Hospital Costs > In California > Sierra Nevada Memorial Hospital, 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 | 150 | 366 / 103 | $75.729,40 | 2369 / 121 | $14.748,20 | 2358 / 89 | $13.952,30 | 2316 / 108 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 89 | 475 / 93 | $95.673,30 | 2421 / 146 | $17.108,00 | 2289 / 92 | $15.294,30 | 2245 / 102 |
Simple Pneumonia & Pleurisy W Cc | 67 | 136 / 26 | $44.811,10 | 2456 / 107 | $7.607,90 | 2203 / 39 | $6.633,09 | 2195 / 49 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 60 | $47.483,00 | 2210 / 131 | $8.426,08 | 2048 / 59 | $7.470,38 | 2040 / 75 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 39 | $50.573,90 | 2196 / 85 | $9.273,63 | 2101 / 50 | $8.302,96 | 2093 / 59 |
Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 42 | $58.934,30 | 2083 / 73 | $10.995,40 | 1995 / 43 | $10.125,60 | 1995 / 49 |
Heart Failure & Shock W Cc | 48 | 230 / 55 | $41.853,00 | 2381 / 97 | $7.575,02 | 2123 / 38 | $6.794,35 | 2117 / 53 |
Heart Failure & Shock W Mcc | 47 | 237 / 78 | $58.082,10 | 2165 / 88 | $11.383,50 | 2043 / 52 | $10.549,80 | 2034 / 55 |
G.I. Hemorrhage W Cc | 46 | 172 / 48 | $51.502,30 | 2191 / 122 | $8.011,48 | 1976 / 45 | $7.165,89 | 1972 / 64 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 66 | $42.156,00 | 2521 / 146 | $6.014,30 | 2148 / 39 | $5.108,11 | 2134 / 59 |
Renal Failure W Cc | 43 | 178 / 45 | $49.998,60 | 2253 / 131 | $8.201,49 | 2061 / 82 | $7.300,30 | 2051 / 90 |
Chronic Obstructive Pulmonary Disease W Cc | 43 | 136 / 30 | $41.769,20 | 2112 / 90 | $7.451,98 | 1979 / 42 | $6.613,28 | 1972 / 54 |
Kidney & Urinary Tract Infections W Mcc | 42 | 102 / 24 | $43.154,50 | 1569 / 63 | $8.501,79 | 1490 / 36 | $7.584,45 | 1486 / 39 |
Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 72 | $34.576,80 | 2363 / 103 | $6.154,97 | 2079 / 44 | $5.139,62 | 2068 / 46 |
Pulmonary Edema & Respiratory Failure | 36 | 167 / 40 | $69.482,60 | 2053 / 102 | $10.360,10 | 1951 / 69 | $9.685,42 | 1945 / 88 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 34 | $40.318,60 | 1911 / 90 | $6.374,06 | 1689 / 39 | $5.433,06 | 1684 / 47 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 49 | $33.417,30 | 2222 / 95 | $5.708,58 | 1896 / 44 | $4.655,68 | 1890 / 40 |
Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 37 | $105.101,00 | 1925 / 100 | $15.745,20 | 1765 / 71 | $14.578,90 | 1746 / 78 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 45 | $50.217,20 | 1745 / 76 | $8.480,97 | 1645 / 44 | $7.399,59 | 1641 / 58 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 19 | $41.298,30 | 1378 / 51 | $6.103,59 | 1302 / 26 | $5.225,24 | 1298 / 47 |
Cellulitis W/O Mcc | 28 | 161 / 58 | $35.233,50 | 2300 / 108 | $6.785,25 | 2094 / 47 | $5.792,11 | 2086 / 62 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 27 | $57.605,00 | 1279 / 28 | $12.183,40 | 1236 / 20 | $11.165,80 | 1227 / 17 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 22 | $38.509,60 | 1923 / 76 | $5.803,62 | 1665 / 21 | $4.843,62 | 1654 / 34 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 30 | $44.659,00 | 1434 / 33 | $9.600,92 | 1516 / 35 | $8.748,92 | 1513 / 39 |
Transient Ischemia | 23 | 102 / 33 | $37.556,90 | 1392 / 61 | $6.842,35 | 1153 / 85 | $4.375,52 | 1147 / 26 |
G.I. Hemorrhage W Mcc | 23 | 98 / 33 | $75.504,60 | 1396 / 74 | $13.459,50 | 1247 / 36 | $12.566,30 | 1239 / 41 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 21 | 80 / 27 | $60.002,00 | 880 / 25 | $11.645,10 | 813 / 20 | $11.014,20 | 810 / 22 |
