Hospital Costs > In California > St Mary Medical Center Long Beach, 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 Mcc | 21 | 104 / 31 | $96.678,20 | 1686 / 101 | $18.381,00 | 1744 / 131 | $16.921,90 | 1731 / 137 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 19 | 142 / 47 | $48.268,10 | 2044 / 127 | $10.567,10 | 2129 / 167 | $9.535,53 | 2124 / 170 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 35 | $74.776,90 | 1812 / 112 | $14.786,70 | 1875 / 138 | $13.593,90 | 1872 / 142 |
Cellulitis W/O Mcc | 31 | 158 / 55 | $43.467,90 | 2480 / 157 | $10.869,20 | 2571 / 199 | $9.570,26 | 2563 / 203 |
Chest Pain | 35 | 116 / 38 | $30.741,60 | 1405 / 67 | $8.833,91 | 1665 / 138 | $8.053,11 | 1656 / 140 |
Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 49 | $50.597,60 | 2252 / 127 | $11.610,10 | 2392 / 178 | $10.420,80 | 2385 / 179 |
Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 43 | $51.008,20 | 2207 / 89 | $13.593,40 | 2506 / 181 | $11.860,30 | 2498 / 183 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 39 | $55.114,20 | 1318 / 40 | $12.789,80 | 1607 / 115 | $11.846,70 | 1604 / 123 |
Diabetes W Cc | 19 | 73 / 16 | $39.571,50 | 1395 / 51 | $10.627,90 | 1566 / 108 | $9.396,21 | 1561 / 113 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 28 | $49.234,40 | 1144 / 51 | $13.731,50 | 1402 / 116 | $12.522,80 | 1397 / 122 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 83 | $40.577,10 | 2487 / 140 | $10.094,10 | 2655 / 201 | $8.465,41 | 2640 / 203 |
G.I. Hemorrhage W Cc | 19 | 199 / 72 | $43.135,50 | 2031 / 84 | $11.985,10 | 2374 / 181 | $10.918,40 | 2370 / 186 |
G.I. Hemorrhage W Mcc | 15 | 106 / 41 | $67.681,30 | 1310 / 61 | $16.380,30 | 1510 / 109 | $15.348,20 | 1500 / 111 |
Heart Failure & Shock W Cc | 33 | 245 / 68 | $44.334,20 | 2444 / 111 | $12.012,90 | 2691 / 201 | $10.883,90 | 2685 / 207 |
Heart Failure & Shock W Mcc | 46 | 238 / 79 | $68.649,30 | 2324 / 126 | $16.583,10 | 2547 / 195 | $15.370,70 | 2536 / 197 |
Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 54 | $69.199,90 | 1529 / 21 | $19.230,40 | 1978 / 137 | $18.043,40 | 1957 / 139 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 52 | $250.930,00 | 1424 / 78 | $50.546,10 | 1442 / 104 | $47.151,50 | 1432 / 99 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 55 | $51.637,70 | 1774 / 82 | $12.551,40 | 2020 / 167 | $11.218,10 | 2016 / 168 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 28 | 140 / 43 | $76.758,00 | 1336 / 69 | $18.480,90 | 1541 / 120 | $17.251,20 | 1534 / 129 |
Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 94 | $39.653,10 | 2489 / 145 | $10.347,80 | 2664 / 203 | $9.213,53 | 2653 / 206 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 21 | 543 / 140 | $88.429,00 | 2339 / 120 | $22.456,00 | 2559 / 202 | $18.813,60 | 2513 / 199 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 34 | $47.720,70 | 1454 / 76 | $13.020,00 | 1673 / 145 | $12.233,20 | 1669 / 146 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 58 | $34.911,20 | 2257 / 106 | $9.613,67 | 2480 / 182 | $8.309,19 | 2471 / 186 |
O.R. Procedures For Obesity W/O Cc/Mcc | 15 | 62 / 13 | $69.796,90 | 357 / 13 | $16.656,50 | 401 / 19 | $15.394,60 | 400 / 19 |
Other Circulatory System Diagnoses W Mcc | 20 | 96 / 30 | $70.642,10 | 1055 / 35 | $18.643,80 | 1278 / 93 | $17.794,90 | 1270 / 99 |
Other Vascular Procedures W Mcc | 13 | 84 / 29 | $109.774,00 | 660 / 16 | $29.398,50 | 884 / 57 | $28.210,50 | 881 / 58 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 13 | 183 / 57 | $87.917,20 | 1020 / 26 | $20.656,00 | 1413 / 95 | $17.694,80 | 1405 / 98 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 21 | $45.787,20 | 1100 / 48 | $11.869,90 | 1224 / 89 | $10.727,20 | 1221 / 89 |
Pulmonary Edema & Respiratory Failure | 11 | 192 / 64 | $58.635,40 | 1905 / 64 | $13.902,10 | 2164 / 151 | $12.757,00 | 2158 / 155 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 19 | $66.564,90 | 1004 / 61 | $14.271,40 | 1053 / 74 | $13.256,20 | 1049 / 76 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 45 | $43.454,50 | 1822 / 102 | $10.551,60 | 1940 / 138 | $9.297,27 | 1931 / 141 |
Renal Failure W Cc | 25 | 196 / 63 | $45.936,40 | 2181 / 110 | $11.811,70 | 2379 / 182 | $10.608,60 | 2369 / 183 |
Renal Failure W Mcc | 24 | 171 / 62 | $74.348,00 | 1951 / 113 | $16.589,20 | 2064 / 160 | $15.247,50 | 2060 / 161 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 29 | $220.079,00 | 810 / 49 | $46.118,50 | 829 / 58 | $44.142,60 | 828 / 57 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 139 | 377 / 108 | $94.864,90 | 2593 / 187 | $19.101,10 | 2687 / 218 | $17.819,70 | 2642 / 219 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 60 | $51.638,40 | 2291 / 157 | $12.531,20 | 2505 / 221 | $11.296,30 | 2495 / 222 |
Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 68 | $41.745,20 | 2376 / 86 | $11.788,90 | 2759 / 196 | $10.758,90 | 2750 / 202 |
Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 57 | $70.349,30 | 2237 / 108 | $15.595,50 | 2443 / 179 | $14.394,10 | 2437 / 181 |
Syncope & Collapse | 18 | 151 / 49 | $39.931,50 | 1696 / 86 | $9.956,83 | 1890 / 148 | $9.048,61 | 1882 / 152 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 18 | 46 / 6 | $444.777,00 | 474 / 21 | $89.414,60 | 455 / 25 | $86.840,80 | 454 / 26 |
Transient Ischemia | 18 | 107 / 38 | $33.273,60 | 1285 / 41 | $9.554,61 | 1639 / 135 | $8.482,61 | 1631 / 135 | Total 41 procedures | 1.031 | 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.