Hospital Costs > In California > Tri-City Medical Center, 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 | 220 | 296 / 71 | $75.865,40 | 2375 / 124 | $14.992,70 | 2378 / 101 | $14.116,80 | 2336 / 114 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 146 | 418 / 68 | $74.892,40 | 2110 / 83 | $16.086,20 | 2226 / 55 | $14.821,40 | 2182 / 88 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 85 | 122 / 36 | $39.993,30 | 2034 / 92 | $8.707,81 | 2130 / 83 | $7.732,52 | 2122 / 101 |
| Simple Pneumonia & Pleurisy W Cc | 72 | 131 / 23 | $33.522,50 | 2124 / 44 | $7.941,99 | 2313 / 65 | $6.936,90 | 2305 / 76 |
| Kidney & Urinary Tract Infections W/O Mcc | 71 | 162 / 42 | $28.796,30 | 2169 / 56 | $6.533,82 | 2243 / 76 | $5.559,56 | 2232 / 82 |
| G.I. Hemorrhage W Cc | 70 | 148 / 28 | $35.238,40 | 1792 / 43 | $8.126,50 | 1958 / 52 | $7.119,04 | 1954 / 59 |
| Heart Failure & Shock W Cc | 69 | 209 / 37 | $33.643,00 | 2128 / 54 | $7.890,90 | 2239 / 59 | $7.094,20 | 2233 / 74 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 67 | 208 / 45 | $31.381,50 | 2227 / 81 | $6.487,72 | 2278 / 78 | $5.452,79 | 2263 / 97 |
| Cellulitis W/O Mcc | 64 | 125 / 26 | $33.687,60 | 2261 / 97 | $6.937,02 | 2166 / 57 | $5.986,33 | 2158 / 82 |
| Transient Ischemia | 64 | 61 / 3 | $27.892,40 | 1102 / 23 | $6.193,53 | 1350 / 52 | $5.016,09 | 1343 / 57 |
| Heart Failure & Shock W Mcc | 60 | 224 / 68 | $47.421,50 | 1916 / 45 | $11.559,90 | 2097 / 60 | $10.762,80 | 2088 / 63 |
| Hip & Femur Procedures Except Major Joint W Cc | 57 | 86 / 14 | $69.833,60 | 1544 / 24 | $15.083,10 | 1692 / 51 | $13.968,10 | 1673 / 58 |
| Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 40 | $54.207,60 | 2272 / 105 | $10.071,80 | 2278 / 98 | $9.244,56 | 2270 / 113 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 48 | 134 / 30 | $33.641,30 | 1310 / 17 | $8.070,62 | 1533 / 25 | $6.983,29 | 1530 / 32 |
| Pulmonary Edema & Respiratory Failure | 47 | 156 / 31 | $53.076,40 | 1812 / 47 | $10.002,70 | 1870 / 46 | $9.222,28 | 1865 / 56 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 34 | $28.151,60 | 2058 / 67 | $6.109,59 | 2121 / 76 | $5.262,24 | 2113 / 85 |
| Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 33 | $28.940,60 | 1668 / 28 | $7.404,77 | 1926 / 40 | $6.464,48 | 1919 / 43 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 27 | $28.225,80 | 1554 / 26 | $6.815,21 | 1809 / 71 | $5.858,23 | 1804 / 79 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 39 | 87 / 22 | $39.939,80 | 1305 / 49 | $8.894,90 | 1305 / 39 | $8.143,77 | 1302 / 46 |
| Simple Pneumonia & Pleurisy W Mcc | 38 | 167 / 53 | $49.939,20 | 1919 / 46 | $11.229,80 | 2075 / 53 | $10.489,50 | 2073 / 65 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 38 | 12 / 7 | $294.677,00 | 90 / 6 | $60.521,70 | 81 / 5 | $59.433,10 | 81 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 35 | 133 / 36 | $49.298,50 | 946 / 15 | $12.878,70 | 1150 / 23 | $11.799,50 | 1144 / 27 |
| Syncope & Collapse | 34 | 135 / 33 | $30.738,10 | 1462 / 42 | $6.367,71 | 1563 / 57 | $5.367,82 | 1556 / 64 |
| Spinal Fusion Except Cervical W/O Mcc | 34 | 160 / 34 | $172.188,00 | 1202 / 54 | $30.781,90 | 1165 / 29 | $29.674,10 | 1160 / 46 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 33 | 92 / 19 | $62.064,40 | 1354 / 41 | $14.564,60 | 1567 / 77 | $13.679,10 | 1554 / 85 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 33 | $195.930,00 | 1246 / 44 | $37.877,20 | 1076 / 22 | $36.614,00 | 1069 / 27 |
| Respiratory Infections & Inflammations W Mcc | 32 | 104 / 40 | $65.962,70 | 1356 / 35 | $14.222,50 | 1332 / 27 | $13.114,20 | 1317 / 23 |
| Chest Pain | 32 | 119 / 41 | $22.456,20 | 1081 / 27 | $5.513,59 | 1359 / 58 | $4.469,38 | 1351 / 67 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 31 | 62 / 14 | $28.991,90 | 1589 / 32 | $6.107,06 | 1689 / 49 | $5.092,16 | 1681 / 59 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 41 | $73.278,10 | 745 / 10 | $15.611,80 | 1204 / 22 | $14.111,90 | 1197 / 41 |
