Hospital Costs > In California > St Johns Regional Medical Center, 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 | 188 | 328 / 85 | $87.268,10 | 2518 / 164 | $15.383,30 | 2441 / 115 | $14.570,60 | 2397 / 136 |
Heart Failure & Shock W Mcc | 138 | 146 / 13 | $68.079,70 | 2317 / 124 | $13.314,00 | 2196 / 133 | $11.230,10 | 2186 / 88 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 98 | 466 / 86 | $109.178,00 | 2554 / 182 | $17.167,80 | 2356 / 94 | $15.769,40 | 2311 / 125 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 72 | 135 / 45 | $52.477,30 | 2304 / 162 | $9.255,12 | 2235 / 126 | $8.218,72 | 2226 / 136 |
Heart Failure & Shock W Cc | 61 | 217 / 44 | $48.044,60 | 2518 / 137 | $8.588,88 | 2390 / 109 | $7.725,26 | 2384 / 112 |
Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 35 | $66.661,20 | 2201 / 100 | $11.906,80 | 2162 / 84 | $11.017,70 | 2157 / 92 |
Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 42 | $65.638,30 | 2413 / 138 | $9.934,85 | 2237 / 89 | $9.007,52 | 2229 / 96 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 47 | 135 / 31 | $58.372,60 | 1851 / 105 | $9.140,77 | 1772 / 71 | $8.062,98 | 1768 / 88 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 45 | 80 / 10 | $86.535,30 | 1607 / 88 | $14.286,90 | 1532 / 68 | $13.202,10 | 1519 / 70 |
Renal Failure W Cc | 44 | 177 / 44 | $48.063,20 | 2223 / 119 | $8.337,82 | 2065 / 91 | $7.318,91 | 2055 / 91 |
Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 46 | $58.640,80 | 2680 / 163 | $8.385,23 | 2422 / 94 | $7.369,95 | 2413 / 103 |
Renal Failure W Mcc | 41 | 154 / 46 | $78.908,00 | 1985 / 118 | $14.237,40 | 1922 / 121 | $12.966,70 | 1918 / 118 |
G.I. Hemorrhage W Cc | 40 | 178 / 54 | $44.510,70 | 2059 / 90 | $8.749,58 | 2077 / 93 | $7.630,42 | 2073 / 92 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 37 | 131 / 34 | $94.102,80 | 1465 / 94 | $16.704,30 | 1302 / 107 | $12.997,50 | 1296 / 63 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 19 | $147.477,00 | 1770 / 98 | $21.345,20 | 1699 / 87 | $20.509,60 | 1685 / 96 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 45 | $39.030,40 | 2353 / 133 | $6.488,03 | 2184 / 103 | $5.484,14 | 2176 / 105 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 76 | $46.684,70 | 2612 / 165 | $7.831,85 | 2548 / 156 | $6.874,65 | 2533 / 169 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 28 | $55.967,70 | 1561 / 105 | $9.725,26 | 1376 / 76 | $8.503,48 | 1373 / 69 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 35 | $261.237,00 | 1441 / 84 | $47.366,30 | 1427 / 90 | $46.317,50 | 1417 / 94 |
Respiratory Infections & Inflammations W Mcc | 30 | 106 / 42 | $93.893,40 | 1621 / 85 | $15.347,50 | 1559 / 60 | $14.776,30 | 1543 / 72 |
Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 36 | $82.002,80 | 1733 / 58 | $15.231,50 | 1716 / 53 | $14.141,30 | 1697 / 63 |
G.I. Hemorrhage W Mcc | 30 | 91 / 26 | $76.782,50 | 1410 / 77 | $14.192,20 | 1357 / 62 | $13.348,50 | 1347 / 64 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 24 | $62.100,70 | 1711 / 88 | $10.635,40 | 1666 / 73 | $9.665,83 | 1663 / 82 |
Cellulitis W/O Mcc | 29 | 160 / 57 | $36.152,70 | 2323 / 117 | $7.414,03 | 2257 / 94 | $6.352,52 | 2249 / 112 |
Kidney & Urinary Tract Infections W Mcc | 28 | 116 / 38 | $86.251,10 | 1933 / 164 | $12.196,70 | 1889 / 149 | $11.332,60 | 1885 / 154 |
