Hospital Costs > In California > St Joseph Hospital Orange, 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 | 192 | 324 / 83 | $70.242,10 | 2287 / 108 | $15.013,80 | 2050 / 103 | $12.549,40 | 2013 / 41 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 174 | 390 / 56 | $81.009,20 | 2226 / 96 | $17.938,10 | 1854 / 119 | $13.022,90 | 1813 / 31 |
| Heart Failure & Shock W Cc | 94 | 184 / 18 | $44.824,80 | 2457 / 115 | $13.867,70 | 1985 / 213 | $6.503,14 | 1980 / 37 |
| Spinal Fusion Except Cervical W/O Mcc | 79 | 115 / 13 | $114.614,00 | 884 / 16 | $29.887,10 | 938 / 21 | $25.630,30 | 933 / 10 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 75 | 3 / 1 | $218.972,00 | 60 / 3 | $59.069,90 | 55 / 4 | $49.564,30 | 55 / 2 |
| Heart Failure & Shock W Mcc | 72 | 212 / 56 | $57.423,80 | 2155 / 84 | $11.837,70 | 1872 / 72 | $9.959,57 | 1867 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 64 | 143 / 52 | $44.657,50 | 2161 / 121 | $9.784,53 | 1727 / 149 | $6.635,09 | 1720 / 36 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 64 | 211 / 48 | $39.315,00 | 2463 / 133 | $7.291,73 | 2078 / 132 | $4.950,47 | 2064 / 46 |
| Simple Pneumonia & Pleurisy W Mcc | 59 | 146 / 34 | $65.129,50 | 2175 / 91 | $12.466,10 | 1952 / 106 | $9.918,17 | 1952 / 40 |
| Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 34 | $40.775,50 | 2347 / 76 | $9.002,44 | 2182 / 124 | $6.578,47 | 2174 / 44 |
| Renal Failure W Cc | 55 | 166 / 34 | $51.887,10 | 2279 / 144 | $9.647,00 | 2108 / 144 | $7.501,20 | 2098 / 106 |
| Renal Failure W Mcc | 53 | 142 / 34 | $63.825,80 | 1806 / 83 | $12.795,20 | 1551 / 77 | $10.460,10 | 1549 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 59 | $31.405,00 | 2266 / 79 | $6.905,71 | 2098 / 104 | $5.187,63 | 2087 / 50 |
| Hip & Femur Procedures Except Major Joint W Cc | 49 | 94 / 20 | $72.787,10 | 1590 / 34 | $14.709,50 | 1449 / 38 | $12.549,60 | 1431 / 23 |
| Major Small & Large Bowel Procedures W Cc | 48 | 60 / 8 | $103.960,00 | 1245 / 29 | $21.113,90 | 1199 / 51 | $17.457,40 | 1185 / 34 |
| Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 43 | $50.724,30 | 2203 / 87 | $9.597,23 | 2051 / 70 | $8.105,08 | 2043 / 52 |
| G.I. Hemorrhage W Cc | 47 | 171 / 47 | $43.575,60 | 2040 / 87 | $9.333,77 | 2008 / 121 | $7.299,21 | 2004 / 74 |
| Major Cardiovasc Procedures W/O Mcc | 44 | 57 / 8 | $105.073,00 | 631 / 10 | $26.150,10 | 721 / 16 | $22.972,40 | 720 / 12 |
| Extracranial Procedures W/O Cc/Mcc | 43 | 55 / 7 | $39.269,50 | 619 / 6 | $8.483,77 | 752 / 19 | $7.000,79 | 749 / 16 |
| Cellulitis W/O Mcc | 41 | 148 / 45 | $29.327,00 | 2098 / 66 | $7.328,20 | 1964 / 87 | $5.477,66 | 1956 / 38 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 37 | $55.927,80 | 1863 / 57 | $10.313,10 | 1821 / 66 | $9.009,42 | 1816 / 45 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 38 | $47.286,50 | 1684 / 62 | $8.935,50 | 1543 / 66 | $7.020,50 | 1540 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 36 | 132 / 35 | $62.756,00 | 1179 / 35 | $13.688,60 | 1209 / 50 | $12.178,20 | 1203 / 40 |
| Cervical Spinal Fusion W/O Cc/Mcc | 35 | 69 / 8 | $73.739,60 | 618 / 8 | $19.561,30 | 436 / 33 | $12.348,30 | 435 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 46 | $33.730,90 | 2231 / 98 | $6.214,26 | 1852 / 80 | $4.569,59 | 1846 / 32 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 35 | $222.319,00 | 1337 / 60 | $45.176,60 | 1287 / 76 | $41.475,70 | 1277 / 61 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 27 | $60.788,60 | 1212 / 41 | $13.081,50 | 1113 / 25 | $11.776,50 | 1105 / 18 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 28 | 72 / 14 | $177.513,00 | 908 / 50 | $29.156,30 | 793 / 60 | $23.567,40 | 788 / 24 |
