Hospital Costs > In California > Sierra View Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 86 | 478 / 95 | $128.307,00 | 2619 / 206 | $17.177,60 | 2382 / 95 | $16.042,70 | 2337 / 132 |
Kidney & Urinary Tract Infections W/O Mcc | 85 | 148 / 30 | $22.207,90 | 1773 / 24 | $7.050,21 | 2370 / 114 | $6.021,88 | 2359 / 119 |
Heart Failure & Shock W Mcc | 61 | 223 / 67 | $48.466,90 | 1947 / 52 | $12.193,70 | 2221 / 80 | $11.413,90 | 2211 / 93 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 61 | 455 / 154 | $62.920,10 | 2159 / 83 | $14.793,20 | 2347 / 93 | $13.883,00 | 2305 / 106 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 57 | 109 / 26 | $21.896,10 | 1711 / 30 | $6.533,67 | 2231 / 107 | $5.705,04 | 2223 / 118 |
Heart Failure & Shock W Cc | 54 | 224 / 50 | $32.172,70 | 2065 / 43 | $8.630,83 | 2415 / 111 | $7.849,20 | 2409 / 124 |
Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 40 | $46.998,40 | 2115 / 64 | $10.362,90 | 2306 / 115 | $9.446,38 | 2298 / 124 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 50 | 70 / 3 | $27.010,00 | 1612 / 22 | $6.666,20 | 1898 / 69 | $5.870,68 | 1887 / 80 |
Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 47 | $39.082,30 | 2299 / 65 | $8.515,09 | 2466 / 107 | $7.530,53 | 2457 / 119 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 41 | 52 / 7 | $26.865,00 | 1527 / 25 | $6.603,88 | 1790 / 78 | $5.601,73 | 1782 / 89 |
G.I. Hemorrhage W Cc | 34 | 184 / 57 | $31.441,70 | 1638 / 29 | $8.746,41 | 2127 / 92 | $7.893,71 | 2123 / 113 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 76 | $21.920,50 | 1614 / 22 | $6.868,65 | 2394 / 108 | $5.909,59 | 2379 / 128 |
Simple Pneumonia & Pleurisy W Mcc | 33 | 172 / 58 | $57.568,70 | 2057 / 69 | $12.360,30 | 2194 / 100 | $11.298,50 | 2188 / 104 |
Renal Failure W Mcc | 32 | 163 / 55 | $49.926,00 | 1580 / 45 | $12.758,90 | 1750 / 75 | $11.438,10 | 1747 / 66 |
Cellulitis W/O Mcc | 29 | 160 / 57 | $22.870,00 | 1721 / 27 | $7.609,72 | 2290 / 110 | $6.485,31 | 2282 / 122 |
Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 38 | $41.302,90 | 1534 / 57 | $10.061,10 | 1730 / 103 | $8.978,86 | 1726 / 104 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 32 | $38.090,00 | 1259 / 39 | $9.533,96 | 1414 / 68 | $8.804,48 | 1411 / 77 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 26 | 156 / 48 | $34.943,10 | 1357 / 22 | $9.161,38 | 1770 / 74 | $8.042,62 | 1766 / 87 |
Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 20 | $20.257,60 | 1300 / 11 | $6.245,00 | 1782 / 64 | $5.470,60 | 1769 / 76 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 49 | $35.202,40 | 1919 / 49 | $8.275,21 | 2113 / 91 | $7.172,54 | 2106 / 93 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 87 | $37.878,50 | 1961 / 81 | $10.235,30 | 2224 / 171 | $8.131,55 | 2215 / 130 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 30 | $41.085,30 | 859 / 12 | $13.756,10 | 1525 / 52 | $13.154,00 | 1512 / 65 |
Renal Failure W Cc | 21 | 200 / 67 | $29.908,00 | 1689 / 33 | $8.568,00 | 2033 / 103 | $7.122,81 | 2023 / 81 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 14 | $144.117,00 | 524 / 9 | $37.906,30 | 693 / 15 | $36.951,40 | 692 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 52 | $36.740,70 | 574 / 3 | $14.120,40 | 1345 / 57 | $13.424,80 | 1339 / 77 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 48 | $22.505,10 | 1247 / 11 | $7.208,61 | 1888 / 96 | $6.204,17 | 1883 / 104 |
Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 48 | $80.155,90 | 1711 / 54 | $15.805,90 | 1779 / 74 | $14.733,90 | 1760 / 82 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 32 | $45.422,90 | 635 / 7 | $14.823,30 | 1096 / 35 | $14.485,60 | 1088 / 47 |
Disorders Of Pancreas Except Malignancy W Mcc | 18 | 28 / 4 | $52.237,60 | 204 / 9 | $14.734,00 | 282 / 15 | $14.262,90 | 282 / 17 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 35 | $82.417,30 | 1332 / 27 | $18.091,00 | 1501 / 31 | $17.618,10 | 1487 / 44 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 7 | $22.746,60 | 381 / 4 | $6.910,06 | 778 / 25 | $6.150,06 | 774 / 29 |
Atherosclerosis W/O Mcc | 14 | 44 / 12 | $15.322,20 | 177 / 4 | $5.895,00 | / 20 | $4.855,00 | / |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 43 | $28.359,50 | 1422 / 35 | $7.309,08 | 1691 / 77 | $6.285,08 | 1682 / 79 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 23 | $32.595,20 | 838 / 11 | $8.749,23 | 1233 / 47 | $8.008,31 | 1231 / 56 |
G.I. Hemorrhage W/O Cc/Mcc | 13 | 55 / 16 | $23.849,90 | 679 / 10 | $6.481,00 | 860 / 32 | $5.461,92 | 856 / 40 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 19 | $24.050,70 | 271 / 4 | $10.570,70 | 871 / 32 | $9.661,33 | 867 / 29 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 43 | $94.710,20 | 1166 / 20 | $27.780,00 | 1178 / 103 | $17.303,40 | 1164 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 42 | $25.131,20 | 663 / 6 | $10.104,10 | 1629 / 61 | $9.400,08 | 1626 / 75 |
Diabetes W Cc | 11 | 81 / 24 | $30.737,20 | 1202 / 27 | $7.485,91 | 1390 / 57 | $6.715,00 | 1385 / 72 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 23 | $76.115,00 | 819 / 34 | $13.359,90 | 796 / 34 | $12.146,80 | 793 / 40 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 15 | $60.903,50 | 484 / 21 | $10.393,80 | 530 / 20 | $9.186,55 | 529 / 33 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 44 | $120.598,00 | 318 / 3 | $41.163,20 | 630 / 23 | $39.350,80 | 629 / 23 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 30 | $16.035,60 | 594 / 6 | $5.895,36 | 1191 / 60 | $4.798,64 | 1188 / 73 | Total 43 procedures | 1.233 | 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.