Hospital Costs > In California > San Antonio Community 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 | 285 | 233 / 45 | $58.487,20 | 2047 / 71 | $13.396,30 | 1927 / 29 | $12.125,60 | 1892 / 28 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 159 | 405 / 63 | $65.485,30 | 1873 / 64 | $15.135,60 | 1938 / 26 | $13.379,20 | 1896 / 39 |
| Heart Failure & Shock W Mcc | 114 | 170 / 24 | $48.487,40 | 1949 / 53 | $10.699,60 | 1909 / 23 | $10.069,60 | 1903 / 34 |
| Simple Pneumonia & Pleurisy W Mcc | 92 | 113 / 10 | $42.064,60 | 1636 / 27 | $9.773,03 | 1598 / 10 | $8.911,24 | 1598 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 84 | 123 / 37 | $31.390,40 | 1697 / 41 | $7.632,32 | 1641 / 28 | $6.490,67 | 1634 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 55 | $30.927,00 | 2211 / 79 | $5.751,95 | 2024 / 27 | $4.850,13 | 2010 / 40 |
| Respiratory Infections & Inflammations W Mcc | 55 | 81 / 22 | $51.050,90 | 1100 / 12 | $12.833,10 | 1021 / 10 | $11.774,20 | 1008 / 5 |
| Renal Failure W Mcc | 49 | 146 / 38 | $49.085,00 | 1558 / 42 | $11.309,50 | 1360 / 25 | $9.811,22 | 1360 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 47 | 156 / 43 | $30.394,30 | 1967 / 31 | $6.985,85 | 1687 / 15 | $5.710,66 | 1680 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 46 | 79 / 9 | $58.564,80 | 1301 / 31 | $11.933,50 | 1179 / 13 | $10.955,10 | 1174 / 11 |
| Cellulitis W/O Mcc | 45 | 144 / 41 | $27.631,00 | 2021 / 51 | $6.354,18 | 1780 / 24 | $5.119,04 | 1772 / 22 |
| Kidney & Urinary Tract Infections W/O Mcc | 45 | 188 / 64 | $30.493,20 | 2239 / 74 | $5.956,44 | 1866 / 32 | $4.770,71 | 1855 / 25 |
| G.I. Hemorrhage W Cc | 45 | 173 / 49 | $32.970,80 | 1708 / 33 | $7.342,62 | 1674 / 15 | $6.311,29 | 1670 / 24 |
| Heart Failure & Shock W Cc | 44 | 234 / 58 | $32.853,20 | 2095 / 50 | $7.143,73 | 1905 / 22 | $6.346,64 | 1900 / 30 |
| Renal Failure W Cc | 43 | 178 / 45 | $33.906,90 | 1860 / 46 | $7.255,23 | 1589 / 31 | $5.911,33 | 1580 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 42 | 140 / 35 | $42.225,00 | 1570 / 41 | $7.681,07 | 1464 / 15 | $6.759,17 | 1461 / 26 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 41 | 83 / 25 | $180.179,00 | 1173 / 34 | $37.890,00 | 1108 / 23 | $37.144,30 | 1101 / 31 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 37 | $47.373,00 | 1700 / 39 | $10.048,30 | 1490 / 48 | $7.815,23 | 1485 / 10 |
| G.I. Obstruction W Cc | 38 | 54 / 14 | $36.999,20 | 1396 / 48 | $6.460,39 | 1233 / 13 | $5.666,29 | 1229 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 43 | $27.054,50 | 2000 / 62 | $5.362,08 | 1909 / 21 | $4.683,16 | 1903 / 44 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 32 | 164 / 40 | $79.499,60 | 860 / 13 | $14.760,00 | 871 / 10 | $11.950,90 | 865 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 58 | $34.605,60 | 1720 / 23 | $8.433,88 | 1814 / 19 | $7.457,59 | 1806 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 32 | 136 / 39 | $65.618,00 | 1214 / 37 | $13.136,10 | 1203 / 31 | $12.144,60 | 1197 / 38 |
| Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 35 | $70.597,10 | 1557 / 25 | $14.179,80 | 1445 / 26 | $12.537,50 | 1427 / 21 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 36 | $38.914,90 | 1471 / 47 | $7.604,67 | 1236 / 13 | $6.859,07 | 1232 / 16 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 31 | $48.991,20 | 1182 / 26 | $8.059,73 | 1092 / 9 | $6.672,67 | 1089 / 15 |