Kidney & Urinary Tract Infections W/O Mcc | 28 | 205 / 81 | $41.327,30 | 2521 / 154 | $7.270,71 | 2330 / 125 | $5.858,82 | 2319 / 108 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 49 | $52.365,50 | 2282 / 131 | $9.323,21 | 1988 / 135 | $6.643,38 | 1981 / 56 |
Syncope & Collapse | 23 | 146 / 44 | $48.273,10 | 1828 / 116 | $6.663,30 | 1632 / 70 | $5.676,17 | 1625 / 80 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 43 | $41.897,80 | 1939 / 96 | $7.127,17 | 1865 / 88 | $6.128,22 | 1860 / 94 |
Major Cardiovasc Procedures W/O Mcc | 22 | 79 / 20 | $161.701,00 | 913 / 36 | $26.569,50 | 834 / 20 | $25.472,70 | 833 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 27 | $49.526,10 | 1490 / 83 | $6.799,14 | 1378 / 56 | $5.645,62 | 1374 / 70 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 29 | $31.154,10 | 1785 / 73 | $5.400,95 | 1756 / 76 | $4.311,35 | 1750 / 89 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 24 | $57.488,10 | 1248 / 67 | $10.084,40 | 1190 / 56 | $9.234,80 | 1185 / 57 |
Other Vascular Procedures W Cc | 20 | 82 / 24 | $144.614,00 | 1049 / 48 | $20.899,20 | 964 / 33 | $19.934,40 | 959 / 36 |
Other Vascular Procedures W Mcc | 20 | 77 / 22 | $208.041,00 | 974 / 71 | $33.087,60 | 949 / 67 | $32.239,60 | 946 / 68 |
Transient Ischemia | 19 | 106 / 37 | $47.300,70 | 1546 / 101 | $6.458,53 | 1400 / 71 | $5.247,58 | 1393 / 73 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 23 | $167.389,00 | 887 / 44 | $31.591,30 | 975 / 72 | $30.572,30 | 970 / 75 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 19 | 177 / 52 | $91.943,80 | 1076 / 31 | $16.323,40 | 1294 / 38 | $15.314,50 | 1287 / 65 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 42 | $56.993,60 | 1346 / 47 | $9.338,16 | 1430 / 50 | $8.445,53 | 1427 / 70 |
Coronary Bypass W Cardiac Cath W Mcc | 19 | 37 / 5 | $380.496,00 | 401 / 20 | $60.778,90 | 385 / 13 | $59.761,60 | 385 / 15 |
Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 18 | 73 / 17 | $45.491,20 | 297 / 10 | $13.694,10 | 241 / 24 | $8.149,33 | 241 / 5 |
Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 28 | $40.443,80 | 1896 / 88 | $6.291,47 | 1729 / 67 | $5.224,18 | 1716 / 65 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 17 | 59 / 19 | $64.752,90 | 387 / 22 | $13.984,20 | 378 / 16 | $13.700,00 | 378 / 19 |
Major Cardiovasc Procedures W Mcc | 17 | 51 / 13 | $245.895,00 | 576 / 19 | $46.347,40 | 504 / 28 | $40.689,60 | 503 / 18 |
G.I. Obstruction W Cc | 17 | 75 / 35 | $40.102,70 | 1457 / 55 | $7.845,76 | 1557 / 69 | $7.062,71 | 1552 / 91 |
Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 24 | $83.925,10 | 902 / 45 | $9.025,38 | 846 / 31 | $8.043,38 | 843 / 39 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 16 | 35 / 12 | $80.168,40 | 262 / 7 | $15.847,70 | 250 / 8 | $14.707,60 | 250 / 10 |
Major Small & Large Bowel Procedures W Cc | 16 | 92 / 39 | $113.153,00 | 1311 / 43 | $20.105,90 | 1322 / 37 | $19.197,90 | 1308 / 60 |
Diabetes W Cc | 15 | 77 / 20 | $42.529,20 | 1451 / 65 | $7.266,67 | 1321 / 46 | $6.300,27 | 1316 / 52 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 16 | $53.941,50 | 890 / 36 | $10.496,30 | 911 / 30 | $9.933,07 | 907 / 38 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 19 | $41.724,10 | 481 / 30 | $8.949,00 | 382 / 28 | $6.744,40 | 382 / 14 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 41 | $38.080,30 | 1733 / 79 | $8.744,93 | 1624 / 123 | $5.929,40 | 1615 / 61 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 21 | $55.579,50 | 1253 / 58 | $9.136,47 | 1243 / 58 | $8.091,13 | 1241 / 62 |
Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 11 | $123.545,00 | 540 / 18 | $14.035,30 | 472 / 9 | $13.071,00 | 471 / 10 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 18 | $94.704,40 | 732 / 16 | $16.804,50 | 741 / 22 | $16.160,20 | 734 / 28 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 4 | $80.319,00 | 418 / 4 | $14.749,10 | 502 / 7 | $13.863,70 | 500 / 9 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 18 | $52.289,90 | 1019 / 52 | $7.717,33 | 905 / 34 | $6.590,93 | 901 / 39 |
Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 21 | $64.607,50 | 830 / 33 | $16.118,40 | 730 / 70 | $10.080,90 | 728 / 24 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 36 | $121.018,00 | 1340 / 114 | $17.757,30 | 1257 / 80 | $17.240,60 | 1249 / 90 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 14 | 102 / 23 | $398.446,00 | 442 / 25 | $65.768,20 | 363 / 13 | $60.064,70 | 363 / 13 |
Seizures W Mcc | 13 | 53 / 17 | $75.317,20 | 658 / 33 | $11.506,10 | 509 / 12 | $10.633,50 | 509 / 14 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 35 | $62.211,30 | 1272 / 54 | $11.511,40 | 1317 / 60 | $10.763,10 | 1312 / 67 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 32 | $40.766,00 | 1815 / 79 | $6.491,00 | 1750 / 71 | $5.373,46 | 1742 / 75 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 17 | $45.101,40 | 395 / 3 | $9.438,92 | 419 / 15 | $8.510,92 | 418 / 17 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 28 | $24.993,10 | 1001 / 22 | $5.792,92 | 1185 / 56 | $4.766,46 | 1182 / 71 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 18 | $37.777,50 | 1016 / 18 | $8.859,25 | 1098 / 39 | $7.185,50 | 1095 / 41 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 13 | $34.772,00 | 718 / 12 | $8.071,75 | 818 / 24 | $7.167,75 | 815 / 28 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 12 | $121.647,00 | 429 / 14 | $27.436,90 | 459 / 12 | $26.527,60 | 459 / 12 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 21 | $32.968,20 | 882 / 15 | $8.346,67 | 1031 / 45 | $7.420,00 | 1028 / 45 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 18 | $169.516,00 | 544 / 8 | $34.640,60 | 515 / 6 | $33.931,20 | 515 / 7 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 11 | 34 / 7 | $184.890,00 | 261 / 3 | $28.549,00 | 256 / 5 | $26.618,20 | 255 / 5 |
Stomach, Esophageal & Duodenal Proc W Cc | 11 | 39 / 13 | $111.214,00 | 184 / 5 | $20.219,40 | 136 / 5 | $18.011,70 | 136 / 4 |
Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 29 | $224.388,00 | 1110 / 39 | $37.631,90 | 962 / 16 | $36.762,10 | 960 / 19 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 24 | $114.154,00 | 838 / 47 | $20.644,60 | 800 / 30 | $19.542,10 | 796 / 33 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 28 | $45.719,30 | 707 / 24 | $8.414,45 | 690 / 21 | $7.754,09 | 690 / 28 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 31 | $70.247,60 | 1397 / 115 | $8.339,45 | 1190 / 62 | $7.375,09 | 1186 / 69 |
Medical Back Problems W/O Mcc | 11 | 110 / 46 | $44.610,20 | 1338 / 72 | $10.297,40 | 1192 / 116 | $5.961,73 | 1188 / 53 |
Other Disorders Of Nervous System W Cc | 11 | 45 / 16 | $53.304,10 | 573 / 34 | $7.667,55 | 495 / 22 | $6.789,00 | 494 / 23 | Total 78 procedures | 2.145 | 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.