Hospital Costs > In California > Scripps Green Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 14 | 52 / 20 | $93.220,20 | 513 / 22 | $14.559,60 | 407 / 10 | $12.795,80 | 404 / 9 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 57 | 34 / 5 | $60.779,10 | 675 / 32 | $9.532,91 | 407 / 30 | $6.021,30 | 406 / 9 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 33 | 30 / 4 | $164.958,00 | 222 / 5 | $33.093,90 | 177 / 7 | $21.972,60 | 176 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 44 | $24.204,40 | 1364 / 17 | $6.783,64 | 1231 / 67 | $4.541,41 | 1226 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 37 | $37.853,90 | 1257 / 19 | $10.707,20 | 1190 / 79 | $7.568,94 | 1187 / 10 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 26 | $24.151,40 | 1590 / 33 | $5.114,17 | 1077 / 57 | $2.884,91 | 1072 / 10 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Cc | 14 | 32 / 5 | $298.617,00 | 118 / 3 | $47.611,40 | 86 / 1 | $45.520,00 | 86 / 1 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 26 | 43 / 6 | $455.174,00 | 262 / 11 | $78.755,50 | 228 / 7 | $75.453,80 | 228 / 7 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 58 | 60 / 6 | $326.771,00 | 517 / 28 | $46.361,70 | 463 / 14 | $41.900,50 | 463 / 15 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 50 | 66 / 6 | $413.644,00 | 445 / 26 | $71.798,20 | 353 / 19 | $58.810,90 | 353 / 12 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 24 | 18 / 2 | $251.125,00 | 121 / 6 | $35.504,00 | 90 / 3 | $33.944,90 | 90 / 3 |
Cellulitis W/O Mcc | 22 | 167 / 64 | $33.494,60 | 2255 / 95 | $6.805,59 | 1687 / 51 | $4.957,95 | 1680 / 17 |
Cervical Spinal Fusion W Cc | 15 | 38 / 12 | $171.908,00 | 369 / 22 | $24.704,20 | 263 / 15 | $19.173,20 | 262 / 6 |
Cervical Spinal Fusion W/O Cc/Mcc | 35 | 69 / 8 | $130.079,00 | 838 / 39 | $20.293,80 | 637 / 37 | $14.033,50 | 634 / 11 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 14 | $130.546,00 | 856 / 42 | $27.225,40 | 689 / 58 | $15.051,60 | 682 / 15 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 44 | 144 / 18 | $66.495,20 | 1461 / 68 | $9.583,95 | 1075 / 56 | $6.604,00 | 1072 / 12 |
Combined Anterior/Posterior Spinal Fusion W Cc | 16 | 30 / 11 | $358.089,00 | 102 / 8 | $64.559,90 | 91 / 6 | $62.384,10 | 91 / 7 |
Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 53 | 4 / 1 | $212.470,00 | 86 / 6 | $53.721,20 | 82 / 9 | $41.687,70 | 82 / 4 |
Complications Of Treatment W Cc | 12 | 40 / 12 | $81.055,10 | 361 / 17 | $11.107,80 | 317 / 12 | $8.986,92 | 317 / 13 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 14 | 74 / 16 | $301.408,00 | 584 / 24 | $34.192,90 | 551 / 16 | $31.560,10 | 550 / 16 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 11 | 44 / 14 | $169.175,00 | 214 / 10 | $23.593,70 | 146 / 4 | $21.725,10 | 146 / 4 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 13 | 61 / 13 | $168.135,00 | 266 / 15 | $17.882,30 | 187 / 4 | $16.369,80 | 186 / 4 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 23 | $30.773,40 | 373 / 9 | $7.524,00 | 346 / 11 | $6.294,45 | 346 / 10 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 18 | 58 / 18 | $120.582,00 | 537 / 56 | $19.617,40 | 448 / 54 | $15.337,30 | 448 / 41 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 50 | 225 / 60 | $25.774,10 | 1936 / 46 | $6.741,16 | 1326 / 92 | $3.988,14 | 1315 / 11 |
Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 28 | $80.405,20 | 895 / 43 | $9.375,58 | 553 / 39 | $5.931,92 | 552 / 4 |
G.I. Hemorrhage W Cc | 21 | 197 / 70 | $24.019,90 | 1125 / 10 | $7.906,67 | 1647 / 38 | $6.248,86 | 1643 / 21 |
G.I. Obstruction W Cc | 25 | 67 / 27 | $24.324,00 | 951 / 7 | $7.142,96 | 1223 / 38 | $5.637,16 | 1219 / 19 |
Heart Failure & Shock W Cc | 61 | 217 / 44 | $40.014,90 | 2326 / 85 | $8.674,18 | 1897 / 114 | $6.322,20 | 1892 / 28 |
Heart Failure & Shock W Mcc | 39 | 245 / 84 | $54.975,80 | 2106 / 75 | $12.650,60 | 1712 / 107 | $9.501,46 | 1707 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 52 | $71.616,60 | 1996 / 143 | $9.397,14 | 1594 / 87 | $7.175,64 | 1591 / 44 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 52 | $83.899,70 | 1395 / 82 | $14.045,50 | 1195 / 54 | $12.076,80 | 1189 / 36 |
Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 96 | $35.137,80 | 2380 / 109 | $7.656,77 | 742 / 143 | $3.786,62 | 737 / 1 |