| Cervical Spinal Fusion W Cc | 27 | 26 / 3 | $115.485,00 | 310 / 11 | $26.209,00 | 270 / 18 | $19.418,70 | 269 / 7 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 27 | 74 / 23 | $63.461,70 | 918 / 31 | $12.316,10 | 789 / 27 | $10.747,00 | 786 / 20 |
| Major Small & Large Bowel Procedures W Mcc | 26 | 59 / 14 | $185.230,00 | 997 / 23 | $44.646,20 | 908 / 49 | $35.588,70 | 906 / 13 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 28 | $138.033,00 | 1737 / 87 | $21.158,50 | 1629 / 85 | $19.335,70 | 1615 / 73 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 27 | $69.482,20 | 1452 / 54 | $18.025,20 | 1215 / 128 | $11.073,80 | 1207 / 16 |
| G.I. Obstruction W/O Cc/Mcc | 25 | 46 / 16 | $28.537,20 | 1091 / 36 | $6.259,92 | 1029 / 70 | $4.049,92 | 1026 / 35 |
| Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 42 | $42.442,50 | 1551 / 59 | $9.077,58 | 1479 / 56 | $7.544,79 | 1475 / 37 |
| Other Vascular Procedures W Mcc | 23 | 74 / 19 | $165.560,00 | 915 / 59 | $28.257,60 | 822 / 46 | $26.214,30 | 819 / 46 |
| Respiratory Infections & Inflammations W Mcc | 23 | 113 / 49 | $74.997,60 | 1456 / 56 | $16.253,90 | 1495 / 79 | $14.199,20 | 1479 / 55 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 49 | $114.566,00 | 1292 / 64 | $17.034,30 | 1236 / 46 | $14.531,00 | 1229 / 46 |
| Other Circulatory System Diagnoses W Mcc | 22 | 94 / 28 | $101.840,00 | 1285 / 87 | $17.812,60 | 1155 / 82 | $15.183,70 | 1147 / 64 |
| Major Chest Procedures W Cc | 22 | 52 / 9 | $108.659,00 | 423 / 13 | $20.747,60 | 305 / 11 | $16.341,00 | 303 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 38 | $81.191,60 | 1702 / 148 | $15.238,90 | 1712 / 151 | $13.688,90 | 1708 / 158 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 21 | $47.162,90 | 1227 / 70 | $9.365,43 | 1116 / 87 | $6.943,10 | 1112 / 48 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 21 | 45 / 14 | $78.946,40 | 464 / 13 | $17.248,80 | 287 / 31 | $11.160,80 | 285 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 45 | $42.555,00 | 1952 / 101 | $7.713,14 | 1723 / 113 | $5.528,71 | 1718 / 59 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 33 | $48.815,60 | 1508 / 46 | $10.019,60 | 1336 / 57 | $8.070,10 | 1333 / 19 |
| G.I. Obstruction W Cc | 20 | 72 / 32 | $40.352,90 | 1462 / 56 | $7.934,50 | 1418 / 73 | $6.305,40 | 1413 / 53 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 54 | $50.117,20 | 2244 / 123 | $8.705,42 | 2083 / 112 | $7.044,05 | 2076 / 86 |
| Other Vascular Procedures W Cc | 19 | 83 / 25 | $93.673,70 | 786 / 15 | $19.163,90 | 827 / 14 | $17.667,90 | 822 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 29 | $34.826,60 | 1238 / 29 | $6.510,63 | 1259 / 43 | $5.079,89 | 1255 / 38 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 19 | $44.551,00 | 1277 / 64 | $6.629,42 | 986 / 46 | $4.885,32 | 983 / 26 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 26 | $28.363,00 | 1668 / 40 | $5.943,89 | 1520 / 46 | $4.496,84 | 1508 / 28 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 18 | 55 / 16 | $49.098,00 | 932 / 30 | $10.933,80 | 745 / 54 | $7.519,39 | 743 / 10 |
| Cellulitis W Mcc | 18 | 40 / 16 | $76.429,70 | 897 / 62 | $14.242,20 | 867 / 73 | $12.195,70 | 865 / 62 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 18 | 46 / 12 | $63.252,20 | 598 / 9 | $13.613,50 | 503 / 25 | $9.964,17 | 503 / 6 |
| Red Blood Cell Disorders W/O Mcc | 18 | 125 / 38 | $40.285,30 | 1768 / 91 | $7.441,44 | 1577 / 82 | $5.768,78 | 1568 / 49 |
