Hospital Costs > In California > Shasta Regional Medical Center, 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 | 266 | 252 / 52 | $72.427,50 | 2317 / 111 | $14.698,50 | 2331 / 85 | $13.807,80 | 2289 / 100 |
| Heart Failure & Shock W Mcc | 169 | 115 / 6 | $50.677,40 | 2002 / 61 | $11.751,40 | 2138 / 70 | $10.959,90 | 2128 / 75 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 157 | 407 / 65 | $157.723,00 | 2667 / 226 | $16.984,50 | 2361 / 89 | $15.823,30 | 2316 / 127 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 104 | 171 / 20 | $30.570,10 | 2198 / 77 | $6.157,41 | 2207 / 51 | $5.240,49 | 2192 / 73 |
| Pulmonary Edema & Respiratory Failure | 92 | 111 / 10 | $37.855,10 | 1423 / 18 | $9.845,98 | 1807 / 35 | $8.953,02 | 1802 / 42 |
| Simple Pneumonia & Pleurisy W Mcc | 86 | 119 / 14 | $45.176,00 | 1763 / 35 | $11.564,40 | 2100 / 67 | $10.648,50 | 2096 / 72 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 86 | 121 / 35 | $45.128,00 | 2171 / 125 | $8.600,48 | 2111 / 74 | $7.661,69 | 2103 / 94 |
| G.I. Hemorrhage W Cc | 75 | 143 / 23 | $37.320,90 | 1867 / 54 | $8.178,28 | 1986 / 57 | $7.214,44 | 1982 / 68 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 63 | 98 / 8 | $32.652,90 | 1729 / 47 | $6.523,33 | 1715 / 49 | $5.512,03 | 1710 / 57 |
| Chronic Obstructive Pulmonary Disease W Mcc | 62 | 140 / 28 | $40.130,30 | 1924 / 37 | $9.433,11 | 2135 / 62 | $8.439,05 | 2127 / 66 |
| Renal Failure W Mcc | 58 | 137 / 31 | $53.799,60 | 1654 / 59 | $11.976,70 | 1682 / 46 | $11.081,30 | 1680 / 53 |
| Renal Failure W Cc | 54 | 167 / 35 | $40.361,50 | 2058 / 78 | $7.870,28 | 2016 / 60 | $7.041,24 | 2006 / 74 |
| Heart Failure & Shock W Cc | 52 | 226 / 52 | $33.304,50 | 2109 / 51 | $7.837,98 | 2245 / 53 | $7.116,75 | 2239 / 77 |
| Respiratory Infections & Inflammations W Mcc | 48 | 88 / 28 | $61.923,90 | 1305 / 29 | $14.734,20 | 1463 / 39 | $14.002,80 | 1448 / 43 |
| Kidney & Urinary Tract Infections W/O Mcc | 48 | 185 / 62 | $46.061,80 | 2596 / 170 | $7.169,00 | 2409 / 120 | $6.189,00 | 2398 / 128 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 48 | 75 / 9 | $39.208,10 | 1301 / 21 | $9.774,35 | 1533 / 38 | $8.820,35 | 1530 / 44 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 45 | 27 / 5 | $57.205,50 | 789 / 30 | $11.146,40 | 736 / 23 | $10.152,20 | 734 / 26 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 43 | 81 / 23 | $265.670,00 | 1448 / 86 | $42.882,70 | 1289 / 59 | $41.525,30 | 1279 / 62 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 34 | $44.462,40 | 1626 / 48 | $8.655,02 | 1679 / 52 | $7.535,77 | 1675 / 64 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 43 | 153 / 30 | $126.067,00 | 1353 / 77 | $16.227,80 | 1286 / 36 | $15.159,90 | 1279 / 64 |
| Transient Ischemia | 42 | 83 / 16 | $34.218,90 | 1309 / 43 | $5.817,17 | 1260 / 31 | $4.691,83 | 1254 / 38 |
| Cellulitis W/O Mcc | 42 | 147 / 44 | $36.059,30 | 2321 / 115 | $6.908,45 | 2156 / 54 | $5.959,88 | 2148 / 79 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 41 | 147 / 21 | $55.624,20 | 1324 / 42 | $8.797,88 | 1355 / 28 | $7.825,39 | 1352 / 48 |
| Hip & Femur Procedures Except Major Joint W Cc | 40 | 103 / 27 | $108.281,00 | 1939 / 106 | $15.307,50 | 1719 / 55 | $14.156,30 | 1700 / 66 |
| G.I. Hemorrhage W Mcc | 40 | 81 / 16 | $60.998,30 | 1217 / 42 | $13.737,50 | 1329 / 49 | $13.059,50 | 1319 / 54 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 43 | $29.964,50 | 2137 / 83 | $5.805,43 | 2015 / 49 | $4.925,00 | 2007 / 64 |
