Hospital Costs > In California > Temecula Valley 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 | 26 | 490 / 181 | $64.122,30 | 2182 / 88 | $13.695,20 | 1780 / 41 | $11.693,00 | 1745 / 21 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 87 | $23.378,20 | 1753 / 26 | $5.547,04 | 1261 / 18 | $3.934,48 | 1250 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 89 | $27.129,90 | 2085 / 46 | $5.581,50 | 874 / 11 | $3.872,70 | 868 / 2 |
| Renal Failure W Mcc | 20 | 175 / 66 | $43.363,60 | 1394 / 26 | $14.930,20 | 1894 / 136 | $12.664,70 | 1890 / 112 |
| Renal Failure W Cc | 19 | 202 / 69 | $33.637,10 | 1849 / 43 | $6.706,21 | 539 / 15 | $4.792,95 | 535 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 19 | 545 / 142 | $47.284,80 | 1152 / 20 | $14.942,00 | 1799 / 21 | $12.894,00 | 1759 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 73 | $51.341,20 | 1943 / 51 | $11.670,40 | 1932 / 72 | $9.812,67 | 1932 / 35 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 72 | $46.237,80 | 2102 / 60 | $7.583,56 | 665 / 3 | $5.944,44 | 661 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 65 | $25.913,10 | 1933 / 46 | $5.210,07 | 856 / 18 | $3.548,36 | 853 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 95 | $28.170,90 | 1512 / 33 | $7.198,21 | 570 / 16 | $5.282,86 | 568 / 1 |
| Heart Failure & Shock W Mcc | 14 | 270 / 108 | $39.932,40 | 1654 / 28 | $9.670,43 | 481 / 5 | $7.667,00 | 481 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 47 | $40.126,90 | 949 / 9 | $8.635,07 | 1142 / 20 | $6.827,07 | 1139 / 19 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 38 | $55.185,20 | 1239 / 23 | $12.057,40 | 301 / 17 | $8.533,29 | 301 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 76 | $33.866,20 | 2136 / 47 | $8.288,21 | 2276 / 87 | $6.795,57 | 2268 / 62 |
| Transient Ischemia | 12 | 113 / 44 | $24.987,30 | 956 / 17 | $7.885,17 | 668 / 113 | $3.547,92 | 664 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 54 | $35.354,20 | 1370 / 30 | $7.939,50 | 487 / 21 | $5.691,50 | 486 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 59 | $61.857,50 | 1161 / 32 | $18.531,10 | 1501 / 121 | $15.989,80 | 1494 / 118 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 21 | $100.160,00 | 758 / 20 | $27.160,70 | 907 / 57 | $24.712,80 | 899 / 59 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 34 | $31.986,60 | 1669 / 46 | $5.267,73 | 496 / 12 | $3.234,27 | 494 / 1 |
| Pulmonary Edema & Respiratory Failure | 11 | 192 / 64 | $58.513,20 | 1901 / 62 | $8.570,82 | 1036 / 7 | $6.999,91 | 1035 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 62 | $44.809,10 | 2158 / 103 | $6.584,55 | 795 / 9 | $4.792,55 | 793 / 1 | Total 21 procedures | 328 | 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.