| Major Cardiovasc Procedures W Mcc | 17 | 51 / 13 | $171.063,00 | 437 / 7 | $39.069,90 | 381 / 7 | $35.151,40 | 380 / 5 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 17 | $53.399,90 | 632 / 7 | $12.173,50 | 693 / 12 | $10.646,40 | 690 / 14 |
| Major Chest Procedures W Mcc | 17 | 32 / 9 | $184.856,00 | 258 / 6 | $40.009,00 | 253 / 9 | $37.234,90 | 252 / 9 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 28 | $32.734,60 | 1686 / 49 | $6.426,53 | 1622 / 67 | $4.792,65 | 1614 / 43 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 22 | $60.108,30 | 817 / 43 | $9.323,35 | 699 / 36 | $7.860,18 | 699 / 31 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 29 | $38.709,90 | 1926 / 77 | $6.621,35 | 1791 / 65 | $5.300,12 | 1780 / 56 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 16 | 60 / 13 | $199.398,00 | 496 / 9 | $38.728,50 | 398 / 16 | $28.730,10 | 398 / 3 |
| Combined Anterior/Posterior Spinal Fusion W Mcc | 16 | 6 / 3 | $318.094,00 | 9 / 1 | $82.615,10 | 8 / 1 | $78.169,90 | 8 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 45 | $59.753,30 | 1383 / 56 | $9.128,75 | 1297 / 39 | $7.467,19 | 1294 / 35 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 15 | 83 / 18 | $160.959,00 | 379 / 10 | $31.130,70 | 277 / 5 | $29.028,10 | 277 / 4 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 15 | $41.461,50 | 1071 / 25 | $9.189,00 | 862 / 46 | $5.986,87 | 859 / 14 |
| Pleural Effusion W Mcc | 15 | 15 / 2 | $86.824,40 | 177 / 6 | $14.888,00 | 145 / 8 | $10.797,00 | 145 / 3 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 15 | 76 / 20 | $87.496,10 | 383 / 27 | $10.066,30 | 264 / 12 | $8.579,40 | 264 / 9 |
| Medical Back Problems W/O Mcc | 15 | 106 / 42 | $28.077,90 | 945 / 22 | $7.629,13 | 1043 / 65 | $5.369,07 | 1040 / 26 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 31 | $46.298,50 | 553 / 15 | $12.131,80 | 551 / 59 | $6.967,57 | 550 / 20 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 17 | $177.212,00 | 569 / 12 | $37.605,20 | 551 / 20 | $34.787,10 | 551 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $57.579,80 | 1249 / 68 | $10.276,20 | 1073 / 59 | $8.481,23 | 1068 / 33 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 13 | 17 / 2 | $117.637,00 | 189 / 5 | $17.420,90 | 170 / 3 | $15.569,50 | 169 / 4 |
| Pulmonary Embolism W Mcc | 12 | 31 / 8 | $60.467,60 | 490 / 6 | $12.441,90 | 480 / 17 | $10.774,50 | 479 / 13 |
| Major Chest Procedures W/O Cc/Mcc | 12 | 47 / 8 | $78.258,80 | 211 / 6 | $14.061,80 | 175 / 4 | $12.268,80 | 175 / 3 |
| Transient Ischemia | 12 | 113 / 44 | $40.561,80 | 1451 / 76 | $6.393,50 | 1310 / 68 | $4.891,17 | 1304 / 48 |
| Extracranial Procedures W Cc | 11 | 35 / 7 | $56.427,80 | 273 / 2 | $12.502,60 | 300 / 4 | $10.896,50 | 300 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 25 | $53.970,60 | 1231 / 52 | $9.200,45 | 1168 / 59 | $7.486,73 | 1166 / 38 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 22 | $98.768,50 | 643 / 11 | $20.027,20 | 389 / 4 | $18.267,70 | 387 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 22 | $303.942,00 | 923 / 59 | $63.807,40 | 878 / 80 | $44.266,00 | 877 / 58 |
| Other Disorders Of Nervous System W Mcc | 11 | 29 / 12 | $50.291,80 | 206 / 5 | $11.648,30 | 171 / 3 | $10.272,00 | 171 / 3 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 37 | $50.073,90 | 1148 / 28 | $10.367,00 | 1040 / 33 | $8.829,27 | 1035 / 19 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 26 | $395.974,00 | 441 / 24 | $78.854,50 | 445 / 28 | $72.573,80 | 445 / 26 | Total 83 procedures | 2.654 | 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.