| Renal Failure W Cc | 31 | 190 / 57 | $39.254,40 | 2021 / 71 | $8.228,65 | 2081 / 85 | $7.401,87 | 2071 / 97 |
| G.I. Obstruction W Cc | 30 | 62 / 22 | $35.256,60 | 1354 / 41 | $7.513,23 | 1436 / 55 | $6.385,97 | 1431 / 62 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 28 | 63 / 8 | $36.734,40 | 952 / 16 | $8.595,25 | 1177 / 42 | $7.507,61 | 1175 / 40 |
| Other Vascular Procedures W Cc | 28 | 74 / 16 | $92.200,10 | 767 / 11 | $19.136,50 | 863 / 13 | $18.177,50 | 858 / 20 |
| Heart Failure & Shock W/O Cc/Mcc | 27 | 83 / 18 | $23.339,80 | 1472 / 23 | $5.898,30 | 1594 / 41 | $4.699,63 | 1581 / 39 |
| Renal Failure W Mcc | 25 | 170 / 61 | $42.239,00 | 1356 / 25 | $11.938,40 | 1680 / 43 | $11.061,20 | 1678 / 51 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 31 | $25.432,50 | 1279 / 27 | $6.896,88 | 1635 / 58 | $5.974,88 | 1626 / 64 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 25 | 76 / 24 | $55.228,90 | 839 / 17 | $11.618,70 | 823 / 19 | $11.076,00 | 820 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 26 | $19.037,50 | 1337 / 12 | $5.161,91 | 1721 / 61 | $4.162,52 | 1715 / 82 |
| Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 43 | $47.411,60 | 1646 / 84 | $9.276,04 | 1656 / 71 | $8.402,57 | 1652 / 77 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 22 | $53.340,30 | 1206 / 59 | $10.477,30 | 1228 / 64 | $9.589,95 | 1223 / 68 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 22 | 41 / 8 | $188.117,00 | 609 / 20 | $37.382,50 | 590 / 17 | $36.700,20 | 590 / 22 |
| Major Small & Large Bowel Procedures W Cc | 22 | 86 / 33 | $105.633,00 | 1260 / 32 | $17.892,20 | 1143 / 6 | $16.999,70 | 1130 / 25 |
| Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 14 | $84.373,10 | 660 / 19 | $19.458,50 | 729 / 13 | $18.357,60 | 727 / 18 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 33 | $134.564,00 | 1728 / 84 | $19.894,60 | 1615 / 62 | $19.098,10 | 1601 / 71 |
| G.I. Hemorrhage W Mcc | 20 | 101 / 36 | $86.848,00 | 1490 / 96 | $13.640,50 | 1225 / 42 | $12.392,00 | 1217 / 36 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 34 | $58.177,60 | 1661 / 76 | $10.482,40 | 1679 / 70 | $9.747,60 | 1676 / 86 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 26 | $25.368,80 | 1553 / 20 | $6.291,90 | 1747 / 45 | $5.148,00 | 1736 / 47 |
| Respiratory Infections & Inflammations W Cc | 19 | 69 / 29 | $44.362,20 | 1047 / 18 | $10.821,90 | 1248 / 41 | $10.052,40 | 1243 / 46 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 23 | $28.607,60 | 821 / 16 | $8.068,26 | 1155 / 46 | $7.171,11 | 1151 / 58 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 29 | $27.089,40 | 988 / 7 | $6.494,53 | 1337 / 40 | $5.408,95 | 1333 / 60 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 43 | $43.914,90 | 1046 / 15 | $8.923,28 | 1363 / 31 | $7.907,06 | 1360 / 50 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 13 | $36.467,20 | 990 / 16 | $8.003,29 | 1093 / 22 | $7.145,53 | 1090 / 39 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 8 | $26.131,90 | 683 / 7 | $5.745,94 | 727 / 18 | $4.958,88 | 726 / 26 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 17 | 52 / 10 | $105.799,00 | 421 / 9 | $20.052,20 | 399 / 4 | $18.834,90 | 399 / 6 |
| Cellulitis W Mcc | 17 | 41 / 17 | $43.451,80 | 660 / 24 | $10.463,50 | 622 / 15 | $9.457,71 | 620 / 15 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 25 | $96.332,10 | 453 / 7 | $24.578,40 | 794 / 18 | $23.572,10 | 789 / 25 |
