Hospital Costs > In California > Tulare Regional 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 | 60 | 456 / 155 | $44.240,80 | 1532 / 29 | $14.526,00 | 2294 / 77 | $13.630,10 | 2253 / 90 |
| Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 49 | $30.329,50 | 1499 / 14 | $10.250,60 | 2260 / 111 | $9.138,34 | 2252 / 104 |
| Simple Pneumonia & Pleurisy W Mcc | 40 | 165 / 51 | $34.267,80 | 1305 / 10 | $12.103,70 | 2198 / 88 | $11.319,70 | 2192 / 105 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 35 | 240 / 75 | $23.967,90 | 1798 / 30 | $7.202,54 | 2420 / 124 | $6.028,43 | 2405 / 133 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 77 | $17.645,60 | 1304 / 8 | $7.289,34 | 2463 / 126 | $6.456,34 | 2452 / 143 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 85 | $23.086,00 | 1080 / 12 | $9.444,29 | 2285 / 134 | $8.537,62 | 2276 / 155 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 68 | $24.826,30 | 1611 / 12 | $8.885,27 | 2532 / 123 | $7.950,00 | 2523 / 139 |
| Cellulitis W/O Mcc | 22 | 167 / 64 | $23.376,90 | 1769 / 30 | $7.838,14 | 2356 / 125 | $6.793,77 | 2348 / 136 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 35 | $38.840,10 | 655 / 7 | $13.925,30 | 1348 / 55 | $13.235,00 | 1338 / 62 |
| Heart Failure & Shock W Mcc | 21 | 263 / 101 | $35.605,20 | 1430 / 15 | $12.631,20 | 2319 / 104 | $12.011,40 | 2309 / 121 |
| G.I. Hemorrhage W Cc | 19 | 199 / 72 | $23.079,80 | 1035 / 9 | $8.951,32 | 2172 / 106 | $8.188,37 | 2168 / 128 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 59 | $38.601,20 | 1453 / 19 | $10.703,20 | 1969 / 80 | $9.875,25 | 1963 / 92 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 15 | 61 / 21 | $35.374,60 | 164 / 2 | $14.589,80 | 400 / 20 | $14.109,80 | 400 / 28 |
| Heart Failure & Shock W Cc | 14 | 264 / 86 | $32.584,40 | 2081 / 49 | $9.300,00 | 2463 / 141 | $8.068,57 | 2457 / 133 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 31 | $18.442,40 | 1070 / 5 | $6.937,14 | 1848 / 84 | $6.075,43 | 1840 / 104 |
| Renal Failure W Mcc | 12 | 183 / 74 | $33.410,60 | 972 / 12 | $13.035,00 | 1872 / 82 | $12.429,70 | 1868 / 102 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 41 | $38.672,50 | 756 / 8 | $14.100,50 | 1522 / 62 | $13.114,30 | 1509 / 63 | Total 17 procedures | 419 | 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.