| Kidney & Urinary Tract Infections W Mcc | 35 | 109 / 31 | $40.742,20 | 1523 / 53 | $8.944,66 | 1590 / 53 | $8.046,83 | 1586 / 60 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 57 | $38.604,50 | 2289 / 63 | $7.846,06 | 2272 / 56 | $6.791,03 | 2264 / 61 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 21 | $109.012,00 | 1602 / 59 | $18.077,30 | 1475 / 30 | $17.273,40 | 1461 / 39 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 33 | 67 / 10 | $162.411,00 | 869 / 42 | $25.079,80 | 822 / 24 | $24.163,40 | 817 / 33 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 31 | 37 / 5 | $37.564,30 | 576 / 21 | $7.229,90 | 529 / 12 | $6.258,55 | 529 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 21 | $62.775,30 | 1360 / 43 | $13.536,80 | 1476 / 46 | $12.679,00 | 1464 / 49 |
| Cellulitis W Mcc | 30 | 28 / 5 | $51.284,60 | 742 / 32 | $11.635,60 | 784 / 32 | $10.789,70 | 782 / 36 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 20 | $26.851,10 | 1677 / 48 | $4.710,21 | 1572 / 35 | $3.667,45 | 1566 / 47 |
| Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 44 | $27.783,20 | 1608 / 23 | $7.481,21 | 1959 / 43 | $6.565,34 | 1952 / 50 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 29 | 40 / 5 | $142.022,00 | 462 / 14 | $20.870,60 | 419 / 8 | $19.739,60 | 419 / 11 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 28 | 27 / 4 | $120.046,00 | 614 / 30 | $15.710,40 | 527 / 16 | $14.629,30 | 523 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 26 | 142 / 45 | $59.769,20 | 1133 / 28 | $12.935,50 | 1169 / 24 | $11.911,50 | 1163 / 31 |
| Extracranial Procedures W/O Cc/Mcc | 26 | 72 / 16 | $77.866,40 | 890 / 42 | $8.516,08 | 804 / 20 | $7.495,77 | 801 / 27 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 24 | 68 / 31 | $291.068,00 | 985 / 86 | $46.623,20 | 866 / 63 | $45.705,20 | 865 / 69 |
| Other Vascular Procedures W Cc | 24 | 78 / 20 | $152.796,00 | 1068 / 55 | $20.138,10 | 931 / 24 | $19.335,40 | 926 / 31 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 23 | 33 / 7 | $95.677,60 | 789 / 44 | $13.199,40 | 777 / 24 | $12.203,20 | 773 / 38 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 18 | $232.581,00 | 1129 / 43 | $38.633,50 | 998 / 20 | $37.669,10 | 996 / 24 |
| Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 13 | $113.935,00 | 836 / 46 | $20.005,40 | 771 / 21 | $19.019,20 | 768 / 28 |
| Chest Pain | 22 | 129 / 50 | $25.359,20 | 1225 / 41 | $5.077,36 | 1265 / 38 | $4.174,09 | 1258 / 50 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 22 | 54 / 9 | $271.138,00 | 568 / 18 | $37.010,20 | 551 / 12 | $35.858,20 | 551 / 19 |
| Nonspecific Cerebrovascular Disorders W Mcc | 22 | 29 / 6 | $47.910,90 | 249 / 8 | $13.028,50 | 313 / 14 | $12.150,00 | 313 / 15 |
| Medical Back Problems W/O Mcc | 22 | 99 / 35 | $34.386,30 | 1138 / 37 | $6.968,86 | 1184 / 43 | $5.927,41 | 1180 / 50 |
| G.I. Obstruction W Cc | 21 | 71 / 31 | $32.979,30 | 1293 / 33 | $7.084,67 | 1354 / 32 | $6.050,00 | 1349 / 35 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 30 | $75.109,90 | 1105 / 43 | $14.914,70 | 1064 / 38 | $14.068,20 | 1057 / 41 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 13 | $253.995,00 | 861 / 41 | $41.632,20 | 809 / 35 | $40.785,90 | 808 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 24 | $47.737,60 | 1112 / 46 | $9.625,40 | 1140 / 34 | $8.903,80 | 1135 / 44 |
| Syncope & Collapse | 20 | 149 / 47 | $32.680,30 | 1520 / 52 | $6.034,70 | 1392 / 42 | $4.825,10 | 1385 / 32 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 19 | 44 / 11 | $204.657,00 | 640 / 26 | $33.918,20 | 490 / 4 | $33.055,80 | 490 / 5 |
| Atherosclerosis W/O Mcc | 19 | 39 / 7 | $28.620,20 | 430 / 18 | $5.111,79 | / 12 | $4.087,79 | / |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 18 | $59.019,90 | 1290 / 67 | $8.586,83 | 1196 / 41 | $7.648,17 | 1194 / 47 |
| Seizures W/O Mcc | 18 | 90 / 24 | $34.074,80 | 1045 / 32 | $6.289,67 | 984 / 19 | $5.482,56 | 982 / 26 |
