcc | 11 | 80 / 27 | $50.011,30 | 1305 / 75 | $6.326,09 | 1117 / 44 | $5.561,00 | 1114 / 52 |
Other Vascular Procedures W Cc | 11 | 91 / 33 | $233.427,00 | 1132 / 78 | $28.092,30 | 1122 / 69 | $27.321,50 | 1117 / 72 | Total 63 procedures | 1.766 | 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.