Hospital Costs > In California > Salinas Valley Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 272 | 246 / 48 | $84.296,30 | 2481 / 154 | $19.084,20 | 2650 / 217 | $17.070,10 | 2605 / 205 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 194 | 370 / 50 | $74.384,20 | 2100 / 82 | $20.996,70 | 2439 / 188 | $16.685,70 | 2393 / 161 |
Heart Failure & Shock W Mcc | 127 | 157 / 18 | $66.019,30 | 2283 / 115 | $14.388,10 | 2362 / 164 | $12.478,40 | 2352 / 138 |
Simple Pneumonia & Pleurisy W Mcc | 75 | 130 / 19 | $79.191,40 | 2339 / 137 | $14.723,50 | 2428 / 167 | $13.905,10 | 2422 / 176 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 70 | 137 / 47 | $52.922,50 | 2312 / 163 | $10.792,50 | 2342 / 190 | $8.919,74 | 2332 / 171 |
Renal Failure W Cc | 69 | 152 / 22 | $45.526,10 | 2169 / 107 | $9.497,48 | 2175 / 139 | $7.908,03 | 2165 / 125 |
Spinal Fusion Except Cervical W/O Mcc | 69 | 125 / 14 | $102.901,00 | 759 / 12 | $37.373,70 | 1237 / 71 | $32.222,20 | 1232 / 58 |
Heart Failure & Shock W Cc | 68 | 210 / 38 | $46.498,00 | 2497 / 132 | $9.944,76 | 2445 / 167 | $7.980,06 | 2439 / 131 |
G.I. Hemorrhage W Cc | 66 | 152 / 31 | $45.810,50 | 2083 / 96 | $11.328,40 | 2133 / 175 | $7.928,55 | 2129 / 116 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 65 | 117 / 16 | $51.163,00 | 1770 / 80 | $10.448,80 | 1881 / 131 | $8.806,54 | 1877 / 127 |
Respiratory Infections & Inflammations W Mcc | 63 | 73 / 17 | $96.262,30 | 1631 / 88 | $20.590,50 | 1758 / 142 | $18.642,70 | 1742 / 140 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 60 | 215 / 51 | $47.257,70 | 2618 / 167 | $10.536,60 | 2338 / 207 | $5.667,92 | 2323 / 108 |
Chronic Obstructive Pulmonary Disease W Mcc | 56 | 146 / 34 | $63.281,60 | 2392 / 133 | $11.197,80 | 2426 / 145 | $10.508,60 | 2418 / 161 |
Pulmonary Edema & Respiratory Failure | 56 | 147 / 24 | $57.818,00 | 1888 / 59 | $12.859,00 | 2018 / 140 | $10.330,10 | 2012 / 111 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 54 | 114 / 20 | $82.200,40 | 1382 / 78 | $18.747,70 | 1553 / 125 | $17.762,80 | 1546 / 131 |
Kidney & Urinary Tract Infections W/O Mcc | 53 | 180 / 58 | $39.967,30 | 2496 / 147 | $7.926,74 | 2418 / 154 | $6.217,92 | 2407 / 131 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 48 | 76 / 18 | $236.272,00 | 1379 / 69 | $63.644,90 | 1578 / 143 | $62.687,60 | 1568 / 144 |
Renal Failure W Mcc | 48 | 147 / 39 | $63.866,90 | 1808 / 84 | $13.866,60 | 1933 / 107 | $13.087,90 | 1929 / 121 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 48 | 53 / 9 | $63.322,00 | 915 / 30 | $14.838,00 | 947 / 57 | $12.803,70 | 943 / 44 |
Cellulitis W/O Mcc | 44 | 145 / 42 | $36.689,20 | 2339 / 123 | $8.199,61 | 2351 / 138 | $6.788,23 | 2343 / 134 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 37 | $35.647,80 | 2273 / 111 | $8.332,21 | 2161 / 167 | $5.419,63 | 2153 / 97 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 28 | $42.428,70 | 1950 / 100 | $8.177,87 | 1929 / 133 | $6.437,68 | 1924 / 115 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 38 | 87 / 15 | $77.919,60 | 1535 / 72 | $17.672,80 | 1636 / 127 | $14.451,50 | 1623 / 109 |
Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 31 | $68.612,10 | 1519 / 20 | $17.265,30 | 1881 / 110 | $15.950,40 | 1861 / 113 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 24 | $41.977,30 | 1344 / 53 | $10.286,10 | 1490 / 91 | $9.351,69 | 1487 / 92 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 35 | 96 / 20 | $107.544,00 | 1588 / 55 | $25.210,80 | 1805 / 121 | $24.578,80 | 1791 / 127 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 34 | 162 / 38 | $109.382,00 | 1248 / 55 | $24.360,40 | 1338 / 113 | $15.981,20 | 1331 / 76 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 20 | $57.219,10 | 1649 / 72 | $13.911,40 | 1756 / 132 | $10.633,10 | 1753 / 107 |
