Hospital Costs > In California > St Josephs Medical Center Of Stockton, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 18 | $69.057,30 | 1365 / 80 | $10.463,50 | 1348 / 79 | $9.503,33 | 1346 / 87 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 23 | $88.499,20 | 1625 / 91 | $16.100,90 | 1695 / 111 | $15.357,20 | 1682 / 121 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 12 | $62.040,70 | 833 / 35 | $7.838,55 | 809 / 35 | $6.721,64 | 805 / 36 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 11 | 78 / 34 | $81.742,10 | 737 / 56 | $10.789,50 | 722 / 52 | $9.558,45 | 721 / 61 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 12 | $61.412,60 | 1056 / 64 | $8.838,10 | 988 / 59 | $7.719,62 | 984 / 63 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 39 | $51.591,70 | 2076 / 139 | $8.146,22 | 2024 / 131 | $7.234,59 | 2019 / 145 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 31 | $72.882,70 | 1801 / 109 | $11.847,30 | 1775 / 109 | $10.917,10 | 1772 / 114 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 24 | $51.412,90 | 1968 / 136 | $6.508,80 | 1885 / 116 | $5.243,96 | 1879 / 121 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 25 | 93 / 17 | $344.563,00 | 521 / 30 | $48.324,80 | 509 / 19 | $47.245,80 | 509 / 26 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 12 | 104 / 25 | $450.858,00 | 455 / 30 | $73.611,70 | 447 / 23 | $73.001,70 | 447 / 27 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 15 | 27 / 5 | $290.554,00 | 124 / 7 | $41.236,50 | 119 / 5 | $40.228,50 | 119 / 7 |
| Cellulitis W Mcc | 13 | 45 / 21 | $98.026,50 | 943 / 80 | $13.921,50 | 902 / 66 | $13.031,60 | 900 / 73 |
| Cellulitis W/O Mcc | 60 | 129 / 29 | $50.658,90 | 2562 / 189 | $9.027,83 | 2408 / 173 | $7.191,38 | 2400 / 155 |
| Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 24 | $89.815,20 | 730 / 25 | $20.725,30 | 837 / 43 | $19.511,20 | 834 / 49 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 21 | 70 / 16 | $56.303,00 | 338 / 16 | $10.899,10 | 345 / 16 | $10.409,70 | 345 / 20 |
| Chest Pain | 22 | 129 / 50 | $43.779,00 | 1637 / 120 | $6.512,55 | 1537 / 101 | $5.509,09 | 1528 / 105 |
| Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 31 | $46.762,40 | 2196 / 112 | $9.135,98 | 2270 / 127 | $8.287,98 | 2263 / 142 |
| Chronic Obstructive Pulmonary Disease W Mcc | 66 | 136 / 25 | $61.979,80 | 2374 / 126 | $11.300,90 | 2424 / 148 | $10.470,70 | 2416 / 160 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 17 | $40.238,30 | 1960 / 87 | $7.864,38 | 1944 / 108 | $6.244,62 | 1933 / 95 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 61 | 127 / 7 | $74.248,10 | 1529 / 86 | $10.721,40 | 1531 / 87 | $9.670,98 | 1528 / 104 |
| Coronary Bypass W Cardiac Cath W Mcc | 22 | 34 / 4 | $485.287,00 | 427 / 25 | $71.554,30 | 428 / 22 | $70.344,00 | 428 / 27 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 33 | 43 / 2 | $330.825,00 | 597 / 25 | $42.339,20 | 592 / 23 | $41.176,80 | 592 / 27 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 28 | 60 / 4 | $264.567,00 | 577 / 22 | $34.040,00 | 567 / 15 | $33.003,70 | 566 / 22 |
| Diabetes W Cc | 17 | 75 / 18 | $56.978,20 | 1572 / 106 | $8.476,41 | 1466 / 87 | $7.455,29 | 1461 / 91 |
| Diabetes W Mcc | 17 | 40 / 11 | $67.890,70 | 678 / 31 | $12.923,10 | 668 / 34 | $11.972,20 | 667 / 35 |
| Digestive Malignancy W Cc | 11 | 36 / 12 | $82.698,50 | 381 / 20 | $13.653,60 | 374 / 20 | $13.057,80 | 372 / 23 |
| Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 6 | $57.921,10 | 913 / 47 | $9.275,05 | 892 / 37 | $8.292,89 | 889 / 45 |