| G.I. Obstruction W Mcc | 17 | 25 / 6 | $42.063,10 | 278 / 5 | $12.235,80 | 391 / 14 | $11.452,70 | 391 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 16 | $167.249,00 | 871 / 43 | $23.376,70 | 719 / 14 | $22.458,10 | 716 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 31 | $38.342,90 | 1314 / 42 | $6.225,76 | 1262 / 31 | $5.083,18 | 1258 / 39 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 16 | 40 / 10 | $59.551,80 | 491 / 8 | $15.051,40 | 556 / 27 | $14.523,40 | 555 / 28 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 25 | $134.550,00 | 801 / 41 | $17.639,50 | 726 / 22 | $16.517,50 | 722 / 30 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 13 | $129.697,00 | 826 / 35 | $21.761,10 | 730 / 21 | $20.954,70 | 727 / 22 |
| Fractures Of Hip & Pelvis W/O Mcc | 15 | 46 / 16 | $36.827,90 | 830 / 37 | $5.927,13 | 734 / 29 | $4.800,73 | 733 / 28 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $100.122,00 | 655 / 33 | $17.107,50 | 623 / 23 | $16.145,30 | 622 / 27 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 40 | $134.225,00 | 1404 / 67 | $19.728,70 | 1291 / 28 | $18.681,30 | 1277 / 50 |
| Pleural Effusion W Mcc | 15 | 15 / 2 | $51.257,80 | 133 / 1 | $12.270,50 | 160 / 4 | $11.709,50 | 160 / 5 |
| Peritoneal Adhesiolysis W Cc | 15 | 24 / 7 | $118.331,00 | 266 / 12 | $18.405,70 | 229 / 8 | $17.279,30 | 229 / 9 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 19 | $46.651,90 | 913 / 26 | $9.289,60 | 933 / 25 | $8.768,00 | 931 / 35 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 11 | $27.688,40 | 720 / 11 | $5.351,57 | 625 / 8 | $4.316,14 | 624 / 7 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 28 | $37.756,30 | 1085 / 42 | $7.815,79 | 1145 / 32 | $7.124,36 | 1141 / 56 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 19 | $52.757,60 | 1167 / 64 | $7.346,71 | 851 / 15 | $6.395,86 | 848 / 15 |
| Other Vascular Procedures W Mcc | 14 | 83 / 28 | $215.859,00 | 981 / 76 | $26.428,70 | 789 / 26 | $25.473,40 | 786 / 32 |
| Other Circulatory System Diagnoses W Cc | 14 | 52 / 12 | $56.143,10 | 624 / 17 | $7.598,36 | 510 / 6 | $6.905,79 | 509 / 9 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 22 | $44.841,80 | 252 / 9 | $14.322,90 | 385 / 18 | $13.806,30 | 385 / 21 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 9 | $117.153,00 | 319 / 14 | $19.009,80 | 289 / 11 | $17.988,20 | 288 / 11 |
| Extracranial Procedures W Cc | 13 | 33 / 6 | $118.294,00 | 365 / 11 | $12.756,20 | 327 / 5 | $11.633,70 | 327 / 7 |
| Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 20 | $158.722,00 | 622 / 23 | $26.754,60 | 586 / 12 | $25.915,20 | 584 / 16 |
| Disorders Of The Biliary Tract W Cc | 13 | 41 / 11 | $43.417,50 | 351 / 9 | $8.278,15 | 317 / 5 | $7.168,00 | 317 / 9 |
| Other Disorders Of Nervous System W Cc | 12 | 44 / 15 | $38.277,20 | 480 / 15 | $7.311,50 | 458 / 13 | $6.404,83 | 458 / 14 |
| Respiratory Neoplasms W Mcc | 12 | 40 / 14 | $51.192,60 | 392 / 3 | $13.574,60 | 512 / 12 | $12.675,90 | 509 / 16 |
| Seizures W Mcc | 12 | 54 / 18 | $53.082,80 | 514 / 17 | $11.465,20 | 490 / 10 | $10.451,90 | 490 / 9 |
| Disorders Of The Biliary Tract W Mcc | 12 | 27 / 9 | $49.036,40 | 147 / 3 | $12.675,90 | 173 / 4 | $11.966,60 | 173 / 5 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 12 | 30 / 12 | $45.210,10 | 138 / 2 | $13.508,80 | 183 / 5 | $12.602,10 | 183 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 13 | $30.552,30 | 640 / 8 | $7.421,83 | 740 / 11 | $6.413,83 | 737 / 14 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 22 | $105.658,00 | 792 / 26 | $16.683,80 | 713 / 20 | $15.592,90 | 706 / 21 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $68.069,20 | 620 / 43 | $13.213,10 | 562 / 21 | $12.558,50 | 561 / 34 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 45 | $25.633,90 | 1296 / 30 | $6.611,00 | 1572 / 40 | $5.732,45 | 1563 / 47 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 35 | $27.245,10 | 1622 / 24 | $5.944,45 | 1731 / 27 | $5.068,82 | 1720 / 41 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 14 | $110.924,00 | 382 / 19 | $19.549,50 | 400 / 18 | $18.682,50 | 399 / 22 | Total 90 procedures | 3.106 | 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.