Hospital Costs > In California > Saint Francis Memorial 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 | 163 | 401 / 60 | $106.735,00 | 2541 / 177 | $20.700,00 | 2542 / 184 | $18.478,80 | 2496 / 194 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 74 | 442 / 146 | $148.880,00 | 2804 / 255 | $19.960,40 | 2739 / 235 | $18.987,70 | 2694 / 235 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 47 | $85.922,30 | 2529 / 178 | $11.791,20 | 2461 / 158 | $11.024,70 | 2453 / 170 |
Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 59 | $75.027,30 | 2789 / 205 | $10.179,30 | 2682 / 171 | $9.102,77 | 2673 / 176 |
Cellulitis W/O Mcc | 28 | 161 / 58 | $61.533,20 | 2615 / 212 | $8.964,18 | 2490 / 169 | $7.893,68 | 2482 / 175 |
Heart Failure & Shock W Cc | 26 | 252 / 74 | $104.957,00 | 2765 / 231 | $11.274,30 | 2673 / 193 | $10.412,00 | 2667 / 200 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 14 | $84.897,60 | 848 / 47 | $7.501,23 | 757 / 30 | $6.670,73 | 756 / 33 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 21 | $56.262,60 | 2078 / 123 | $7.690,44 | 2012 / 101 | $6.910,64 | 2000 / 112 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 55 | $58.062,60 | 2517 / 189 | $7.577,92 | 2390 / 147 | $6.712,67 | 2381 / 160 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 87 | $60.732,10 | 2700 / 207 | $8.097,13 | 2574 / 165 | $7.134,65 | 2559 / 174 |
Heart Failure & Shock W Mcc | 23 | 261 / 99 | $136.138,00 | 2622 / 228 | $15.921,70 | 2523 / 188 | $14.846,00 | 2512 / 191 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 49 | $152.171,00 | 1616 / 147 | $19.838,50 | 1573 / 133 | $18.654,20 | 1566 / 141 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 70 | $102.051,00 | 2467 / 177 | $14.590,00 | 2418 / 165 | $13.729,80 | 2412 / 172 |
Respiratory Infections & Inflammations W Cc | 21 | 67 / 27 | $101.254,00 | 1463 / 111 | $14.113,40 | 1441 / 103 | $13.289,60 | 1436 / 109 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 53 | $95.950,30 | 2064 / 175 | $11.509,20 | 1995 / 155 | $10.606,20 | 1991 / 160 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 89 | $61.642,20 | 2691 / 209 | $8.172,25 | 2554 / 162 | $7.079,55 | 2543 / 169 |
G.I. Hemorrhage W Cc | 20 | 198 / 71 | $71.101,60 | 2385 / 183 | $10.269,80 | 2294 / 154 | $9.296,85 | 2290 / 164 |
Pulmonary Edema & Respiratory Failure | 19 | 184 / 56 | $118.250,00 | 2223 / 165 | $14.419,10 | 2198 / 158 | $13.866,50 | 2192 / 167 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 53 | $137.216,00 | 1771 / 135 | $19.333,40 | 1749 / 130 | $18.348,40 | 1733 / 132 |
Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 55 | $72.007,10 | 2412 / 171 | $9.838,94 | 2334 / 154 | $8.956,72 | 2327 / 160 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 91 | $99.556,90 | 2566 / 244 | $11.422,70 | 2470 / 204 | $10.231,40 | 2460 / 211 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 49 | $89.783,00 | 2167 / 181 | $8.544,71 | 2043 / 142 | $7.457,94 | 2038 / 150 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 17 | 10 / 3 | $200.677,00 | 138 / 13 | $23.199,90 | 137 / 12 | $22.065,70 | 137 / 12 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 19 | $117.226,00 | 971 / 76 | $14.885,90 | 922 / 65 | $13.945,60 | 919 / 68 |
Renal Failure W Cc | 16 | 205 / 72 | $82.823,70 | 2429 / 198 | $10.317,90 | 2324 / 166 | $9.235,12 | 2314 / 169 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 37 | $180.748,00 | 1823 / 124 | $23.119,80 | 1764 / 108 | $22.212,40 | 1750 / 115 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 40 | $447.109,00 | 1082 / 133 | $68.776,30 | 1081 / 129 | $67.439,40 | 1080 / 134 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 52 | $93.086,60 | 1834 / 78 | $18.453,20 | 1948 / 128 | $17.338,60 | 1928 / 130 |
Seizures W/O Mcc | 14 | 94 / 28 | $75.386,20 | 1310 / 97 | $8.255,71 | 1227 / 72 | $7.573,57 | 1225 / 82 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 31 | $61.257,80 | 1947 / 124 | $7.746,43 | 1895 / 110 | $6.646,07 | 1887 / 117 |
Syncope & Collapse | 14 | 155 / 53 | $64.454,30 | 1914 / 155 | $7.949,43 | 1793 / 122 | $6.845,71 | 1785 / 127 |
Renal Failure W Mcc | 14 | 181 / 72 | $131.589,00 | 2155 / 180 | $17.967,60 | 2111 / 171 | $16.699,60 | 2107 / 174 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 12 | $41.946,90 | 865 / 31 | $6.985,08 | 821 / 38 | $6.106,08 | 820 / 41 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 46 | $88.650,90 | 1720 / 156 | $11.433,60 | 1591 / 126 | $10.415,10 | 1588 / 125 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 42 | $79.213,40 | 1839 / 121 | $12.093,80 | 1800 / 115 | $11.320,70 | 1797 / 120 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 33 | $75.224,80 | 723 / 51 | $11.193,50 | 732 / 54 | $9.950,67 | 731 / 64 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 54 | $300.547,00 | 1511 / 114 | $52.494,70 | 1501 / 115 | $51.088,80 | 1491 / 118 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 34 | $58.282,30 | 1996 / 124 | $7.487,73 | 1916 / 104 | $6.658,09 | 1903 / 108 |
G.I. Obstruction W Cc | 11 | 81 / 41 | $94.808,90 | 1731 / 140 | $10.850,30 | 1716 / 128 | $10.047,50 | 1711 / 134 |
Psychoses | 11 | 264 / 32 | $89.984,70 | 614 / 41 | $12.005,50 | 549 / 27 | $9.209,09 | 549 / 21 |
Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 20 | $51.446,80 | 906 / 60 | $7.834,55 | 883 / 62 | $6.665,36 | 882 / 65 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 37 | $72.025,50 | 1593 / 119 | $8.247,18 | 1523 / 102 | $7.090,09 | 1519 / 108 | Total 42 procedures | 969 | 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.