| Disorders Of Pancreas Except Malignancy W Mcc | 14 | 32 / 7 | $122.707,00 | 348 / 25 | $18.646,10 | 335 / 22 | $17.879,60 | 335 / 24 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 8 | $58.633,40 | 453 / 21 | $6.940,33 | 431 / 18 | $5.905,83 | 430 / 20 |
| Disorders Of The Biliary Tract W Mcc | 12 | 27 / 9 | $97.304,60 | 240 / 10 | $14.848,90 | 209 / 7 | $13.607,50 | 209 / 8 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 14 | 67 / 15 | $1.029.460,00 | 430 / 23 | $177.868,00 | 417 / 22 | $174.774,00 | 416 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 24 | $88.492,50 | 1434 / 120 | $13.554,00 | 1408 / 114 | $12.727,70 | 1403 / 125 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 74 | 201 / 39 | $53.938,10 | 2670 / 191 | $8.341,47 | 2523 / 175 | $6.663,68 | 2508 / 163 |
| Extracranial Procedures W Cc | 14 | 32 / 5 | $89.705,90 | 346 / 10 | $15.176,90 | 365 / 13 | $14.212,60 | 365 / 14 |
| Extracranial Procedures W/O Cc/Mcc | 49 | 49 / 5 | $88.475,80 | 908 / 48 | $11.411,60 | 920 / 53 | $10.434,90 | 917 / 55 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 20 | $38.204,40 | 841 / 39 | $7.461,73 | 877 / 57 | $6.573,09 | 876 / 63 |
| G.I. Hemorrhage W Cc | 83 | 135 / 18 | $68.957,60 | 2375 / 179 | $9.957,92 | 2259 / 145 | $8.888,40 | 2255 / 151 |
| G.I. Hemorrhage W Mcc | 36 | 85 / 20 | $100.508,00 | 1560 / 120 | $16.975,50 | 1557 / 118 | $16.211,90 | 1547 / 125 |
| G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 12 | $47.244,90 | 967 / 53 | $8.381,94 | 910 / 60 | $5.978,47 | 906 / 50 |
| G.I. Obstruction W Cc | 23 | 69 / 29 | $65.813,30 | 1697 / 124 | $9.011,87 | 1635 / 106 | $7.972,43 | 1630 / 115 |
| G.I. Obstruction W Mcc | 15 | 27 / 7 | $97.078,10 | 510 / 33 | $15.702,10 | 501 / 34 | $14.754,80 | 501 / 35 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 23 | $56.024,90 | 1300 / 97 | $6.579,33 | 1241 / 78 | $5.475,11 | 1238 / 85 |
| Heart Failure & Shock W Cc | 74 | 204 / 33 | $57.756,20 | 2644 / 172 | $9.824,01 | 2593 / 162 | $9.035,12 | 2587 / 177 |
| Heart Failure & Shock W Mcc | 95 | 189 / 38 | $88.205,30 | 2520 / 172 | $14.782,10 | 2490 / 173 | $14.161,30 | 2479 / 183 |
| Heart Failure & Shock W/O Cc/Mcc | 34 | 76 / 13 | $46.633,80 | 1961 / 109 | $7.160,44 | 1871 / 96 | $6.174,91 | 1858 / 99 |
| Hip & Femur Procedures Except Major Joint W Cc | 50 | 93 / 19 | $97.542,30 | 1872 / 88 | $17.832,40 | 1930 / 123 | $16.742,60 | 1910 / 127 |
| Hip & Femur Procedures Except Major Joint W Mcc | 20 | 42 / 8 | $136.998,00 | 850 / 42 | $25.846,10 | 858 / 50 | $24.648,70 | 855 / 52 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 16 | $84.113,20 | 856 / 48 | $15.394,80 | 865 / 60 | $14.157,90 | 862 / 62 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 66 | 58 / 8 | $240.665,00 | 1393 / 70 | $44.302,50 | 1345 / 70 | $43.430,80 | 1335 / 74 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 53 | 129 / 25 | $87.670,30 | 2052 / 168 | $10.614,20 | 1956 / 136 | $9.697,19 | 1952 / 150 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 48 | 120 / 25 | $111.917,00 | 1557 / 121 | $16.409,00 | 1476 / 102 | $15.423,20 | 1469 / 109 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 29 | $64.692,50 | 1578 / 112 | $7.822,37 | 1494 / 91 | $6.724,79 | 1490 / 101 |
| Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 29 | $57.885,70 | 1785 / 120 | $10.776,70 | 1829 / 128 | $9.995,46 | 1825 / 138 |
