Hospital Costs > In California > Saint Vincent Medical Center, 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 | 241 | 323 / 37 | $92.373,90 | 2390 / 135 | $18.384,70 | 2258 / 137 | $15.049,20 | 2214 / 95 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 142 | 374 / 107 | $103.512,00 | 2666 / 201 | $18.227,40 | 2432 / 202 | $14.502,20 | 2388 / 134 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 88 | 20 / 1 | $80.052,60 | 1008 / 54 | $16.288,70 | 948 / 64 | $12.811,60 | 944 / 45 |
Other Kidney & Urinary Tract Diagnoses W Cc | 83 | 28 / 1 | $49.719,90 | 745 / 31 | $10.198,40 | 673 / 43 | $7.480,84 | 673 / 24 |
Heart Failure & Shock W Mcc | 82 | 202 / 46 | $79.057,80 | 2443 / 154 | $14.198,70 | 2229 / 159 | $11.461,40 | 2219 / 94 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 80 | 195 / 35 | $39.908,20 | 2473 / 136 | $7.741,33 | 2261 / 153 | $5.413,95 | 2246 / 93 |
Revision Of Hip Or Knee Replacement W Cc | 63 | 28 / 3 | $165.855,00 | 628 / 24 | $27.221,70 | 543 / 15 | $24.568,90 | 541 / 9 |
Renal Failure W Cc | 63 | 158 / 28 | $51.741,10 | 2276 / 142 | $10.053,70 | 2019 / 161 | $7.064,24 | 2009 / 75 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 57 | $47.755,70 | 2216 / 133 | $10.679,30 | 2207 / 184 | $8.059,40 | 2198 / 127 |
Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 37 | $85.366,00 | 2382 / 143 | $14.368,00 | 2143 / 158 | $10.891,30 | 2138 / 88 |
Kidney & Urinary Tract Infections W/O Mcc | 55 | 178 / 56 | $38.261,80 | 2460 / 135 | $8.214,00 | 2248 / 167 | $5.578,55 | 2237 / 83 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 31 | $38.085,20 | 2331 / 124 | $7.612,98 | 2091 / 148 | $5.126,42 | 2083 / 81 |
Heart Failure & Shock W Cc | 42 | 236 / 60 | $59.460,50 | 2662 / 182 | $10.370,00 | 2353 / 179 | $7.566,95 | 2347 / 103 |
Simple Pneumonia & Pleurisy W Cc | 40 | 163 / 50 | $51.853,20 | 2586 / 145 | $10.036,00 | 2396 / 162 | $7.200,75 | 2387 / 97 |
Spinal Fusion Except Cervical W/O Mcc | 38 | 156 / 30 | $183.691,00 | 1234 / 59 | $32.512,90 | 1134 / 40 | $29.021,70 | 1129 / 41 |
Chest Pain | 37 | 114 / 36 | $40.488,70 | 1601 / 109 | $6.385,22 | 1363 / 96 | $4.479,76 | 1355 / 68 |
Kidney Transplant | 37 | 65 / 9 | $326.333,00 | 159 / 7 | $28.726,80 | 108 / 3 | $25.323,80 | 108 / 3 |
Renal Failure W Mcc | 37 | 158 / 50 | $88.451,00 | 2060 / 141 | $15.543,30 | 1808 / 149 | $11.870,90 | 1804 / 85 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 36 | 90 / 23 | $56.799,00 | 1571 / 108 | $11.322,10 | 1423 / 122 | $8.867,06 | 1420 / 78 |
Other Vascular Procedures W Mcc | 34 | 63 / 10 | $165.694,00 | 917 / 60 | $28.770,90 | 777 / 52 | $25.240,30 | 774 / 29 |
Respiratory Infections & Inflammations W Mcc | 34 | 102 / 39 | $123.818,00 | 1742 / 122 | $19.390,20 | 1553 / 132 | $14.709,30 | 1537 / 71 |
G.I. Hemorrhage W Cc | 32 | 186 / 59 | $56.487,60 | 2261 / 136 | $9.951,84 | 2058 / 144 | $7.534,78 | 2054 / 86 |
Other Circulatory System Diagnoses W Mcc | 31 | 85 / 20 | $102.440,00 | 1289 / 88 | $19.628,00 | 1193 / 105 | $15.792,30 | 1185 / 73 |
Medical Back Problems W/O Mcc | 31 | 90 / 27 | $44.954,50 | 1341 / 73 | $8.623,06 | 1232 / 93 | $6.188,61 | 1228 / 65 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 17 | $64.104,70 | 1314 / 83 | $13.986,80 | 1122 / 117 | $8.749,48 | 1117 / 42 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 40 | $275.228,00 | 1474 / 99 | $52.077,00 | 1390 / 113 | $45.049,70 | 1380 / 87 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 27 | $98.006,20 | 1690 / 104 | $16.525,40 | 1523 / 115 | $13.127,90 | 1510 / 64 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 25 | $34.670,00 | 1858 / 91 | $6.157,67 | 1700 / 106 | $4.097,58 | 1694 / 77 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 49 | $53.347,50 | 2294 / 134 | $10.933,60 | 1877 / 171 | $6.303,75 | 1870 / 31 |
