Hospital Costs > In California > San Joaquin Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 17 | $46.055,00 | 1131 / 31 | $8.454,00 | 1179 / 31 | $7.518,00 | 1177 / 42 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 24 | 101 / 28 | $84.031,00 | 1592 / 83 | $13.424,30 | 1451 / 44 | $12.469,70 | 1439 / 47 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 41 | $35.786,90 | 1822 / 66 | $6.773,36 | 1784 / 66 | $5.767,08 | 1779 / 74 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 28 | $47.204,00 | 1480 / 39 | $9.778,58 | 1563 / 39 | $8.990,88 | 1560 / 51 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 26 | $21.965,10 | 1502 / 20 | $5.208,13 | 1729 / 64 | $4.209,17 | 1723 / 83 |
| Cellulitis W/O Mcc | 25 | 164 / 61 | $38.336,70 | 2374 / 132 | $7.141,16 | 2232 / 76 | $6.227,24 | 2224 / 103 |
| Chest Pain | 47 | 104 / 26 | $31.098,40 | 1418 / 69 | $5.539,45 | 1402 / 60 | $4.666,60 | 1394 / 77 |
| Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 31 | $35.669,50 | 1941 / 54 | $7.716,83 | 2051 / 62 | $6.888,83 | 2044 / 78 |
| Chronic Obstructive Pulmonary Disease W Mcc | 57 | 145 / 33 | $51.114,20 | 2209 / 90 | $9.433,16 | 2174 / 63 | $8.667,96 | 2166 / 79 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 28 | $31.054,00 | 1737 / 35 | $6.242,39 | 1822 / 43 | $5.440,61 | 1811 / 63 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 16 | $101.175,00 | 762 / 21 | $16.725,40 | 722 / 21 | $15.803,10 | 715 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 34 | 154 / 28 | $42.394,70 | 1011 / 12 | $9.247,15 | 1336 / 46 | $7.711,82 | 1333 / 45 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 16 | 26 / 8 | $72.837,80 | 241 / 14 | $14.566,10 | 220 / 11 | $13.812,10 | 220 / 11 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 19 | $229.146,00 | 463 / 27 | $33.271,30 | 359 / 7 | $32.491,90 | 359 / 10 |
| Diabetes W Cc | 28 | 64 / 8 | $30.735,00 | 1201 / 26 | $7.111,89 | 1324 / 42 | $6.315,32 | 1319 / 53 |
| Diabetes W Mcc | 14 | 43 / 13 | $56.614,70 | 611 / 19 | $10.636,00 | 554 / 12 | $10.032,60 | 553 / 19 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 16 | 54 / 18 | $32.184,50 | 400 / 11 | $7.775,12 | 418 / 13 | $7.169,12 | 418 / 19 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 18 | 58 / 18 | $72.298,90 | 426 / 32 | $14.894,30 | 405 / 26 | $14.237,30 | 405 / 30 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 12 | $38.405,40 | 771 / 18 | $7.749,69 | 788 / 19 | $6.725,69 | 785 / 23 |
| Dysequilibrium | 12 | 53 / 15 | $36.568,60 | 482 / 20 | $5.687,50 | 427 / 13 | $4.476,83 | 427 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 15 | $45.947,20 | 1083 / 41 | $9.655,66 | 1116 / 35 | $8.697,86 | 1111 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 52 | $36.246,30 | 2389 / 110 | $6.515,15 | 2331 / 79 | $5.652,51 | 2316 / 106 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 16 | $176.506,00 | 565 / 10 | $35.312,90 | 516 / 8 | $33.949,40 | 516 / 8 |
| G.I. Hemorrhage W Cc | 48 | 170 / 46 | $40.053,10 | 1959 / 74 | $8.673,73 | 2122 / 85 | $7.845,73 | 2118 / 111 |
| G.I. Hemorrhage W Mcc | 32 | 89 / 24 | $73.205,70 | 1373 / 71 | $15.052,40 | 1437 / 79 | $14.293,40 | 1427 / 87 |
| G.I. Obstruction W Cc | 25 | 67 / 27 | $32.407,60 | 1275 / 31 | $7.487,84 | 1463 / 53 | $6.567,52 | 1458 / 68 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 26 | $26.107,50 | 1030 / 27 | $5.578,80 | 1143 / 47 | $4.539,87 | 1140 / 65 |
| Heart Failure & Shock W Cc | 69 | 209 / 37 | $39.296,40 | 2304 / 81 | $8.268,84 | 2362 / 88 | $7.603,33 | 2356 / 105 |
