Hospital Costs > In California > Sharp Chula Vista Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 19 | $55.062,40 | 1034 / 55 | $9.573,36 | 887 / 69 | $6.426,43 | 883 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 40 | $43.533,80 | 1972 / 108 | $7.301,65 | 1919 / 101 | $6.370,92 | 1914 / 112 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 29 | 94 / 25 | $75.750,70 | 1818 / 116 | $11.029,10 | 1652 / 90 | $9.596,21 | 1649 / 79 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 28 | $35.570,20 | 1873 / 96 | $5.839,71 | 1789 / 92 | $4.538,33 | 1783 / 92 |
Cellulitis W Mcc | 16 | 42 / 18 | $61.234,60 | 819 / 48 | $11.929,80 | 807 / 36 | $11.098,60 | 805 / 40 |
Cellulitis W/O Mcc | 49 | 140 / 37 | $47.810,50 | 2536 / 175 | $8.609,86 | 2287 / 156 | $6.478,78 | 2279 / 120 |
Chest Pain | 38 | 113 / 35 | $38.254,60 | 1560 / 97 | $6.015,37 | 1463 / 80 | $5.047,26 | 1455 / 89 |
Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 33 | $59.287,40 | 2356 / 153 | $9.391,15 | 2133 / 138 | $7.263,33 | 2126 / 103 |
Chronic Obstructive Pulmonary Disease W Mcc | 70 | 132 / 22 | $74.947,70 | 2478 / 160 | $10.420,00 | 2248 / 117 | $9.060,24 | 2240 / 99 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 30 | $50.185,60 | 2052 / 111 | $6.818,06 | 1936 / 73 | $6.141,44 | 1925 / 92 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 20 | $94.021,80 | 728 / 15 | $16.829,40 | 729 / 23 | $15.985,00 | 722 / 26 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 30 | $81.961,60 | 1575 / 98 | $13.549,90 | 1382 / 120 | $8.051,31 | 1379 / 56 |
Complications Of Treatment W Mcc | 15 | 36 / 8 | $85.199,70 | 270 / 12 | $14.471,30 | 214 / 6 | $13.690,10 | 214 / 9 |
Cranial & Peripheral Nerve Disorders W Mcc | 15 | 21 / 8 | $64.467,20 | 131 / 11 | $11.050,50 | 115 / 8 | $10.502,00 | 115 / 8 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 18 | $45.974,30 | 651 / 32 | $8.015,69 | 635 / 24 | $7.362,15 | 635 / 28 |
Degenerative Nervous System Disorders W/O Mcc | 18 | 60 / 12 | $42.328,80 | 700 / 23 | $8.539,67 | 677 / 20 | $7.531,94 | 677 / 22 |
Diabetes W Cc | 20 | 72 / 15 | $52.802,90 | 1549 / 98 | $7.539,65 | 1365 / 61 | $6.573,80 | 1360 / 64 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 16 | 54 / 18 | $38.858,70 | 464 / 23 | $8.348,62 | 445 / 22 | $7.634,62 | 445 / 24 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 22 | $68.910,80 | 408 / 28 | $15.870,20 | 331 / 35 | $12.636,00 | 331 / 10 |
Dysequilibrium | 11 | 54 / 16 | $45.098,90 | 536 / 25 | $6.792,55 | 460 / 29 | $4.717,82 | 460 / 23 |
Endocrine Disorders W Cc | 13 | 25 / 8 | $62.435,00 | 292 / 13 | $8.897,46 | 233 / 8 | $8.061,62 | 233 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 17 | $67.606,60 | 1341 / 90 | $10.282,80 | 1236 / 60 | $9.641,67 | 1231 / 72 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 65 | 210 / 47 | $46.660,20 | 2611 / 164 | $7.233,05 | 2388 / 125 | $5.886,83 | 2373 / 124 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 23 | 40 / 7 | $295.992,00 | 724 / 43 | $44.470,70 | 643 / 38 | $39.656,40 | 643 / 32 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 18 | $30.580,80 | 754 / 25 | $6.807,08 | 837 / 49 | $5.696,08 | 836 / 52 |
G.I. Hemorrhage W Cc | 56 | 162 / 39 | $56.437,20 | 2260 / 135 | $9.426,54 | 2096 / 126 | $7.702,45 | 2092 / 101 |
G.I. Hemorrhage W Mcc | 23 | 98 / 33 | $111.069,00 | 1600 / 135 | $14.359,40 | 1342 / 65 | $13.158,30 | 1332 / 58 |
G.I. Obstruction W Cc | 30 | 62 / 22 | $58.389,80 | 1667 / 112 | $8.200,50 | 1589 / 84 | $7.351,10 | 1584 / 101 |
Heart Failure & Shock W Cc | 81 | 197 / 28 | $60.482,40 | 2674 / 186 | $8.776,56 | 2443 / 119 | $7.958,53 | 2437 / 129 |
Heart Failure & Shock W Mcc | 155 | 129 / 8 | $93.084,30 | 2543 / 180 | $13.492,20 | 2372 / 141 | $12.560,50 | 2362 / 142 |
Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 17 | $44.440,50 | 1946 / 98 | $6.459,86 | 1795 / 72 | $5.552,50 | 1782 / 77 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 46 | $82.931,10 | 1744 / 61 | $15.575,60 | 1752 / 67 | $14.431,50 | 1733 / 74 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 21 | $76.879,10 | 825 / 37 | $13.422,40 | 807 / 37 | $12.300,20 | 804 / 43 |
Hypertension W/O Mcc | 14 | 51 / 12 | $41.734,30 | 744 / 21 | $6.151,64 | 673 / 13 | $5.069,14 | 671 / 15 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 11 | $101.034,00 | 299 / 10 | $18.881,50 | 290 / 10 | $17.999,60 | 289 / 12 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 56 | 68 / 13 | $302.430,00 | 1514 / 115 | $49.218,30 | 1436 / 98 | $46.928,50 | 1426 / 98 |
Interstitial Lung Disease W Mcc | 12 | 13 / 2 | $77.076,30 | 86 / 3 | $12.873,50 | 74 / 4 | $12.270,90 | 74 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 45 | 137 / 33 | $67.460,10 | 1969 / 131 | $9.470,44 | 1826 / 92 | $8.396,80 | 1822 / 108 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 34 | 134 / 37 | $98.623,30 | 1498 / 102 | $14.423,00 | 1368 / 69 | $13.674,90 | 1362 / 80 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 30 | $47.808,80 | 1466 / 74 | $7.087,67 | 1426 / 65 | $6.014,72 | 1422 / 80 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 39 | $53.284,10 | 1720 / 103 | $9.572,96 | 1692 / 84 | $8.619,26 | 1688 / 87 |
Kidney & Urinary Tract Infections W/O Mcc | 84 | 149 / 31 | $44.025,00 | 2570 / 162 | $7.130,49 | 2407 / 118 | $6.187,57 | 2396 / 127 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 21 | 35 / 9 | $83.341,30 | 749 / 33 | $13.575,50 | 798 / 32 | $12.715,40 | 794 / 45 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 10 | $108.003,00 | 375 / 17 | $19.528,20 | 377 / 16 | $17.710,60 | 376 / 13 |
Major Chest Procedures W Mcc | 18 | 31 / 8 | $196.719,00 | 269 / 8 | $35.050,10 | 221 / 5 | $34.311,40 | 220 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 15 | $87.504,70 | 601 / 30 | $14.601,50 | 529 / 20 | $14.046,50 | 528 / 23 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 74 | 490 / 105 | $84.804,90 | 2285 / 106 | $17.478,70 | 2296 / 107 | $15.339,20 | 2252 / 105 |
Major Small & Large Bowel Procedures W Cc | 19 | 89 / 36 | $160.084,00 | 1474 / 92 | $21.224,60 | 1373 / 52 | $20.332,30 | 1359 / 69 |
Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 23 | $287.115,00 | 1221 / 62 | $42.956,10 | 1118 / 42 | $42.029,30 | 1116 / 47 |
Medical Back Problems W/O Mcc | 16 | 105 / 41 | $67.362,40 | 1474 / 118 | $7.769,25 | 1311 / 69 | $6.785,56 | 1306 / 82 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 33 | 93 / 26 | $77.446,60 | 1692 / 142 | $11.386,70 | 1619 / 124 | $10.802,90 | 1616 / 130 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 63 | 103 / 21 | $38.233,20 | 2337 / 126 | $6.960,37 | 2247 / 123 | $5.794,71 | 2239 / 119 |
Other Circulatory System Diagnoses W Mcc | 16 | 100 / 34 | $82.365,20 | 1164 / 52 | $15.615,80 | 1112 / 48 | $14.635,00 | 1104 / 53 |
Other Circulatory System O.R. Procedures | 15 | 40 / 12 | $114.537,00 | 357 / 16 | $21.254,10 | 318 / 10 | $20.287,70 | 318 / 10 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 26 | $67.249,40 | 1391 / 111 | $8.642,88 | 1215 / 70 | $7.552,31 | 1211 / 76 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 14 | $52.077,10 | 565 / 32 | $8.103,38 | 523 / 27 | $7.166,00 | 522 / 30 |
Other Kidney & Urinary Tract Diagnoses W Cc | 18 | 85 / 21 | $48.170,80 | 733 / 29 | $8.629,39 | 685 / 25 | $7.663,17 | 685 / 27 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 27 | $101.028,00 | 1064 / 66 | $13.884,80 | 931 / 44 | $12.601,50 | 927 / 38 |
Other O.R. Procedures For Injuries W Mcc | 12 | 25 / 6 | $169.278,00 | 168 / 4 | $35.210,50 | 149 / 4 | $33.493,80 | 149 / 5 |
