Hospital Costs > In California > Saint Francis Medical Center Lynwood, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 198 | 118 / 14 | $16.110,30 | 214 / 5 | $14.618,80 | 603 / 33 | $13.637,90 | 603 / 35 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 79 | 437 / 141 | $103.423,00 | 2664 / 200 | $23.219,70 | 2786 / 250 | $22.415,50 | 2741 / 252 |
Heart Failure & Shock W Mcc | 50 | 234 / 75 | $71.972,70 | 2376 / 139 | $18.848,70 | 2591 / 210 | $17.938,80 | 2580 / 215 |
Chest Pain | 44 | 107 / 29 | $42.630,30 | 1630 / 118 | $11.323,10 | 1693 / 146 | $10.317,30 | 1684 / 148 |
Syncope & Collapse | 39 | 130 / 28 | $45.978,80 | 1789 / 106 | $12.307,50 | 1918 / 160 | $11.216,70 | 1910 / 161 |
Renal Failure W Mcc | 38 | 157 / 49 | $68.382,90 | 1873 / 98 | $19.376,60 | 2138 / 178 | $18.346,20 | 2134 / 184 |
Heart Failure & Shock W Cc | 35 | 243 / 66 | $56.875,30 | 2637 / 170 | $14.463,70 | 2742 / 214 | $13.633,40 | 2736 / 219 |
Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 57 | $81.063,90 | 2349 / 139 | $18.923,20 | 2505 / 192 | $17.894,60 | 2499 / 196 |
Other Vascular Procedures W Mcc | 34 | 63 / 10 | $131.189,00 | 788 / 27 | $32.273,70 | 939 / 65 | $31.393,00 | 936 / 67 |
Renal Failure W Cc | 33 | 188 / 55 | $48.264,20 | 2226 / 122 | $14.208,20 | 2423 / 194 | $13.058,80 | 2413 / 197 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 33 | 93 / 26 | $41.672,80 | 1334 / 52 | $15.377,40 | 1720 / 152 | $14.489,20 | 1716 / 162 |
Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 78 | $40.372,90 | 2505 / 149 | $12.614,20 | 2700 / 213 | $11.670,30 | 2689 / 215 |
Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 61 | $71.442,90 | 2457 / 151 | $17.463,50 | 2567 / 198 | $16.499,90 | 2559 / 199 |
Other Circulatory System Diagnoses W Mcc | 29 | 87 / 22 | $82.733,90 | 1165 / 53 | $22.978,60 | 1365 / 116 | $22.134,10 | 1357 / 124 |
Transient Ischemia | 29 | 96 / 27 | $48.832,70 | 1560 / 106 | $12.069,90 | 1661 / 141 | $11.072,20 | 1653 / 141 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 42 | $83.353,70 | 1390 / 80 | $20.299,60 | 1581 / 137 | $19.207,70 | 1574 / 144 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 82 | $38.903,30 | 2451 / 131 | $12.444,90 | 2719 / 219 | $11.437,00 | 2704 / 221 |
G.I. Hemorrhage W Mcc | 28 | 93 / 28 | $95.712,00 | 1538 / 110 | $22.797,80 | 1656 / 151 | $21.973,60 | 1646 / 156 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 85 | $58.611,80 | 2394 / 188 | $14.951,10 | 2556 / 234 | $13.862,80 | 2546 / 239 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 22 | $40.186,00 | 1959 / 86 | $12.141,80 | 2104 / 136 | $11.055,50 | 2092 / 136 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 23 | 69 / 32 | $207.590,00 | 772 / 41 | $50.519,10 | 936 / 85 | $48.807,40 | 935 / 89 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 33 | $32.716,60 | 1599 / 51 | $12.897,80 | 1988 / 153 | $11.953,60 | 1979 / 155 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 52 | $74.746,70 | 2008 / 146 | $15.806,30 | 2068 / 178 | $14.441,40 | 2063 / 180 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 52 | $40.959,60 | 2092 / 82 | $13.942,50 | 2435 / 189 | $12.974,30 | 2428 / 189 |
Other Circulatory System O.R. Procedures | 21 | 34 / 6 | $146.934,00 | 415 / 23 | $32.195,00 | 443 / 29 | $31.018,70 | 443 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 33 | $71.983,20 | 1792 / 107 | $16.879,20 | 1906 / 145 | $15.957,70 | 1903 / 149 |
Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 70 | $53.531,50 | 2618 / 154 | $14.467,90 | 2810 / 215 | $13.192,00 | 2801 / 217 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 33 | $115.504,00 | 1651 / 68 | $26.334,80 | 1815 / 126 | $25.236,10 | 1801 / 131 |
G.I. Hemorrhage W Cc | 18 | 200 / 73 | $38.998,50 | 1922 / 67 | $14.396,70 | 2417 / 191 | $13.285,70 | 2413 / 197 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 26 | $57.385,30 | 1246 / 65 | $16.873,20 | 1463 / 130 | $15.872,10 | 1458 / 137 |
Red Blood Cell Disorders W Mcc | 16 | 55 / 15 | $62.193,10 | 969 / 53 | $16.576,10 | 1090 / 82 | $15.444,30 | 1086 / 86 |
Cellulitis W/O Mcc | 16 | 173 / 70 | $40.221,60 | 2414 / 141 | $13.058,50 | 2619 / 215 | $11.979,50 | 2611 / 216 |
Diabetes W Cc | 15 | 77 / 20 | $44.556,10 | 1482 / 75 | $13.119,50 | 1610 / 121 | $11.813,30 | 1605 / 122 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 15 | 109 / 51 | $336.600,00 | 1540 / 129 | $74.837,80 | 1597 / 153 | $73.070,70 | 1587 / 155 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 146 | $83.023,50 | 2259 / 104 | $23.531,10 | 2651 / 210 | $22.170,20 | 2605 / 222 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 51 | $54.689,60 | 1743 / 108 | $15.525,10 | 1945 / 165 | $14.522,50 | 1941 / 168 |
Transurethral Prostatectomy W Cc/Mcc | 15 | 9 / 2 | $75.660,10 | 43 / 1 | $17.704,60 | 49 / 3 | $16.521,60 | 49 / 3 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 47 | $52.227,10 | 1261 / 35 | $15.139,70 | 1630 / 126 | $14.076,40 | 1627 / 130 |
Seizures W Mcc | 14 | 52 / 16 | $49.160,90 | 477 / 14 | $18.168,10 | 744 / 47 | $17.506,70 | 744 / 49 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 31 | $40.016,00 | 1892 / 86 | $11.870,50 | 2007 / 131 | $11.066,20 | 1994 / 131 |
Pulmonary Edema & Respiratory Failure | 14 | 189 / 61 | $84.613,50 | 2159 / 135 | $16.889,60 | 2222 / 171 | $15.980,60 | 2216 / 175 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 66 | $30.988,80 | 2165 / 87 | $11.998,30 | 2528 / 198 | $10.759,90 | 2519 / 200 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 39 | $97.593,00 | 1688 / 102 | $21.771,50 | 1798 / 145 | $20.800,50 | 1785 / 149 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 12 | 184 / 58 | $111.410,00 | 1264 / 58 | $23.520,20 | 1478 / 110 | $22.175,20 | 1470 / 119 |
Other Vascular Procedures W Cc | 12 | 90 / 32 | $174.023,00 | 1098 / 61 | $32.469,40 | 1131 / 75 | $31.425,70 | 1126 / 77 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 24 | $128.906,00 | 549 / 60 | $33.130,20 | 560 / 64 | $32.133,90 | 560 / 66 | Total 46 procedures | 1.300 | 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.