Hospital Costs > In California > St Joseph Hospital Eureka, 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 | 175 | 341 / 92 | $80.004,30 | 2432 / 140 | $15.393,40 | 2443 / 117 | $14.586,00 | 2399 / 138 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 90 | 474 / 92 | $89.312,80 | 2348 / 126 | $17.141,80 | 2329 / 93 | $15.550,50 | 2284 / 114 |
Heart Failure & Shock W Mcc | 59 | 225 / 69 | $64.552,10 | 2262 / 111 | $12.160,90 | 2220 / 79 | $11.397,60 | 2210 / 92 |
Heart Failure & Shock W Cc | 56 | 222 / 48 | $42.493,30 | 2398 / 100 | $8.202,11 | 2241 / 82 | $7.097,95 | 2235 / 75 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 64 | $36.522,90 | 2393 / 111 | $6.344,26 | 2250 / 70 | $5.372,43 | 2235 / 89 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 46 | 78 / 20 | $189.076,00 | 1219 / 37 | $42.636,20 | 1298 / 57 | $41.720,00 | 1288 / 64 |
G.I. Hemorrhage W Cc | 44 | 174 / 50 | $48.409,90 | 2127 / 104 | $8.248,27 | 2021 / 60 | $7.342,82 | 2017 / 78 |
Cellulitis W/O Mcc | 44 | 145 / 42 | $57.179,70 | 2605 / 206 | $8.223,48 | 2381 / 139 | $7.007,57 | 2373 / 144 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 43 | 164 / 68 | $44.712,40 | 2163 / 122 | $8.644,37 | 2141 / 78 | $7.772,93 | 2133 / 105 |
Renal Failure W Mcc | 43 | 152 / 44 | $61.174,90 | 1777 / 79 | $13.140,10 | 1838 / 84 | $12.156,30 | 1834 / 91 |
Renal Failure W Cc | 43 | 178 / 45 | $39.689,30 | 2037 / 75 | $8.050,33 | 1987 / 74 | $6.939,88 | 1977 / 67 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 34 | $45.543,40 | 1642 / 54 | $8.650,30 | 1684 / 51 | $7.547,79 | 1680 / 65 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 42 | 154 / 31 | $85.264,30 | 968 / 21 | $16.092,50 | 1267 / 32 | $14.971,70 | 1260 / 56 |
Extracranial Procedures W/O Cc/Mcc | 38 | 60 / 10 | $55.651,00 | 814 / 26 | $8.610,39 | 799 / 22 | $7.416,39 | 796 / 24 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 33 | $33.271,50 | 1748 / 52 | $6.701,18 | 1736 / 61 | $5.567,61 | 1731 / 64 |
Other Vascular Procedures W Cc | 33 | 69 / 11 | $112.945,00 | 933 / 26 | $19.962,30 | 920 / 21 | $19.086,60 | 915 / 26 |
Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 58 | $54.173,30 | 2270 / 104 | $9.152,00 | 2115 / 47 | $8.359,00 | 2107 / 60 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 23 | $51.571,70 | 1559 / 56 | $9.933,45 | 1545 / 50 | $8.878,48 | 1542 / 46 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 18 | $29.447,50 | 1745 / 65 | $5.062,16 | 1582 / 56 | $3.688,00 | 1576 / 50 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 31 | 94 / 21 | $68.711,60 | 1442 / 51 | $13.758,20 | 1493 / 53 | $12.865,30 | 1481 / 53 |
Hip & Femur Procedures Except Major Joint W Cc | 31 | 112 / 35 | $84.891,50 | 1762 / 63 | $15.326,40 | 1735 / 58 | $14.280,70 | 1716 / 70 |
Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 80 | $29.954,90 | 2216 / 69 | $6.443,90 | 2196 / 70 | $5.447,48 | 2185 / 73 |
Pulmonary Edema & Respiratory Failure | 28 | 175 / 47 | $54.244,80 | 1833 / 53 | $9.928,11 | 1838 / 43 | $9.067,54 | 1833 / 48 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 33 | $44.561,10 | 1060 / 16 | $8.946,18 | 1364 / 32 | $7.907,32 | 1361 / 51 |
Major Cardiovasc Procedures W/O Mcc | 27 | 74 / 15 | $107.607,00 | 654 / 12 | $26.810,10 | 840 / 23 | $25.646,30 | 839 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 44 | $71.454,40 | 1275 / 50 | $13.671,30 | 1250 / 47 | $12.506,30 | 1244 / 51 |
Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 11 | $46.464,80 | 1138 / 32 | $8.601,20 | 1183 / 43 | $7.536,24 | 1181 / 44 |
Major Small & Large Bowel Procedures W Cc | 24 | 84 / 31 | $109.390,00 | 1291 / 37 | $19.769,70 | 1290 / 29 | $18.663,00 | 1276 / 49 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 29 | $146.329,00 | 1766 / 96 | $21.437,40 | 1704 / 89 | $20.577,30 | 1690 / 97 |
Extracranial Procedures W Cc | 24 | 22 / 2 | $69.244,10 | 314 / 5 | $12.757,50 | 324 / 6 | $11.600,20 | 324 / 6 |
Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 68 | $59.217,50 | 2087 / 75 | $11.701,80 | 2110 / 74 | $10.705,70 | 2105 / 76 |
Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 17 | $171.321,00 | 923 / 13 | $43.290,00 | 1125 / 44 | $42.300,70 | 1123 / 49 |
Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 17 | $118.226,00 | 821 / 35 | $18.014,00 | 780 / 25 | $16.856,10 | 777 / 36 |
Respiratory Infections & Inflammations W Mcc | 21 | 115 / 51 | $72.454,90 | 1436 / 51 | $14.926,80 | 1482 / 48 | $14.091,80 | 1466 / 50 |
Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 15 | $78.571,80 | 892 / 48 | $12.044,50 | 814 / 38 | $11.216,20 | 811 / 43 |
