Hospital Costs > In California > Sonoma Valley 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 | 122 | 394 / 115 | $49.631,80 | 1771 / 39 | $14.722,30 | 2318 / 87 | $13.731,60 | 2277 / 97 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 42 | 522 / 123 | $80.252,80 | 2207 / 93 | $18.242,40 | 2465 / 127 | $17.059,10 | 2419 / 169 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 87 | $35.287,90 | 1874 / 70 | $8.840,86 | 2176 / 97 | $7.905,59 | 2167 / 117 |
| Heart Failure & Shock W Mcc | 17 | 267 / 105 | $50.640,20 | 2000 / 59 | $11.843,40 | 2147 / 73 | $10.990,60 | 2137 / 77 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 18 | $86.008,50 | 541 / 3 | $23.326,10 | 713 / 13 | $22.280,70 | 710 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 61 | $40.020,40 | 1516 / 35 | $8.996,08 | 1760 / 67 | $7.979,46 | 1756 / 86 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 62 | $39.499,10 | 1486 / 21 | $10.565,80 | 1910 / 79 | $9.453,15 | 1904 / 69 |
| Heart Failure & Shock W Cc | 13 | 265 / 87 | $34.523,00 | 2159 / 59 | $8.153,23 | 2326 / 81 | $7.412,31 | 2320 / 97 |
| Cellulitis W/O Mcc | 11 | 178 / 75 | $24.984,60 | 1872 / 36 | $7.416,82 | 2224 / 95 | $6.206,64 | 2216 / 100 | Total 9 procedures | 268 | 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.