Hospital Costs > In California > San Francisco General 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 | 83 | 433 / 137 | $103.352,00 | 2663 / 199 | $31.898,20 | 2819 / 266 | $26.907,50 | 2774 / 262 |
Heart Failure & Shock W Cc | 64 | 214 / 41 | $67.874,30 | 2720 / 206 | $17.923,80 | 2755 / 226 | $15.817,90 | 2749 / 225 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 71 | $74.003,30 | 2512 / 221 | $18.501,10 | 2570 / 244 | $16.720,80 | 2560 / 244 |
Cellulitis W/O Mcc | 38 | 151 / 48 | $53.969,70 | 2590 / 200 | $15.673,70 | 2632 / 221 | $14.102,90 | 2624 / 220 |
Renal Failure W Cc | 31 | 190 / 57 | $55.552,60 | 2317 / 152 | $16.993,00 | 2435 / 201 | $15.593,50 | 2425 / 201 |
Red Blood Cell Disorders W/O Mcc | 28 | 115 / 28 | $76.364,00 | 1997 / 153 | $15.626,80 | 1997 / 157 | $13.728,30 | 1988 / 157 |
Syncope & Collapse | 28 | 141 / 39 | $64.365,60 | 1913 / 154 | $15.735,40 | 1930 / 166 | $13.347,50 | 1922 / 166 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 27 | 104 / 26 | $158.626,00 | 1794 / 109 | $35.881,40 | 1859 / 146 | $33.958,40 | 1845 / 148 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 26 | 538 / 136 | $132.309,00 | 2632 / 211 | $31.408,40 | 2689 / 227 | $29.406,70 | 2643 / 232 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 42 | $157.840,00 | 2046 / 150 | $30.840,50 | 2057 / 157 | $28.636,10 | 2035 / 157 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 18 | $59.729,00 | 834 / 40 | $13.808,70 | 833 / 44 | $12.513,20 | 832 / 44 |
Renal Failure W Mcc | 21 | 174 / 65 | $86.667,40 | 2043 / 136 | $24.563,00 | 2162 / 190 | $22.982,70 | 2158 / 190 |
Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 90 | $56.186,80 | 2672 / 198 | $14.745,30 | 2706 / 222 | $12.390,60 | 2695 / 218 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 71 | $70.252,50 | 2767 / 196 | $17.449,40 | 2825 / 222 | $15.717,10 | 2816 / 223 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 55 | $125.204,00 | 2079 / 184 | $23.069,60 | 2087 / 186 | $20.764,10 | 2082 / 186 |
Organic Disturbances & Mental Retardation | 19 | 40 / 6 | $97.317,50 | 563 / 32 | $19.051,70 | 556 / 31 | $16.565,30 | 556 / 32 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 18 | 43 / 7 | $60.871,60 | 917 / 46 | $14.314,20 | 917 / 55 | $10.941,30 | 916 / 53 |
Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 72 | $75.572,40 | 2484 / 162 | $19.763,60 | 2571 / 202 | $17.910,20 | 2563 / 202 |
Medical Back Problems W/O Mcc | 18 | 103 / 39 | $71.500,70 | 1486 / 125 | $15.430,30 | 1493 / 131 | $13.783,30 | 1488 / 131 |
Heart Failure & Shock W Mcc | 18 | 266 / 104 | $131.023,00 | 2618 / 225 | $26.979,10 | 2636 / 228 | $24.770,80 | 2625 / 231 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 92 | $46.433,20 | 2609 / 163 | $14.401,00 | 2723 / 224 | $12.731,80 | 2708 / 223 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 62 | $53.991,40 | 2500 / 182 | $14.259,50 | 2541 / 206 | $12.759,90 | 2532 / 205 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 49 | $644.823,00 | 1593 / 158 | $144.350,00 | 1605 / 161 | $133.980,00 | 1595 / 160 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 54 | $194.987,00 | 1633 / 158 | $33.682,10 | 1629 / 160 | $25.665,90 | 1622 / 160 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 17 | 108 / 35 | $168.857,00 | 1815 / 151 | $32.208,40 | 1823 / 157 | $29.646,50 | 1810 / 157 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 43 | $80.652,90 | 1700 / 146 | $19.514,10 | 1737 / 164 | $17.927,80 | 1733 / 166 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 16 | 38 / 12 | $84.796,90 | 402 / 23 | $14.529,00 | 401 / 26 | $12.202,60 | 401 / 27 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 40 | $389.307,00 | 1064 / 122 | $89.522,50 | 1103 / 146 | $85.327,50 | 1102 / 146 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 58 | $56.649,70 | 2333 / 147 | $16.724,60 | 2445 / 194 | $15.376,10 | 2438 / 195 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 46 | $136.050,00 | 1641 / 133 | $23.377,20 | 1646 / 134 | $21.072,80 | 1643 / 134 |
G.I. Hemorrhage W Cc | 14 | 204 / 77 | $69.943,40 | 2381 / 181 | $17.504,80 | 2428 / 199 | $15.833,10 | 2424 / 199 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 14 | 77 / 21 | $108.207,00 | 395 / 32 | $21.487,30 | 399 / 33 | $19.486,40 | 399 / 33 |
Signs & Symptoms W/O Mcc | 14 | 77 / 24 | $112.704,00 | 1344 / 96 | $22.395,50 | 1348 / 94 | $19.448,10 | 1345 / 94 |
Hiv W Major Related Condition W Mcc | 14 | 23 / 4 | $206.956,00 | 91 / 7 | $49.093,60 | 92 / 8 | $46.438,40 | 92 / 8 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 31 | $46.280,40 | 1960 / 108 | $13.439,30 | 2010 / 133 | $11.901,70 | 1997 / 133 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 36 | $118.685,00 | 1335 / 110 | $31.392,90 | 1394 / 135 | $29.035,80 | 1386 / 135 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 35 | $89.191,80 | 1607 / 126 | $14.821,50 | 1607 / 129 | $12.719,80 | 1603 / 126 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 41 | $104.502,00 | 1898 / 143 | $25.426,50 | 1921 / 152 | $23.816,90 | 1918 / 153 |
G.I. Hemorrhage W Mcc | 12 | 109 / 44 | $80.130,70 | 1440 / 84 | $26.659,80 | 1670 / 159 | $25.317,80 | 1660 / 160 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 18 | $91.235,20 | 521 / 31 | $19.201,40 | 531 / 39 | $17.169,90 | 530 / 38 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 54 | $62.857,70 | 2130 / 159 | $14.999,40 | 2167 / 180 | $13.536,70 | 2162 / 180 |
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 12 | 18 / 3 | $160.854,00 | 200 / 8 | $32.513,40 | 201 / 8 | $29.974,80 | 200 / 8 |
Diabetes W Cc | 12 | 80 / 23 | $49.134,50 | 1529 / 89 | $15.441,00 | 1618 / 126 | $13.787,30 | 1613 / 125 |
Seizures W/O Mcc | 12 | 96 / 30 | $67.384,50 | 1300 / 90 | $14.680,30 | 1312 / 103 | $13.130,50 | 1310 / 102 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 35 | $54.047,30 | 2070 / 118 | $14.169,30 | 2108 / 138 | $12.536,40 | 2096 / 137 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 19 | $133.385,00 | 745 / 43 | $25.384,20 | 746 / 46 | $23.063,50 | 746 / 46 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 25 | $64.027,10 | 1323 / 70 | $18.088,40 | 1432 / 104 | $16.563,20 | 1430 / 104 | Total 47 procedures | 956 | 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.