| Kidney & Urinary Tract Infections W/O Mcc | 79 | 154 / 35 | $48.904,10 | 2634 / 182 | $8.059,82 | 2541 / 158 | $6.967,52 | 2530 / 164 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 15 | $85.487,30 | 551 / 40 | $13.894,50 | 546 / 48 | $9.831,18 | 545 / 37 |
| Major Cardiovasc Procedures W Mcc | 22 | 46 / 8 | $285.907,00 | 609 / 31 | $51.351,10 | 605 / 35 | $50.345,50 | 604 / 36 |
| Major Cardiovasc Procedures W/O Mcc | 34 | 67 / 11 | $198.296,00 | 965 / 47 | $32.014,90 | 966 / 50 | $31.024,90 | 965 / 54 |
| Major Chest Procedures W Cc | 20 | 54 / 11 | $170.187,00 | 481 / 23 | $32.230,90 | 471 / 32 | $22.073,20 | 469 / 24 |
| Major Chest Procedures W/O Cc/Mcc | 19 | 40 / 6 | $116.229,00 | 246 / 12 | $16.581,90 | 243 / 12 | $15.654,90 | 243 / 13 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 17 | $56.888,10 | 997 / 43 | $10.772,90 | 1041 / 52 | $10.243,00 | 1039 / 65 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 44 | 520 / 121 | $99.046,50 | 2466 / 156 | $19.852,80 | 2528 / 171 | $18.160,70 | 2482 / 190 |
| Major Small & Large Bowel Procedures W Cc | 27 | 81 / 28 | $153.222,00 | 1449 / 80 | $23.575,20 | 1455 / 75 | $22.577,20 | 1441 / 97 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 18 | $270.962,00 | 1199 / 56 | $48.018,50 | 1219 / 62 | $47.094,00 | 1216 / 67 |
| Malignancy Of Hepatobiliary System Or Pancreas W Cc | 11 | 20 / 7 | $68.202,50 | 184 / 4 | $11.364,20 | 178 / 3 | $10.448,80 | 178 / 6 |
| Medical Back Problems W/O Mcc | 26 | 95 / 31 | $69.845,70 | 1481 / 123 | $8.515,04 | 1376 / 90 | $7.417,69 | 1371 / 100 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 34 | 92 / 25 | $64.908,40 | 1634 / 120 | $10.949,70 | 1565 / 111 | $10.061,90 | 1562 / 115 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 54 | 112 / 28 | $49.666,90 | 2488 / 175 | $7.351,43 | 2365 / 137 | $6.478,65 | 2356 / 155 |
| Organic Disturbances & Mental Retardation | 14 | 45 / 10 | $52.888,60 | 515 / 20 | $9.930,21 | 487 / 17 | $8.946,14 | 487 / 19 |
| Other Circulatory System Diagnoses W Mcc | 16 | 100 / 34 | $106.136,00 | 1301 / 93 | $17.645,80 | 1240 / 79 | $16.759,50 | 1232 / 84 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 23 | $62.110,10 | 1372 / 105 | $9.687,58 | 1320 / 98 | $8.707,16 | 1316 / 105 |
| Other Digestive System Diagnoses W Mcc | 14 | 48 / 20 | $71.901,70 | 644 / 49 | $15.671,00 | 675 / 57 | $14.827,20 | 674 / 61 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 31 | $76.229,20 | 993 / 47 | $14.395,60 | 980 / 54 | $13.467,10 | 976 / 56 |
| Other Resp System O.R. Procedures W Cc | 16 | 31 / 3 | $111.351,00 | 308 / 6 | $18.093,90 | 303 / 5 | $16.930,50 | 303 / 6 |
| Other Resp System O.R. Procedures W Mcc | 14 | 49 / 4 | $207.142,00 | 566 / 16 | $33.001,30 | 531 / 11 | $31.973,90 | 530 / 13 |
| Other Vascular Procedures W Cc | 36 | 66 / 9 | $151.470,00 | 1065 / 53 | $25.278,90 | 1054 / 60 | $22.538,40 | 1049 / 51 |
| Other Vascular Procedures W Mcc | 26 | 71 / 16 | $142.436,00 | 844 / 37 | $28.661,10 | 871 / 50 | $27.787,50 | 868 / 55 |
| Other Vascular Procedures W/O Cc/Mcc | 12 | 44 / 14 | $92.356,40 | 506 / 10 | $16.124,20 | 516 / 15 | $15.090,70 | 515 / 16 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 27 | $174.589,00 | 897 / 47 | $29.018,20 | 936 / 58 | $28.091,50 | 931 / 64 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 55 | 141 / 21 | $124.578,00 | 1345 / 76 | $18.983,70 | 1408 / 79 | $17.580,30 | 1400 / 97 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 17 | 52 / 2 | $116.090,00 | 518 / 12 | $17.745,90 | 522 / 15 | $15.132,60 | 520 / 14 |
