Hospital Costs > In California > St Mary's Medical Center San Francisco, 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 | 230 | 286 / 66 | $108.426,00 | 2705 / 212 | $18.700,80 | 2647 / 211 | $17.051,30 | 2602 / 204 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 140 | 424 / 71 | $136.847,00 | 2641 / 214 | $22.455,90 | 2573 / 201 | $19.253,50 | 2527 / 205 |
Heart Failure & Shock W Mcc | 58 | 226 / 70 | $106.684,00 | 2583 / 200 | $16.197,70 | 2515 / 189 | $14.651,60 | 2504 / 188 |
Heart Failure & Shock W Cc | 56 | 222 / 48 | $60.599,80 | 2676 / 187 | $9.931,75 | 2510 / 165 | $8.374,96 | 2504 / 150 |
Spinal Fusion Except Cervical W/O Mcc | 47 | 147 / 22 | $242.730,00 | 1330 / 83 | $41.650,30 | 1332 / 86 | $39.724,00 | 1327 / 90 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 71 | $75.727,40 | 2525 / 225 | $12.034,90 | 2468 / 215 | $10.151,20 | 2458 / 210 |
G.I. Hemorrhage W Cc | 34 | 184 / 57 | $58.042,00 | 2283 / 143 | $10.388,50 | 2298 / 159 | $9.346,76 | 2294 / 165 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 29 | 167 / 43 | $154.607,00 | 1440 / 98 | $20.935,60 | 1451 / 99 | $19.573,50 | 1443 / 109 |
Cellulitis W/O Mcc | 29 | 160 / 57 | $56.446,00 | 2601 / 203 | $9.945,17 | 2538 / 191 | $8.579,45 | 2530 / 191 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 83 | $56.734,80 | 2677 / 202 | $8.062,69 | 2528 / 159 | $6.905,69 | 2517 / 160 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 25 | 64 / 20 | $127.442,00 | 771 / 74 | $12.645,00 | 733 / 67 | $9.960,64 | 732 / 65 |
Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 66 | $51.963,90 | 2587 / 146 | $10.297,50 | 2660 / 173 | $8.863,42 | 2651 / 170 |
Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 67 | $93.517,20 | 2432 / 163 | $14.347,80 | 2347 / 157 | $12.624,80 | 2341 / 149 |
Renal Failure W Cc | 21 | 200 / 67 | $58.018,70 | 2343 / 159 | $9.960,90 | 2247 / 158 | $8.494,24 | 2237 / 146 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 54 | $49.565,20 | 1727 / 70 | $9.629,25 | 1849 / 103 | $8.549,15 | 1845 / 114 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 91 | $57.854,50 | 2691 / 201 | $8.137,32 | 2519 / 169 | $6.631,11 | 2504 / 162 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 19 | 47 / 16 | $148.669,00 | 566 / 42 | $19.415,70 | 557 / 39 | $17.719,90 | 553 / 42 |
Other Vascular Procedures W Cc | 19 | 83 / 25 | $152.583,00 | 1066 / 54 | $25.192,80 | 1087 / 59 | $23.808,20 | 1082 / 64 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 41 | $66.695,10 | 1651 / 130 | $11.755,20 | 1602 / 129 | $10.586,20 | 1599 / 127 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 49 | $151.375,00 | 2043 / 147 | $20.186,30 | 1989 / 142 | $18.392,10 | 1968 / 141 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 73 | $131.198,00 | 2573 / 202 | $17.369,50 | 2561 / 196 | $15.034,60 | 2553 / 196 |
G.I. Hemorrhage W Mcc | 17 | 104 / 39 | $102.432,00 | 1568 / 124 | $16.739,30 | 1519 / 116 | $15.546,40 | 1509 / 114 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 54 | $100.640,00 | 1509 / 107 | $17.575,60 | 1502 / 112 | $16.033,50 | 1495 / 119 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 57 | $85.494,20 | 1545 / 69 | $17.126,40 | 1646 / 99 | $15.880,10 | 1630 / 97 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 39 | $80.900,90 | 1855 / 127 | $12.783,90 | 1798 / 124 | $11.284,10 | 1795 / 119 |
G.I. Obstruction W Cc | 14 | 78 / 38 | $59.303,50 | 1672 / 113 | $11.336,30 | 1529 / 129 | $6.878,21 | 1524 / 85 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 52 | $67.453,60 | 1872 / 141 | $10.985,30 | 1777 / 136 | $9.417,29 | 1773 / 120 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 40 | $222.483,00 | 1841 / 136 | $29.117,70 | 1834 / 133 | $27.200,40 | 1820 / 136 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 43 | $49.277,30 | 1901 / 118 | $8.634,92 | 1856 / 119 | $7.353,23 | 1847 / 122 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 20 | $43.036,20 | 1059 / 44 | $9.822,54 | 1126 / 71 | $8.417,31 | 1123 / 66 |
Syncope & Collapse | 13 | 156 / 54 | $59.228,30 | 1898 / 144 | $8.247,54 | 1789 / 131 | $6.812,46 | 1781 / 126 |
Renal Failure W Mcc | 12 | 183 / 74 | $50.987,50 | 1598 / 48 | $13.776,70 | 1862 / 103 | $12.361,00 | 1858 / 100 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 24 | $89.801,80 | 1413 / 92 | $11.274,60 | 1370 / 89 | $9.927,58 | 1368 / 92 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 49 | $67.246,00 | 1474 / 73 | $11.266,60 | 1557 / 93 | $10.172,80 | 1554 / 110 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 33 | $49.379,20 | 1975 / 114 | $7.216,00 | 1833 / 98 | $5.807,33 | 1820 / 88 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 54 | $51.174,90 | 2075 / 138 | $8.509,50 | 2006 / 141 | $7.070,33 | 2001 / 139 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 30 | $68.923,00 | 1395 / 113 | $10.253,10 | 1361 / 113 | $9.286,42 | 1357 / 117 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 43 | $168.078,00 | 1485 / 96 | $25.799,50 | 1481 / 97 | $23.680,30 | 1467 / 107 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 29 | $120.436,00 | 929 / 57 | $11.018,40 | 908 / 49 | $9.682,91 | 905 / 52 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 68 | $64.459,70 | 2531 / 201 | $7.444,00 | 2302 / 144 | $6.091,09 | 2294 / 137 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 30 | $119.682,00 | 791 / 38 | $22.431,90 | 800 / 42 | $20.952,50 | 796 / 45 |
Pulmonary Edema & Respiratory Failure | 11 | 192 / 64 | $84.013,90 | 2155 / 133 | $12.996,60 | 2122 / 141 | $11.677,70 | 2116 / 143 | Total 42 procedures | 1.183 | 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.