Hospital Costs > In California > St Mary Medical Center Apple Valley, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Chest Pain | 120 | 39 / 5 | $29.310,30 | 1370 / 61 | $5.638,23 | 1357 / 64 | $4.461,76 | 1349 / 66 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 117 | 399 / 118 | $88.476,10 | 2533 / 170 | $15.893,30 | 2420 / 141 | $14.384,80 | 2376 / 127 |
Heart Failure & Shock W Mcc | 108 | 176 / 28 | $66.868,10 | 2295 / 118 | $12.975,40 | 2344 / 123 | $12.283,40 | 2334 / 131 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 91 | 184 / 27 | $37.575,00 | 2416 / 120 | $6.648,06 | 2288 / 86 | $5.488,26 | 2273 / 101 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 91 | 473 / 91 | $89.323,50 | 2349 / 127 | $16.258,00 | 2267 / 65 | $15.087,70 | 2223 / 97 |
Heart Failure & Shock W Cc | 84 | 194 / 26 | $36.867,90 | 2238 / 71 | $8.248,01 | 2332 / 86 | $7.442,68 | 2326 / 98 |
Chronic Obstructive Pulmonary Disease W Mcc | 73 | 129 / 19 | $50.893,40 | 2206 / 88 | $9.601,03 | 2186 / 71 | $8.757,63 | 2178 / 82 |
Kidney & Urinary Tract Infections W/O Mcc | 73 | 160 / 40 | $35.970,00 | 2407 / 118 | $6.689,40 | 2313 / 87 | $5.812,69 | 2302 / 100 |
G.I. Hemorrhage W Cc | 60 | 158 / 36 | $39.284,50 | 1932 / 69 | $8.367,60 | 2046 / 69 | $7.480,67 | 2042 / 85 |
Renal Failure W Cc | 53 | 168 / 36 | $39.529,70 | 2029 / 73 | $8.113,60 | 2069 / 79 | $7.340,17 | 2059 / 92 |
Chronic Obstructive Pulmonary Disease W Cc | 53 | 126 / 20 | $40.598,60 | 2078 / 79 | $7.789,36 | 2054 / 67 | $6.900,60 | 2047 / 79 |
Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 40 | $58.647,20 | 2078 / 72 | $11.708,20 | 2151 / 75 | $10.947,10 | 2146 / 90 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 52 | 136 / 12 | $61.050,90 | 1399 / 58 | $8.975,65 | 1329 / 34 | $7.671,13 | 1326 / 43 |
Renal Failure W Mcc | 48 | 147 / 39 | $52.976,90 | 1641 / 55 | $12.011,20 | 1655 / 47 | $10.914,10 | 1653 / 43 |
Syncope & Collapse | 48 | 121 / 20 | $34.627,80 | 1572 / 62 | $6.417,62 | 1525 / 60 | $5.234,38 | 1518 / 56 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 34 | $34.213,30 | 2240 / 101 | $6.313,22 | 2055 / 86 | $5.021,04 | 2047 / 72 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 43 | 153 / 30 | $98.594,80 | 1144 / 42 | $16.540,00 | 1119 / 41 | $13.344,70 | 1112 / 28 |
Cellulitis W/O Mcc | 42 | 147 / 44 | $40.298,60 | 2417 / 143 | $7.590,17 | 2188 / 108 | $6.064,31 | 2180 / 84 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 39 | 86 / 14 | $86.124,90 | 1601 / 86 | $13.704,20 | 1514 / 50 | $12.996,10 | 1501 / 58 |
Spinal Fusion Except Cervical W/O Mcc | 38 | 156 / 30 | $195.847,00 | 1263 / 66 | $32.797,10 | 1114 / 42 | $28.456,30 | 1109 / 37 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 36 | 125 / 30 | $31.061,40 | 1669 / 40 | $6.845,75 | 1791 / 74 | $5.808,75 | 1786 / 77 |
Heart Failure & Shock W/O Cc/Mcc | 36 | 74 / 11 | $29.756,70 | 1700 / 46 | $6.078,08 | 1681 / 52 | $4.988,75 | 1668 / 50 |
Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 54 | $44.899,40 | 2458 / 108 | $8.648,06 | 2281 / 112 | $6.813,44 | 2273 / 63 |
Other Circulatory System Diagnoses W Mcc | 35 | 81 / 16 | $68.180,40 | 1025 / 30 | $18.264,20 | 854 / 89 | $12.444,10 | 849 / 9 |
Kidney & Urinary Tract Infections W Mcc | 33 | 111 / 33 | $49.522,60 | 1681 / 92 | $9.712,88 | 1528 / 90 | $7.739,33 | 1524 / 45 |
G.I. Hemorrhage W Mcc | 32 | 89 / 24 | $71.670,30 | 1357 / 67 | $15.549,20 | 1486 / 86 | $14.983,20 | 1476 / 101 |