Cellulitis W/O Mcc | 23 | 166 / 63 | $35.815,40 | 2314 / 114 | $8.912,26 | 2252 / 168 | $6.336,48 | 2244 / 110 |
Red Blood Cell Disorders W Mcc | 23 | 48 / 8 | $37.598,10 | 642 / 14 | $11.395,90 | 901 / 49 | $9.850,65 | 897 / 36 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 33 | $41.215,80 | 1785 / 94 | $8.402,65 | 1662 / 113 | $6.143,87 | 1653 / 72 |
Bronchitis & Asthma W Cc/Mcc | 23 | 53 / 10 | $48.340,20 | 994 / 46 | $9.050,74 | 894 / 63 | $6.484,22 | 890 / 36 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 53 | $83.217,70 | 2149 / 130 | $13.317,20 | 1982 / 145 | $9.996,68 | 1976 / 98 |
Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 68 | $75.690,40 | 2486 / 163 | $12.042,10 | 2166 / 161 | $8.623,00 | 2158 / 76 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 44 | $47.212,30 | 2029 / 122 | $8.216,18 | 1818 / 136 | $5.903,86 | 1813 / 81 |
Syncope & Collapse | 21 | 148 / 46 | $54.836,30 | 1870 / 129 | $7.719,14 | 1568 / 116 | $5.387,95 | 1561 / 65 |
Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 46 | $53.145,80 | 1719 / 102 | $10.597,10 | 1595 / 121 | $8.075,80 | 1591 / 63 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 20 | 54 / 10 | $148.800,00 | 260 / 13 | $20.697,80 | 208 / 6 | $17.678,20 | 207 / 7 |
Other Digestive System Diagnoses W Cc | 20 | 77 / 22 | $45.514,90 | 1211 / 67 | $9.634,10 | 1194 / 95 | $7.417,45 | 1190 / 71 |
Respiratory Infections & Inflammations W Cc | 19 | 69 / 29 | $76.355,80 | 1376 / 81 | $14.476,90 | 1233 / 108 | $9.966,63 | 1228 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 55 | $67.208,60 | 1967 / 129 | $10.916,40 | 1731 / 146 | $7.831,47 | 1727 / 81 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 37 | $132.172,00 | 1396 / 65 | $25.243,10 | 1386 / 93 | $20.516,90 | 1372 / 75 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 27 | $44.946,10 | 1951 / 100 | $7.381,67 | 1692 / 101 | $5.053,67 | 1679 / 53 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 17 | 52 / 16 | $139.669,00 | 478 / 27 | $22.618,60 | 427 / 16 | $19.971,30 | 426 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 16 | 180 / 54 | $121.335,00 | 1324 / 70 | $17.140,60 | 1277 / 47 | $15.066,30 | 1270 / 60 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 7 | $53.203,70 | 806 / 27 | $7.862,31 | 737 / 36 | $5.621,31 | 733 / 20 |
Disorders Of The Biliary Tract W Cc | 16 | 38 / 8 | $56.790,40 | 423 / 20 | $10.501,80 | 352 / 23 | $7.622,38 | 352 / 12 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 15 | 25 / 6 | $89.759,10 | 192 / 9 | $17.617,90 | 184 / 9 | $14.926,00 | 184 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 39 | $56.315,80 | 1634 / 71 | $11.503,70 | 1583 / 101 | $9.125,13 | 1580 / 60 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 15 | 40 / 11 | $163.508,00 | 211 / 8 | $27.052,50 | 170 / 8 | $23.490,00 | 170 / 6 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 46 | $61.665,80 | 1407 / 61 | $10.370,10 | 1384 / 80 | $8.076,33 | 1381 / 57 |
G.I. Hemorrhage W Mcc | 15 | 106 / 41 | $114.588,00 | 1609 / 136 | $19.034,90 | 1495 / 141 | $15.122,50 | 1485 / 105 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 31 | $44.049,20 | 1860 / 91 | $7.925,71 | 1686 / 115 | $5.079,00 | 1678 / 58 |
Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 14 | 29 / 5 | $165.571,00 | 142 / 2 | $25.040,50 | 73 / 1 | $18.625,80 | 73 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 34 | $63.951,90 | 1575 / 109 | $8.403,71 | 1376 / 104 | $5.638,86 | 1372 / 69 |
Hypertension W/O Mcc | 14 | 51 / 12 | $51.320,40 | 774 / 26 | $7.256,43 | 623 / 20 | $4.558,86 | 621 / 9 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 16 | $204.370,00 | 639 / 25 | $43.276,90 | 608 / 36 | $37.841,20 | 608 / 26 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 14 | 30 / 10 | $157.640,00 | 407 / 22 | $26.760,60 | 355 / 21 | $22.091,20 | 353 / 18 |
Diabetes W Cc | 14 | 78 / 21 | $38.182,10 | 1365 / 47 | $8.450,43 | 1310 / 86 | $6.249,43 | 1305 / 48 |
G.I. Obstruction W Cc | 14 | 78 / 38 | $48.929,20 | 1585 / 89 | $9.476,43 | 1473 / 115 | $6.610,14 | 1468 / 70 |
Transient Ischemia | 13 | 112 / 43 | $55.655,00 | 1607 / 116 | $7.241,31 | 1331 / 103 | $4.956,00 | 1324 / 52 |
Malignancy Of Hepatobiliary System Or Pancreas W Cc | 13 | 18 / 5 | $72.795,50 | 187 / 5 | $11.566,60 | 142 / 4 | $8.615,31 | 142 / 1 |
Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 17 | $56.040,50 | 808 / 38 | $10.427,20 | 691 / 39 | $7.663,23 | 691 / 24 |
Other Digestive System Diagnoses W Mcc | 13 | 49 / 21 | $66.114,60 | 612 / 39 | $15.620,60 | 552 / 55 | $12.472,60 | 551 / 30 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 12 | 83 / 18 | $119.382,00 | 526 / 23 | $17.144,80 | 466 / 23 | $14.451,60 | 462 / 18 |
Dysequilibrium | 12 | 53 / 15 | $47.967,20 | 543 / 28 | $6.798,17 | 420 / 30 | $4.400,17 | 420 / 16 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 24 | $75.513,80 | 1387 / 86 | $10.722,00 | 1236 / 83 | $8.017,33 | 1234 / 58 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 12 | 41 / 11 | $142.213,00 | 339 / 22 | $23.339,80 | 326 / 21 | $18.165,20 | 327 / 18 |
G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 29 | $33.985,20 | 1172 / 54 | $6.724,25 | 1175 / 82 | $4.694,42 | 1172 / 69 |
Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 54 | $88.641,80 | 1802 / 72 | $16.928,80 | 1679 / 104 | $13.880,60 | 1660 / 56 |
Cellulitis W Mcc | 12 | 46 / 22 | $54.179,80 | 762 / 34 | $13.845,10 | 770 / 64 | $10.654,20 | 768 / 32 |
Revision Of Hip Or Knee Replacement W Mcc | 12 | 12 / 2 | $212.704,00 | 31 / 1 | $39.874,60 | 26 / 1 | $36.412,00 | 26 / 1 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 23 | $84.304,00 | 380 / 26 | $10.485,80 | 239 / 14 | $8.093,55 | 239 / 4 |
Respiratory Neoplasms W Cc | 11 | 36 / 13 | $47.382,20 | 378 / 6 | $11.183,10 | 394 / 17 | $9.004,00 | 393 / 11 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc | 11 | 17 / 5 | $83.443,50 | 94 / 5 | $14.612,70 | 82 / 3 | $12.392,30 | 82 / 3 |
Other Vascular Procedures W Cc | 11 | 91 / 33 | $154.767,00 | 1072 / 56 | $23.588,60 | 990 / 48 | $20.534,50 | 985 / 39 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 22 | $49.040,50 | 1138 / 57 | $9.987,27 | 1005 / 75 | $7.282,73 | 1002 / 39 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 22 | $162.540,00 | 861 / 39 | $27.974,00 | 800 / 41 | $24.348,80 | 797 / 34 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 23 | $78.821,20 | 462 / 12 | $16.174,80 | 463 / 22 | $14.017,20 | 460 / 16 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 23 | $46.809,00 | 916 / 27 | $11.571,90 | 935 / 65 | $8.798,45 | 933 / 37 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 10 | $87.820,80 | 323 / 20 | $16.430,40 | 237 / 20 | $12.707,40 | 237 / 10 | Total 82 procedures | 2.428 | 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.