| Heart Failure & Shock W Mcc | 97 | 187 / 36 | $63.615,30 | 2250 / 107 | $12.201,60 | 2230 / 81 | $11.462,00 | 2220 / 95 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 30 | $37.349,20 | 1858 / 72 | $5.903,87 | 1710 / 42 | $5.103,87 | 1697 / 58 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 48 | $73.260,30 | 1601 / 36 | $14.713,30 | 1664 / 39 | $13.772,80 | 1645 / 50 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 56 | 68 / 13 | $201.321,00 | 1267 / 48 | $40.816,30 | 1228 / 43 | $39.470,00 | 1218 / 52 |
| Interstitial Lung Disease W Mcc | 12 | 13 / 2 | $54.522,20 | 67 / 2 | $11.435,60 | 51 / 1 | $10.534,20 | 51 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 73 | 109 / 13 | $43.140,40 | 1590 / 44 | $8.387,95 | 1623 / 41 | $7.280,75 | 1619 / 52 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 70 | 98 / 11 | $72.733,20 | 1295 / 56 | $13.550,80 | 1255 / 44 | $12.577,40 | 1249 / 53 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 32 | 70 / 16 | $30.366,40 | 1116 / 16 | $6.504,88 | 1355 / 41 | $5.489,88 | 1351 / 62 |
| Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 38 | $50.101,00 | 1687 / 93 | $9.141,79 | 1564 / 61 | $7.900,07 | 1560 / 54 |
| Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 70 | $32.286,80 | 2288 / 84 | $6.653,41 | 2327 / 84 | $5.846,03 | 2316 / 106 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 16 | $67.552,90 | 643 / 15 | $13.314,10 | 727 / 25 | $11.476,40 | 724 / 25 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 11 | $80.120,90 | 291 / 8 | $18.643,30 | 373 / 10 | $17.603,30 | 372 / 11 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 18 | $234.486,00 | 569 / 17 | $44.550,20 | 498 / 19 | $40.282,90 | 497 / 17 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 20 | $52.175,40 | 963 / 34 | $9.534,14 | 928 / 32 | $8.733,00 | 926 / 33 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 14 | $54.563,70 | 457 / 4 | $14.208,80 | 500 / 17 | $13.504,80 | 499 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 81 | 483 / 100 | $94.957,90 | 2414 / 143 | $16.314,30 | 1943 / 70 | $13.408,30 | 1901 / 40 |
| Major Small & Large Bowel Procedures W Cc | 16 | 92 / 39 | $94.217,20 | 1161 / 19 | $19.049,20 | 1249 / 21 | $18.067,30 | 1235 / 44 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 20 | $242.264,00 | 1145 / 47 | $41.985,20 | 1033 / 34 | $38.413,90 | 1031 / 29 |
| Medical Back Problems W/O Mcc | 16 | 105 / 41 | $27.381,80 | 927 / 19 | $7.071,31 | 1264 / 48 | $6.393,31 | 1260 / 73 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 27 | $39.229,40 | 1288 / 45 | $9.097,81 | 1321 / 50 | $8.241,81 | 1318 / 50 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 42 | $28.405,50 | 2069 / 69 | $6.084,97 | 2151 / 74 | $5.376,97 | 2143 / 93 |
| Other Circulatory System Diagnoses W Mcc | 30 | 86 / 21 | $65.678,70 | 996 / 27 | $14.381,90 | 992 / 23 | $13.518,40 | 985 / 26 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 27 | $51.223,90 | 1280 / 83 | $8.093,33 | 1117 / 48 | $6.960,53 | 1113 / 49 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 16 | $54.472,10 | 507 / 19 | $12.892,80 | 525 / 19 | $12.155,00 | 524 / 26 |
| Other Disorders Of Nervous System W Cc | 13 | 43 / 14 | $35.770,50 | 449 / 9 | $7.578,38 | 484 / 19 | $6.645,46 | 484 / 20 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 27 | $70.271,50 | 956 / 39 | $13.464,80 | 950 / 34 | $12.832,40 | 946 / 46 |
| Other Vascular Procedures W Cc | 11 | 91 / 33 | $127.678,00 | 1003 / 38 | $20.822,90 | 972 / 31 | $20.165,50 | 967 / 37 |
