Hospital Costs > In California > Silver Lake Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 50 | $28.616,10 | 1571 / 28 | $10.616,70 | 2136 / 168 | $9.779,44 | 2131 / 172 |
Cellulitis W Mcc | 17 | 41 / 17 | $33.035,40 | 439 / 5 | $15.699,70 | 940 / 81 | $14.902,10 | 938 / 87 |
Cellulitis W/O Mcc | 44 | 145 / 42 | $20.835,30 | 1562 / 15 | $10.906,30 | 2590 / 200 | $10.167,00 | 2582 / 207 |
Chronic Obstructive Pulmonary Disease W Cc | 78 | 101 / 7 | $24.345,00 | 1404 / 15 | $11.645,30 | 2400 / 179 | $10.715,10 | 2393 / 182 |
Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 36 | $33.890,40 | 1684 / 20 | $13.174,00 | 2516 / 178 | $12.299,70 | 2508 / 186 |
Diabetes W Cc | 23 | 69 / 12 | $18.005,30 | 559 / 4 | $10.812,90 | 1582 / 110 | $10.079,50 | 1577 / 116 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 84 | $21.311,70 | 1530 / 19 | $10.155,40 | 2689 / 202 | $9.354,35 | 2674 / 214 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 51 | $46.127,60 | 1623 / 77 | $13.171,60 | 1922 / 157 | $12.508,50 | 1918 / 161 |
Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 92 | $21.349,70 | 1710 / 19 | $10.242,10 | 2668 / 202 | $9.381,94 | 2657 / 207 |
Medical Back Problems W/O Mcc | 16 | 105 / 41 | $31.427,00 | 1067 / 31 | $10.993,20 | 1474 / 119 | $10.278,80 | 1469 / 126 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 41 | $27.527,10 | 833 / 11 | $12.934,20 | 1674 / 143 | $12.270,80 | 1670 / 147 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 47 | 119 / 33 | $22.326,20 | 1739 / 34 | $9.746,72 | 2501 / 184 | $8.892,81 | 2492 / 191 |
Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 11 | $17.644,20 | 84 / 2 | $11.926,60 | 460 / 29 | $11.254,20 | 460 / 33 |
Organic Disturbances & Mental Retardation | 34 | 25 / 1 | $20.342,50 | 183 / 3 | $12.099,40 | 530 / 24 | $11.197,30 | 530 / 25 |
Other Digestive System Diagnoses W Cc | 21 | 76 / 21 | $21.669,90 | 497 / 4 | $11.892,20 | 1412 / 126 | $11.379,80 | 1408 / 133 |
Other Vascular Procedures W Mcc | 15 | 82 / 27 | $63.874,40 | 191 / 2 | $28.727,10 | 863 / 51 | $27.555,40 | 860 / 53 |
Psychoses | 2027 | 1 / 1 | $30.073,70 | 474 / 15 | $12.186,30 | 592 / 28 | $11.280,90 | 592 / 31 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 42 | $28.900,30 | 1456 / 39 | $10.893,00 | 1965 / 142 | $10.057,00 | 1956 / 148 |
Renal Failure W Cc | 17 | 204 / 71 | $21.375,90 | 1110 / 7 | $11.879,90 | 2396 / 183 | $11.298,70 | 2386 / 189 |
Renal Failure W Mcc | 17 | 178 / 69 | $39.873,80 | 1288 / 22 | $16.217,40 | 2068 / 158 | $15.345,90 | 2064 / 162 |
Seizures W/O Mcc | 12 | 96 / 30 | $15.806,50 | 295 / 3 | $10.280,20 | 1281 / 88 | $9.414,33 | 1279 / 96 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 44 | $153.375,00 | 545 / 13 | $47.800,90 | 888 / 68 | $46.296,10 | 887 / 74 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 73 | 443 / 147 | $62.428,00 | 2144 / 79 | $20.371,20 | 2749 / 236 | $19.592,30 | 2704 / 239 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 87 | $26.849,20 | 1411 / 27 | $12.686,90 | 2512 / 223 | $11.555,60 | 2502 / 226 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 67 | $29.496,50 | 1924 / 26 | $11.986,60 | 2769 / 201 | $11.187,80 | 2760 / 205 |
Syncope & Collapse | 13 | 156 / 54 | $22.957,60 | 1101 / 21 | $10.027,50 | 1896 / 149 | $9.178,54 | 1888 / 153 | Total 26 procedures | 2.685 | 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.