Hospital Costs > In California > San Dimas 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 | 144 | 372 / 106 | $72.858,50 | 2327 / 112 | $12.883,80 | 1941 / 18 | $12.162,60 | 1905 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 73 | $26.786,70 | 1983 / 48 | $5.587,86 | 1644 / 20 | $4.273,70 | 1631 / 20 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 35 | 57 / 20 | $214.653,00 | 795 / 46 | $37.193,90 | 382 / 5 | $34.806,70 | 381 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 78 | $41.343,40 | 2073 / 104 | $7.596,94 | 1831 / 26 | $6.874,35 | 1823 / 45 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 31 | 533 / 132 | $126.630,00 | 2614 / 205 | $14.877,50 | 2037 / 18 | $13.746,10 | 1995 / 49 |
| Heart Failure & Shock W Mcc | 25 | 259 / 97 | $48.577,80 | 1954 / 54 | $10.495,50 | 1763 / 17 | $9.631,52 | 1758 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 69 | $33.800,10 | 1678 / 19 | $8.132,29 | 1803 / 10 | $7.438,95 | 1795 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 72 | $50.559,80 | 1929 / 48 | $9.602,79 | 1626 / 6 | $8.964,47 | 1626 / 12 |
| Cellulitis W/O Mcc | 19 | 170 / 67 | $30.385,00 | 2140 / 73 | $5.956,21 | 1855 / 13 | $5.257,26 | 1847 / 25 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 47 | $26.871,70 | 1029 / 11 | $7.778,89 | 1285 / 16 | $6.953,63 | 1281 / 18 |
| Renal Failure W Mcc | 18 | 177 / 68 | $48.954,50 | 1555 / 41 | $10.367,00 | 1266 / 5 | $9.590,11 | 1266 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 91 | $29.903,00 | 2213 / 68 | $5.600,06 | 1733 / 13 | $4.593,83 | 1722 / 19 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 48 | $143.153,00 | 963 / 18 | $32.641,60 | 673 / 4 | $31.308,80 | 667 / 4 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 55 | $53.299,10 | 1140 / 14 | $12.287,50 | 992 / 2 | $11.665,40 | 980 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 63 | $26.823,90 | 1987 / 58 | $5.143,38 | 1693 / 15 | $4.311,38 | 1688 / 22 |
| Transient Ischemia | 14 | 111 / 42 | $31.249,60 | 1220 / 34 | $5.115,86 | 1064 / 9 | $4.171,86 | 1059 / 17 |
| Chest Pain | 14 | 137 / 58 | $23.486,20 | 1141 / 30 | $4.473,36 | 986 / 8 | $3.527,07 | 980 / 14 |
| Heart Failure & Shock W Cc | 13 | 265 / 87 | $37.694,00 | 2254 / 75 | $6.891,15 | 1599 / 17 | $5.872,08 | 1594 / 17 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 21 | $65.932,70 | 609 / 36 | $11.577,50 | 390 / 3 | $10.745,50 | 389 / 3 |
| G.I. Hemorrhage W Cc | 13 | 205 / 78 | $41.410,80 | 1988 / 78 | $7.185,23 | 1692 / 12 | $6.345,85 | 1688 / 26 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 21 | $39.150,60 | 1002 / 33 | $6.753,67 | 815 / 5 | $6.252,33 | 812 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 47 | $35.490,30 | 1176 / 30 | $8.023,75 | 732 / 15 | $6.456,42 | 729 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 54 | $194.038,00 | 1259 / 64 | $48.981,70 | 1006 / 94 | $26.473,70 | 1001 / 14 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 45 | $25.069,00 | 1259 / 25 | $5.802,73 | 1457 / 7 | $5.360,55 | 1448 / 24 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 79 | $32.693,60 | 2091 / 41 | $7.016,36 | 1844 / 16 | $5.925,45 | 1836 / 19 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 62 | $32.271,70 | 1820 / 40 | $6.471,00 | 1779 / 7 | $6.034,64 | 1772 / 21 | Total 26 procedures | 604 | 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.