G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 21 | $31.822,70 | 1141 / 50 | $4.922,35 | 999 / 23 | $3.955,95 | 996 / 32 |
G.I. Obstruction W Cc | 20 | 72 / 32 | $45.365,20 | 1542 / 71 | $6.977,40 | 1375 / 29 | $6.132,60 | 1370 / 40 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 37 | $35.237,70 | 1669 / 62 | $6.462,00 | 1565 / 31 | $5.697,37 | 1556 / 45 |
Renal Failure W Mcc | 19 | 176 / 67 | $54.455,30 | 1666 / 60 | $11.634,20 | 1618 / 30 | $10.748,30 | 1616 / 34 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 41 | $57.514,60 | 1580 / 109 | $9.124,67 | 1340 / 52 | $8.322,89 | 1337 / 57 |
Cellulitis W Mcc | 18 | 40 / 16 | $61.308,60 | 820 / 49 | $11.031,60 | 738 / 23 | $10.293,80 | 736 / 28 |
Pulmonary Embolism W/O Mcc | 18 | 56 / 12 | $39.729,70 | 1051 / 23 | $7.922,89 | 1075 / 21 | $6.982,44 | 1072 / 33 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 31 | $31.454,20 | 1795 / 75 | $4.574,28 | 1518 / 27 | $3.569,83 | 1512 / 37 |
Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 18 | $42.070,30 | 600 / 8 | $10.228,20 | 659 / 10 | $9.518,53 | 657 / 12 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 13 | $177.865,00 | 926 / 55 | $29.173,40 | 916 / 63 | $28.202,80 | 913 / 66 |
Syncope & Collapse | 15 | 154 / 52 | $38.130,90 | 1658 / 79 | $5.891,53 | 1368 / 31 | $4.758,73 | 1361 / 30 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 34 | $66.764,70 | 1310 / 63 | $10.832,10 | 1275 / 42 | $10.230,90 | 1270 / 55 |
Diabetes W Cc | 13 | 79 / 22 | $47.127,50 | 1511 / 83 | $6.672,00 | 1170 / 19 | $5.648,00 | 1165 / 20 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 58 | $58.610,70 | 1118 / 27 | $12.942,20 | 1170 / 25 | $11.918,20 | 1164 / 32 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 32 | $41.816,40 | 1921 / 92 | $6.124,69 | 1194 / 54 | $3.968,38 | 1184 / 12 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 27 | $195.145,00 | 1025 / 26 | $40.982,80 | 1077 / 31 | $39.956,30 | 1075 / 38 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 42 | $128.281,00 | 1379 / 61 | $21.293,10 | 1389 / 53 | $20.549,70 | 1375 / 77 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 60 | $106.568,00 | 1686 / 101 | $15.561,40 | 1550 / 66 | $14.654,80 | 1534 / 70 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 33 | $37.929,80 | 1774 / 67 | $5.710,75 | 1562 / 27 | $4.606,75 | 1554 / 33 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 19 | $48.252,30 | 803 / 27 | $9.908,00 | 823 / 17 | $9.198,67 | 819 / 21 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 32 | $73.356,50 | 1389 / 108 | $13.678,10 | 1405 / 115 | $12.675,40 | 1400 / 124 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 13 | $62.567,20 | 919 / 48 | $8.189,92 | 820 / 28 | $7.179,25 | 817 / 29 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 25 | $47.916,70 | 1154 / 37 | $7.892,64 | 1078 / 18 | $7.022,82 | 1076 / 24 |
Medical Back Problems W/O Mcc | 11 | 110 / 46 | $37.298,80 | 1195 / 45 | $6.574,55 | 1150 / 24 | $5.803,64 | 1146 / 42 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 31 | $45.423,70 | 1209 / 65 | $7.742,27 | 1119 / 28 | $6.968,45 | 1115 / 50 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 15 | $64.929,60 | 503 / 24 | $9.729,55 | 495 / 12 | $8.516,45 | 494 / 20 | Total 53 procedures | 1.543 | 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.