Other Vascular Procedures W Cc | 32 | 70 / 12 | $112.002,00 | 926 / 25 | $19.560,20 | 903 / 17 | $18.787,20 | 898 / 24 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 37 | $189.582,00 | 1222 / 38 | $45.924,40 | 1037 / 80 | $35.951,60 | 1030 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 28 | 68 / 16 | $57.452,50 | 1247 / 66 | $9.678,71 | 1149 / 36 | $8.947,29 | 1144 / 46 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 22 | $24.161,70 | 1591 / 34 | $5.224,89 | 1741 / 65 | $4.237,63 | 1735 / 85 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 47 | $43.088,70 | 1588 / 43 | $8.880,59 | 1643 / 61 | $7.393,19 | 1639 / 57 |
Acute Myocardial Infarction, Discharged Alive W Cc | 26 | 65 / 10 | $47.923,30 | 1155 / 38 | $8.728,35 | 1222 / 46 | $7.896,35 | 1220 / 51 |
Medical Back Problems W/O Mcc | 25 | 96 / 32 | $48.595,80 | 1391 / 83 | $7.289,92 | 1204 / 55 | $6.034,24 | 1200 / 57 |
Transient Ischemia | 24 | 101 / 32 | $29.697,00 | 1167 / 29 | $6.228,25 | 1390 / 56 | $5.218,92 | 1383 / 71 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 24 | 144 / 47 | $67.614,00 | 1242 / 44 | $14.112,10 | 1323 / 56 | $13.205,40 | 1317 / 68 |
Other Circulatory System O.R. Procedures | 24 | 31 / 4 | $103.265,00 | 332 / 12 | $22.176,20 | 344 / 13 | $21.320,20 | 344 / 13 |
Diabetes W Cc | 23 | 69 / 12 | $41.707,20 | 1436 / 61 | $7.049,22 | 1315 / 39 | $6.261,74 | 1310 / 49 |
Dysequilibrium | 22 | 43 / 7 | $38.058,80 | 493 / 22 | $5.691,73 | 477 / 14 | $4.867,00 | 477 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 26 | $37.323,90 | 1294 / 39 | $7.254,41 | 1315 / 71 | $5.268,18 | 1311 / 50 |
Red Blood Cell Disorders W/O Mcc | 21 | 122 / 35 | $32.639,90 | 1597 / 50 | $6.948,52 | 1633 / 64 | $5.970,24 | 1624 / 63 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 88 | $53.925,00 | 2326 / 165 | $10.887,70 | 2108 / 192 | $7.648,43 | 2100 / 92 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 25 | $37.925,50 | 1910 / 75 | $6.347,29 | 1757 / 50 | $5.198,33 | 1746 / 48 |
Atherosclerosis W/O Mcc | 21 | 37 / 6 | $39.895,00 | 516 / 28 | $5.581,00 | / 16 | $4.903,67 | / |
Hip & Femur Procedures Except Major Joint W Cc | 21 | 122 / 45 | $82.068,80 | 1735 / 59 | $14.926,90 | 1675 / 47 | $13.835,80 | 1656 / 54 |
Other Vascular Procedures W Mcc | 20 | 77 / 22 | $144.964,00 | 852 / 38 | $26.892,90 | 818 / 38 | $26.107,30 | 815 / 45 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 34 | $46.043,60 | 1460 / 36 | $9.808,40 | 1612 / 40 | $9.262,80 | 1609 / 69 |
Pulmonary Edema & Respiratory Failure | 19 | 184 / 56 | $71.748,20 | 2069 / 106 | $12.068,30 | 2073 / 130 | $10.921,30 | 2067 / 131 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 40 | $42.160,60 | 1346 / 54 | $9.094,26 | 1341 / 49 | $8.331,32 | 1338 / 58 |
Seizures W/O Mcc | 19 | 89 / 23 | $34.281,10 | 1047 / 33 | $6.661,63 | 1006 / 34 | $5.582,05 | 1004 / 32 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 18 | 45 / 12 | $187.150,00 | 608 / 19 | $37.004,10 | 575 / 15 | $36.014,70 | 575 / 19 |
Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 17 | $113.616,00 | 833 / 45 | $21.985,70 | 851 / 47 | $20.844,30 | 847 / 48 |
G.I. Obstruction W Cc | 18 | 74 / 34 | $34.952,40 | 1339 / 38 | $8.472,22 | 1376 / 92 | $6.133,06 | 1371 / 41 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 25 | $39.508,20 | 1123 / 48 | $8.115,00 | 1182 / 49 | $7.330,06 | 1178 / 66 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 29 | $28.079,60 | 1562 / 27 | $6.625,94 | 1626 / 79 | $4.814,75 | 1618 / 44 |
Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 19 | $82.352,40 | 909 / 55 | $14.327,80 | 908 / 60 | $13.381,80 | 905 / 66 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 56 | $86.215,80 | 1555 / 72 | $14.780,90 | 1465 / 40 | $14.013,90 | 1450 / 44 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 18 | $58.833,60 | 1011 / 48 | $10.233,40 | 1012 / 44 | $9.707,44 | 1010 / 58 |
Peripheral Vascular Disorders W Cc | 15 | 69 / 18 | $38.389,60 | 985 / 29 | $8.041,87 | 1045 / 30 | $7.561,87 | 1042 / 48 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 10 | $88.278,90 | 316 / 9 | $18.690,30 | 378 / 11 | $17.798,50 | 377 / 14 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 38 | $119.392,00 | 1674 / 72 | $18.959,10 | 1554 / 49 | $18.233,90 | 1540 / 57 |
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 12 | $68.517,60 | 547 / 14 | $14.627,50 | 526 / 21 | $14.026,40 | 525 / 21 |
Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 27 | $160.503,00 | 911 / 35 | $26.054,90 | 824 / 15 | $25.193,30 | 823 / 25 |
Other Disorders Of Nervous System W Mcc | 14 | 26 / 9 | $68.241,70 | 264 / 13 | $12.015,90 | 224 / 7 | $11.366,80 | 224 / 11 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 13 | 29 / 11 | $63.605,90 | 218 / 11 | $13.174,50 | 151 / 4 | $11.594,40 | 151 / 3 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 35 | $77.617,80 | 998 / 50 | $13.133,90 | 911 / 29 | $12.229,30 | 907 / 33 |
Peripheral Vascular Disorders W Mcc | 13 | 36 / 9 | $53.745,10 | 453 / 9 | $11.241,20 | 316 / 16 | $8.596,38 | 316 / 3 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 18 | $43.375,50 | 1098 / 28 | $8.700,67 | 1043 / 36 | $6.776,58 | 1040 / 26 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 27 | $43.347,70 | 690 / 20 | $8.278,08 | 671 / 18 | $7.472,75 | 671 / 23 |
Respiratory Neoplasms W Mcc | 12 | 40 / 14 | $82.776,00 | 554 / 19 | $15.078,30 | 569 / 22 | $14.176,90 | 566 / 26 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 18 | $223.326,00 | 549 / 14 | $41.812,30 | 511 / 13 | $41.012,40 | 510 / 19 |
Other Circulatory System Diagnoses W Cc | 12 | 54 / 14 | $32.223,40 | 448 / 3 | $7.834,75 | 520 / 8 | $7.024,08 | 519 / 10 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 21 | $29.438,50 | 696 / 9 | $7.425,33 | 913 / 28 | $6.625,33 | 909 / 43 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 21 | $202.234,00 | 751 / 23 | $41.048,40 | 791 / 33 | $40.141,60 | 790 / 36 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 11 | $38.680,80 | 719 / 17 | $6.634,75 | 725 / 19 | $5.424,08 | 721 / 19 |
Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 8 | $28.692,70 | 322 / 5 | $6.026,73 | 354 / 6 | $5.698,00 | 354 / 9 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 31 | $154.968,00 | 850 / 39 | $29.257,70 | 826 / 61 | $24.273,40 | 821 / 35 |
Angina Pectoris | 11 | 14 / 6 | $34.455,50 | 59 / 5 | $5.520,82 | 50 / 5 | $4.068,27 | 50 / 3 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 44 | $257.531,00 | 918 / 68 | $48.173,60 | 904 / 70 | $47.399,80 | 903 / 78 |
Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 15 | $84.296,80 | 492 / 8 | $13.251,60 | 458 / 4 | $12.588,40 | 457 / 8 | Total 79 procedures | 2.486 | 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.