| Peripheral Vascular Disorders W Cc | 23 | 61 / 10 | $58.451,50 | 1206 / 76 | $9.824,74 | 1118 / 72 | $8.326,57 | 1115 / 63 |
| Permanent Cardiac Pacemaker Implant W Cc | 19 | 58 / 16 | $113.007,00 | 828 / 42 | $23.692,60 | 906 / 61 | $22.521,40 | 902 / 64 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 14 | $85.705,90 | 608 / 21 | $20.062,60 | 684 / 42 | $18.935,20 | 682 / 47 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 21 | $89.122,00 | 935 / 65 | $13.673,80 | 885 / 55 | $12.786,40 | 882 / 58 |
| Pulmonary Edema & Respiratory Failure | 54 | 149 / 25 | $74.710,20 | 2088 / 113 | $11.983,70 | 2102 / 128 | $11.412,60 | 2096 / 137 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 19 | $57.896,50 | 931 / 44 | $12.160,70 | 995 / 58 | $11.235,30 | 991 / 61 |
| Red Blood Cell Disorders W/O Mcc | 28 | 115 / 28 | $42.564,40 | 1799 / 98 | $8.221,39 | 1822 / 109 | $7.131,86 | 1813 / 113 |
| Renal Failure W Cc | 94 | 127 / 10 | $65.012,80 | 2387 / 174 | $9.689,35 | 2264 / 146 | $8.599,83 | 2254 / 150 |
| Renal Failure W Mcc | 71 | 124 / 19 | $105.497,00 | 2130 / 171 | $15.648,50 | 2052 / 151 | $14.816,70 | 2048 / 158 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 10 | $42.257,10 | 828 / 21 | $6.602,45 | 801 / 27 | $5.597,45 | 799 / 27 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 34 | $77.870,00 | 1386 / 83 | $13.235,60 | 1409 / 98 | $12.249,20 | 1404 / 101 |
| Respiratory Infections & Inflammations W Mcc | 20 | 116 / 52 | $98.500,60 | 1642 / 90 | $18.024,80 | 1709 / 115 | $17.243,10 | 1693 / 119 |
| Respiratory Neoplasms W Cc | 14 | 33 / 10 | $69.262,40 | 471 / 22 | $11.453,90 | 458 / 19 | $10.651,10 | 457 / 23 |
| Respiratory Neoplasms W Mcc | 17 | 35 / 9 | $146.091,00 | 637 / 39 | $17.243,90 | 610 / 33 | $16.459,70 | 607 / 33 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 38 | 93 / 17 | $130.685,00 | 1715 / 82 | $21.512,40 | 1707 / 91 | $20.659,20 | 1693 / 99 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 19 | $297.910,00 | 915 / 55 | $48.769,50 | 910 / 64 | $47.361,50 | 909 / 67 |
| Seizures W/O Mcc | 21 | 87 / 21 | $46.963,80 | 1202 / 58 | $7.813,81 | 1178 / 65 | $6.875,14 | 1176 / 69 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 51 | 41 / 7 | $282.823,00 | 968 / 78 | $50.870,70 | 927 / 86 | $48.278,60 | 926 / 86 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 501 | 79 / 6 | $105.825,00 | 2683 / 207 | $17.536,50 | 2620 / 187 | $16.472,20 | 2575 / 194 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 147 | 60 / 7 | $67.255,50 | 2474 / 209 | $10.731,10 | 2402 / 188 | $9.388,09 | 2392 / 188 |
| Signs & Symptoms W/O Mcc | 19 | 72 / 19 | $66.985,70 | 1334 / 90 | $7.230,68 | 1208 / 60 | $6.314,79 | 1205 / 71 |
| Simple Pneumonia & Pleurisy W Cc | 56 | 147 / 35 | $50.898,30 | 2573 / 140 | $9.584,50 | 2642 / 149 | $8.674,36 | 2633 / 166 |
| Simple Pneumonia & Pleurisy W Mcc | 74 | 131 / 20 | $72.272,60 | 2262 / 115 | $13.562,10 | 2355 / 144 | $12.754,10 | 2349 / 153 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 21 | $44.744,90 | 1871 / 94 | $7.370,54 | 1871 / 99 | $6.348,75 | 1863 / 108 |
| Spinal Fusion Except Cervical W/O Mcc | 20 | 174 / 46 | $157.398,00 | 1148 / 40 | $36.263,80 | 1286 / 69 | $35.080,60 | 1281 / 77 |
| Syncope & Collapse | 34 | 135 / 33 | $59.098,70 | 1897 / 143 | $7.601,12 | 1780 / 110 | $6.725,94 | 1772 / 123 |
| Transient Ischemia | 28 | 97 / 28 | $64.277,40 | 1640 / 129 | $7.354,86 | 1530 / 106 | $6.171,57 | 1522 / 108 | Total 107 procedures | 3.738 | 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.