| Major Small & Large Bowel Procedures W Mcc | 30 | 55 / 10 | $197.902,00 | 1036 / 28 | $40.954,80 | 1075 / 30 | $39.908,40 | 1073 / 37 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 24 | $45.629,30 | 1453 / 35 | $9.579,27 | 1539 / 33 | $8.864,07 | 1536 / 45 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 27 | 65 / 28 | $149.353,00 | 517 / 8 | $34.075,10 | 299 / 1 | $33.235,40 | 298 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 40 | $33.980,90 | 1772 / 54 | $6.074,88 | 1547 / 24 | $5.097,65 | 1542 / 28 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 10 | $38.500,90 | 1002 / 20 | $7.797,88 | 1057 / 16 | $6.920,35 | 1055 / 22 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 31 | $26.795,30 | 1353 / 33 | $6.155,16 | 1394 / 16 | $5.187,48 | 1385 / 19 |
| Chest Pain | 25 | 126 / 47 | $28.867,50 | 1356 / 58 | $4.792,76 | 1194 / 17 | $3.973,56 | 1187 / 37 |
| G.I. Obstruction W/O Cc/Mcc | 24 | 47 / 17 | $25.884,50 | 1027 / 26 | $4.743,42 | 935 / 16 | $3.767,92 | 932 / 23 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 18 | $134.168,00 | 746 / 21 | $23.144,60 | 708 / 6 | $22.138,00 | 704 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 25 | $24.513,90 | 1608 / 38 | $4.480,79 | 1400 / 22 | $3.284,67 | 1394 / 24 |
| Respiratory Infections & Inflammations W Cc | 23 | 65 / 25 | $50.889,00 | 1162 / 33 | $10.010,70 | 1121 / 22 | $9.170,30 | 1116 / 24 |
| Transient Ischemia | 23 | 102 / 33 | $31.052,70 | 1215 / 32 | $5.500,78 | 1044 / 20 | $4.126,09 | 1039 / 15 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 30 | $77.336,60 | 1275 / 21 | $15.635,00 | 1168 / 3 | $14.915,00 | 1155 / 5 |
| Medical Back Problems W/O Mcc | 22 | 99 / 35 | $29.380,90 | 994 / 26 | $6.023,95 | 949 / 10 | $5.093,05 | 946 / 15 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 51 | $29.811,60 | 1709 / 32 | $6.872,41 | 1736 / 16 | $5.937,14 | 1729 / 18 |
| Fractures Of Hip & Pelvis W/O Mcc | 21 | 40 / 10 | $21.408,50 | 558 / 3 | $5.393,76 | 635 / 10 | $4.357,57 | 635 / 12 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 35 | $60.770,90 | 1210 / 40 | $12.632,90 | 1091 / 18 | $11.674,80 | 1083 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 24 | $39.866,10 | 942 / 24 | $8.819,30 | 990 / 12 | $8.121,70 | 985 / 18 |
| Red Blood Cell Disorders W Mcc | 20 | 51 / 11 | $46.547,90 | 785 / 26 | $9.031,15 | 696 / 3 | $8.309,55 | 692 / 5 |
| Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 46 | $96.081,00 | 695 / 8 | $28.086,80 | 1049 / 10 | $27.299,60 | 1044 / 23 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 36 | $89.508,70 | 1107 / 14 | $21.353,20 | 1082 / 54 | $16.425,20 | 1069 / 19 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 19 | 21 / 7 | $73.395,70 | 260 / 6 | $17.157,70 | 222 / 1 | $14.896,30 | 221 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 30 | $28.249,80 | 1027 / 9 | $5.756,89 | 1146 / 16 | $4.684,89 | 1142 / 24 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 41 | $40.079,90 | 1306 / 50 | $8.079,56 | 1072 / 17 | $7.276,00 | 1069 / 16 |
| Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 7 | $228.800,00 | 289 / 5 | $42.496,90 | 187 / 1 | $41.536,90 | 187 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 28 | $23.888,50 | 1401 / 19 | $5.223,18 | 1323 / 11 | $4.086,24 | 1315 / 13 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 17 | 36 / 6 | $33.937,10 | 648 / 12 | $6.061,53 | 576 / 9 | $4.577,12 | 572 / 5 |