Kidney Transplant | 26 | 75 / 12 | $230.116,00 | 125 / 3 | $25.198,20 | 92 / 1 | $23.464,00 | 92 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 9 | $92.957,50 | 494 / 20 | $12.384,50 | 343 / 11 | $9.200,31 | 343 / 5 |
Major Cardiovasc Procedures W Mcc | 15 | 53 / 15 | $265.268,00 | 590 / 24 | $45.272,20 | 535 / 25 | $42.806,90 | 534 / 24 |
Major Cardiovasc Procedures W/O Mcc | 28 | 73 / 14 | $168.226,00 | 928 / 39 | $27.114,60 | 828 / 25 | $25.341,70 | 827 / 26 |
Major Chest Procedures W Cc | 17 | 57 / 13 | $161.754,00 | 477 / 22 | $23.368,00 | 365 / 20 | $17.725,40 | 363 / 9 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 42 | 54 / 7 | $106.788,00 | 773 / 36 | $17.753,30 | 614 / 24 | $14.072,90 | 610 / 10 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 401 | 186 / 15 | $100.217,00 | 2482 / 164 | $18.092,50 | 1896 / 121 | $13.215,50 | 1854 / 33 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 17 | 52 / 10 | $141.155,00 | 459 / 13 | $20.179,50 | 390 / 5 | $18.366,70 | 390 / 5 |
Major Small & Large Bowel Procedures W Cc | 30 | 78 / 25 | $122.724,00 | 1354 / 55 | $20.928,10 | 1093 / 50 | $16.521,20 | 1080 / 21 |
Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 24 | $206.806,00 | 1065 / 32 | $35.683,90 | 701 / 5 | $32.282,20 | 699 / 2 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 20 | 44 / 11 | $96.388,70 | 717 / 35 | $13.977,70 | 551 / 27 | $10.454,10 | 551 / 11 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 46 | $38.376,50 | 1270 / 40 | $8.958,92 | 1184 / 42 | $7.602,08 | 1181 / 28 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 58 | $23.996,00 | 1837 / 41 | $5.819,33 | 1495 / 50 | $4.063,43 | 1490 / 14 |
O.R. Procedures For Obesity W Cc | 11 | 23 / 4 | $101.093,00 | 109 / 3 | $15.741,20 | 74 / 3 | $12.200,80 | 74 / 1 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 38 | $90.275,40 | 1215 / 66 | $15.458,80 | 993 / 44 | $13.518,90 | 986 / 27 |
Other Vascular Procedures W Cc | 16 | 86 / 28 | $200.036,00 | 1123 / 73 | $24.453,00 | 1056 / 56 | $22.627,70 | 1051 / 53 |
Other Vascular Procedures W Mcc | 13 | 84 / 29 | $210.191,00 | 975 / 72 | $28.312,80 | 801 / 47 | $25.706,00 | 798 / 35 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 57 | 43 / 4 | $168.869,00 | 889 / 45 | $26.061,80 | 779 / 33 | $23.309,50 | 774 / 20 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 70 | 126 / 14 | $117.740,00 | 1308 / 67 | $17.641,10 | 1137 / 54 | $13.433,80 | 1130 / 31 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 16 | 38 / 4 | $147.741,00 | 228 / 4 | $23.623,60 | 161 / 4 | $21.811,40 | 161 / 4 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 46 | 49 / 2 | $121.061,00 | 532 / 25 | $15.783,10 | 392 / 15 | $12.947,90 | 388 / 9 |
Permanent Cardiac Pacemaker Implant W Cc | 28 | 49 / 7 | $104.179,00 | 794 / 33 | $20.239,30 | 736 / 24 | $18.432,30 | 733 / 19 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 55 | $67.220,00 | 2025 / 94 | $11.834,50 | 1840 / 122 | $9.071,40 | 1835 / 49 |
Renal Failure W Cc | 25 | 196 / 63 | $30.444,70 | 1715 / 34 | $8.022,48 | 1594 / 72 | $5.921,88 | 1585 / 22 |
Renal Failure W Mcc | 18 | 177 / 68 | $82.923,00 | 2014 / 127 | $13.334,60 | 1684 / 94 | $11.087,90 | 1682 / 54 |
Revision Of Hip Or Knee Replacement W Cc | 17 | 69 / 16 | $170.988,00 | 633 / 25 | $26.638,90 | 548 / 10 | $24.768,50 | 546 / 11 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 31 | 38 / 6 | $146.485,00 | 484 / 30 | $25.520,30 | 380 / 32 | $17.867,10 | 379 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 89 | 427 / 133 | $68.411,20 | 2261 / 101 | $16.457,90 | 2109 / 158 | $12.809,60 | 2072 / 48 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 68 | $28.213,10 | 1515 / 34 | $8.762,37 | 1459 / 88 | $6.191,19 | 1453 / 19 |
Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 78 | $22.533,10 | 1403 / 8 | $7.734,33 | 1867 / 46 | $5.948,00 | 1859 / 20 |
Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 73 | $34.083,70 | 1293 / 9 | $11.009,80 | 1666 / 44 | $9.071,11 | 1666 / 14 |
Spinal Fusion Except Cervical W/O Mcc | 55 | 139 / 17 | $157.591,00 | 1149 / 41 | $32.718,40 | 1112 / 41 | $28.453,70 | 1107 / 36 | Total 65 procedures | 2.139 | 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.