Hospital Costs > In California > St Bernardine 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 | 131 | 433 / 73 | $68.966,10 | 1960 / 71 | $17.575,20 | 2347 / 108 | $15.683,50 | 2302 / 121 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 120 | 396 / 116 | $82.682,40 | 2463 / 148 | $15.237,50 | 2427 / 110 | $14.449,80 | 2383 / 130 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 91 | 105 / 8 | $88.383,30 | 1026 / 27 | $17.418,40 | 1313 / 50 | $15.579,10 | 1306 / 69 |
Chest Pain | 50 | 101 / 23 | $36.684,20 | 1532 / 92 | $6.440,70 | 1549 / 97 | $5.644,54 | 1540 / 108 |
Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 45 | $51.097,20 | 2575 / 141 | $9.105,78 | 2556 / 131 | $8.125,87 | 2547 / 146 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 43 | 145 / 19 | $58.642,80 | 1369 / 53 | $10.146,60 | 1504 / 71 | $9.302,65 | 1501 / 94 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 38 | $39.610,90 | 2363 / 135 | $7.233,67 | 2271 / 133 | $5.922,07 | 2263 / 129 |
Pulmonary Edema & Respiratory Failure | 38 | 165 / 38 | $65.490,90 | 1997 / 88 | $11.057,80 | 2009 / 91 | $10.262,80 | 2003 / 109 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 38 | 54 / 17 | $224.905,00 | 824 / 52 | $43.962,50 | 776 / 36 | $42.642,00 | 775 / 45 |
Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 54 | $66.492,70 | 2195 / 98 | $11.895,60 | 2189 / 83 | $11.218,00 | 2184 / 101 |
Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 56 | $55.167,30 | 2283 / 110 | $10.239,60 | 2310 / 110 | $9.459,44 | 2302 / 125 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 32 | $45.747,10 | 2010 / 116 | $7.779,68 | 1974 / 117 | $6.862,03 | 1969 / 128 |
Heart Failure & Shock W Mcc | 34 | 250 / 88 | $74.433,10 | 2399 / 146 | $13.784,20 | 2403 / 148 | $12.884,90 | 2392 / 155 |
Heart Failure & Shock W Cc | 33 | 245 / 68 | $57.722,70 | 2643 / 171 | $9.992,36 | 2596 / 169 | $9.077,91 | 2590 / 178 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 33 | 38 / 3 | $186.806,00 | 699 / 20 | $34.012,50 | 541 / 5 | $33.372,50 | 540 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 77 | $38.276,80 | 2462 / 137 | $7.681,03 | 2519 / 144 | $6.854,62 | 2508 / 157 |
G.I. Hemorrhage W Cc | 30 | 188 / 61 | $52.621,40 | 2208 / 123 | $9.575,40 | 2223 / 133 | $8.568,50 | 2219 / 142 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 24 | $110.811,00 | 1612 / 63 | $21.350,00 | 1705 / 88 | $20.652,10 | 1691 / 98 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 38 | $206.998,00 | 1286 / 53 | $43.602,30 | 1295 / 65 | $41.636,30 | 1285 / 63 |
Renal Failure W Mcc | 28 | 167 / 59 | $68.218,60 | 1872 / 97 | $13.882,60 | 1920 / 108 | $12.963,20 | 1916 / 117 |
Acute Myocardial Infarction, Discharged Alive W Cc | 28 | 63 / 8 | $57.430,20 | 1275 / 63 | $9.801,32 | 1319 / 69 | $9.072,18 | 1317 / 80 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 83 | $37.438,40 | 2412 / 118 | $7.934,81 | 2437 / 159 | $6.144,93 | 2422 / 136 |
Cellulitis W/O Mcc | 27 | 162 / 59 | $43.670,50 | 2483 / 159 | $8.241,74 | 2400 / 142 | $7.147,78 | 2392 / 151 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 33 | $48.096,50 | 1457 / 77 | $10.032,50 | 1493 / 86 | $9.370,96 | 1490 / 93 |
Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 48 | $53.656,40 | 2296 / 135 | $9.476,84 | 2294 / 141 | $8.511,72 | 2287 / 150 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 25 | 44 / 11 | $101.170,00 | 423 / 12 | $21.661,40 | 442 / 13 | $20.549,10 | 441 / 20 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 41 | $80.285,40 | 1714 / 55 | $15.802,50 | 1774 / 73 | $14.685,10 | 1755 / 81 |
Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 42 | $45.258,20 | 1611 / 71 | $9.779,46 | 1736 / 93 | $9.024,79 | 1732 / 107 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 85 | $61.146,70 | 2422 / 194 | $9.788,71 | 2370 / 150 | $9.132,71 | 2360 / 182 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 23 | 77 / 19 | $153.140,00 | 844 / 38 | $37.908,80 | 996 / 87 | $32.615,10 | 991 / 83 |