| Other Vascular Procedures W Mcc | 17 | 80 / 25 | $110.813,00 | 664 / 17 | $23.651,00 | 657 / 6 | $22.941,50 | 654 / 9 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 25 | $32.850,40 | 961 / 27 | $7.288,88 | 1006 / 12 | $6.511,47 | 1002 / 22 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 34 | $46.298,10 | 657 / 8 | $12.843,10 | 818 / 5 | $12.179,10 | 813 / 8 |
| Cellulitis W Mcc | 16 | 42 / 18 | $38.488,70 | 558 / 15 | $11.910,80 | 475 / 35 | $8.624,12 | 473 / 7 |
| Other Digestive System Diagnoses W Mcc | 16 | 46 / 18 | $89.480,00 | 696 / 60 | $15.655,40 | 628 / 56 | $13.945,80 | 627 / 48 |
| Diabetes W Cc | 16 | 76 / 19 | $31.160,10 | 1213 / 28 | $6.216,31 | 1093 / 9 | $5.388,31 | 1089 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 15 | 41 / 11 | $58.337,90 | 486 / 6 | $12.642,60 | 257 / 6 | $10.998,00 | 256 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 34 | $43.343,80 | 696 / 8 | $10.089,90 | 586 / 2 | $9.491,07 | 584 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 15 | $115.481,00 | 774 / 20 | $21.179,20 | 684 / 12 | $20.251,20 | 681 / 14 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 32 | $40.682,40 | 477 / 7 | $7.672,31 | 479 / 4 | $6.402,15 | 478 / 12 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 32 | $24.637,20 | 1539 / 26 | $5.210,92 | 1472 / 14 | $4.371,54 | 1460 / 21 |
| G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 16 | $20.655,30 | 570 / 5 | $5.315,69 | 515 / 8 | $3.805,85 | 511 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 10 | $76.324,10 | 236 / 4 | $16.070,10 | 179 / 1 | $14.811,40 | 179 / 2 |
| Diabetes W Mcc | 12 | 45 / 15 | $39.831,50 | 457 / 9 | $8.753,00 | 219 / 1 | $7.645,92 | 219 / 1 |
| Seizures W/O Mcc | 12 | 96 / 30 | $28.417,70 | 905 / 21 | $5.782,08 | 611 / 5 | $4.290,58 | 608 / 8 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 24 | $36.651,00 | 175 / 3 | $12.500,20 | 274 / 3 | $11.897,60 | 274 / 5 |
| Other Kidney & Urinary Tract Procedures W Mcc | 12 | 26 / 4 | $114.161,00 | 167 / 2 | $27.378,70 | 197 / 5 | $26.874,70 | 196 / 6 |
| Syncope & Collapse | 11 | 158 / 56 | $38.856,10 | 1677 / 82 | $5.637,45 | 1365 / 20 | $4.756,00 | 1358 / 29 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 23 | $24.321,50 | 275 / 4 | $5.841,55 | 232 / 1 | $5.512,82 | 232 / 3 |
| Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 15 | $31.133,50 | 304 / 7 | $6.475,64 | 239 / 1 | $5.707,64 | 239 / 3 |
| Seizures W Mcc | 11 | 55 / 19 | $48.671,70 | 469 / 12 | $9.713,64 | 303 / 2 | $8.942,73 | 303 / 4 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 11 | 35 / 12 | $37.892,60 | 174 / 9 | $7.661,27 | 125 / 6 | $5.690,55 | 125 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 22 | $63.083,30 | 509 / 2 | $14.831,20 | 616 / 3 | $13.839,20 | 610 / 5 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 26 | $247.201,00 | 309 / 3 | $52.102,70 | 236 / 4 | $51.227,00 | 236 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 22 | $91.003,50 | 580 / 5 | $21.363,90 | 304 / 7 | $17.627,40 | 302 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 24 | $51.027,50 | 718 / 20 | $20.554,00 | 485 / 82 | $8.480,36 | 483 / 5 | Total 79 procedures | 2.532 | 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.