Hospital Costs > In California > Saint Louise Regional Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 35 | $56.187,00 | 1978 / 143 | $5.810,21 | 1834 / 90 | $4.779,36 | 1828 / 103 |
Cellulitis W/O Mcc | 12 | 177 / 74 | $48.649,10 | 2544 / 179 | $8.296,50 | 2392 / 147 | $7.101,83 | 2384 / 149 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 73 | $63.586,80 | 2395 / 134 | $10.876,70 | 2285 / 135 | $9.293,88 | 2277 / 115 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 92 | $43.188,40 | 2544 / 152 | $7.494,94 | 2499 / 140 | $6.522,50 | 2484 / 154 |
G.I. Hemorrhage W Cc | 12 | 206 / 79 | $61.501,20 | 2320 / 155 | $9.260,17 | 2207 / 119 | $8.452,17 | 2203 / 137 |
Heart Failure & Shock W Cc | 23 | 255 / 77 | $68.538,10 | 2722 / 208 | $9.626,48 | 2534 / 151 | $8.576,04 | 2528 / 159 |
Heart Failure & Shock W Mcc | 39 | 245 / 84 | $81.679,10 | 2468 / 161 | $13.725,20 | 2419 / 145 | $13.013,80 | 2408 / 159 |
Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 52 | $123.643,00 | 2006 / 127 | $18.321,90 | 1947 / 126 | $17.201,90 | 1927 / 129 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 50 | $51.598,40 | 1705 / 98 | $10.668,50 | 1792 / 124 | $9.618,50 | 1788 / 127 |
Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 90 | $47.464,90 | 2615 / 176 | $7.696,16 | 2485 / 145 | $6.614,89 | 2474 / 150 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 27 | 537 / 135 | $114.871,00 | 2572 / 189 | $20.091,90 | 2561 / 176 | $18.926,90 | 2515 / 200 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 43 | $53.660,80 | 1537 / 98 | $10.813,60 | 1573 / 107 | $10.224,60 | 1570 / 120 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 65 | $58.018,10 | 2516 / 188 | $7.136,93 | 2288 / 129 | $6.019,21 | 2280 / 133 |
Pulmonary Edema & Respiratory Failure | 11 | 192 / 64 | $78.265,10 | 2121 / 120 | $11.782,30 | 2064 / 120 | $10.793,20 | 2058 / 129 |
Renal Failure W Cc | 13 | 208 / 75 | $67.991,20 | 2401 / 183 | $9.080,31 | 2243 / 122 | $8.432,92 | 2233 / 145 |
Renal Failure W Mcc | 11 | 184 / 75 | $66.282,00 | 1848 / 93 | $15.153,50 | 1865 / 140 | $12.374,80 | 1861 / 101 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 57 | $124.655,00 | 1745 / 125 | $18.211,10 | 1727 / 116 | $17.650,10 | 1711 / 128 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 96 | 420 / 129 | $126.846,00 | 2762 / 234 | $18.182,80 | 2662 / 201 | $17.316,10 | 2617 / 211 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 79 | $76.094,30 | 2529 / 227 | $11.856,60 | 2382 / 210 | $9.184,03 | 2372 / 185 |
Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 64 | $59.672,80 | 2696 / 169 | $9.623,04 | 2632 / 150 | $8.597,81 | 2623 / 163 |
Simple Pneumonia & Pleurisy W Mcc | 45 | 160 / 46 | $101.911,00 | 2466 / 176 | $14.579,40 | 2401 / 164 | $13.472,60 | 2395 / 168 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 31 | $57.505,60 | 1937 / 120 | $7.141,29 | 1842 / 91 | $6.016,71 | 1834 / 103 |
Transient Ischemia | 14 | 111 / 42 | $74.627,60 | 1659 / 141 | $7.021,36 | 1488 / 94 | $5.767,79 | 1480 / 93 | Total 23 procedures | 516 | 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.