Hospital Costs > In California > Scripps Memorial Hospital - Encinitas, 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 | 212 | 304 / 76 | $62.951,40 | 2161 / 84 | $12.318,40 | 1601 / 11 | $11.234,90 | 1569 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 112 | 452 / 81 | $93.394,30 | 2396 / 137 | $15.363,00 | 1641 / 31 | $12.411,10 | 1604 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 90 | 117 / 31 | $32.765,30 | 1760 / 53 | $6.986,07 | 1312 / 12 | $6.001,71 | 1307 / 14 |
| Heart Failure & Shock W Mcc | 82 | 202 / 46 | $52.875,40 | 2066 / 72 | $10.089,30 | 1482 / 10 | $9.002,27 | 1478 / 8 |
| Heart Failure & Shock W Cc | 58 | 220 / 46 | $38.838,90 | 2287 / 80 | $6.462,88 | 1405 / 5 | $5.650,19 | 1400 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 50 | 93 / 19 | $76.686,80 | 1662 / 45 | $13.341,60 | 1103 / 9 | $11.315,20 | 1089 / 6 |
| Cellulitis W/O Mcc | 48 | 141 / 38 | $29.016,90 | 2081 / 61 | $6.243,00 | 1130 / 19 | $4.371,27 | 1124 / 3 |
| G.I. Hemorrhage W Cc | 46 | 172 / 48 | $33.217,50 | 1725 / 36 | $6.677,74 | 1333 / 4 | $5.733,74 | 1330 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 40 | 85 / 13 | $78.914,10 | 1546 / 76 | $12.756,80 | 1334 / 30 | $11.687,20 | 1324 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 71 | $29.729,70 | 2154 / 68 | $4.969,46 | 1273 / 5 | $3.944,64 | 1262 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 54 | $51.866,30 | 1960 / 53 | $9.677,11 | 1076 / 7 | $7.956,46 | 1076 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 39 | $35.247,40 | 1366 / 23 | $6.954,30 | 1047 / 3 | $5.907,81 | 1044 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 35 | 161 / 37 | $113.782,00 | 1279 / 61 | $14.084,00 | 1070 / 3 | $13.017,10 | 1063 / 16 |
| Renal Failure W Cc | 34 | 187 / 54 | $33.785,60 | 1856 / 45 | $6.446,94 | 1200 / 5 | $5.383,41 | 1192 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 37 | $46.294,90 | 862 / 10 | $11.141,30 | 820 / 2 | $10.287,60 | 818 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 48 | $27.747,70 | 2034 / 66 | $5.049,69 | 1039 / 12 | $3.678,81 | 1036 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 59 | $33.081,30 | 2107 / 42 | $6.425,81 | 1432 / 4 | $5.450,32 | 1426 / 6 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 30 | 61 / 7 | $43.076,40 | 1089 / 24 | $7.606,73 | 681 / 13 | $5.820,47 | 679 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 37 | $150.352,00 | 1021 / 22 | $32.702,70 | 727 / 6 | $31.706,30 | 721 / 8 |
| Renal Failure W Mcc | 28 | 167 / 59 | $64.484,40 | 1819 / 88 | $12.158,10 | 1758 / 56 | $11.467,80 | 1755 / 69 |
| G.I. Obstruction W Cc | 27 | 65 / 25 | $31.132,30 | 1235 / 25 | $5.871,44 | 850 / 2 | $4.885,37 | 848 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 26 | 70 / 18 | $42.677,90 | 1018 / 32 | $7.983,77 | 690 / 2 | $7.105,00 | 685 / 3 |
| Respiratory Infections & Inflammations W Mcc | 25 | 111 / 47 | $66.912,30 | 1373 / 39 | $12.478,30 | 1029 / 5 | $11.801,20 | 1016 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 41 | $34.678,80 | 1795 / 59 | $5.284,20 | 1018 / 5 | $4.319,08 | 1014 / 8 |
| Other Digestive System Diagnoses W Cc | 24 | 73 / 18 | $33.075,10 | 968 / 28 | $6.479,54 | 684 / 4 | $5.524,88 | 680 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 86 | $30.139,80 | 2224 / 72 | $5.638,61 | 1279 / 15 | $4.151,78 | 1270 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 36 | $52.679,50 | 1522 / 91 | $7.424,43 | 773 / 3 | $6.532,61 | 770 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 31 | $47.733,60 | 1491 / 44 | $8.106,70 | 1066 / 2 | $7.264,96 | 1063 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 22 | 180 / 68 | $52.315,10 | 2230 / 96 | $9.133,86 | 1009 / 44 | $6.252,05 | 1004 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 18 | $187.865,00 | 1001 / 24 | $35.977,70 | 877 / 7 | $34.940,60 | 875 / 10 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 34 | $108.513,00 | 1284 / 35 | $19.388,80 | 995 / 23 | $15.806,50 | 984 / 10 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 55 | $76.013,50 | 2104 / 116 | $8.174,55 | 1355 / 3 | $7.505,70 | 1351 / 8 |
