Hospital Costs > In California > San Joaquin 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 | 93 | 423 / 132 | $84.280,90 | 2480 / 153 | $24.716,90 | 2795 / 255 | $23.292,10 | 2750 / 256 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 77 | $54.828,40 | 2338 / 171 | $17.399,90 | 2566 / 240 | $16.106,70 | 2556 / 242 |
| Heart Failure & Shock W Mcc | 24 | 260 / 98 | $62.427,60 | 2232 / 100 | $22.055,20 | 2621 / 222 | $20.873,20 | 2610 / 225 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 46 | $192.437,00 | 1236 / 42 | $56.021,60 | 1528 / 127 | $53.877,90 | 1518 / 128 |
| Heart Failure & Shock W Cc | 18 | 260 / 82 | $48.734,20 | 2525 / 139 | $17.165,40 | 2756 / 224 | $15.886,00 | 2750 / 226 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 144 | $48.118,10 | 1200 / 23 | $27.225,80 | 2676 / 222 | $25.632,10 | 2630 / 228 |
| Renal Failure W Mcc | 17 | 178 / 69 | $55.381,20 | 1677 / 64 | $22.082,60 | 2155 / 186 | $20.828,90 | 2151 / 189 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 16 | 54 / 18 | $35.222,90 | 433 / 15 | $16.632,80 | 569 / 53 | $16.006,60 | 569 / 55 |
| Renal Failure W Cc | 15 | 206 / 73 | $42.394,50 | 2108 / 90 | $17.128,70 | 2438 / 202 | $16.010,50 | 2428 / 204 |
| Diabetes W Cc | 14 | 78 / 21 | $42.785,20 | 1457 / 67 | $15.771,00 | 1624 / 128 | $14.720,50 | 1619 / 128 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 61 | $70.757,20 | 2063 / 104 | $19.658,10 | 2231 / 176 | $18.393,30 | 2225 / 178 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 66 | $36.800,50 | 2298 / 116 | $14.406,30 | 2547 / 207 | $13.485,80 | 2538 / 207 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 41 | $115.977,00 | 1756 / 123 | $24.514,70 | 1813 / 153 | $22.895,20 | 1800 / 154 | Total 13 procedures | 304 | 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.