Transient Ischemia | 32 | 93 / 24 | $40.935,00 | 1463 / 81 | $7.219,91 | 1489 / 101 | $5.782,09 | 1481 / 94 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 30 | $59.489,10 | 1378 / 55 | $11.329,50 | 1505 / 95 | $9.310,25 | 1502 / 95 |
Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 58 | $54.874,10 | 2639 / 156 | $11.043,30 | 2495 / 187 | $7.692,50 | 2486 / 127 |
Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 44 | $50.585,20 | 2250 / 126 | $9.218,34 | 2279 / 131 | $8.343,28 | 2272 / 145 |
Major Small & Large Bowel Procedures W Cc | 27 | 81 / 28 | $104.614,00 | 1252 / 30 | $32.622,60 | 1395 / 116 | $20.695,90 | 1381 / 80 |
G.I. Hemorrhage W Mcc | 26 | 95 / 30 | $76.212,70 | 1406 / 76 | $16.313,30 | 1508 / 108 | $15.339,80 | 1498 / 110 |
Other Circulatory System Diagnoses W Mcc | 25 | 91 / 25 | $98.087,80 | 1261 / 78 | $26.637,00 | 1351 / 128 | $20.885,00 | 1343 / 119 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 25 | 64 / 20 | $41.760,20 | 494 / 11 | $13.337,60 | 594 / 70 | $7.240,04 | 593 / 29 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 18 | $147.381,00 | 814 / 34 | $30.170,90 | 960 / 66 | $29.262,90 | 955 / 71 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 43 | $56.030,60 | 1759 / 112 | $10.757,00 | 1812 / 127 | $9.813,74 | 1808 / 131 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 23 | $87.781,10 | 1430 / 119 | $43.913,60 | 1220 / 138 | $9.533,43 | 1215 / 65 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 27 | $36.553,00 | 1278 / 36 | $7.238,71 | 1434 / 70 | $6.092,81 | 1430 / 84 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 20 | 46 / 15 | $68.444,00 | 401 / 7 | $17.467,30 | 535 / 32 | $16.379,30 | 531 / 36 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 16 | $67.197,90 | 1356 / 76 | $12.630,70 | 1372 / 98 | $9.953,25 | 1370 / 93 |
Syncope & Collapse | 20 | 149 / 47 | $38.761,90 | 1673 / 81 | $7.009,40 | 1717 / 88 | $6.225,40 | 1709 / 102 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 20 | 56 / 17 | $68.015,50 | 403 / 27 | $17.064,10 | 486 / 45 | $16.528,10 | 486 / 49 |
G.I. Obstruction W Cc | 19 | 73 / 33 | $41.100,30 | 1476 / 58 | $10.491,50 | 1388 / 124 | $6.183,11 | 1383 / 46 |
Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 19 | $58.589,90 | 442 / 3 | $22.721,30 | 781 / 50 | $16.911,90 | 778 / 37 |
Extracranial Procedures W/O Cc/Mcc | 19 | 79 / 21 | $46.399,40 | 736 / 16 | $11.631,50 | 849 / 54 | $8.117,05 | 846 / 41 |
Cellulitis W Mcc | 19 | 39 / 15 | $80.210,40 | 910 / 65 | $17.131,70 | 883 / 84 | $12.523,10 | 881 / 65 |
Medical Back Problems W/O Mcc | 19 | 102 / 38 | $51.484,50 | 1413 / 90 | $8.009,53 | 1342 / 71 | $7.059,63 | 1337 / 90 |
Diabetes W Cc | 18 | 74 / 17 | $37.490,10 | 1352 / 45 | $10.457,70 | 1352 / 107 | $6.520,67 | 1347 / 62 |
Poisoning & Toxic Effects Of Drugs W Mcc | 18 | 54 / 17 | $78.200,10 | 890 / 46 | $17.302,40 | 966 / 75 | $16.564,60 | 963 / 80 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 37 | $328.293,00 | 1026 / 105 | $77.705,10 | 1099 / 141 | $77.151,30 | 1098 / 143 |
Other Digestive System Diagnoses W Cc | 18 | 79 / 24 | $60.849,20 | 1364 / 103 | $11.230,60 | 1393 / 122 | $10.430,60 | 1389 / 127 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 16 | $66.084,50 | 611 / 38 | $16.842,10 | 700 / 63 | $16.136,30 | 699 / 67 |
Other Vascular Procedures W Mcc | 18 | 79 / 24 | $118.670,00 | 718 / 20 | $30.109,20 | 904 / 58 | $29.134,90 | 901 / 60 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 24 | $37.043,90 | 1206 / 66 | $7.199,06 | 1084 / 88 | $4.226,29 | 1081 / 47 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 32 | $32.516,40 | 1819 / 81 | $5.545,53 | 1790 / 80 | $4.551,65 | 1784 / 93 |
Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 7 | $195.419,00 | 576 / 36 | $49.982,60 | 606 / 49 | $46.057,90 | 606 / 48 |
Bronchitis & Asthma W Cc/Mcc | 17 | 59 / 16 | $45.261,20 | 974 / 41 | $14.938,60 | 923 / 84 | $6.794,29 | 919 / 45 |
Peritoneal Adhesiolysis W Cc | 16 | 23 / 6 | $68.058,20 | 166 / 2 | $20.559,70 | 239 / 11 | $18.027,50 | 239 / 11 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 16 | 52 / 15 | $47.742,90 | 662 / 33 | $8.341,69 | 666 / 27 | $7.891,69 | 666 / 34 |
Respiratory Neoplasms W Cc | 16 | 31 / 8 | $78.603,10 | 493 / 27 | $12.962,30 | 484 / 25 | $12.210,30 | 483 / 27 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 16 | 82 / 17 | $161.061,00 | 380 / 11 | $43.365,10 | 477 / 28 | $42.590,10 | 477 / 33 |
Seizures W/O Mcc | 14 | 94 / 28 | $62.914,00 | 1291 / 87 | $11.931,50 | 1289 / 97 | $9.661,07 | 1287 / 99 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 34 | $50.919,40 | 1163 / 34 | $11.549,70 | 1306 / 62 | $10.622,90 | 1301 / 64 |
Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 21 | $88.074,60 | 686 / 22 | $26.790,10 | 861 / 73 | $21.105,90 | 857 / 52 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 19 | $274.212,00 | 896 / 51 | $62.809,40 | 976 / 79 | $61.863,10 | 975 / 83 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 11 | $114.158,00 | 390 / 22 | $26.664,60 | 456 / 40 | $25.626,90 | 455 / 43 |
Other Circulatory System O.R. Procedures | 13 | 42 / 14 | $167.129,00 | 429 / 29 | $42.164,80 | 452 / 32 | $41.239,10 | 452 / 33 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 17 | $78.510,10 | 721 / 24 | $18.853,80 | 804 / 64 | $12.816,00 | 800 / 48 |
Coronary Bypass W Cardiac Cath W Mcc | 13 | 43 / 11 | $266.980,00 | 332 / 7 | $64.803,80 | 407 / 18 | $63.782,30 | 407 / 20 |
Other Vascular Procedures W Cc | 13 | 89 / 31 | $133.844,00 | 1026 / 45 | $28.302,80 | 1121 / 70 | $27.281,20 | 1116 / 71 |
Peripheral Vascular Disorders W Mcc | 13 | 36 / 9 | $84.328,00 | 562 / 27 | $13.631,40 | 547 / 33 | $13.080,00 | 547 / 34 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 26 | $44.111,90 | 696 / 21 | $9.222,69 | 729 / 35 | $8.302,08 | 729 / 37 |
Lymphoma & Non-Acute Leukemia W Mcc | 12 | 24 / 5 | $142.546,00 | 103 / 2 | $31.960,20 | 96 / 4 | $29.891,70 | 96 / 4 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 18 | $288.909,00 | 614 / 35 | $69.567,80 | 632 / 48 | $59.714,30 | 631 / 45 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 16 | $101.004,00 | 700 / 11 | $27.524,10 | 901 / 57 | $26.724,00 | 898 / 61 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $45.999,20 | 911 / 25 | $12.206,20 | 948 / 70 | $8.983,42 | 946 / 39 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 12 | 41 / 11 | $69.915,00 | 261 / 7 | $16.452,10 | 297 / 12 | $15.553,40 | 298 / 14 |
Chest Pain | 12 | 139 / 60 | $45.903,80 | 1658 / 126 | $6.379,83 | 1371 / 95 | $4.538,50 | 1363 / 70 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 29 | $178.168,00 | 959 / 19 | $46.001,10 | 1193 / 55 | $45.343,70 | 1190 / 61 |
Seizures W Mcc | 11 | 55 / 19 | $62.649,90 | 593 / 22 | $13.701,80 | 634 / 26 | $13.050,20 | 634 / 33 |
Cervical Spinal Fusion W Cc | 11 | 42 / 16 | $76.082,50 | 202 / 3 | $26.291,80 | 359 / 19 | $25.195,10 | 358 / 23 |
Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 19 | $50.345,70 | 778 / 35 | $9.284,09 | 744 / 28 | $8.408,45 | 744 / 32 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 34 | $36.071,30 | 1837 / 69 | $6.340,27 | 1781 / 69 | $5.467,55 | 1768 / 75 | Total 85 procedures | 2.905 | 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.