Chronic Obstructive Pulmonary Disease W Cc | 20 | 159 / 53 | $38.134,70 | 2027 / 66 | $7.803,50 | 2024 / 69 | $6.779,50 | 2017 / 71 |
Syncope & Collapse | 20 | 149 / 47 | $36.981,60 | 1630 / 75 | $6.219,00 | 1532 / 51 | $5.252,60 | 1525 / 58 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 28 | $84.314,40 | 1028 / 56 | $17.404,90 | 1029 / 67 | $14.577,20 | 1025 / 64 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 27 | $27.838,60 | 1648 / 36 | $6.599,44 | 1504 / 75 | $4.442,56 | 1492 / 24 |
Permanent Cardiac Pacemaker Implant W Mcc | 17 | 35 / 7 | $128.338,00 | 457 / 16 | $27.799,10 | 481 / 14 | $27.087,50 | 481 / 18 |
Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 73 | $40.095,90 | 2329 / 71 | $7.920,94 | 2290 / 63 | $6.853,65 | 2282 / 67 |
G.I. Hemorrhage W Mcc | 17 | 104 / 39 | $64.758,20 | 1261 / 50 | $13.872,70 | 1334 / 53 | $13.093,40 | 1324 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 31 | $32.484,50 | 1173 / 19 | $6.608,65 | 1269 / 47 | $5.094,94 | 1265 / 41 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 12 | $118.499,00 | 786 / 24 | $23.799,60 | 813 / 38 | $22.817,60 | 810 / 39 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 17 | $120.960,00 | 746 / 21 | $26.133,00 | 822 / 28 | $25.229,00 | 819 / 37 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 10 | $54.539,40 | 329 / 5 | $18.724,40 | 523 / 36 | $14.083,20 | 522 / 12 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 15 | 46 / 10 | $27.192,80 | 711 / 10 | $5.557,00 | 687 / 13 | $4.671,67 | 686 / 15 |
Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 20 | $78.606,70 | 610 / 13 | $20.813,80 | 809 / 33 | $19.685,30 | 805 / 36 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 4 | $75.046,10 | 385 / 1 | $14.475,80 | 484 / 6 | $13.345,10 | 482 / 8 |
Transient Ischemia | 14 | 111 / 42 | $31.233,80 | 1219 / 33 | $6.010,14 | 1362 / 44 | $5.057,00 | 1355 / 63 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 14 | 62 / 22 | $62.312,50 | 373 / 19 | $13.890,30 | 353 / 13 | $13.028,60 | 353 / 13 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 25 | $37.919,40 | 771 / 27 | $5.919,43 | 577 / 11 | $4.799,43 | 576 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 28 | $140.526,00 | 781 / 28 | $29.797,40 | 946 / 64 | $28.592,80 | 941 / 67 |
Other Vascular Procedures W Mcc | 13 | 84 / 29 | $140.642,00 | 834 / 36 | $24.927,90 | 720 / 15 | $23.997,40 | 717 / 19 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 13 | 105 / 26 | $322.404,00 | 515 / 27 | $51.790,10 | 523 / 28 | $50.677,40 | 523 / 33 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 46 | $51.224,50 | 1505 / 86 | $9.781,15 | 1448 / 77 | $9.037,77 | 1445 / 83 |
Diabetes W Cc | 13 | 79 / 22 | $42.215,70 | 1443 / 63 | $6.983,31 | 1275 / 35 | $6.052,85 | 1270 / 44 |
Respiratory Neoplasms W Mcc | 13 | 39 / 13 | $94.198,00 | 581 / 27 | $13.556,80 | 510 / 11 | $12.623,80 | 507 / 15 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 28 | $101.321,00 | 757 / 32 | $17.511,80 | 719 / 20 | $16.303,20 | 715 / 27 |
Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 18 | $49.588,90 | 772 / 33 | $8.225,25 | 662 / 18 | $7.329,25 | 662 / 20 |
Signs & Symptoms W/O Mcc | 12 | 79 / 26 | $35.837,50 | 1147 / 39 | $5.971,17 | 1030 / 33 | $5.059,17 | 1027 / 37 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 19 | $41.986,00 | 630 / 28 | $7.384,00 | 554 / 16 | $6.480,00 | 554 / 19 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 36 | $44.325,20 | 1045 / 17 | $10.298,20 | 1166 / 30 | $9.495,58 | 1161 / 32 |
Cervical Spinal Fusion W Cc | 12 | 41 / 15 | $121.626,00 | 324 / 12 | $22.742,80 | 307 / 10 | $21.734,80 | 306 / 13 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 13 | $168.644,00 | 444 / 38 | $29.357,80 | 461 / 45 | $28.251,20 | 460 / 46 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 30 | $42.349,10 | 1166 / 54 | $8.038,00 | 1111 / 42 | $6.926,00 | 1107 / 46 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 11 | $35.533,10 | 673 / 15 | $6.463,25 | 715 / 16 | $5.356,58 | 711 / 16 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 55 | $45.537,00 | 1614 / 73 | $9.215,09 | 1620 / 66 | $8.226,00 | 1616 / 67 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 68 | $33.106,50 | 2217 / 94 | $6.046,73 | 1983 / 72 | $4.842,36 | 1975 / 58 |
G.I. Obstruction W Cc | 11 | 81 / 41 | $31.956,60 | 1262 / 27 | $7.431,36 | 1507 / 49 | $6.768,09 | 1502 / 78 | Total 70 procedures | 1.881 | 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.