| Medical Back Problems W/O Mcc | 17 | 104 / 40 | $23.112,80 | 736 / 12 | $6.932,12 | 1186 / 41 | $5.930,82 | 1182 / 51 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 24 | $274.441,00 | 1205 / 58 | $46.698,60 | 1195 / 58 | $45.428,60 | 1192 / 62 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 7 | $26.219,80 | 491 / 6 | $6.560,50 | 745 / 17 | $5.648,50 | 741 / 22 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 16 | 56 / 19 | $36.799,90 | 512 / 6 | $10.742,90 | 672 / 19 | $9.605,50 | 670 / 19 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 11 | $73.963,10 | 540 / 17 | $16.449,90 | 598 / 15 | $15.558,70 | 597 / 20 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 26 | $87.243,50 | 697 / 20 | $16.935,50 | 699 / 16 | $15.806,30 | 695 / 24 |
| Signs & Symptoms W/O Mcc | 15 | 76 / 23 | $32.537,50 | 1078 / 37 | $5.909,47 | 1023 / 28 | $5.024,27 | 1020 / 33 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 19 | $94.008,40 | 604 / 9 | $20.095,50 | 481 / 5 | $19.142,60 | 478 / 6 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 41 | $296.483,00 | 994 / 90 | $50.488,50 | 953 / 84 | $49.941,40 | 952 / 94 |
| Other Disorders Of Nervous System W Cc | 14 | 42 / 13 | $32.266,70 | 407 / 6 | $7.521,71 | 486 / 18 | $6.657,86 | 486 / 21 |
| Other Vascular Procedures W Mcc | 14 | 83 / 28 | $138.798,00 | 826 / 34 | $27.254,40 | 825 / 43 | $26.282,10 | 822 / 47 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 26 | $63.255,80 | 847 / 31 | $8.627,14 | 823 / 24 | $7.672,43 | 820 / 34 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 14 | $104.341,00 | 719 / 14 | $20.713,40 | 656 / 7 | $19.925,60 | 653 / 12 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 13 | $82.159,60 | 503 / 14 | $14.931,10 | 504 / 9 | $13.975,10 | 500 / 16 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 18 | $21.758,50 | 573 / 4 | $6.278,92 | 774 / 37 | $5.061,23 | 773 / 34 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 28 | $25.479,40 | 1013 / 23 | $5.541,69 | 1139 / 45 | $4.514,15 | 1136 / 63 |
| Diabetes W Cc | 13 | 79 / 22 | $29.200,80 | 1145 / 20 | $7.068,92 | 1284 / 40 | $6.102,85 | 1279 / 45 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 28 | $155.002,00 | 890 / 31 | $27.350,90 | 869 / 26 | $26.506,60 | 868 / 33 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 18 | $38.650,50 | 658 / 15 | $10.058,10 | 824 / 20 | $9.212,69 | 820 / 22 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 21 | $36.303,20 | 940 / 25 | $8.072,50 | 1002 / 31 | $7.270,33 | 999 / 38 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 22 | $55.966,40 | 994 / 42 | $9.410,83 | 943 / 27 | $8.897,67 | 941 / 38 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 12 | 28 / 9 | $80.446,20 | 175 / 6 | $15.195,80 | 174 / 4 | $14.280,40 | 174 / 5 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 22 | $68.390,70 | 781 / 27 | $12.513,20 | 761 / 19 | $11.501,00 | 758 / 30 |
| Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 13 | $374.479,00 | 399 / 19 | $62.620,50 | 371 / 14 | $56.123,50 | 371 / 12 |
| Soft Tissue Procedures W Cc | 11 | 11 / 2 | $52.222,80 | 21 / 1 | $11.806,20 | 20 / 1 | $11.028,50 | 20 / 1 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 23 | $87.453,00 | 693 / 58 | $14.497,00 | 626 / 38 | $13.929,40 | 625 / 47 |
| Acute Ischemic Stroke W Use Of Thrombolytic Agent W Cc | 11 | 20 / 7 | $64.831,50 | 94 / 4 | $14.308,00 | 117 / 5 | $13.323,60 | 117 / 6 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 22 | $32.000,60 | 756 / 13 | $7.387,82 | 857 / 27 | $6.233,82 | 853 / 25 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 11 | $42.648,20 | 370 / 2 | $10.151,50 | 417 / 6 | $9.592,18 | 417 / 8 |
| Seizures W/O Mcc | 11 | 97 / 31 | $26.206,10 | 819 / 14 | $6.496,27 | 989 / 25 | $5.504,27 | 987 / 27 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 26 | $77.164,50 | 653 / 12 | $17.055,10 | 731 / 15 | $15.839,60 | 728 / 22 | Total 88 procedures | 2.726 | 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.