| Medical Back Problems W/O Mcc | 20 | 101 / 37 | $38.811,60 | 1230 / 51 | $5.668,20 | 778 / 5 | $4.705,00 | 775 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 22 | $181.085,00 | 918 / 53 | $24.506,60 | 783 / 17 | $23.421,90 | 778 / 21 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 29 | $54.778,10 | 834 / 16 | $12.550,10 | 569 / 28 | $9.428,11 | 567 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 11 | $65.275,70 | 619 / 11 | $12.283,30 | 473 / 13 | $9.426,42 | 471 / 3 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 37 | $66.134,60 | 1284 / 59 | $11.604,20 | 937 / 5 | $10.970,90 | 931 / 8 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 38 | $31.391,30 | 1557 / 46 | $6.905,78 | 421 / 60 | $3.892,89 | 420 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 48 | $34.005,30 | 1332 / 27 | $7.305,17 | 1055 / 6 | $6.498,06 | 1052 / 9 |
| Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 10 | $129.289,00 | 822 / 33 | $21.151,30 | 670 / 10 | $20.077,40 | 667 / 13 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 31 | $38.101,40 | 926 / 9 | $7.854,88 | 433 / 1 | $7.214,88 | 430 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 18 | $86.292,90 | 922 / 61 | $10.690,90 | 723 / 18 | $9.983,12 | 721 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 57 | $38.787,40 | 2039 / 70 | $6.968,88 | 1036 / 21 | $4.986,88 | 1033 / 2 |
| Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 8 | $131.109,00 | 466 / 17 | $23.379,20 | 302 / 1 | $22.625,20 | 302 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 22 | $134.518,00 | 842 / 42 | $15.587,30 | 676 / 4 | $14.544,20 | 673 / 14 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 46 | $88.510,70 | 1598 / 109 | $9.357,40 | 1389 / 52 | $8.095,40 | 1386 / 59 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 31 | $73.838,90 | 719 / 48 | $8.426,86 | 340 / 17 | $5.754,71 | 339 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 21 | $113.004,00 | 827 / 41 | $17.898,90 | 618 / 4 | $16.948,10 | 617 / 7 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 12 | $103.611,00 | 670 / 37 | $14.828,80 | 490 / 5 | $13.706,50 | 489 / 8 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 19 | $36.342,90 | 840 / 19 | $5.828,57 | 502 / 4 | $4.804,57 | 498 / 3 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $34.697,10 | 966 / 13 | $6.633,50 | 846 / 2 | $5.945,50 | 843 / 12 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 13 | 53 / 21 | $151.706,00 | 570 / 44 | $17.129,40 | 531 / 30 | $16.107,80 | 527 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 35 | $37.807,50 | 1306 / 41 | $5.859,62 | 546 / 19 | $3.682,54 | 542 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 28 | $19.619,60 | 799 / 8 | $4.067,00 | 566 / 5 | $3.043,00 | 565 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 20 | $114.723,00 | 724 / 18 | $19.984,70 | 458 / 3 | $18.872,10 | 455 / 5 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 18 | $32.712,80 | 560 / 13 | $6.423,25 | 338 / 4 | $5.412,58 | 338 / 4 |
| Other Disorders Of Nervous System W Cc | 12 | 44 / 15 | $44.147,10 | 517 / 22 | $5.952,50 | 267 / 4 | $5.147,17 | 267 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 10 | $74.579,90 | 230 / 2 | $16.172,40 | 58 / 3 | $12.495,30 | 58 / 1 |
| Other Disorders Of Nervous System W Mcc | 12 | 28 / 11 | $80.357,70 | 286 / 19 | $14.540,60 | 215 / 19 | $11.138,00 | 215 / 8 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 11 | 35 / 12 | $49.877,10 | 214 / 15 | $6.652,00 | 102 / 1 | $5.436,00 | 102 / 4 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $62.909,00 | 578 / 33 | $11.101,50 | 322 / 1 | $10.272,40 | 321 / 1 |
| Cellulitis W Mcc | 11 | 47 / 23 | $38.435,80 | 556 / 14 | $9.258,64 | 442 / 4 | $8.460,82 | 440 / 4 |
| G.I. Obstruction W Mcc | 11 | 31 / 11 | $71.148,50 | 459 / 24 | $10.959,60 | 250 / 5 | $9.752,36 | 250 / 5 | Total 63 procedures | 1.846 | 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.