Hospital Costs > In California > Sierra Vista Regional 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 | 115 | 449 / 78 | $108.310,00 | 2545 / 179 | $16.467,40 | 1926 / 74 | $13.342,00 | 1884 / 38 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 71 | 445 / 149 | $137.322,00 | 2791 / 249 | $15.310,60 | 2428 / 112 | $14.461,00 | 2384 / 131 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 66 | $71.949,60 | 2498 / 216 | $8.980,91 | 2227 / 109 | $8.149,62 | 2218 / 132 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 38 | $79.503,40 | 2028 / 155 | $9.101,71 | 1671 / 70 | $7.513,39 | 1667 / 62 |
Spinal Fusion Except Cervical W/O Mcc | 36 | 158 / 32 | $182.000,00 | 1228 / 58 | $30.572,60 | 1046 / 27 | $27.279,80 | 1041 / 22 |
Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 57 | $73.992,20 | 2783 / 203 | $8.218,97 | 2416 / 83 | $7.339,45 | 2407 / 101 |
G.I. Hemorrhage W Cc | 30 | 188 / 61 | $77.294,00 | 2403 / 193 | $8.372,70 | 2014 / 70 | $7.324,17 | 2010 / 77 |
Cervical Spinal Fusion W/O Cc/Mcc | 28 | 76 / 11 | $105.938,00 | 791 / 30 | $17.078,90 | 740 / 17 | $15.961,10 | 737 / 27 |
Pulmonary Edema & Respiratory Failure | 25 | 178 / 50 | $111.766,00 | 2220 / 162 | $11.270,20 | 2034 / 105 | $10.499,60 | 2028 / 118 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 24 | $61.846,60 | 1562 / 106 | $7.320,58 | 1326 / 74 | $5.333,71 | 1322 / 56 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 56 | $49.832,60 | 2490 / 176 | $6.272,83 | 2167 / 83 | $5.432,48 | 2159 / 98 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 87 | $52.552,00 | 2660 / 184 | $8.098,39 | 2175 / 166 | $5.181,91 | 2161 / 64 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 23 | $66.239,00 | 697 / 39 | $9.597,68 | 581 / 31 | $7.128,82 | 580 / 24 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 19 | 55 / 11 | $118.103,00 | 245 / 8 | $17.123,10 | 180 / 2 | $16.040,20 | 179 / 3 |
G.I. Obstruction W Cc | 19 | 73 / 33 | $67.028,30 | 1700 / 125 | $7.676,26 | 1523 / 65 | $6.847,68 | 1518 / 84 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 18 | 37 / 8 | $167.957,00 | 213 / 9 | $21.966,90 | 136 / 3 | $21.099,40 | 136 / 3 |
Heart Failure & Shock W Cc | 16 | 262 / 84 | $67.246,60 | 2717 / 203 | $8.124,25 | 2226 / 79 | $7.068,25 | 2220 / 71 |
Signs & Symptoms W/O Mcc | 15 | 76 / 23 | $57.729,50 | 1321 / 81 | $6.276,13 | 1040 / 41 | $5.090,40 | 1037 / 38 |
Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 94 | $49.786,70 | 2645 / 185 | $6.686,27 | 2264 / 86 | $5.645,20 | 2253 / 87 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 31 | $56.898,60 | 1933 / 116 | $6.273,79 | 1715 / 60 | $5.236,07 | 1707 / 66 |
Heart Failure & Shock W Mcc | 14 | 270 / 108 | $116.671,00 | 2596 / 209 | $12.960,50 | 2328 / 121 | $12.094,30 | 2318 / 123 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 20 | $78.044,70 | 829 / 38 | $12.480,40 | 750 / 18 | $11.360,40 | 747 / 25 |
Medical Back Problems W/O Mcc | 13 | 108 / 44 | $41.045,00 | 1265 / 57 | $7.294,23 | 1231 / 56 | $6.184,08 | 1227 / 64 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 53 | $120.699,00 | 1996 / 124 | $14.914,80 | 1654 / 46 | $13.706,20 | 1635 / 47 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 28 | $41.157,60 | 1245 / 73 | $5.596,31 | 1135 / 50 | $4.476,31 | 1132 / 62 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 22 | $92.281,00 | 510 / 20 | $14.432,20 | 318 / 7 | $11.422,00 | 316 / 4 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 43 | $156.597,00 | 1461 / 85 | $19.808,00 | 1292 / 33 | $18.695,90 | 1278 / 51 |
Seizures W/O Mcc | 12 | 96 / 30 | $96.792,70 | 1318 / 100 | $9.227,17 | 1254 / 83 | $8.221,75 | 1252 / 89 |
Transient Ischemia | 12 | 113 / 44 | $58.984,80 | 1627 / 123 | $6.252,92 | 1359 / 57 | $5.039,58 | 1352 / 61 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 30 | $100.629,00 | 754 / 31 | $16.948,90 | 695 / 17 | $15.747,50 | 691 / 23 | Total 30 procedures | 755 | 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.