Hospital Costs > In California > San Gorgonio 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 | 57 | 459 / 157 | $63.287,10 | 2166 / 86 | $13.656,40 | 2123 / 37 | $12.878,90 | 2086 / 50 |
| Heart Failure & Shock W Mcc | 28 | 256 / 94 | $47.601,40 | 1925 / 47 | $11.202,70 | 2028 / 41 | $10.488,80 | 2019 / 51 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 85 | $23.562,30 | 1891 / 33 | $6.364,08 | 2205 / 65 | $5.460,08 | 2194 / 75 |
| Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 70 | $43.853,40 | 1707 / 28 | $10.774,00 | 1905 / 32 | $9.716,76 | 1905 / 32 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 69 | $42.492,70 | 2397 / 92 | $7.751,95 | 2198 / 51 | $6.625,90 | 2190 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 89 | $34.989,80 | 1858 / 67 | $8.298,10 | 1960 / 52 | $7.182,85 | 1952 / 58 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 47 | $31.626,60 | 1691 / 44 | $6.581,21 | 1735 / 53 | $5.563,95 | 1730 / 63 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 33 | $35.274,50 | 628 / 5 | $10.811,50 | 858 / 2 | $9.883,53 | 857 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 143 | $53.023,70 | 1422 / 31 | $13.147,90 | 1469 / 2 | $11.975,10 | 1436 / 7 |
| Renal Failure W Cc | 17 | 204 / 71 | $28.144,30 | 1610 / 24 | $7.549,29 | 1907 / 43 | $6.677,06 | 1897 / 49 |
| Renal Failure W Mcc | 17 | 178 / 69 | $45.326,80 | 1450 / 34 | $11.635,10 | 1667 / 31 | $10.963,10 | 1665 / 47 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 73 | $40.322,30 | 1934 / 39 | $9.052,76 | 2001 / 42 | $7.960,41 | 1993 / 45 |
| Heart Failure & Shock W Cc | 17 | 261 / 83 | $33.591,70 | 2125 / 53 | $7.731,24 | 2179 / 47 | $6.950,06 | 2173 / 63 |
| G.I. Obstruction W Cc | 16 | 76 / 36 | $20.939,20 | 721 / 5 | $7.192,75 | 1383 / 41 | $6.176,12 | 1378 / 44 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 60 | $25.535,90 | 1479 / 17 | $7.393,62 | 1860 / 39 | $6.269,46 | 1853 / 29 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 97 | $24.245,00 | 1822 / 32 | $6.258,31 | 2208 / 64 | $5.244,15 | 2193 / 74 |
| Cellulitis W/O Mcc | 12 | 177 / 74 | $25.681,00 | 1912 / 41 | $6.948,75 | 2113 / 58 | $5.842,08 | 2105 / 68 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 38 | $19.305,10 | 1358 / 13 | $4.835,64 | 1553 / 42 | $3.636,00 | 1547 / 44 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 45 | $18.952,50 | 800 / 5 | $6.670,45 | 1405 / 46 | $5.229,09 | 1396 / 20 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 44 | $141.025,00 | 461 / 6 | $41.690,80 | 671 / 27 | $40.343,50 | 670 / 29 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 34 | $20.995,70 | 1259 / 10 | $5.985,45 | 1670 / 43 | $4.996,36 | 1662 / 53 | Total 21 procedures | 393 | 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.