Other Vascular Procedures W Cc | 13 | 89 / 31 | $125.789,00 | 996 / 36 | $20.289,10 | 938 / 25 | $19.364,80 | 933 / 32 |
Other Vascular Procedures W Mcc | 16 | 81 / 26 | $148.055,00 | 859 / 40 | $25.046,80 | 742 / 17 | $24.442,20 | 739 / 23 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 22 | 78 / 20 | $211.589,00 | 975 / 72 | $26.949,60 | 800 / 42 | $23.746,10 | 795 / 27 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 55 | 141 / 21 | $158.601,00 | 1449 / 104 | $18.077,10 | 1307 / 62 | $15.482,70 | 1300 / 68 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 15 | 80 / 15 | $139.912,00 | 569 / 30 | $16.189,70 | 493 / 18 | $15.381,50 | 489 / 24 |
Peripheral Vascular Disorders W Cc | 23 | 61 / 10 | $73.274,80 | 1238 / 86 | $10.399,70 | 1102 / 79 | $8.148,13 | 1099 / 61 |
Peripheral Vascular Disorders W Mcc | 11 | 38 / 11 | $65.711,20 | 508 / 15 | $11.061,20 | 444 / 15 | $10.192,70 | 444 / 16 |
Permanent Cardiac Pacemaker Implant W Cc | 28 | 49 / 7 | $145.714,00 | 924 / 65 | $21.611,90 | 841 / 38 | $20.615,50 | 837 / 43 |
Permanent Cardiac Pacemaker Implant W Mcc | 14 | 38 / 10 | $211.362,00 | 580 / 39 | $30.519,60 | 523 / 27 | $29.477,80 | 523 / 29 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 13 | 44 / 13 | $133.892,00 | 699 / 42 | $17.211,80 | 630 / 26 | $16.192,20 | 629 / 29 |
Pulmonary Edema & Respiratory Failure | 53 | 150 / 26 | $82.879,50 | 2145 / 128 | $11.770,80 | 1898 / 119 | $9.372,36 | 1892 / 66 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 13 | $66.919,60 | 1006 / 62 | $10.674,80 | 893 / 34 | $9.798,61 | 889 / 34 |
Red Blood Cell Disorders W/O Mcc | 23 | 120 / 33 | $56.366,80 | 1959 / 139 | $7.443,39 | 1768 / 83 | $6.705,00 | 1759 / 90 |
Renal Failure W Cc | 62 | 159 / 29 | $52.175,80 | 2286 / 147 | $8.686,42 | 2184 / 110 | $7.943,16 | 2174 / 128 |
Renal Failure W Mcc | 44 | 151 / 43 | $89.073,50 | 2064 / 142 | $13.675,70 | 1924 / 99 | $12.981,00 | 1920 / 119 |
Respiratory Infections & Inflammations W Mcc | 22 | 114 / 50 | $152.019,00 | 1784 / 141 | $18.760,50 | 1736 / 126 | $17.830,90 | 1720 / 129 |
Respiratory Neoplasms W Cc | 11 | 36 / 13 | $72.974,60 | 482 / 25 | $10.133,50 | 413 / 8 | $9.247,64 | 412 / 15 |
Respiratory Neoplasms W Mcc | 15 | 37 / 11 | $93.598,10 | 580 / 26 | $13.935,10 | 526 / 17 | $12.966,10 | 523 / 19 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 35 | $174.623,00 | 1815 / 119 | $23.463,40 | 1714 / 110 | $20.896,60 | 1700 / 102 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 14 | $305.826,00 | 924 / 60 | $43.676,50 | 845 / 44 | $42.852,50 | 844 / 51 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 36 | 56 / 19 | $352.704,00 | 1041 / 112 | $56.383,30 | 822 / 111 | $43.875,80 | 821 / 56 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 246 | 270 / 59 | $100.757,00 | 2642 / 197 | $15.371,70 | 2422 / 113 | $14.416,60 | 2378 / 128 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 91 | 116 / 30 | $52.275,40 | 2301 / 161 | $9.295,89 | 2197 / 128 | $8.001,69 | 2188 / 124 |
Signs & Symptoms W/O Mcc | 13 | 78 / 25 | $41.230,70 | 1245 / 57 | $6.650,08 | 1081 / 47 | $5.316,08 | 1078 / 45 |
Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 31 | $50.155,30 | 2564 / 137 | $8.591,32 | 2487 / 108 | $7.654,98 | 2478 / 124 |
Simple Pneumonia & Pleurisy W Mcc | 60 | 145 / 33 | $92.630,80 | 2429 / 161 | $12.306,90 | 2207 / 96 | $11.383,60 | 2201 / 106 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 29 | $50.155,40 | 1906 / 103 | $7.213,44 | 1705 / 93 | $5.181,25 | 1697 / 62 |
Syncope & Collapse | 47 | 122 / 21 | $42.505,20 | 1737 / 94 | $7.296,40 | 1669 / 102 | $5.904,15 | 1661 / 91 |
Transient Ischemia | 29 | 96 / 27 | $66.354,50 | 1647 / 132 | $9.223,66 | 1584 / 130 | $6.802,21 | 1576 / 119 | Total 88 procedures | 2.825 | 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.