Renal Failure W Cc | 20 | 201 / 68 | $48.882,10 | 2236 / 125 | $9.677,90 | 2288 / 145 | $8.831,50 | 2278 / 158 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 20 | 148 / 51 | $111.477,00 | 1552 / 118 | $19.759,70 | 1577 / 131 | $18.791,60 | 1570 / 142 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 26 | $36.041,20 | 1870 / 64 | $7.172,45 | 1962 / 87 | $6.386,85 | 1951 / 102 |
Coronary Bypass W Cardiac Cath W/O Mcc | 19 | 57 / 11 | $198.740,00 | 495 / 8 | $37.419,30 | 525 / 13 | $34.211,10 | 525 / 15 |
Red Blood Cell Disorders W/O Mcc | 19 | 124 / 37 | $38.064,50 | 1732 / 78 | $7.709,42 | 1749 / 90 | $6.623,84 | 1740 / 86 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 33 | $133.401,00 | 1789 / 137 | $20.691,80 | 1794 / 141 | $19.997,90 | 1781 / 147 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 55 | $74.604,40 | 2007 / 145 | $9.620,68 | 1896 / 102 | $8.925,05 | 1892 / 131 |
G.I. Obstruction W Cc | 18 | 74 / 34 | $41.449,70 | 1482 / 59 | $8.426,33 | 1593 / 89 | $7.418,33 | 1588 / 102 |
Syncope & Collapse | 18 | 151 / 49 | $39.980,60 | 1698 / 87 | $7.324,72 | 1742 / 105 | $6.384,28 | 1734 / 111 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 28 | $38.224,50 | 1874 / 77 | $6.956,00 | 1897 / 90 | $6.455,29 | 1884 / 105 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 38 | $62.987,90 | 1717 / 91 | $10.790,90 | 1685 / 84 | $9.806,88 | 1682 / 88 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 10 | $82.320,30 | 591 / 19 | $17.580,50 | 641 / 28 | $16.520,50 | 640 / 32 |
Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 11 | $55.097,10 | 428 / 22 | $9.290,40 | 424 / 18 | $8.405,07 | 424 / 22 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 35 | $89.929,20 | 1212 / 64 | $16.762,90 | 1182 / 71 | $15.575,90 | 1174 / 68 |
Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 51 | $91.633,80 | 649 / 6 | $30.844,60 | 1175 / 30 | $29.961,40 | 1170 / 48 |
Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 10 | $83.200,90 | 373 / 28 | $13.959,60 | 355 / 20 | $13.394,30 | 355 / 25 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 16 | $75.696,60 | 700 / 18 | $13.967,40 | 802 / 38 | $12.762,90 | 798 / 47 |
Transient Ischemia | 14 | 111 / 42 | $32.910,40 | 1277 / 39 | $7.125,29 | 1532 / 97 | $6.174,43 | 1524 / 109 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 32 | $38.884,60 | 1785 / 71 | $7.722,69 | 1784 / 108 | $5.565,85 | 1776 / 84 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 59 | $114.623,00 | 1717 / 114 | $18.445,70 | 1716 / 120 | $17.395,80 | 1700 / 120 |
Medical Back Problems W/O Mcc | 12 | 109 / 45 | $45.174,70 | 1346 / 75 | $8.177,67 | 1355 / 79 | $7.172,33 | 1350 / 93 |
Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 21 | $92.323,60 | 402 / 6 | $23.701,20 | 495 / 4 | $22.597,20 | 493 / 6 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 21 | $83.104,40 | 681 / 11 | $17.214,30 | 756 / 27 | $16.510,30 | 749 / 30 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 19 | $66.053,50 | 999 / 60 | $11.071,10 | 945 / 39 | $10.364,40 | 941 / 47 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 37 | $45.036,60 | 1428 / 65 | $7.566,64 | 1480 / 84 | $6.577,55 | 1476 / 97 |
Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 19 | $67.594,80 | 316 / 13 | $11.394,50 | 336 / 16 | $10.178,50 | 336 / 22 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 23 | $70.959,80 | 797 / 30 | $15.853,20 | 877 / 62 | $14.974,70 | 874 / 65 |
Other Vascular Procedures W Mcc | 11 | 86 / 31 | $99.586,80 | 600 / 13 | $25.193,50 | 740 / 18 | $24.422,60 | 737 / 22 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 12 | $48.370,70 | 787 / 24 | $7.528,18 | 810 / 32 | $6.760,18 | 806 / 37 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 38 | $33.305,30 | 1834 / 86 | $6.104,18 | 1867 / 104 | $5.059,82 | 1861 / 115 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 22 | $35.664,80 | 930 / 23 | $8.194,91 | 999 / 39 | $7.205,82 | 996 / 36 | Total 61 procedures | 1.664 | 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.