Hospital Costs > In California > San Ramon Regional Medical Ctr, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 49 | $56.641,80 | 2675 / 200 | $6.306,61 | 2198 / 58 | $5.450,87 | 2187 / 74 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 56 | 508 / 113 | $113.786,00 | 2565 / 185 | $17.742,30 | 2403 / 113 | $16.232,70 | 2357 / 148 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 52 | 464 / 161 | $119.068,00 | 2740 / 226 | $17.386,20 | 2500 / 183 | $15.209,10 | 2456 / 158 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 71 | $64.225,90 | 2712 / 217 | $7.760,69 | 2402 / 154 | $5.929,95 | 2387 / 131 |
Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 56 | $79.796,40 | 2799 / 210 | $8.236,03 | 2406 / 85 | $7.276,97 | 2397 / 100 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 44 | $86.580,90 | 2051 / 167 | $9.279,27 | 1577 / 82 | $7.135,17 | 1574 / 41 |
Cellulitis W/O Mcc | 27 | 162 / 59 | $46.931,60 | 2524 / 170 | $7.298,59 | 2146 / 84 | $5.931,89 | 2138 / 75 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 85 | $66.781,00 | 2473 / 208 | $8.618,71 | 2094 / 76 | $7.612,04 | 2086 / 86 |
Transient Ischemia | 24 | 101 / 32 | $56.522,10 | 1615 / 119 | $5.720,67 | 1216 / 28 | $4.566,00 | 1210 / 32 |
Heart Failure & Shock W Cc | 22 | 256 / 78 | $59.483,80 | 2663 / 183 | $7.885,18 | 2224 / 58 | $7.066,27 | 2218 / 69 |
Spinal Fusion Except Cervical W/O Mcc | 21 | 173 / 45 | $172.660,00 | 1204 / 55 | $35.958,60 | 1127 / 65 | $28.781,80 | 1122 / 40 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 58 | $54.359,80 | 2502 / 184 | $5.674,00 | 1942 / 42 | $4.752,10 | 1934 / 49 |
Syncope & Collapse | 19 | 150 / 48 | $65.547,30 | 1916 / 157 | $5.991,11 | 1489 / 37 | $5.100,16 | 1482 / 49 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 53 | $94.299,80 | 1468 / 95 | $13.375,40 | 1224 / 37 | $12.298,10 | 1218 / 45 |
Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 56 | $80.656,60 | 2426 / 181 | $7.908,53 | 2069 / 73 | $6.982,41 | 2062 / 84 |
Heart Failure & Shock W Mcc | 17 | 267 / 105 | $88.302,50 | 2522 / 173 | $12.339,80 | 2262 / 90 | $11.628,20 | 2252 / 102 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 32 | $66.881,40 | 1587 / 116 | $6.144,81 | 1308 / 28 | $5.238,81 | 1304 / 49 |
G.I. Hemorrhage W Cc | 16 | 202 / 75 | $50.929,60 | 2184 / 120 | $9.280,94 | 1673 / 120 | $6.309,75 | 1669 / 23 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 51 | $78.626,20 | 1918 / 156 | $9.196,13 | 1652 / 63 | $8.387,60 | 1648 / 76 |
Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 75 | $89.854,70 | 2540 / 184 | $9.665,33 | 2206 / 73 | $8.856,73 | 2198 / 86 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 51 | $115.786,00 | 1979 / 118 | $16.194,10 | 1807 / 86 | $15.067,70 | 1788 / 92 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 40 | $183.694,00 | 1504 / 104 | $23.579,20 | 1392 / 76 | $20.647,20 | 1378 / 79 |
Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 76 | $105.202,00 | 2479 / 182 | $13.819,70 | 2364 / 149 | $12.846,90 | 2358 / 159 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 31 | $57.154,40 | 1934 / 117 | $5.782,36 | 1457 / 30 | $4.318,29 | 1449 / 23 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 29 | $85.454,50 | 1425 / 133 | $8.708,92 | 979 / 72 | $6.404,38 | 975 / 20 |
Medical Back Problems W/O Mcc | 13 | 108 / 44 | $55.645,10 | 1451 / 105 | $6.761,46 | 1158 / 29 | $5.831,00 | 1154 / 43 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 14 | $75.699,60 | 534 / 36 | $10.060,40 | 515 / 16 | $8.852,42 | 514 / 26 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 54 | $58.852,70 | 2117 / 156 | $6.469,33 | 1734 / 44 | $5.557,33 | 1729 / 62 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 32 | $126.211,00 | 1468 / 137 | $16.536,50 | 1349 / 129 | $11.186,20 | 1344 / 110 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 63 | $134.789,00 | 2235 / 174 | $11.929,80 | 2092 / 125 | $11.223,20 | 2086 / 133 |
Renal Failure W Mcc | 12 | 183 / 74 | $198.311,00 | 2174 / 195 | $24.517,40 | 2163 / 189 | $23.112,10 | 2159 / 191 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 37 | $96.683,50 | 1452 / 107 | $11.030,30 | 1279 / 52 | $10.259,40 | 1274 / 58 |
Renal Failure W Cc | 11 | 210 / 77 | $47.981,20 | 2221 / 118 | $7.789,82 | 2072 / 57 | $7.350,55 | 2062 / 93 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 30 | $43.719,80 | 1263 / 81 | $4.981,73 | 937 / 24 | $3.774,45 | 934 / 24 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 38 | $43.202,80 | 1941 / 122 | $4.539,64 | 1509 / 25 | $3.550,55 | 1503 / 34 | Total 35 procedures | 734 | 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.