Hospital Costs > In California > San Gabriel Valley Medical Center, procedure costs

San Gabriel Valley Medical Center, procedure costs

438 W Las Tunas Drive, San Gabriel, CA 91776,

Procedure Costs @ San Gabriel Valley Medical Center
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 Mcc320198 / 31$137.461,002792 / 250$16.630,702538 / 164$15.551,402494 / 170
Heart Failure & Shock W Mcc83201 / 45$95.304,702548 / 182$13.251,402366 / 131$12.509,202356 / 140
Respiratory Infections & Inflammations W Mcc6769 / 13$135.980,001767 / 132$17.009,701654 / 97$16.043,801638 / 100
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc60147 / 55$67.588,702476 / 210$9.870,202335 / 156$8.848,772325 / 169
Simple Pneumonia & Pleurisy W Mcc48157 / 43$101.257,002461 / 174$13.259,602328 / 132$12.431,302322 / 140
Renal Failure W Mcc47148 / 40$119.035,002149 / 177$14.420,601970 / 124$13.408,801966 / 133
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc44122 / 36$43.711,402425 / 150$7.170,112331 / 131$6.271,932322 / 142
Simple Pneumonia & Pleurisy W Cc43160 / 47$69.701,302765 / 195$9.303,282560 / 139$8.158,092551 / 147
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc42233 / 68$52.785,302665 / 188$7.543,332525 / 142$6.681,402510 / 164
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc41523 / 124$151.542,002660 / 224$18.188,002419 / 125$16.449,802373 / 155
Septicemia Or Severe Sepsis W Mv 96+ Hours3854 / 17$302.334,001000 / 95$43.104,60717 / 34$41.491,40716 / 36
Renal Failure W Cc33188 / 55$65.754,102393 / 179$9.181,852240 / 125$8.417,822230 / 144
Chronic Obstructive Pulmonary Disease W Mcc32170 / 58$81.270,102514 / 171$10.580,802303 / 123$9.440,002295 / 123
Heart Failure & Shock W Cc31247 / 69$68.065,402721 / 207$9.421,682523 / 143$8.483,002517 / 156
Respiratory Infections & Inflammations W Cc3157 / 18$101.778,001464 / 112$12.370,701344 / 84$11.069,601339 / 79
G.I. Hemorrhage W Cc29189 / 62$62.550,602332 / 161$9.395,832218 / 124$8.546,412214 / 140
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs27155 / 47$69.418,401984 / 139$9.821,221876 / 110$8.752,701872 / 125
Kidney & Urinary Tract Infections W/O Mcc27206 / 82$46.974,002608 / 173$7.570,372473 / 140$6.520,332462 / 145
Red Blood Cell Disorders W/O Mcc26117 / 30$53.076,401933 / 130$7.973,541808 / 101$7.024,191799 / 108
Chest Pain26125 / 46$50.578,301687 / 140$6.468,621552 / 98$5.668,961543 / 110
Other Vascular Procedures W Mcc2473 / 18$161.342,00905 / 53$25.551,20751 / 21$24.724,50748 / 24
Cellulitis W/O Mcc21168 / 65$53.633,502587 / 199$8.328,332406 / 148$7.183,142398 / 153
G.I. Hemorrhage W Mcc21100 / 35$130.825,001649 / 146$15.647,501469 / 90$14.701,101459 / 94
Infectious & Parasitic Diseases W O.R. Procedure W Mcc20104 / 46$292.224,001499 / 107$41.925,601241 / 51$39.884,101231 / 56
Kidney & Urinary Tract Infections W Mcc18126 / 48$69.393,101888 / 147$10.505,401781 / 117$9.466,501777 / 123
Chronic Obstructive Pulmonary Disease W Cc18161 / 55$61.302,402370 / 157$9.005,672264 / 123$8.209,332257 / 140
Syncope & Collapse18151 / 49$63.454,201909 / 151$7.415,061772 / 106$6.594,221764 / 121
Acute Myocardial Infarction, Discharged Alive W Mcc16109 / 36$77.872,101533 / 70$12.793,201411 / 31$12.130,901399 / 39
Pulmonary Edema & Respiratory Failure16187 / 59$104.186,002207 / 154$11.250,601984 / 103$10.006,101978 / 99
Seizures W/O Mcc1692 / 26$58.808,701280 / 82$7.656,691182 / 57$6.911,121180 / 71
Other Digestive System Diagnoses W Cc1681 / 26$61.158,501366 / 104$9.392,121330 / 88$8.783,941326 / 110
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc16110 / 43$74.360,401685 / 141$10.424,401528 / 95$9.630,251525 / 104
Other Circulatory System Diagnoses W Mcc15101 / 35$111.072,001312 / 98$18.657,001271 / 94$17.622,701263 / 97
Hip & Femur Procedures Except Major Joint W Cc14129 / 52$123.468,002005 / 126$16.477,601862 / 92$15.655,101842 / 107
Other Digestive System Diagnoses W Mcc1448 / 20$111.211,00740 / 73$15.415,00658 / 53$14.454,70657 / 55
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.1450 / 10$621.108,00542 / 41$85.419,20432 / 21$82.028,10431 / 21
Respiratory System Diagnosis W Ventilator Support <96 Hours12119 / 41$166.416,001803 / 113$21.261,801662 / 86$19.896,001648 / 86
Simple Pneumonia & Pleurisy W/O Cc/Mcc1281 / 33$50.757,201910 / 106$7.259,421876 / 95$6.358,671868 / 110
Psychoses11264 / 32$62.557,10601 / 34$9.655,09493 / 14$8.018,27493 / 9
Total 39 procedures1.407discharges

DATA

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.