| Other Vascular Procedures W Mcc | 15 | 82 / 27 | $75.508,50 | 324 / 4 | $23.423,10 | 504 / 4 | $20.749,90 | 501 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 31 | $108.627,00 | 577 / 10 | $23.543,30 | 745 / 9 | $22.661,80 | 740 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 48 | $78.284,20 | 838 / 12 | $15.798,30 | 1127 / 28 | $13.385,30 | 1120 / 30 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 17 | $42.187,90 | 1043 / 40 | $7.834,19 | 981 / 25 | $7.074,19 | 978 / 33 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 10 | $65.492,90 | 470 / 11 | $16.402,00 | 591 / 14 | $15.344,00 | 590 / 18 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 26 | 46 / 10 | $67.111,70 | 850 / 37 | $12.597,40 | 843 / 45 | $11.620,20 | 840 / 50 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 10 | $35.589,20 | 818 / 23 | $5.901,33 | 725 / 21 | $4.955,13 | 724 / 24 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 54 | $59.748,40 | 1927 / 72 | $9.845,24 | 1848 / 33 | $9.098,57 | 1843 / 51 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $51.198,70 | 1170 / 43 | $8.614,07 | 1023 / 34 | $6.624,07 | 1020 / 22 |
| Red Blood Cell Disorders W Mcc | 19 | 52 / 12 | $39.059,20 | 667 / 17 | $10.062,00 | 874 / 21 | $9.681,37 | 870 / 30 |
| Red Blood Cell Disorders W/O Mcc | 27 | 116 / 29 | $44.976,70 | 1849 / 105 | $7.285,11 | 1618 / 76 | $5.914,30 | 1609 / 59 |
| Renal Failure W Cc | 51 | 170 / 38 | $44.199,60 | 2131 / 95 | $8.072,59 | 2036 / 77 | $7.131,75 | 2026 / 83 |
| Renal Failure W Mcc | 54 | 141 / 33 | $54.563,00 | 1668 / 61 | $11.652,20 | 1634 / 32 | $10.805,10 | 1632 / 38 |
| Respiratory Infections & Inflammations W Cc | 18 | 70 / 30 | $54.259,80 | 1200 / 43 | $10.746,80 | 1229 / 39 | $9.943,22 | 1224 / 43 |
| Respiratory Infections & Inflammations W Mcc | 25 | 111 / 47 | $79.160,30 | 1499 / 64 | $15.071,00 | 1502 / 51 | $14.234,40 | 1486 / 57 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 62 | 69 / 5 | $97.595,90 | 1491 / 38 | $17.388,30 | 1422 / 21 | $16.673,10 | 1408 / 28 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 9 | $214.297,00 | 785 / 28 | $41.011,00 | 786 / 32 | $39.852,40 | 785 / 35 |
| Seizures W Mcc | 17 | 49 / 13 | $77.475,20 | 664 / 34 | $14.424,90 | 607 / 33 | $12.358,40 | 607 / 28 |
| Seizures W/O Mcc | 20 | 88 / 22 | $34.473,30 | 1051 / 34 | $6.774,55 | 981 / 38 | $5.467,15 | 979 / 25 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 32 | 60 / 23 | $224.844,00 | 823 / 51 | $44.966,30 | 758 / 47 | $42.310,30 | 757 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 297 | 221 / 40 | $75.748,00 | 2370 / 122 | $14.638,40 | 2300 / 81 | $13.649,30 | 2259 / 92 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 85 | 122 / 36 | $44.364,50 | 2155 / 119 | $8.761,28 | 2114 / 87 | $7.670,12 | 2106 / 96 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 57 | $45.766,80 | 2481 / 113 | $8.170,88 | 2380 / 81 | $7.149,79 | 2371 / 91 |
| Simple Pneumonia & Pleurisy W Mcc | 45 | 160 / 46 | $77.286,70 | 2322 / 132 | $11.802,60 | 2049 / 80 | $10.347,30 | 2048 / 59 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 33 | $36.495,30 | 1759 / 63 | $6.239,50 | 1716 / 56 | $5.236,83 | 1708 / 67 |
| Syncope & Collapse | 36 | 133 / 31 | $31.472,70 | 1488 / 47 | $6.398,17 | 1588 / 59 | $5.484,83 | 1581 / 71 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 10 | $450.816,00 | 480 / 22 | $87.402,00 | 447 / 23 | $84.822,60 | 446 / 24 |
| Transient Ischemia | 55 | 70 / 7 | $32.635,90 | 1265 / 38 | $6.224,38 | 1373 / 55 | $5.121,13 | 1366 / 66 | Total 83 procedures | 2.679 | 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.