Hospital Costs > In California > San Leandro 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 | 72 | 444 / 148 | $81.675,70 | 2455 / 146 | $19.162,80 | 2674 / 222 | $17.607,70 | 2629 / 212 |
Other Vascular Procedures W Mcc | 41 | 56 / 6 | $115.367,00 | 695 / 18 | $31.423,40 | 926 / 61 | $30.435,30 | 923 / 63 |
G.I. Hemorrhage W Cc | 38 | 180 / 55 | $31.347,40 | 1634 / 28 | $7.993,89 | 1952 / 44 | $7.102,95 | 1948 / 56 |
Heart Failure & Shock W Cc | 38 | 240 / 64 | $35.134,60 | 2185 / 63 | $8.365,79 | 2318 / 94 | $7.378,03 | 2312 / 94 |
Heart Failure & Shock W Mcc | 33 | 251 / 89 | $41.393,60 | 1717 / 32 | $12.691,70 | 2313 / 110 | $11.957,60 | 2303 / 118 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 82 | $29.161,90 | 2124 / 65 | $6.097,14 | 2201 / 46 | $5.233,14 | 2186 / 71 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 82 | $43.580,50 | 2130 / 112 | $8.727,30 | 2091 / 85 | $7.604,93 | 2083 / 84 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 32 | $24.729,70 | 684 / 7 | $8.954,81 | 1319 / 41 | $8.240,15 | 1316 / 49 |
Cellulitis W/O Mcc | 26 | 163 / 60 | $28.833,80 | 2071 / 58 | $6.720,73 | 2076 / 41 | $5.745,96 | 2068 / 57 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 83 | $30.917,10 | 2254 / 76 | $6.052,73 | 2107 / 37 | $5.215,81 | 2096 / 51 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 55 | $26.299,20 | 1957 / 51 | $5.700,38 | 1911 / 43 | $4.692,38 | 1905 / 45 |
Renal Failure W Mcc | 22 | 173 / 64 | $65.330,30 | 1833 / 91 | $17.338,10 | 2107 / 168 | $16.459,50 | 2103 / 173 |
Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 52 | $32.033,10 | 1812 / 38 | $7.594,43 | 2005 / 52 | $6.731,95 | 1998 / 60 |
Respiratory Infections & Inflammations W Mcc | 20 | 116 / 52 | $48.561,10 | 1035 / 8 | $14.655,30 | 1508 / 38 | $14.295,30 | 1492 / 58 |
Renal Failure W Cc | 19 | 202 / 69 | $59.122,70 | 2354 / 166 | $9.518,95 | 2268 / 142 | $8.633,05 | 2258 / 152 |
Pulmonary Edema & Respiratory Failure | 19 | 184 / 56 | $43.677,60 | 1628 / 32 | $10.514,50 | 1970 / 78 | $9.877,79 | 1964 / 93 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 49 | $23.781,40 | 1334 / 14 | $6.487,76 | 1707 / 47 | $5.493,88 | 1702 / 54 |
Major Cardiovasc Procedures W/O Mcc | 16 | 85 / 25 | $155.964,00 | 896 / 33 | $34.019,40 | 949 / 55 | $30.060,20 | 948 / 50 |
Other Vascular Procedures W Cc | 15 | 87 / 29 | $122.880,00 | 985 / 35 | $24.485,10 | 1081 / 57 | $23.597,50 | 1076 / 63 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 17 | $22.599,10 | 226 / 3 | $10.277,90 | 887 / 26 | $9.744,14 | 883 / 32 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 36 | $85.781,10 | 1191 / 58 | $17.879,70 | 1267 / 84 | $17.532,20 | 1259 / 95 |
Chest Pain | 14 | 137 / 58 | $17.912,90 | 762 / 13 | $4.950,57 | 1102 / 24 | $3.748,29 | 1095 / 23 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 40 | $29.579,70 | 933 / 9 | $9.957,21 | 1565 / 53 | $9.015,50 | 1562 / 52 |
Simple Pneumonia & Pleurisy W Mcc | 14 | 191 / 77 | $50.849,80 | 1935 / 49 | $13.579,50 | 2358 / 145 | $12.800,10 | 2352 / 155 |
Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 76 | $32.361,60 | 2079 / 39 | $7.928,14 | 2381 / 64 | $7.151,00 | 2372 / 92 |
Organic Disturbances & Mental Retardation | 13 | 46 / 11 | $37.779,30 | 429 / 14 | $8.126,69 | 403 / 6 | $7.383,31 | 403 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $28.367,50 | 577 / 9 | $9.799,38 | 1180 / 43 | $9.147,08 | 1175 / 54 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 33 | $28.984,10 | 1681 / 29 | $5.866,92 | 1762 / 25 | $5.217,08 | 1751 / 50 |
Red Blood Cell Disorders W/O Mcc | 12 | 131 / 44 | $16.449,30 | 579 / 1 | $6.579,00 | 1608 / 38 | $5.872,33 | 1599 / 56 |
G.I. Hemorrhage W Mcc | 12 | 109 / 44 | $42.482,50 | 782 / 14 | $14.059,10 | 1341 / 58 | $13.152,40 | 1331 / 57 |
Syncope & Collapse | 12 | 157 / 55 | $20.951,10 | 937 / 13 | $5.958,83 | 1502 / 34 | $5.153,50 | 1495 / 52 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 12 | 552 / 149 | $85.570,00 | 2302 / 109 | $19.596,90 | 2277 / 168 | $15.183,00 | 2233 / 99 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $72.762,10 | 1192 / 17 | $20.441,40 | 1647 / 75 | $19.679,30 | 1633 / 83 |
Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 79 | $33.751,80 | 1674 / 18 | $9.727,36 | 2010 / 79 | $7.989,09 | 2002 / 48 |
Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 34 | $22.432,70 | 1419 / 19 | $5.547,36 | 1533 / 25 | $4.555,36 | 1520 / 29 | Total 35 procedures | 733 | 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.