Hospital Costs > In California > St Rose Hospital, 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 | 123 | 393 / 114 | $119.273,00 | 2743 / 227 | $19.899,70 | 2742 / 234 | $19.048,40 | 2697 / 236 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 54 | 510 / 115 | $122.447,00 | 2604 / 199 | $21.548,60 | 2598 / 194 | $19.778,50 | 2552 / 210 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 63 | $55.796,70 | 2684 / 198 | $8.879,75 | 2633 / 187 | $7.880,47 | 2618 / 195 |
Pulmonary Edema & Respiratory Failure | 44 | 159 / 34 | $96.196,60 | 2191 / 148 | $13.912,20 | 2169 / 152 | $12.908,20 | 2163 / 156 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 44 | 163 / 67 | $71.002,80 | 2494 / 213 | $11.715,10 | 2490 / 208 | $10.870,20 | 2480 / 218 |
Heart Failure & Shock W Mcc | 42 | 242 / 82 | $99.718,30 | 2565 / 190 | $17.317,70 | 2578 / 201 | $16.727,30 | 2567 / 211 |
Respiratory Infections & Inflammations W Mcc | 41 | 95 / 33 | $110.070,00 | 1698 / 104 | $19.656,20 | 1772 / 135 | $19.096,60 | 1756 / 146 |
Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 71 | $43.673,80 | 2564 / 160 | $9.122,76 | 2623 / 188 | $8.135,82 | 2612 / 194 |
Heart Failure & Shock W Cc | 37 | 241 / 65 | $64.691,50 | 2699 / 195 | $10.999,50 | 2656 / 186 | $9.983,35 | 2650 / 195 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 30 | $89.110,20 | 1602 / 111 | $11.877,20 | 1577 / 106 | $10.875,30 | 1574 / 114 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 32 | 134 / 48 | $48.208,80 | 2478 / 170 | $8.460,66 | 2454 / 168 | $7.705,66 | 2445 / 177 |
G.I. Hemorrhage W Cc | 31 | 187 / 60 | $65.760,70 | 2353 / 170 | $11.215,10 | 2361 / 172 | $10.479,10 | 2357 / 180 |
Chest Pain | 31 | 120 / 42 | $47.079,90 | 1667 / 131 | $7.612,32 | 1625 / 123 | $6.829,87 | 1616 / 129 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 43 | $56.589,50 | 2331 / 145 | $10.649,20 | 2371 / 169 | $9.803,37 | 2364 / 174 |
Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 60 | $80.631,70 | 2511 / 170 | $12.405,50 | 2498 / 164 | $11.723,90 | 2490 / 181 |
Respiratory Infections & Inflammations W Cc | 28 | 60 / 21 | $97.250,70 | 1454 / 109 | $18.067,10 | 1445 / 118 | $13.401,20 | 1440 / 111 |
Renal Failure W Cc | 27 | 194 / 61 | $67.658,30 | 2398 / 182 | $10.933,40 | 2359 / 176 | $9.901,33 | 2349 / 178 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 34 | $57.570,30 | 1582 / 110 | $11.938,20 | 1641 / 132 | $11.357,10 | 1638 / 136 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 30 | $135.202,00 | 1730 / 85 | $24.067,90 | 1781 / 115 | $23.043,90 | 1767 / 119 |
G.I. Hemorrhage W Mcc | 23 | 98 / 33 | $108.075,00 | 1593 / 131 | $17.878,50 | 1586 / 132 | $17.246,80 | 1576 / 134 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 49 | $154.839,00 | 1441 / 99 | $20.670,20 | 1453 / 96 | $19.624,40 | 1445 / 110 |
Cellulitis W/O Mcc | 21 | 168 / 65 | $50.041,00 | 2559 / 186 | $9.793,52 | 2540 / 186 | $8.671,81 | 2532 / 192 |
Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 70 | $91.114,90 | 2420 / 157 | $15.118,50 | 2440 / 173 | $14.144,80 | 2434 / 180 |
Syncope & Collapse | 21 | 148 / 46 | $54.095,40 | 1865 / 127 | $8.734,00 | 1848 / 138 | $7.815,14 | 1840 / 139 |
Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 70 | $66.672,30 | 2751 / 187 | $10.946,50 | 2731 / 185 | $9.984,90 | 2722 / 194 |
Renal Failure W Mcc | 19 | 176 / 67 | $116.341,00 | 2146 / 174 | $16.812,40 | 2090 / 161 | $15.926,50 | 2086 / 167 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 37 | $332.682,00 | 1030 / 106 | $58.032,80 | 1035 / 115 | $57.231,00 | 1034 / 118 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 15 | $249.509,00 | 857 / 40 | $49.617,70 | 921 / 66 | $48.493,20 | 920 / 70 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 18 | 106 / 48 | $281.738,00 | 1482 / 101 | $47.028,60 | 1420 / 88 | $46.223,20 | 1410 / 93 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 58 | $66.336,60 | 1956 / 125 | $11.688,10 | 2000 / 156 | $10.706,10 | 1996 / 162 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 51 | $53.678,20 | 2095 / 148 | $9.309,80 | 2095 / 158 | $8.505,53 | 2090 / 161 |
Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 53 | $69.072,20 | 1886 / 146 | $12.307,50 | 1898 / 150 | $11.751,20 | 1894 / 157 |
Transient Ischemia | 13 | 112 / 43 | $46.431,80 | 1534 / 95 | $8.481,31 | 1620 / 125 | $7.555,77 | 1612 / 130 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 29 | $52.782,50 | 1297 / 90 | $10.927,10 | 1392 / 120 | $10.232,90 | 1388 / 126 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 33 | $46.137,80 | 1959 / 107 | $8.275,58 | 1958 / 115 | $7.475,58 | 1945 / 119 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 59 | $100.489,00 | 1508 / 106 | $17.728,20 | 1528 / 114 | $16.931,00 | 1521 / 127 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 38 | $48.734,80 | 1963 / 132 | $7.182,45 | 1938 / 128 | $6.193,36 | 1932 / 135 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 35 | $46.990,10 | 2029 / 102 | $8.636,73 | 2053 / 123 | $7.727,64 | 2041 / 125 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 22 | $49.322,70 | 999 / 47 | $10.048,80 | 1046 / 73 | $9.170,27 | 1042 / 77 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 41 | $159.487,00 | 1811 / 149 | $18.895,10 | 1765 / 138 | $17.906,00 | 1752 / 141 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 22 | $165.181,00 | 900 / 57 | $22.669,50 | 881 / 50 | $21.793,90 | 873 / 53 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 33 | $74.412,20 | 1392 / 109 | $12.972,20 | 1382 / 111 | $11.764,90 | 1377 / 117 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 43 | $73.797,70 | 1805 / 110 | $13.133,30 | 1845 / 128 | $12.254,70 | 1842 / 134 |
Diabetes W Cc | 11 | 81 / 24 | $44.867,20 | 1485 / 76 | $9.657,64 | 1555 / 103 | $9.003,09 | 1550 / 109 | Total 44 procedures | 1.142 | 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.