Hospital Costs > In California > Redlands Community Hospital, 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 | 183 | 381 / 53 | $56.798,00 | 1569 / 37 | $16.161,10 | 2186 / 59 | $14.592,60 | 2142 / 80 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 103 | 413 / 125 | $75.120,20 | 2361 / 119 | $13.995,30 | 2146 / 55 | $12.991,80 | 2108 / 56 |
Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 52 | $52.246,60 | 2592 / 147 | $8.300,89 | 2291 / 88 | $6.860,63 | 2283 / 68 |
G.I. Hemorrhage W Cc | 29 | 189 / 62 | $35.548,30 | 1804 / 44 | $8.619,45 | 1797 / 81 | $6.630,21 | 1793 / 34 |
Renal Failure W Cc | 29 | 192 / 59 | $40.564,70 | 2066 / 79 | $7.928,86 | 1935 / 64 | $6.759,59 | 1925 / 57 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 81 | $57.375,80 | 2370 / 179 | $9.191,86 | 2244 / 123 | $8.285,57 | 2235 / 139 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 26 | 43 / 10 | $94.292,70 | 395 / 9 | $20.471,00 | 414 / 10 | $19.351,00 | 413 / 14 |
Respiratory Infections & Inflammations W Cc | 23 | 65 / 25 | $76.736,70 | 1377 / 82 | $11.007,60 | 1272 / 51 | $10.222,90 | 1267 / 53 |
Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 69 | $72.844,10 | 2270 / 119 | $11.167,40 | 2062 / 52 | $10.424,10 | 2060 / 62 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 52 | $57.886,50 | 1843 / 102 | $9.500,91 | 1554 / 94 | $7.052,45 | 1551 / 35 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 53 | $36.938,60 | 1986 / 59 | $7.953,65 | 2103 / 75 | $7.108,85 | 2096 / 90 |
Transient Ischemia | 20 | 105 / 36 | $43.328,60 | 1493 / 90 | $6.369,15 | 1408 / 65 | $5.282,75 | 1401 / 76 |
Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 46 | $74.684,90 | 447 / 3 | $29.090,20 | 1089 / 17 | $27.942,90 | 1084 / 31 |
Cellulitis W/O Mcc | 19 | 170 / 67 | $40.600,90 | 2423 / 145 | $7.309,63 | 2233 / 86 | $6.228,37 | 2225 / 104 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 53 | $73.644,90 | 1305 / 58 | $14.132,40 | 1306 / 58 | $13.065,40 | 1300 / 64 |
Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 92 | $35.617,90 | 2389 / 112 | $6.734,41 | 2294 / 90 | $5.742,41 | 2283 / 95 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 38 | $79.461,60 | 996 / 5 | $20.301,60 | 930 / 40 | $15.409,60 | 920 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 37 | $57.372,60 | 1652 / 74 | $10.353,80 | 1616 / 68 | $9.284,59 | 1613 / 70 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 35 | $75.124,80 | 1505 / 62 | $13.806,70 | 1483 / 54 | $12.766,20 | 1471 / 51 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 73 | $50.243,40 | 2188 / 83 | $9.447,24 | 1930 / 64 | $7.766,29 | 1922 / 33 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 17 | $206.922,00 | 766 / 25 | $38.130,00 | 704 / 17 | $37.225,90 | 703 / 20 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 29 | $34.522,60 | 1721 / 57 | $6.390,25 | 1760 / 65 | $5.416,25 | 1752 / 78 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 56 | $62.530,80 | 1314 / 30 | $14.009,90 | 1353 / 24 | $13.253,90 | 1338 / 27 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 21 | $49.115,10 | 1174 / 41 | $8.454,40 | 1172 / 32 | $7.490,13 | 1170 / 39 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 40 | $310.432,00 | 1005 / 98 | $51.610,30 | 967 / 89 | $50.887,10 | 966 / 98 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 64 | $40.950,10 | 2394 / 144 | $6.403,93 | 2154 / 96 | $5.394,87 | 2146 / 94 |
Heart Failure & Shock W Mcc | 15 | 269 / 107 | $78.937,30 | 2441 / 153 | $12.579,90 | 2277 / 100 | $11.692,40 | 2267 / 107 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 51 | $71.422,70 | 1570 / 27 | $14.617,90 | 1629 / 35 | $13.497,90 | 1610 / 41 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 32 | $37.476,50 | 1903 / 73 | $6.481,50 | 1838 / 60 | $5.530,64 | 1827 / 68 |
Heart Failure & Shock W Cc | 14 | 264 / 86 | $41.522,30 | 2374 / 95 | $8.008,79 | 1794 / 71 | $6.135,79 | 1789 / 25 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 39 | $121.737,00 | 1686 / 76 | $18.489,60 | 1470 / 40 | $17.233,60 | 1456 / 38 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 96 | $52.247,20 | 2657 / 182 | $6.778,71 | 2380 / 97 | $5.832,43 | 2365 / 120 |
G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 15 | $30.079,70 | 808 / 24 | $6.157,79 | 819 / 27 | $5.059,29 | 815 / 31 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 21 | $61.971,00 | 721 / 17 | $12.761,10 | 765 / 25 | $11.547,50 | 762 / 32 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 62 | $81.797,80 | 2136 / 126 | $10.160,10 | 1872 / 58 | $9.234,54 | 1867 / 58 |
Chest Pain | 12 | 139 / 60 | $33.628,00 | 1476 / 80 | $5.719,42 | 1387 / 66 | $4.607,42 | 1379 / 75 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 54 | $251.173,00 | 1426 / 79 | $43.394,10 | 1328 / 62 | $42.788,80 | 1318 / 73 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 18 | $52.734,90 | 495 / 4 | $12.797,20 | 631 / 15 | $11.786,50 | 631 / 23 |
Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 54 | $46.018,30 | 1621 / 75 | $9.062,75 | 1591 / 55 | $8.052,08 | 1587 / 61 |
Renal Failure W Mcc | 12 | 183 / 74 | $64.185,80 | 1812 / 86 | $12.131,40 | 1673 / 54 | $11.019,40 | 1671 / 48 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 55 | $37.568,90 | 1858 / 72 | $6.912,64 | 1771 / 78 | $5.707,27 | 1766 / 69 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 26 | $55.427,50 | 412 / 2 | $16.957,00 | 732 / 13 | $15.857,40 | 729 / 23 | Total 42 procedures | 986 | 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.